Fatma Abu Awad and her daughter Malak pray in a graveyard where their relatives who were killed by an Israeli airstrike are buried, in Khan Younis, Gaza, Thursday, Jan. 9, 2025. Associated Press

DEIR AL-BALAH, Gaza Strip — More than 46,000 Palestinians have been killed in the Israel-Hamas war, Gaza’s Health Ministry said Thursday, with no end in sight to the 15-month conflict.

The ministry said a total of 46,006 Palestinians have been killed and 109,378 wounded. It has said women and children make up more than half the fatalities, but does not say how many of the dead were fighters or civilians.

The Israeli military says it has killed over 17,000 militants, without providing evidence. It says it tries to avoid harming civilians and blames Hamas for their deaths because the militants operate in residential areas. Israel has also repeatedly struck what it claims are militants hiding in shelters and hospitals, often killing women and children.

In recent weeks, Israel and Hamas have appeared to inch closer to an agreement for a ceasefire and the release of hostages. Secretary of State Antony Blinken said this week that a deal is “very close” and he hopes to complete it before handing over U.S diplomacy to the incoming Trump administration.

But he and other U.S. officials have expressed similar optimism on several occasions over the past year, only to see the indirect talks stall.

The war began when Hamas-led militants stormed into Israel on Oct. 7, 2023, killing some 1,200 people, mostly civilians, and abducting around 250. Some 100 hostages are still inside Gaza. Israeli authorities believe at least a third of them were killed in the initial attack or have died in captivity.

The war has flattened large areas of Gaza and displaced around 90% of its 2.3 million people, with many forced to flee multiple times. Hundreds of thousands are packed into sprawling tent camps along the coast with limited access to food and other essentials.

Fatma Abu Awad lost six family members on Tuesday in two Israeli strikes 15 minutes apart. An Israeli strike on a vehicle killed her son, while a separate strike on a tent in Muwasi Khan Younis wounded her son and killed his wife and four children.

“I swear we’ve been waiting for news about a truce every day — but there’s no truce, only news of my son and my daughter-in-law and her children being killed,” she said at a school in Khan Younis where she’s sheltering alongside many other displaced families.

Later at a nearby cemetery, she prayed over the graves of her family, marked only by headstones of cinderblock rubble stuck in the dry earth.

“What we are living is not a life. Nobody could bear the situation we’re experiencing for a single day,” Munawar al-Bik, a displaced woman, told The Associated Press in an interview this week.

“We wake up at night to the sounds of men crying, because of the bad situation,” she said. “The situation is unbearable. We have no energy left: we want it to end today.”

Al-Bik spoke on a dusty road in the southern city of Khan Younis next to a destroyed building. Behind her, a sea of makeshift tents filled with displaced families stretched into the distance.

On Thursday, dozens of people took part in funeral prayers outside the Al-Aqsa Martyrs Hospital in the central Gaza city of Deir al-Balah for people killed in Israeli strikes the day before.

In the hospital morgue, a man could be seen kneeling and bidding farewell to a relative before slamming a refrigerator door in an outburst of grief.

Palestinian health officials said Israeli airstrikes killed at least nine people in Gaza on Wednesday, including three infants — among them a 1-week-old baby — and two women.

“There is hope every day that there would be truce and ceasefire negotiations would work but it's useless hope as we’ve been waiting for a year and two months for the war to end. On the contrary, we have more martyrs and are losing more of our loved ones,” said Malak Abu Awad, part of the family that lost six people in airstrikes earlier this week.

In Israel, family members of hostages who were killed in captivity echoed the calls for a ceasefire, imploring the Israeli government and world leaders to reach a deal, a day after Israeli soldiers recovered the body of 53-year-old hostage Yosef AlZayadni in an underground tunnel in southern Gaza.

“Military pressure endangers the lives of the hostages,” said Meirav Svirsky, sister of hostage Itay Svirsky, whose body was recovered from Gaza last month. “The policy that prioritizes the continuation of fighting must be replaced by a policy of saving lives and a policy committed to the return of all the hostages.”

Members of the Bedouin community carry the body of Yosef Al Zaydani, who was in Hamas captivity in the Gaza Strip, a day after the Israeli army said his body was recovered in an underground tunnel in southern Gaza, during his funeral in Rahat, southern Israel, Thursday, Jan. 9, 2025. Associated Press