Palestinian civilians are continuing to suffer as the Israeli military pushes deeper into the Gaza Strip.

At least 540 people have been killed in the territory in the last 10 days, with more than 80 deaths reported since the Israeli ground offensive began on Saturday.

Among the dead on Monday was a family of seven from Shati refugee camp, who were killed by Israeli navy shelling.

Three siblings from one family, as well as a girl and her grandfather, also died in the Zeitoun neighbourhood of Gaza during artillery shelling.

Emergency medical services have also come under attack with the al-Awda hospital in Jabaliya being hit by two Israeli shells, foreign human rights actvists said.

"Two consecutive shells just landed in the busy car park 15 metres from the entrance to the emergency room," Alberto Arce of the International Solidarity Movement said in a statement.

"The entrance of the emergency room was damaged. At the time of the shelling ambulances were bringing in the wounded that keep pouring in."

Medics killed

On Sunday, an Israeli raid killed at least four paramedics as they tried to reach wounded Palestinians. Ambulances have also been hit in the attacks, Palestinian sources said.