The death toll in the Gaza Strip from the 14-month war between Israel and Hamas militants has topped 45,000 people, Palestinian health officials said on Monday, with 52 dead arriving at hospitals across the bombed-out strip over the past 24 hours.

The Gaza health ministry does not distinguish between civilians and combatants in its count, but it has said that more than half of the fatalities are women and children. The Israeli military says it has killed more than 17,000 militants, without providing evidence.

With the death toll mounting ever higher, efforts to reach a ceasefire have picked up in recent weeks after repeatedly faltering. Qatar, Egypt and the US have renewed their efforts to broker a deal at senior levels in recent days. Mediators have said there appears to be more willingness from both sides to conclude a ceasefire.

The health ministry said 45,028 people have been killed and 106,962 have been wounded since the start of the war. It has said the real toll is higher because thousands of bodies are still buried under rubble or in areas that medics cannot access. The latest war has been by far the deadliest round of fighting between Israel and Hamas, with the death toll now amounting to roughly 2 per cent of Gaza’s entire pre-war population of about 2.3 million.

Among the dead reported in the overall toll were 10 people, including a family of four, who were killed in an overnight Israeli strike in Gaza City, Palestinian medics said.

The strike late on Sunday hit a house in Gaza City’s eastern Shijaiyah neighbourhood, according to the health ministry’s emergency service. Rescuers recovered the bodies of 10 people from under the rubble, including those of two parents and their two children, it said.

Israel claims Hamas is responsible for the civilian death toll because it operates from within civilian areas in the densely populated Gaza Strip. Rights groups and Palestinians say Israel has failed to take sufficient precautions to avoid civilian deaths.