The Health Ministry in Gaza said at least 51 people were killed and 82 wounded in the operation in Khan Younis that began early Wednesday. Records at the European Hospital show that seven women and 12 children, as young as 22 months old, were among those killed.

Another 23 people, including two children, were killed in separate strikes across Gaza, according to local hospitals.

The Biden administration says there is a significant difference between Israeli actions that have expanded its war against the Iranian-backed militant groups Hamas and Hezbollah and Iran's retaliatory missile attack against Israel, which it condemned as escalatory.

In carefully calibrated remarks, officials across the administration are defending the surge in attacks by Israel against Hezbollah leaders in Lebanon, while still pressing for peace and vowing retribution after Iran fired about 200 ballistic missiles at Israel on Tuesday.

Israeli police said on Wednesday that a total of seven people were killed in a shooting attack in Tel Aviv on Tuesday evening minutes before the Iranian missile barrage.

Two Palestinian men from the Israeli-occupied West Bank city of Hebron opened fire in the Jaffa neighborhood of Tel Aviv, including shooting directly into a light rail carriage crowded with passengers that was stopped at a station.

Air traffic was halted at Israel's Ben Gurion airport on Tuesday, a spokesman said, as blasts rocked the country after Iran launched a missile attack.

Iran's Revolutionary Guards said the missile attack under way against Israel was in response to the killing of Hezbollah chief Sayyed Hassan Nasrallah last week as well as that of the Hamas leader.

"The United States has indications that Iran is preparing to imminently launch a ballistic missile attack against Israel," a senior White House official told AFP on Tuesday, speaking on condition of anonymity.

"We are actively supporting defensive preparations to defend Israel against this attack," the official said in a statement, warning that such an action "will carry severe consequences for Iran."

A Syria war monitor said six people including three civilians were killed in Israeli strikes early Tuesday targeting Damascus and its vicinity, amid fears of broader Israeli raids on the country.

The Syrian Observatory for Human Rights said the strikes targeted two vehicles in Damascus's upscale Mazzeh district, as well as "air defense batteries at the (city's) airport, and the vicinity of the Kisweh area", south of the capital.

A missile attack has targeted a U.S. military facility near the Baghdad airport, two Iraqi security officials said.

The officials, who spoke on condition of anonymity because they were not authorized to speak publicly, said one rocket fell in an adjacent area used by Iraqi security forces and damaged vehicle parked there.

An explosive-loaded drone crashed into one ship Tuesday in the Red Sea as a missile exploded against another, the British military and private security officials said, marking the latest suspected attacks by Yemen's Houthi rebels.

The attacks likely are the rebels' first assaults on commercial shipping in weeks as the Israel-Hamas war threatens to become a regional conflict.

Israeli Prime Minister Benjamin Netanyahu on Monday warned Iranians there was no place in the Middle East beyond Israel's reach, as his military launched strikes on the Iran-backed Hezbollah in Lebanon.

"There is nowhere in the Middle East Israel cannot reach," Netanyahu said in a video statement issued in English, warning the people of Iran that their "regime plunges our region deeper into darkness and deeper into war".

Yemen’s Houthi rebels claim they shot down another American-made MQ-9 Reaper drone over the country, with videos purportedly showing a surface-to-air missile striking it. The U.S. military did not immediately acknowledge losing any aircraft.

The claimed attack comes as the one-year anniversary of the Israel-Hamas war in the Gaza Strip approaches. The Houthis have targeted ships traveling through the Red Sea over the war as U.S.-led airstrikes pound their positions in Yemen. That’s imperiled a waterway that typically sees $1 trillion of trade pass through it, as well as crucial shipments of aid to war-torn Sudan and Yemen.