Hundreds of thousands of Palestinians crammed into the small southern Gaza border city of Rafah are being forced to contemplate being displaced once more as an Israeli offensive looms.

Those who fled to the border city, almost half of Gaza’s 2.3 million people, face a terrifying choice: stay in overcrowded Rafah – once home to 280,000 people – and wait for the attack, or risk moving north through an area of continued fighting.

Large areas are occupied by tented encampments, which have encroached even on some of Rafah’s cemeteries. Aid officials have described the city as a “pressure cooker of despair”, warning that a full-scale Israeli offensive on an area so overcrowded could cause large-scale loss of civilian life, and could be a war crime.

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