Israeli airstrikes continued to pound Gaza early Tuesday, killing dozens of people in the besieged enclave’s south, where Israel told civilians from the north to seek shelter ahead of an expected ground offensive.

Wounded people were rushed to the hospital after heavy attacks outside the southern Gaza cities of Rafah and Khan Younis, Gaza residents reported. Basem Naim, a senior Hamas official and former health minister, reported that 27 people were killed in Rafah and 30 were killed in Khan Younis.

An Associated Press reporter saw around 50 bodies brought to Nasser Hospital in Khan Younis since early Tuesday. Family members came to claim the bodies, wrapped in white bedsheets, some soaked in blood.