The death toll from the Israel-Hamas war has climbed above 46,000, the Gaza Health Ministry has said.

The ministry said 46,006 Palestinians had been killed and 109,378 wounded in the ongoing 15-month conflict, as it updated its toll on Thursday.

Women and children made up more than half of the fatalities, the ministry has said, but it does not say how many of the dead were fighters or civilians.

The Israeli military said it has killed more than 17,000 militants, without providing evidence.

It says it tries to avoid harming civilians and blames Hamas for their deaths because the militants operate in residential areas.

Israel has also repeatedly struck what it says are militants hiding in shelters and hospitals, often killing women and children.

The war began when Hamas-led militants stormed into Israel on October 7 2023, killing some 1,200 people, mostly civilians, and abducting around 250.

Some 100 hostages are still inside Gaza.

Israeli authorities believe at least a third of them were killed in the initial attack or have died in captivity.

The war has flattened large areas of Gaza and displaced around 90% of its 2.3 million people, with many forced to flee multiple times.

Hundreds of thousands of people are packed into sprawling tent camps along the coast with limited access to food and other essentials.

In recent weeks, Israel and Hamas have appeared to inch closer to an agreement for a ceasefire and the release of hostages. But the indirect talks mediated by the United States, Qatar and Egypt have repeatedly stalled over the past year, and major obstacles remain.