More than 40 people have been killed in an Israeli airstrike that hit a cafe near the port in Gaza City, according to the head of the territory’s largest hospital.

Israeli forces killed at least 74 people in Gaza on Monday with airstrikes that left 30 dead at a seaside cafe and gunfire that left 23 dead as Palestinians tried to get desperately needed food aid, witnesses and health officials said.

The Israeli military said it struck militant targets in northern Gaza, including command and control centers, after taking steps to mitigate the risk of harming civilians.