The airstrikes pummeled the same area where strikes triggered a deadly fire days earlier in a camp for displaced Palestinians — according to witnesses, emergency workers and hospital officials.

The tent camp inferno has drawn widespread international outrage, including from some of Israel’s closest allies, over the military’s expanding offensive into Rafah, Associated Press reported.

And in a sign of Israel’s growing isolation on the world stage, Spain, Norway and Ireland formally recognized a Palestinian state on Tuesday.

The Israeli military suggested Sunday’s blaze in the tent camp may have been caused by secondary explosions, possibly from Palestinian militants’ weapons.

The results of Israel’s initial probe into the fire were issued Tuesday, with military spokesman Rear Adm. Daniel Hagari saying the cause of the fire was still under investigation but that the Israeli munitions used — targeting what the army said was a position with two senior Hamas militants — were too small to be the source, AP reported.

The strike or the subsequent fire could also have ignited fuel, cooking gas canisters or other materials in the camp. The blaze killed 45 Palestinians, according to Gaza health officials’ count. Israeli Prime Minister Benjamin Netanyahu said the fire was the result of a “tragic mishap.”

On Tuesday afternoon, an Israeli drone strike hit tents near a field hospital by the Mediterranean coast west of Rafah, killing at least 21 people, including 13 women, Gaza’s Health Ministry said.

A witness, Ahmed Nassar, said his four cousins and some of their husbands and children were killed in the strike and a number of tents were destroyed or damaged. Most of those living there had fled from the same neighborhood in Gaza City earlier in the war.

“They have nothing to do with anything,” he said.

Netanyahu has vowed to press ahead in Rafah, saying Israeli forces must enter the city to dismantle Hamas and return hostages taken in the Oct. 7 attack that triggered the war.

He said Israeli warplanes used the smallest bombs possible — two munitions with 17-kilogram warheads. “Our munition alone could not have ignited a fire of this size,” he said.

Gaza’s Health Ministry said two medical facilities in Tel al-Sultan are out of service because of intense bombing nearby. Medical Aid for Palestinians, a charity operating throughout the territory, said the Tel al-Sultan medical center and the Indonesian Field Hospital were under lockdown with medics, patients and displaced people trapped inside.

Most of Gaza’s hospitals are no longer functioning. Rafah’s Kuwait Hospital shut down Monday after a strike near its entrance killed two health workers.

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