JERUSALEM >> Israel’s defense minister warned on Wednesday that his country’s retaliation for a recent Iranian missile attack will be “lethal” and “surprising,” while the Israeli military pushed ahead with a large-scale operation in northern Gaza and a ground offensive in Lebanon against Hezbollah fighters.

On the diplomatic front, Israeli Prime Minister Benjamin Netanyahu and President Joe Biden held their first call in seven weeks, with a White House press secretary saying the call included discussions on Israel’s deliberations over how it will respond to Iran’s attack.

The continuing cycle of destruction and death in Gaza, unleashed by Hamas’ Oct. 7, 2023, attack on southern Israel, comes as Israel expands a weeklong ground offensive against Hezbollah in Lebanon and considers a major retaliatory strike on Iran following Iran’s Oct. 1 missile barrage.

“Our strike will be lethal, precise and above all, surprising. They won’t understand what happened and how. They will see the results,” Defense Minister Yoav Gallant said during a speech to troops. “Whoever strikes us will be harmed and pay a price.”

Iran fired dozens of missiles at Israel on Oct. 1 which the United States helped fend off. Biden has said he would not support a retaliatory strike on sites related to Tehran’s nuclear program.

On Wednesday, Hezbollah claimed a rocket attack that killed two people in the northern Israeli town of Kiryat Shmona. The town’s acting mayor, Ofir Yehezkeli, said the two killed were a couple walking their dogs.

In northern Gaza, there was heavy fighting in Jabaliya, an urban refugee camp dating back to the 1948 war surrounding Israel’s creation, where Israeli forces have carried out several major operations over the course of the war and then returned as fighters regroup. The entire north, including Gaza City, has suffered heavy destruction and has been largely isolated by Israeli forces since late last year.

In Gaza, Jabaliya residents said thousands of people have been trapped in their homes since the operation began Sunday, as Israeli jets and drones buzz overhead and troops battle fighters in the streets.

“It’s like hell. We can’t get out,” said Mohamed Awda, who lives with his parents and six siblings. He said there were three bodies in the street outside his home that could not be retrieved because of the fighting.

“The quadcopters are everywhere, and they fire at anyone. You can’t even open the window,” he told The Associated Press by phone, speaking over the sound of explosions.

Gaza’s Health Ministry said it recovered 40 bodies from Jabaliya from Sunday until Tuesday, and another 14 from communities farther north. There are likely more bodies under rubble and in areas that can’t be accessed, it said.

Jabaliya residents fear Israel aims to depopulate the north and turn it into a closed military zone or a Jewish settlement. Israel has blocked all roads except for the main highway leading south from Jabaliya, according to residents.

“People here say clearly that they will die here in northern Gaza and won’t go to southern Gaza,” Ahmed Qamar, who lives in Jabaliya with his wife, children and parents, said in a text message.

Fadel Naeem, the director of Al-Ahly Hospital in Gaza City, said it had received dozens of wounded people and bodies from the north. “We declared a state of emergency, suspended scheduled surgeries, and discharged patients whose conditions are stable,” he told AP in a text message.

Israel’s offensive has gutted Gaza’s health sector, forcing most hospitals to shut down and leaving the rest only partially functioning.

Naeem said three hospitals farther north — Kamal Adwan, Awda and the Indonesian Hospital — have become almost inaccessible because of the fighting. The Gaza Health Ministry says the Israeli army has ordered all three to evacuate staff and patients. Meanwhile, no humanitarian aid has entered the north since Oct. 1, according to U.N. data.

Israel’s authority coordinating humanitarian affairs in Palestinian territories said Israel “has not halted the entry or coordination of humanitarian aid entering from its territory into the northern Gaza Strip.”