The strike came four days after an Israeli missile strike damaged a hospital in Iran’s western province of Kermanshah.

A spokesperson for Soroka hospital said some areas had experienced “extensive damage” after an Iranian strike. Source: AFP / John Wessels

Trails of missiles and interception efforts were visible in the skies over Tel Aviv, with explosions heard as incoming projectiles were intercepted. Israeli media also reported direct hits in central Israel.

Three people are in serious condition, and two are in moderate condition, an MDA spokesperson said in a statement, adding that “an additional 42 people sustained minor injuries from shrapnel and blast trauma, and 18 civilians were injured while running to shelter”.

Rescue workers and military personnel inspect the site of a direct hit from an Iranian missile strike in Ramat Gan, Israel. Source: AAP / AP / Oded Balilty

In a post on X, Israeli Prime Minister Benjamin Netanyahu said that Iran would “pay a heavy price” for the attacks on the hospital and in central Israel.

The worst-ever conflict between the two regional powers has raised fears that it will draw in world powers and deliver another blow to the Middle East, where the spillover effects of the Gaza war have undermined stability.

Israeli military hits Iran nuclear sites

Iranian media reported two projectiles hitting an area near the facility, which had been evacuated, and there were no reports of radiation threats.

Smoke rising from Tehran after an Israeli attack. At least 200 people have reportedly been killed by Israeli strikes in the past week. Source: AAP / AP / Vahid Salemi

The United Nations nuclear watchdog said it had information that the heavy-water research reactor under construction there had been hit, but did not contain radioactive material.

“This is too late, Mr Grossi,” Baghaei wrote, adding that an IAEA resolution last week declaring Iran in breach of its obligations under the nuclear Non-Proliferation Treaty had been used as a pretext for Israel’s strikes.

Iran has reported at least 224 deaths in Israeli attacks, mostly civilians, but has not updated that toll for days. Some US-based groups have put the figure much higher.

Iranian foreign minister to meet with European counterparts

“We will meet with the European delegation in Geneva on Friday,” he said in a statement carried by state news agency IRNA.

Trump declines to say if US will join Israel’s campaign

Earlier on Thursday, US President Donald Trump told reporters he would not say whether he has decided to order a US strike on Iran, a move Iranian officials again warned would be greeted with stiff retaliation if it happens.

US President Donald Trump said Iran had sought talks with his administration, but dismissed those efforts as “too late”. Source: Getty / Tasos Katopodis

“I may do it. I may not do it. I mean, nobody knows what I’m going to do,” he said.

A source familiar with internal discussions said Trump and his team were considering options that included joining Israel in strikes against Iranian nuclear installations.

“We are alarmed by the Trump administration’s failure to provide answers to fundamental questions. By law, the president must consult Congress and seek authorisation if he is considering taking the country to war,” they said in a statement.

Residents of Tehran, a city of 10 million people, jammed highways out of the city on Wednesday.