A woman looks on from the window of a damaged building following overnight Israeli bombardment on Lebanon's southern city of Tyre. AFP
Moments after the ceasefire renewal was announced, an Israeli strike hit the centre of the Islamic Health Committee in the southern town of Hanuf, authorities said.
Those killed included three paramedics, according to the Lebanese health ministry.
Envoys from Israel and Lebanon's government met for two days in Washington and said they would extend the ceasefire that was set to expire Sunday.
The cessation of hostilities "will be extended by 45 days to enable further progress," State Department spokesman Tommy Pigott said.
He said that the State Department would hold negotiations aimed at reaching a permanent political agreement on June 2 and 3 and that the Pentagon would bring together delegations from the countries' militaries on May 29.
Lebanon's delegation said in a statement that the ceasefire extension and opening of military talks would offer "critical breathing room for our citizens" with a goal of "lasting stability."
In an implicit rebuke to Hezbollah, Lebanese Prime Minister Nawaf Salam told an NGO dinner in Beirut that his country has had "enough of these reckless adventures serving foreign projects or interests."
The latest brought "a war we did not choose but were forced upon us, which led to Israel occupying 68 towns and villages," he said.
Israel's ambassador to Washington, Yechiel Leiter, who led his country's delegation, said after the talks that the priority was ensuring "Israel's security."
"There will be ups and downs, but the potential for success is great," Leiter wrote on X.
Iran has demanded a lasting ceasefire in Lebanon before any peace agreement with US President Donald Trump.
Based on official data from the Lebanese Ministry of Public Health, Israeli strikes have killed 657 people and wounded 1,444 others in Lebanon despite the truce announced on 17 April.
Israel also carried out strikes in the southern city of Tyre after issuing evacuation orders, and Hezbollah said it targeted Israeli barracks in the northern city of Kiryat Shmona with drones.
Lebanon's health ministry said strikes in the Tyre district also wounded at least 37 people, including six hospital personnel, nine women and four children.
The United Nations humanitarian coordinator for Lebanon, Imran Riza, said that diplomacy needed to stop the Israeli attacks.
"The reality on the ground in Lebanon has been deeply alarming," he said. "Airstrikes and demolitions continue daily, with an unacceptable toll on civilians and civilian infrastructure."
But he expressed his hope that the Lebanon-Israel talks "will pave the way toward a political solution."
During the last talks between Israel and Lebanon, Trump brought envoys to the White House and predicted, within the current ceasefire period, that he would host a historic meeting between Israeli Prime Minister Benjamin Netanyahu and Lebanese President Joseph Aoun.
That meeting has not happened, with Aoun saying a security deal was necessary first, and there was no mention of a summit in the last ceasefire extension.
*This story was edited by Ahram Online.
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