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Ambulances took 76 seriously injured Palestinians from Gaza into Egypt on Wednesday for the first time since the war between Hamas and Israel began.
A group of 335 foreign passport holders – including British nationals – were also allowed to leave via the Rafah crossing, officials said.
Gaza’s borders have been closed since Hamas’s attack on Israel on 7 October.
Rafah is expected to continue opening for limited time periods to let foreign nationals and injured civilians leave.
The lists of those allowed to cross will be agreed between Egypt and Israel, with embassies from the relevant countries being informed in advance to ensure they can prepare to receive their citizens, Western officials say.
The BBC understands there are about 7,000 dual nationals in Gaza.
Speaking on Wednesday evening, US President Joe Biden said that thanks to “concerted American leadership, safe passage for wounded Palestinians and foreign nationals has started”.
American citizens were able to exit, he said, as part of the first group of “probably more than 1,000”, adding that the process would continue over “the coming days”.
“We’re working non-stop to get Americans out of Gaza as soon and as safely as possible,” Mr Biden stressed.
UK Foreign Secretary James Cleverly earlier said the departure of the first of the estimated 200 Britons in the territory was “a hugely important first step”.
“We are working with Egyptian and Israeli authorities to ensure the crossing stays open so all British nationals can get to safety in the coming days,” he wrote on X, formerly known as Twitter.
Israel has been bombarding Gaza for more than three weeks and has recently sent in ground forces in response to an unprecedented cross-border assault by Hamas gunmen in which 1,400 people were killed and 240 taken hostage.
www.bbcnews.co.uk/world
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