Misrata hospital received more than 100 casualties on Wednesday The UN's aid chief has warned against blurring the lines between military operations and relief work in Libya.
Valerie Amos said there was no need yet to accept an EU offer of military escorts to protect aid deliveries.Meanwhile, Oscar-nominated photojournalist Tim Hetherington was killed in a mortar attack in the besieged city of Misrata.
Libya's rebels have rejected a ceasefire offer from the government of Libyan leader Col Muammar Gaddafi.
Inspired by uprisings in neighbouring Tunisia and Egypt, they have been fighting Col Gaddafi's forces since February.
Based in Benghazi, the rebels hold much of the east, while Col Gaddafi's forces remain in control of Tripoli and most of the west.
'Impartial aid' Ms Amos spoke after Britain, France and Italy said they would send small teams of military advisors to rebels fighting to topple Col Gaddafi.
"Our responsibility, all the time, is to ensure that our aid is offered on an impartial basis," she said.
Military escorts could put aid workers and the delivery of their aid at risk, she said.
"We have to be extremely careful about that and make sure the lines are not blurred."
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A survivor of the attack on the journalists said they were on the front line on Tripoli Street. It was relatively quiet. They had decided to withdraw and it was when they were pulling back that they came under fire.
It appears to have been a direct hit on the group. Tim Hetherington lost his life.
He had gone back and forth several times to Afghanistan making a documentary, so he knew about the dangers of working on front lines. Last night on his own Twitter feed he had posted a statement: "In Misrata, indiscriminate shelling, no sign of Nato."
His family said he would be forever missed, remembered for his amazing images and his documentaries.
They said he had been in Libya to show humanitarian suffering in times of conflict.
At the scene
It appears to have been a direct hit on the group. Tim Hetherington lost his life.
He had gone back and forth several times to Afghanistan making a documentary, so he knew about the dangers of working on front lines. Last night on his own Twitter feed he had posted a statement: "In Misrata, indiscriminate shelling, no sign of Nato."
His family said he would be forever missed, remembered for his amazing images and his documentaries.
They said he had been in Libya to show humanitarian suffering in times of conflict.
Humanitarian supplies were reaching both sides in the conflict, she said.
Speaking at the UN in New York after a trip to Libya, she said the Libyan authorities had agreed to secure aid workers in conflict zones and ensure they got through government roadblocks.But without agreement on a ceasefire, access to places such as Misrata would be determined by the intensity of the fighting, she said.
If the security situation became impossible, Ms Amos said, then the UN would call on the EU for military support for its aid deliveries.
She did not directly address the decisions by Britain, France and Italy to send teams of about 10 military advisors each to the rebels.
The British team will provide logistics and intelligence training in Benghazi. UK Foreign Secretary William Hague said it complied with the UN mandate authorising "all necessary measures short of occupation" to protect civilians.
UN Security Council resolution 1973 authorised Nato to enforce a no-fly zone over Libya and launch air strikes on government forces attacking rebels.
Journalists hit Ms Amos's comments came as fighting continued to rage in Misrata, the only major rebel-held city in western Libya.
UN High Commissioner for Human Rights Navi Pillay said the reported use of cluster bombs by Col Gaddafi's forces trying to retake the city "could amount to international crimes".
The BBC's Orla Guerin, in Misrata, said the city's hospital had received more than 100 casualties on Wednesday, the vast majority of them civilians.
The hospital said five civilians had been killed.
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British journalist James Hider in Misrata: "The rebels say they will fight until they die" (This video footage cannot be verified independently for authenticity)
One doctor at Misrata hospital told our correspondent that he and his colleagues were exhausted by death and by blood, and asked where the international community was.
As rebels fought government forces along the front line along Tripoli Street, a group of Western journalists in the area was caught in a mortar attack.
Tim Hetherington, 41, a photojournalist and Oscar-nominated filmmaker who had dual British and American nationality, was killed in the attack. He had covered a number of conflicts, including the war in Afghanistan.
Reports suggested Chris Hondros, an American photographer for Getty Images, died several hours later.
Ceasefire offer rejected A spokesman for the rebel Transitional National Council based in Benghazi, said they had rejected the government's latest offer of a ceasefire.
A spokesman for the council, Abdul Hafeez Ghoga, said Col Gaddafi wanted a ceasefire because his forces were being destroyed by Nato air strikes.
Mr Ghoga said a suggestion that there could be a political solution which would allow Col Gaddafi and his family to remain "on the scene" was an impossibility, reports the BBC's Peter Biles in Benghazi.
On Tuesday, Libyan Foreign Minister Abdul Ati al-Obeidi had said there should be a ceasefire followed by an interim period of maybe six months to discuss democracy and constitutional reforms, and prepare for an election that would be supervised by the UN - a proposal initially made by the African Union.
He said the presence of foreign military personnel would be a "step backwards".
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