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Gaza's civil defence agency said Israeli forces killed at least 30 people when they opened fire Wednesday on a crowd waiting for humanitarian aid in the north of the Palestinian territory.
The Israeli military said it was reviewing the incident north of Gaza City, as the United Nations said that pauses in Israel's offensive against Hamas were not enough to help the population through a deepening hunger crisis.
The UN humanitarian agency, OCHA, said that four days into Israel's "tactical pauses", people were still dying from hunger and malnutrition, alongside casualties among those seeking aid.
Civil defence spokesman Mahmud Bassal told AFP that "at least 30 martyrs were killed" as they waited for aid north of Gaza City, and 300 wounded.
Bassal said Israeli forces opened fire on the crowd waiting for food.
Mohammed Abu Salmiya, director of Al-Shifa Hospital in Gaza City, said his facility had received 35 bodies from the shooting, which reportedly struck about three kilometres (two miles) southwest of the Zikim crossing point for aid trucks entering Gaza.
Hours earlier, 14 Palestinians were killed in four other incidents, three near aid distribution sites, the civil defence agency said.
In two of the incidents, the Israeli army said it fired warning shots at people approaching the aid sites.