Israeli gunfire on Sunday killed at least 19 Palestinians, 14 of whom were gathered near aid distribution points across the Gaza Strip, according to local medical sources. The shootings came amid continuing shortages of food, fuel and medicine in the enclave almost two years into Israel’s military campaign against Hamas. Separately, the Gaza Ministry of Health said six people died of starvation or malnutrition over the previous 24 hours, bringing the famine-related death toll since the start of the war to 175, including 93 children. Doctors say fuel shortages have hobbled hospitals, forcing them to reserve limited resources for the most critical cases. Egypt’s state-affiliated Al Qahera News TV reported that two trucks loaded with 107 tonnes of diesel were poised to cross the Rafah border in what would be a rare fuel delivery since Israel tightened controls in March. Confirmation of their entry was not immediately available. Humanitarian traffic at Rafah also included about 20 Emirati aid trucks, and the United Arab Emirates said its “Gallant Knight” operation had handed over 11 trucks carrying roughly 65 tonnes of medicines to World Health Organization warehouses for distribution inside Gaza. United Nations agencies maintain that far larger volumes of aid must be allowed in by land to avert a deepening humanitarian catastrophe.