At least 59 Palestinians were killed in Gaza on Saturday, including 31 who were shot dead while heading to an aid distribution site and 28 others in Israeli airstrikes, according to hospital officials and witnesses.

The shootings occurred near Rafah as people approached a site run by the Israeli-backed Gaza Humanitarian Foundation (GHF). The Red Cross reported its largest influx of casualties in over a year, with most injuries caused by gunfire. Israel’s military said it fired warning shots at people behaving suspiciously but claimed it was unaware of any casualties. The GHF denied any incident occurred near its locations.

Among the victims was 17-year-old Nasir al-Sha’er, whose mother said he went to get flour for his family. Witnesses said Israeli forces had ordered them to proceed to the site before opening fire.

28 Palestinians including children killed in Israeli airstrikes in Gaza

Israeli airstrikes killed 13 people, including four children, in Deir al-Balah and 15 in Khan Younis, officials said. Strikes also hit Beit Hanoun in the north.

Gaza’s 21-month war has left much of the population dependent on aid. Israel restricted aid after ending the latest ceasefire in March. The UN said only 150,000 liters of fuel entered Gaza this week after 130 days—far below needs.

Since Hamas’ Oct. 7, 2023, attack that killed 1,200 in Israel, over 57,800 Palestinians have been killed, according to Gaza’s Health Ministry.

In the West Bank, Palestinian-American Seifeddin Musalat was reportedly beaten to death by Israeli settlers. His family has urged a U.S. investigation.