Israeli troops opened fire on Gazans seeking food aid in the territory, killing at least 32 people, the Palestinian health ministry and witnesses said.

With 877 Palestinians killed at so-called aid centers, Gaza’s starvation crisis escalates under Israel’s total siege.

Twenty Palestinians were killed Wednesday in the crush of a crowd at a food distribution site run by an Israeli-backed American organization in the Gaza Strip, the group said, the first time it has acknowledged deadly violence at its operations.