Gaza health officials and the ambulance service say at least 25 people were killed by Israeli airstrikes and gunshots overnight as ceasefire talks appear to have stalled and Palestinians in Gaza are facing famine.

Humanitarian aid groups have warned for months that Gaza is nearing famine. Israel, which controls the entry of aid into the enclave, has severely restricted access—tightening constraints even further since the collapse of the last ceasefire in March. From March to mid-May, no aid was allowed into Gaza.

Deliveries are at a fraction of previous levels as many Palestinians risk death to reach just four distribution sites.