Twenty-one months into Israel’s war in Gaza, the enclave is gripped by escalating scenes of death and hunger, with some killed while trying to reach aid, others dying of starvation and growing condemnation of Israel’s conduct even among many of its closest allies.

Israel’s retaliatory offensive has killed more than 60,000 Palestinians, according to Gaza’s Health Ministry. Its count doesn’t distinguish between fighters and civilians. The ministry operates under the Hamas government. The U.N. and other international organizations see it as the most reliable source of data on casualties.

At least 91 Palestinians were killed and more than 600 wounded while attempting to get aid in the past 24 hours, according to the Gaza Health Ministry.