At least 31 people have been killed near an aid distribution centre in the Rafah area of southern Gaza, according to the Hamas-run Palestinian health ministry.
Earlier, a nearby hospital run by the Red Cross reported that at least 21 people had been killed. The hospital, which has been receiving bodies and the wounded, also said another 175 people had been injured.
Witnesses said the deaths came after forces opened fire at a roundabout near the Gaza Humanitarian Foundation hub, a new aid organisation backed by and the US.
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However, Palestinian and Hamas-linked media have attributed the deaths it has reported on to an Israeli airstrike.
It is not yet clear if eyewitnesses and Hamas-affiliated media are giving different accounts of the same incident.
The Israel Defence Forces (IDF) said it was “currently unaware of injuries caused by IDF fire within the humanitarian aid distribution site”, adding: “The matter is still under review.”

Witnesses said Israeli forces fired on crowds around a kilometer from an aid site run by an Israeli-backed foundation.
The foundation said in a statement that it delivered aid “without incident” early Sunday and has denied previous accounts of chaos and gunfire around its sites, which are in Israeli military zones where independent access is limited.
The Gaza Humanitarian Foundation’s distribution of aid has been marred by chaos, and multiple witnesses have said Israeli troops fired on crowds near the delivery sites. Before Sunday, at least six people had been killed and more than 50 wounded according to local health officials.
The foundation says the private security contractors guarding its sites have not fired on the crowds, while the Israeli military has acknowledged firing warning shots on previous occasions.
The foundation said in a statement that it distributed 16 truckloads of aid early Sunday “without incident,” and dismissed what it referred to as “false reporting about deaths, mass injuries and chaos.”
The gunfire on Sunday erupted at a roundabout around a kilometer from the distribution site, in an area that is controlled by Israeli forces, witnesses said.
Ibrahim Abu Saoud, an eyewitness, said Israeli forces opened fire at people moving toward the aid distribution centre.
“There were many martyrs, including women,” the 40-year-old resident said. “We were about 300 meters (yards) away from the military.”
Abu Saoud said he saw many people with gunshot wounds, including a young man who he said had died at the scene. “We weren’t able to help him,” he said.
Mohammed Abu Teaima, 33, said he saw Israeli forces open fire and kill his cousin and another woman as they were heading to the hub. He said his cousin was shot in his chest and died at the scene. Many others were wounded, including his brother-in-law, he said.
“They opened heavy fire directly toward us,” he said as he was waiting outside the Red Cross field hospital for word on his wounded relative.
Meanwhile, the UN’s aid system has struggled to bring in aid after Israel slightly eased its total blockade of the territory last month.
Those groups say Israeli restrictions, the breakdown of law and order, and widespread looting make it extremely difficult to deliver aid to Gaza’s roughly two million Palestinians.
Experts have warned that the Palestinian territory is at risk of famine if more aid is not brought in.
The war in Gaza began when Hamas-led militants stormed into southern Israel on 7 October 2023, killing some 1,200 people, mostly civilians, and abducting 251.
They are still holding 58 hostages, around a third of them believed to be alive, after most of the rest were released in ceasefire agreements or other deals.
Israel’s military campaign has killed more than 54,000 people, mostly women and children, according to Gaza’s Health Ministry, which does not say how many of the dead were civilians or combatants.
The offensive has destroyed vast areas of the territory, displaced around 90% of Gaza’s population and left people almost completely reliant on international aid.
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