Officials in Gaza say Israeli strikes have killed over 100 people over the past day — the majority of them children and women — as Palestinians grow increasingly desperate in their daily struggle for survival, more than 10 weeks after Israel cut off all imports of humanitarian aid, including food and medicine.

Thousands of people were seen fleeing Gaza City after the Israeli military once again issued forced relocation orders, among them sick and wounded patients at Al-Shifa Hospital who were left to fend for themselves in Gaza’s streets.

Manal al-Ankar: “My daughter was admitted to the hospital as a result of the siege, starvation and malnutrition. … We do not know where to go with the patients. We are fleeing from one death to another. We are dying slowly. Everything we have is over. We are dying a thousand times every day. Until when will this let down? Until when is this siege? Until when is this weakness in our nation?”