In Gaza, Israeli forces have killed 71 Palestinians since dawn today, including at least 50 people who were waiting to receive aid. Among the dead are at least 27 people killed in an Israeli strike on civilians waiting for food in central Gaza, an attack that also wounded dozens and turned a relief site into what one Palestinian official called an “open field of death.”

Separately the Wafa news agency reports another Palestinian child has died of malnutrition in Gaza. Three-year-old Hassan Barbakh died earlier today after suffering kidney and liver damage amid soaring blood acid levels due to acute malnutrition. The boy’s brother also previously died of hunger; their family had urgently appealed to transfer the children abroad for treatment but Israeli authorities denied their requests.

Meanwhile the United Nations Children’s Agency UNICEF warns Gaza is on the brink of a “man-made drought” with children at risk of dying from thirst unless Israel ends its blockade. The U.N. warns just 40% of Gaza’s water treatment facilities remain functional due to fuel shortages.