Israel airstrikes and aid restrictions, backed by the U.S., are fueling intertwined catastrophes for Palestinians, according to a major report on Wednesday.

A new program for getting desperately needed food into the hands of starving Palestinians in Gaza is only days old, but it’s already mired in chaos and tragedy. Dozens of Palestinians have been killed over the past few days while on their way to trying to obtain aid from the Gaza Humanitarian Foundation (GHF).

Shootings have erupted nearly daily since last week in the Gaza Strip in the vicinity of new hubs where desperate Palestinians are being directed to collect food.