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.

More than 100 largely aid and rights groups on Wednesday called for governments to take action as hunger spreads in Gaza, including by demanding an immediate and permanent ceasefire and the lifting of all restrictions on the flow of humanitarian aid.

More than 1,000 Palestinians have been killed by Israeli forces since May while trying to get food in Gaza, mostly near food sites run by an American contractor, the U.N. human rights office said.