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.

Palestinians are being shot or trampled to death while attempting to access aid hubs in the region, yet no party seems to have plans to address the trend.

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.