At least 51 Palestinians were killed and over 200 wounded in the Gaza Strip while waiting for U.N. and commercial trucks to enter the territory with desperately needed food, according to Gaza’s Health Ministry and a local hospital.

The war began when Hamas-led terrorists killed around 1,200 people, mostly civilians, in the Oct. 7 attack and abducted 251 hostages. More than half the captives have been released in ceasefires or other deals. Israeli forces have rescued eight and recovered the remains of dozens more.

It did not appear to be related to a new Israeli- and U.S.-supported aid delivery network that rolled out last month and has been marred by controversy and violence.