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After international pressure, Israel over the weekend , airdrops and other measures meant to allow more aid to Palestinians in Gaza. But people there say little or nothing has changed on the ground. The U.N. has described it as a one-week scale-up of aid, and Israel has not said how long these latest measures would last.

“This aid, delivered in this way, is an insult to the Palestinian people,” said Hasan Al-Zalaan, who was at the site of an airdrop as some fought over the supplies and crushed cans of chickpeas littered the ground.

Israel asserts that Hamas is the reason aid isn’t reaching Palestinians in Gaza and accuses its militants of siphoning off aid to support its rule in the territory. The U.N. denies that looting of aid is systematic and that it lessens or ends entirely when enough aid is allowed to enter Gaza.

Here’s what we know:

Deaths are increasing

The World Health Organization said Sunday there have been 63 this month, including 24 children under the age of 5 — up from 11 deaths total the previous six months of the year.

Gaza’s Health Ministry puts the number even higher, reporting 82 deaths this month of malnutrition-related causes: 24 children and 58 adults. It said Monday that 14 deaths were reported in the past 24 hours. The ministry, which operates under the Hamas government, is headed by medical professionals and is seen by the U.N. as the most reliable source of data on casualties. U.N. agencies also often confirm numbers through other partners on the ground.

The Patient’s Friends Hospital, the main emergency center for malnourished kids in northern Gaza, says this month it saw for the first time malnutrition deaths in children who had no preexisting conditions. Some adults who died suffered from such illnesses as diabetes or had heart or kidney ailments made worse by starvation, according to Gaza medical officials.

The WHO also says acute malnutrition in northern Gaza tripled this month, reaching nearly one in five children under 5 years old, and has doubled in central and southern Gaza. The U.N. says Gaza’s only four specialized treatment centers for malnutrition are “overwhelmed.”

The leading international authority on food crises, the Integrated Food Security Phase Classification, has warned of famine for months in Gaza but has not formally declared one, citing the lack of data as Israel restricts access to the territory.

Aid trucks are swarmed by hungry people

The measures announced by Israel late Saturday include 10-hour daily humanitarian pauses in fighting in three heavily populated areas, so that U.N. trucks can more more easily distribute food.

Still, U.N. World Food Program spokesperson Martin Penner said the agency’s 55 trucks of aid that entered Gaza on Monday via the crossings of Zikim and Kerem Shalom were looted by starving people before they reached WFP warehouses.

Experts say that airdrops, another measure Israel announced, are insufficient for the immense need in Gaza and dangerous to people on the ground. Israel’s military says 48 food packages were dropped Sunday and Monday.

Palestinians say they want a full return to the U.N.-led aid distribution system that was in place throughout the war, rather than the Israeli-backed mechanism that began in May. Witnesses and health workers say Israeli forces have killed hundreds by opening fire on Palestinians trying to reach those food distribution hubs or while crowding around entering aid trucks. Israel’s military says it has fired warning shots to disperse threats.

The U.N. and partners say that the , and they have called repeatedly for Israel to loosen restrictions on their entry. A truck carries roughly 19 tons of supplies.

Israel’s military says that as of July 21, 95,435 trucks of aid have entered Gaza since the war began. That’s an average of 146 trucks per day, and far below the 500 to 600 trucks per day that the U.N. says are needed.

The rate has sometimes been as low as half of that for several months at a time. Nothing went in for 2 1/2 months starting in March because Israel imposed a .

Delivering aid is difficult and slow

The U.N. says that delivering the aid that is allowed into Gaza has become increasingly difficult.

When aid enters, it is left just inside the border in Gaza, and the U.N. must get Israeli military permission to send trucks to pick it up. But the U.N. says the military has denied or impeded just over half the movement requests for its trucks in the past three months.

If the U.N. succeeds in picking up the aid, hungry crowds and armed gangs swarm the convoys and strip them of supplies. The Hamas-run civilian police once provided security along some routes, but that stopped after Israel targeted them with airstrikes.

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Associated Press writers Samy Magdy in Cairo and Melanie Lidman in Kfar Saba, Israel, contributed.

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