Four people were killed and others injured by Israeli forces on Sunday as Palestinians making their way to an aid distribution site in the southern Gaza Strip came under fire, according to Palestinian paramedics.

It is almost 20 months since Israel launched a military campaign in Gaza in response to the Hamas-led cross-border attack, in which about 1,200 people were killed and 251 others were taken hostage. At least 54,677 people have been killed in Gaza during the war, according to the territory's health ministry.

JERUSALEM (AP) — Israel is supporting armed groups of Palestinians in Gaza in what it says is a move to counter Hamas. But officials from the U.N. and aid organizations say the military is allowing them to loot food and other supplies from their trucks.