Famine fears and the new death toll are grim milestones in a conflict that began almost two years ago when Hamas attacked Israel.

The U.N.-developed panel, known as IPC, said conditions “worsened dramatically” in recent months, with food consumption at its lowest level since the conflict began.

Israel’s retaliatory offensive has killed more than 60,000 Palestinians, according to Gaza’s Health Ministry. Its count doesn’t distinguish between fighters and civilians. The ministry operates under the Hamas government. The U.N. and other international organizations see it as the most reliable source of data on casualties.

Shifa Hospital said the dead and wounded were among crowds massed at the Zikim Crossing, the main entry point for humanitarian aid to northern Gaza.

Qatar, Saudi Arabia and Egypt joined 14 other countries in signing a landmark declaration at a U.N. conference.

Arab and Muslim states including Qatar, Saudi Arabia and Egypt have for the first time issued a joint call for Hamas to disarm and relinquish power in the Gaza Strip as part of efforts to end the war in the territory.