The Hamas-run health ministry says more than 100 Palestinians have been killed while waiting for aid in northern Gaza.
The ministry has blamed Israeli forces and Palestinian media cited medical sources who said that Israeli forces fired at the crowd.
An Israeli military source said Israeli troops did open fire as some in the crowd moved towards them in a way that was endangering the troops.
One eyewitness said the bulk of the casualties were caused by the trucks running people over, not by the Israeli gunfire.
An Israel Defense Forces spokesperson said Israeli soldiers opened fire on some civilians approaching a checkpoint in a "limited response".
Graphic videos posted on social media show the dead in Gaza City loaded onto emptied aid lorries and a donkey cart.
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