Twenty-one months into Israel’s war in Gaza, the enclave is gripped by escalating scenes of death and hunger, with some killed while trying to reach aid, others dying of starvation and growing condemnation of Israel’s conduct even among many of its closest allies.

More than 1,000 Palestinians have been killed by Israeli forces since May while trying to get food in Gaza, mostly near food sites run by an American contractor, the U.N. human rights office said.

The Holy Family Catholic Church in Gaza City is one of three operational churches in the coastal enclave and currently shelters about 600 people. More than 21 months of war have crippled the region and led to mass starvation, according to aid groups, as Israel continues its operation to dismantle Hamas’s grip on Gaza.