At least 20 Palestinians died in a stampede at a Gaza aid site amid Israel’s blockade and a deepening humanitarian crisis.

A stampede at a food distribution site run by an Israeli-backed American organization in the Gaza Strip killed 20 Palestinians on Wednesday, the group said, in the first acknowledgment of deadly violence at its operations.

Israeli troops opened fire on Palestinians near food distribution hubs in southern Gaza, witnesses and Gaza hospital officials say.

Twenty Palestinians were killed at a food distribution center run by an Israeli-backed American organization in the Gaza Strip on Wednesday, mostly from being trampled, the group said. They were the first deaths reported at one of the group's sites,

Twenty people were killed Wednesday at an aid distribution site run by an Israeli and US-backed organization, while talks for a ceasefire in Gaza make little headway.