Israeli airstrikes have killed at least 20 people in Gaza. Palestinian health officials reported the strikes hit Gaza City and a nearby refugee camp early Tuesday, with reports of heavy bombing in areas previously spared major fighting.

An Israeli strike hit tents sheltering displaced Palestinians in the built-up, seaside Shati refugee camp on the western side of Gaza City, killing at least 12 people, according to the city’s Shifa Hospital,

Israeli tanks fired into a crowd trying to get aid from trucks in Gaza on Tuesday, killing at least 59 people, according to medics, in one of the bloodiest incidents yet in mounting violence as desperate residents struggle for food. The Reuters Daily Briefing newsletter provides all the news you need to start your day. Sign up here.