A stampede at a food distribution site run by an Israeli-backed American organization in the Gaza Strip killed 20 Palestinians on Wednesday.

The Israeli military says it targets only militants and tries to avoid harming civilians and blames civilian deaths on Hamas because the militants operate in densely populated areas.

Israeli strikes in the Gaza Strip killed at least 32 people on Sunday, including six children at a water collection point, while the Palestinian death toll passed 58,000 after 21 months of war, local health officials said.