DEIR AL-BALAH, Gaza Strip —Palestinians desperately trying to access aid in Gaza came under fire again on Tuesday, killing 36 people and wounding 207, the Palestinian Health Ministry said.

Experts and humanitarian aid workers say Israel’s blockade and 20-month military campaign have pushed Gaza to the brink of famine

Meanwhile, Israel’s navy attacked docks in Yemen’s rebel-held port city of Hodeida on Tuesday, launching its first seaborne assault against the Iranian-backed Houthi rebels while warning more could come.

The attack on Hodeida likely damaged facilities that are key to aid shipments to the hungry, war-wracked nation, but also have allegedly been used for weapons smuggling as vessels reportedly bypass United Nations inspectors.

At least 163 people have been killed and 1,495 wounded in a number of shootings near aid sites run by the Israeli and U.S.-backed Gaza Humanitarian Foundation, which are in military zones that are off-limits to independent media.

The Israeli military has acknowledged firing warning shots on previous occasions at people who it says approached its forces in a suspicious manner.

The foundation says there has been no violence in or around the distribution points themselves. But it has warned people to stay on designated access routes and it paused delivery last week while it held talks with the military on improving safety.

Prime Minister Benjamin Netanyahu said Tuesday there is “meaningful progress” on a possible ceasefire deal that would also return some of the 55 hostages still being held in Gaza, but said it was “too early to hope.” Foreign Minister Gideon Saar also mentioned Tuesday that there was progress in ceasefire negotiations.

Netanyahu was meeting with the Israeli negotiating team and the defense minister Tuesday evening to discuss next steps.

People die for food

In southern Gaza, at least eight people were killed while trying to obtain aid around Rafah, according to Nasser Hospital.

In northern Gaza, two men and a child were killed and at least 130 were wounded on Tuesday, according to Nader Garghoun, a spokesperson for the al-Awda Hospital, which received the casualties. He said most were being treated for gunshot wounds.

Witnesses told The Associated Press that Israeli forces opened fire at around 2 a.m., several hundred yards from the aid site in central Gaza. Crowds of Palestinians seeking desperately needed food often head to the sites hours before dawn, hoping to beat the crowds.

The Israeli military said it fired warning shots at people it referred to as suspects. It said they had advanced toward its troops hundreds of yards from the aid site prior to its opening hours.

Mohammed Abu Hussein, a resident of the nearby built-up Bureij refugee camp, said Israeli drones and tanks opened fire, and that he saw five people wounded by gunshots.