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Sky News analysis shows that aid distributions by the Gaza Humanitarian Foundation (GHF) are associated with a significant increase in deaths.
Warning: This article contains descriptions of people being killed and images of blood on a hospital floor. The US and Israeli-backed group has been primarily responsible for aid distribution since Israel lifted its 11-week blockade of the Gaza Strip last month.
The GHF distributes aid from four militarised Secure Distribution Sites (SDSs) - three of which are in the far south of the Gaza Strip. Under the previous system, the UN had distributed aid through hundreds of sites across the territory.
According to Gaza's health ministry, 600 Palestinians have been killed while seeking aid from GHF sites, which charities and the UN have branded "death traps". The UN put the figure at 410, but has not updated this number since 24 June.
Both the UN and health ministry source their figures from hospitals near the aid sites. Speaking to Sky News, GHF chief Johnnie Moore disputed that these deaths were connected with his organisation's operations.
"Almost anything that happens in the Gaza Strip is going to take place in proximity to something," he said. "Our effort is actually working despite a disinformation campaign, that is very deliberate and meant to shut down our efforts.
"We just want to feed Gazans. That's the only thing that we want to do." However, new analysis by Sky's Data & Forensics Unit shows that deaths in Gaza have spiked during days with more GHF distributions.
On days when GHF conducts just two distributions or fewer, health officials report an average of 48 deaths and 189 injuries across the Gaza Strip. On days with five or six GHF distributions, authorities have reported almost three times as many casualties.
Out of 77 distributions at GHF sites between 5 June and 1 July, Sky News found that 23 ended in reports of bloodshed (30%). At one site, SDS4 in the central Gaza Strip, as many as half of all distributions were followed by reports of fatal shootings.
Sky News spoke to one woman who had been attending SDS4 for 10 days straight. "I witnessed death first-hand - bodies lay bleeding on the ground all around me," says Huda.
"This is not right. Food should be delivered to UN warehouses, and this entire operation must be shut down." Huda says that the crowds are forced to dodge bombs and bullets "just to get a bag of rice or pasta".
"You may come back, you may not," she says. "I was injured by shrapnel in my leg.
Despite that, I go back, because we really have nothing in our tent." One of the deadliest incidents at SDS4 took place in the early hours of 24 June. According to eyewitnesses, Israeli forces opened fire as people advanced towards aid trucks carrying food to the site, which was due to open.
"It was a massacre," said Ahmed Halawa. He said that tanks and drones fired at people "even as we were fleeing".
At least 31 people were killed, according to medics at two nearby hospitals. Footage from that morning shows the floor of one of the hospitals, al Awda, covered in blood.
The IDF says it is reviewing the incident. Issues of crowd control Unnamed soldiers who served near the aid sites told Israeli newspaper Haaretz that they were instructed to use gunfire as a method of crowd control.
An IDF spokesperson told Sky News that it "strongly rejected" the accusations that its forces were instructed to deliberately shoot at civilians. "To be clear, IDF directives prohibit deliberate attacks on civilians," the spokesperson said, adding that the incidents are "being examined by the relevant IDF authorities".
Eyewitness testimony and footage posted to social media suggest that crowd control is a frequent problem at the sites. The video below, uploaded on 12 June, shows a crowd rushing into SDS1, in Gaza's far southwest.
What sounds like explosions are audible in the background. Footage from the same site, uploaded on 15 June, shows Palestinians searching for food among hundreds of aid parcels scattered across the ground.
Sam Rose, the director of UNRWA operations in Gaza, describes the distribution process as a "free-for-all". "What they're doing is they're loading up the boxes on the ground and then people just rush in," he says.
Sky News has found that the sites typically run out of food within just nine minutes. In a quarter of cases (23%), the food is finished by the time the site was due to officially open.
Confusing communications Sky News analysis suggests that the issue may be being compounded by poor communications from GHF. Between 19 June and 1 July, 86% of distributions were announced with less than 30 minutes' notice.
One in five distributions was not announced at all prior to the site opening. The GHF instructs Palestinians to take particular routes to the aid centres, and to wait at specified locations until the official opening times.
The map for SDS1 instructs Palestinians to take a narrow agricultural lane that no longer exists, while the maps for SDS2 and SDS3 give waiting points that are deep inside IDF-designated combat zones. The maps do not make the boundaries of combat zones clear or specify when it is safe for Palestinians to enter them.
The same is true for SDS4, the only distribution site outside Gaza's far south. Its waiting point is located 1.2 miles (2km) inside an IDF combat zone.
The official map also provides no access route from the northern half of Gaza, including Gaza City, across the heavily militarised Netzarim corridor. "They don't know what they're doing," says UNRWA's Sam Rose.
"They don't have anyone working on these operations who has any experience of operating, of administering food distributions because anyone who did have that experience wouldn't want to be part of it because this isn't how you treat people." Once the sites are officially open, Palestinians are allowed to travel the rest of the way. The distance from waiting point to aid site is typically over a kilometre, making it difficult for Palestinians to reach the aid site before the food runs out.
The shortest distance is at SDS4 - 689m. At a pace of 4km per hour, this would take around 10 minutes to cover.
But of the 18 distributions at this site which were announced in advance, just two lasted longer than 10 minutes before the food ran out. "We don't have time to pick anything up," says Huda, who has been visiting SDS4 for the past 10 days.
In all that time, she says, all she had managed to take was a small bag of rice. "I got it from the floor," she says.
"We didn't get anything else." More than 200 charities and non-governmental organisations have called for the closure of GHF and the reinstatement of previous, UN-led mechanisms of aid distribution. In a joint statement issued on 1 July, some of the world's largest humanitarian groups accused the GHF of violating international humanitarian principles.
They said the scheme was forcing two million people into overcrowded, militarised zones where they face daily gunfire. Additional reporting by OSINT producers Sam Doak and Lina-Serene.
Watch more about Gaza below: The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories.
We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done..