Israel’s military did not immediately comment on the strikes. Five people were killed while outside sites associated with the Gaza Humanitarian Foundation, the newly-created, secretive American organization backed by Israel to feed the Gaza Strip’s population, while 40 others were killed waiting for aid in other locations across the Gaza Strip.

Air strikes and shootings killed 82 Palestinians in Gaza overnight, including 38 while attempting to get much-needed humanitarian aid, hospitals and the Health Ministry said on Thursday. Israel’s military did not have an immediate comment on the strikes.

Israeli soldiers are accused of opening fire on crowds at sites operated by the U.S.-backed Gaza Humanitarian Foundation.