At least three Palestinians have been killed in Gaza after the Israeli military opened fire on crowds of people who rushed to an aid distribution point set up by a controversial organisation backed by Israel and the United States.

The deadly incident in the southern city of Rafah on Tuesday left 46 others wounded and seven missing, according to authorities in Gaza.

The aid group behind the initiative, the Gaza Humanitarian Foundation (GHF) denied the report, while the Israeli military said its troops had fired warning shots in the area outside the distribution site and that control was re-established.

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“The needs on the ground are great. At one moment in the late afternoon, the volume of people at the [distribution site] was such that the GHF team fell back to allow a small number of Gazans to take aid safely and dissipate,” the group said in a statement.

Operations have now returned to normal, the group claimed, adding that it has distributed approximately 8,000 food boxes, which it says will feed 5.5 people for 3.5 days, and adds up to about 462,000 meals.

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Ahmed Bayram, spokesperson for the NRC, called on Israel and the US to cancel their initiative and let humanitarian organisations do their job ...

“This is not how aid is done; this is not how aid should be distributed, not least obviously an occupier doing that – a country that has destroyed and flattened Rafah, asking people to come back to Rafah, that has displaced people out of Rafah, and now tells them to come back and receive whatever they can get hold of.”