Dozens were feared dead and scores wounded Sunday after the Israel Defense Forces opened fire on a group receiving food from a collection point in the Gaza Strip, according to hospital officials and witnesses on the ground.

Hospital officials and witnesses said dozens of people were killed and multiple were injured after Israeli Defense Forces fired on a group waiting for aid in Gaza. The group distributing aid denied the reports and the IDF said the matter is under review.

The latest friction in negotiations comes as the fighting nears 20 months of war and as desperation grows among hungry Palestinians and relatives of hostages in Gaza

Israel has said it will “not cooperate” with plans from the Palestinian Authority (PA) to host a Saudi-led delegation of foreign ministers in Ramallah in the occupied West Bank, an Israeli official told CNN on Friday.

Israel's defense minister has warned Hamas must accept the terms of a U.S.-backed proposal for a Gaza ceasefire "or be annihilated." Hamas is reportedly negotiating amendments to the proposal. The threat came hours after President Trump said both sides are close to an agreement.