This month, the hunger that has been building among Gaza’s more than 2 million Palestinians passed a tipping point into accelerating death, aid workers and health staff say. Not only children — usually the most vulnerable — are falling victim under Israel’s blockade since March, but also adults.

After four months of near-total siege by Israel, people in Gaza are starving. The United Nations says at least one in three people are going multiple days without eating, and death from hunger is on the rise.

Aid agencies warned for months that Israel’s harsh limits on food aid would bring acute malnutrition and widespread suffering to Gaza’s 2.1 million people.