Gaza’s Ministry of Health has disputed the allegation from the controversial United States- and Israel-backed organisation that armed agitators were responsible for the incident on Wednesday morning at the site in Khan Younis.

In an earlier statement, the GHF had said 19 victims were trampled and another was stabbed “amid a chaotic and dangerous surge”.

Without providing any evidence, it said the stampede had been provoked by “elements within the crowd – armed and affiliated with Hamas”.

Gaza’s Health Ministry released a statement saying 21 Palestinians had been killed at the GHF site on Wednesday. It noted that 15 of the victims died as a result of a stampede and suffocation after tear gas was fired at crowds of aid seekers.

“️For the first time, deaths have been recorded due to suffocation and the intense stampede of citizens at aid distribution centres,” the ministry added.

Since the GHF started operating in the enclave in late May, at least 875 people have been killed trying to get food, according to the United Nations, which said on Tuesday that 674 of these deaths had occurred “in the vicinity of GHF sites”.

The UN has described the GHF sites as “death traps”, calling them “inherently unsafe” and a breach of humanitarian impartiality standards.

The latest deaths near aid distribution centres came as an Israeli attack on a camp of displaced people in al-Mawasi killed nine people.

In total, at least 43 Palestinians, including 21 people who were seeking aid, have been killed since dawn on Wednesday, according to medical sources.

Countries Israel had long counted on as allies have been adding their voices to growing international pressure after it expanded military operations against Gaza’s Hamas rulers, whose 2023 attack on Israel sparked the devastating war.