At least 48 Palestinians were killed and dozens were wounded on Wednesday while waiting for food at a crossing in the Gaza Strip, according to a local hospital that received the casualties. The latest violence around aid distribution came as the U.

The local pause in fighting came days after ceasefire efforts between Israel and Hamas appeared to be in doubt.

The president has in recent days acknowledged there is “starvation” in Gaza, a break with Israeli officials who have faced deep criticism over the humanitarian crisis there.