Rafah (Gaza Strip) (AP): At least 21 people were killed and scores were wounded on Sunday as they were on their way to receive food in the Gaza Strip, according to health officials and multiple witnesses. The witnesses said Israeli forces fired on crowds around a kilometer (1,000 yards) away from an aid site run by an Israeli-backed foundation.

The military did not immediately respond to requests for comment. The foundation said in a statement that it delivered aid “without incident" early on Sunday and has denied previous accounts of chaos and gunfire around its sites, which are in Israeli military zones where independent access is limited.

Officials at a nearby field hospital run by the Red Cross said at least 21 people were killed and another 175 people were wounded, without saying who opened fire on them. The officials spoke on condition of anonymity because they were not authorized to speak to reporters.

Zaher al-Waheidi, head of the Gaza Health Ministry's records department, confirmed the death toll and said two women were among those killed. An Associated Press reporter saw dozens of people being treated at the hospital.

New aid system marred by chaos

The Gaza Humanitarian Foundation 's distribution of aid has been marred by chaos, and multiple witnesses have said Israeli troops fired on crowds near the delivery sites. Before Sunday, at least six people had been killed and more than 50 wounded according to local health officials.

The foundation says the private security contractors guarding its sites have not fired on the crowds, while the Israeli military has acknowledged firing warning shots on previous occasions.

The foundation said in a statement that it distributed 16 truckloads of aid early Sunday “without incident,” and dismissed what it referred to as “false reporting about deaths, mass injuries and chaos.”

The scene was horrible'

Thousands of people headed toward the distribution site hours before dawn. As they headed toward the site, Israeli forces ordered them to disperse and come back later, witnesses said. When the crowds reached the Flag Roundabout, around 1 kilometre (1,000 yards) away, at around 3 am, Israeli forces opened fire, the witnesses said.

“There was fire from all directions, from naval warships, from tanks and drones,” said Amr Abu Teiba, who was in the crowd.

He said he saw at least 10 bodies with gunshot wounds and several other wounded people, including women. People used carts to ferry the dead and wounded to the field hospital. “The scene was horrible," he said.

Ibrahim Abu Saoud, another eyewitness, provided a nearly identical account. He said the military fired from about 300 metres (yards) away.

Abu Saoud said he saw many people with gunshot wounds, including a young man who he said had died at the scene. “We weren't able to help him,” he said.

Mohammed Abu Teaima, 33, said he saw Israeli forces open fire and kill his cousin and another woman as they were heading toward the distribution site. He said his cousin was shot in his chest and died at the scene. Many others were wounded, including his brother-in-law, he said.

“They opened heavy fire directly toward us,” he said as he was waiting outside the Red Cross field hospital for word on his wounded relative.

The hub is part of a controversial new aid system. Israel and the United States say the new system is aimed at preventing Hamas from siphoning off assistance. Israel has not provided any evidence of systematic diversion, and the UN denies it has occurred.

UN agencies and major aid groups have refused to work with the new system, saying it violates humanitarian principles because it allows Israel to control who receives aid and forces people to relocate to distribution sites, risking yet more mass displacement in the territory.

The UN system has struggled to bring in aid after Israel slightly eased its total blockade of the territory last month. Those groups say Israeli restrictions, the breakdown of law and order, and widespread looting make it extremely difficult to deliver aid to Gaza's roughly 2 million Palestinians.

Experts have warned that the territory is at risk of famine if more aid is not brought in.

The war began when Hamas-led militants stormed into southern Israel on Oct 7, 2023, killing some 1,200 people, mostly civilians, and abducting 251. They are still holding 58 hostages, around a third of them believed to be alive, after most of the rest were released in ceasefire agreements or other deals.

Israel's military campaign has killed over 54,000 people, mostly women and children, according to Gaza's Health Ministry, which does not say how many of the dead were civilians or combatants. The offensive has destroyed vast areas of the territory, displaced around 90 per cent of its population and left people almost completely reliant on international aid.

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Satna/Bhopal (PTI): Four children suffering from thalassemia have tested HIV positive at Satna District Hospital in Madhya Pradesh allegedly due to contaminated blood transfusions, officials said on Tuesday.

The case is four months old and an investigation is underway into it, an official said.

Officials suspect the use of contaminated needles or blood transfusions for the spread of infection to the children.

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MP Health Minister Rajendra Shukla told reporters in Bhopal that he has ordered a probe into the matter and sought a report.

“It is also being investigated whether the blood transfusion took place in other hospitals also or only in the government hospital,” he said.

The affected children, aged between 12 and 15 years, received blood transfusions from the hospital's blood bank, as per an official.

Devendra Patel, in-charge of the blood bank at Sardar Vallabhbhai Patel District Hospital in Satna, said four children have tested HIV positive and an investigation is underway to determine how they got infected.

"Either an infected needle was used or a blood transfusion occurred. These are the two main reasons I believe. Blood transfusion seems to be the most likely cause," he told PTI Videos.

All these children suffer from thalassemia, and some have received 80 or 100 blood transfusions, he said.

A family member of one of the affected children said that their child was found to be HIV positive during a routine checkup about four months back, and he has been receiving medication, but it had proven to be of no use.

After taking the medication for HIV, the child starts vomiting, feels low and becomes ill, he said.

After the four children were detected with HIV infection, their family members were also tested and the results came out negative, he added.

The Opposition Congress targeted the government over the matter and demanded the resignation of Health Minister Shukla.

Speaking to reporters in Bhopal, Congress MLA and former minister Sachin Yadav claimed such incidents were continuously occurring in Madhya Pradesh.

Earlier, a case of toxic cough syrup came to light in Chhindwara, followed by incidents of rat bites at hospitals in Indore and Satna, and now children have been given HIV-infected blood, he said.

"The health minister is unable to manage the department. He should resign. A murder case should be filed against those responsible for the Satna incident," Yadav said.

Senior Congress leader Sajjan Singh Verma termed it a failure of the government. Chief Minister Mohan Yadav's government has no connection with ground realities, he charged.

"Somewhere rats are roaming in hospitals, somewhere children are being given HIV-infected blood. Instead of preventing HIV, you are spreading it. Mohan Yadav should wake up from his slumber. Children are the nation's heritage and should be taken care of," he added.