Two months ago, a coalition of aid groups warned that Israel’s war on Gaza—and restrictions on food entering the strip—would cause mass starvation in Gaza imminently. Now, it has arrived, according to officials and aid groups.

Israel denies that it is responsible for hunger in Gaza. It called the countries’ statement “disconnected from reality” and blamed Hamas for undermining aid distribution and failing to agree to a ceasefire.

More than 100 organizations, including Save the Children and Doctors Without Borders, added to growing calls for aid restrictions to be eased and the war to end.