UN spokesperson Stephane Dujarric said Israel’s latest evacuation orders for parts of Gaza City impact more than 60 schools where displaced Palestinians are sheltering, as well as two hospitals, six medical points and two primary healthcare centres, Al Jazeera reports, according to the Associated Press.

Dujarric said that humanitarian officials report that staff and patients have left the hospitals located in and around the areas ordered evacuated by Israeli forces, and people who were already displaced by earlier evacuation orders and fighting are being forced to flee again.

He also said that “active hostilities, damaged roads, access limitations and the lack of public order and safety” are hampering the transport of aid along the main humanitarian cargo route from the Karem Abu Salem crossing, which Israel calls the Kerem Shalom crossing, to Khan Younis city in Gaza’s south, and then on to Deir el-Balah in central Gaza.

Critical food shortages and reduced food rations in central and southern Gaza have been the result, he said.