The Palestine Red Crescent said five people were killed and dozens wounded by gunfire and a stampede during an aid delivery Saturday in Gaza, where famine is looming, AFP reports.

AFP video footage shows a convoy of trucks moving quickly past burning debris near the distribution point in pre-dawn darkness as people shout and gunfire echoes — some of which was warning shots, witnesses said.

The Red Crescent said it happened after thousands of people gathered for the arrival of around 15 trucks of flour and other food, which was supposed to be handed out at Gaza City’s Kuwait roundabout, in the territory’s north.

The Red Crescent said three of the five killed had been shot.

Eyewitnesses told AFP that Gazans overseeing the aid delivery shot in the air, but Israeli troops in the area also opened fire and some moving trucks hit people trying to get the food.