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At least 67 were killed as truckloads of aid arrived in the north, while six others were reported shot near an aid point close to Rafah in the south, where dozens of people lost their lives just 24 hours earlier.
The UN World Food Programme said its 25-truck convoy carrying food aid "encountered massive crowds of hungry civilians which came under gunfire" near Gaza City, soon after it crossed from Israel and cleared checkpoints.
Israel's military disputed the death toll and said soldiers had fired warning shots "to remove an immediate threat posed to them" as thousands gathered near Gaza City.
Deaths of civilians seeking aid have become a regular occurrence in Gaza, with the authorities blaming Israeli fire as crowds facing chronic shortages of food and other essentials flock in huge numbers to aid centres.
The UN said earlier this month that nearly 800 aid-seekers had been killed since late May, including on the routes of aid convoys.