The Norwegian Refugee Council (NRC) says all hospitals in northern Gaza have been either damaged or destroyed.

Small clinics are treating some cases, but even those are underequipped and can’t offer the services or medication needed, the aid group added. There is no fuel for vehicles so the injured need to be transported by donkey cart, Al Jazeera reported. 

Salma Altaweel, NRC’s support manager in Gaza City, said Palestinians in this area have gone through two “major famine-like scenarios”: The first during the siege in Ramadan and the second experienced by people currently.

“There is very little aid trickling through, there are no vegetables available, let alone fruit or meat. If we are lucky, we get two meals a day. For breakfast, tea, one piece of bread and zaatar without any oil, and for dinner, tinned food,” she said in a statement.