Several children were killed in an Israeli airstrike at a water distribution point in central Gaza Sunday, health officials said, one of several deadly incidents in the territory that come as ceasefire talks in Doha falter.

Gaza health officials say Israeli airstrikes have killed at least 19 people including six children at a water collection point.

Israel’s air and ground war has destroyed vast areas of Gaza and driven some 90% of the population from their homes. Aid groups say they have struggled to bring in food and other assistance because of Israeli military restrictions and the breakdown of law and order, and experts have warned of famine.