34 killed in deadliest day of shootings near Gaza's new food distribution centers, authorities say

DEIR AL-BALAH, Gaza Strip (AP) — Israeli troops opened fire Monday as crowds tried to reach Israeli- and U.S.-supported food distribution centers in Gaza, witnesses said. The 34 people killed, according to health officials, made it the deadliest day of such shootings since the new aid system launched last month.

The Israeli military didn't immediately comment on Monday's shootings. But after some previous ones that have been a near-daily occurrence since the aid centers opened three weeks ago, it said its troops had fired warning shots at what it called suspects approaching their positions, though it didn’t say whether those shots struck anyone.

Palestinians say they face the choice of starving or risking death as they make their way past Israeli forces to reach the distribution points, which are run by a private contractor, the Gaza Humanitarian Foundation. The Health Ministry in Hamas-controlled Gaza says several hundred people have been killed and hundreds more wounded in such shootings since the centers opened.

The ministry said 33 Palestinians were killed Monday trying to reach the GHF center near the southern city of Rafah and another was killed while headed to a GHF hub in central Gaza. It said four other people who weren’t trying to get to distribution centers were killed elsewhere.

Palestinians are desperate to feed their families after most food ran out during the 2½ months this year when Israel barred all supplies from entering the territory. Israel has eased the blockade since last month to let in a trickle of aid.

Israeli troops started firing as thousands of Palestinians massed around 4 a.m. at the Flag Roundabout before the scheduled opening time of the Rafah food center, according to Heba Jouda and Mohamed Abed, two Palestinians who were in the crowd.

People fell to the ground, trying to take cover, they said. “Fire was coming from everywhere,” said Jouda, who has repeatedly made the journey to get food for her family over the past week. "It’s getting worse day by day," she said.

The Red Cross field hospital nearby received some 200 injured Monday, the highest single mass casualty event it has seen, the International Committee of the Red Cross said in a statement. Only a day earlier, it said, around 170 were brought to the facility, most of them wounded by gunshots while trying to reach the GHF center. The Health Ministry toll made it the deadliest day around the food sites since June 2, when 31 people were killed.

The Flag Roundabout, hundreds of meters (yards) from the GHF center, has been the scene of repeated shootings. It is on the route designated by the Israeli military for people to take to reach the center.

Palestinians over the past weeks have said Israeli troops open fire to prevent people from moving past a certain point on the road before the scheduled opening of the center or because people leave the road.

A GHF spokesperson told The Associated Press on Sunday that “none of the incidents to date have occurred at our sites or during operating hours.” It said the incidents have involved aid-seekers who were moving “during prohibited times ... or trying to take a short cut.” It said it was trying to improve safety measures, including by recently moving the opening times from nighttime to daylight hours.

Israel and the United States say the GHF system is intended to replace the U.N.-led humanitarian operation that has delivered aid across Gaza since the start of the 20-month Israel-Hamas war. Israel contends that the new mechanism is needed to prevent Hamas from siphoning off aid.

U.N. agencies and major aid groups deny that there is widespread theft of aid by Hamas and have rejected the new system. They say it can’t meet the population's needs and turns food into a weapon for Israel to carry out its military goals, including moving the more than 2 million Palestinians into a “sterile” enclave in the southern Gaza.

Speaking at Britain's House of Commons' Foreign Affairs Committee on Monday, an official with Doctors Without Borders said Israel's claims of extensive diversion by Hamas were “specious and cynical,” and were intended “to undermine a humanitarian system which was actually functioning.”

“This is neither a humanitarian enterprise nor a system. This is basically lethal chaos,” Anna Halford, a field coordinator for the group, said when asked by lawmakers about the GHF centers.

Experts warn that Israel’s ongoing military campaign and restrictions on aid entry have put Gaza at risk of famine.

Israel’s military campaign since October 2023 has killed over 55,300 Palestinians, more than half of them women and children, according to Gaza’s Health Ministry. Its count doesn’t distinguish between civilians and combatants.

Israel launched its campaign aiming to destroy Hamas after the group's Oct. 7, 2023, attack on southern Israel, in which militants killed around 1,200 people, mostly civilians, and taking another 251 hostage. The militants still hold 53 hostages, fewer than half of them alive, after most of the rest were released in ceasefire agreements or other deals.

Magdy reported from Cairo.

This story was corrected to reflect that authorities said 34 people, not 38, were killed near the food centers. Follow AP’s war coverage at https://apnews.com/hub/israel-hamas-war

Palestinians carry bags containing food and humanitarian aid packages delivered by the Gaza Humanitarian Foundation, a U.S.-backed organization, in Rafah, southern Gaza Strip, Monday, June 16, 2025. (AP Photo/Abdel Kareem Hana)

Palestinians carry bags and boxes containing food and humanitarian aid packages delivered by the Gaza Humanitarian Foundation, a U.S.-backed organization, in Rafah, southern Gaza Strip, Monday, June 16, 2025. (AP Photo/Abdel Kareem Hana)

Palestinians carry bags containing food and humanitarian aid packages delivered by the Gaza Humanitarian Foundation, a U.S.-backed organization, in Rafah, southern Gaza Strip, Monday, June 16, 2025. (AP Photo/Abdel Kareem Hana)

Palestinians look at the damage of a house destroyed by an Israeli strike in Deir al-Balah, central Gaza Strip, Monday, June 16, 2025. (AP Photo/Abdel Kareem Hana)

A Palestinian man walks across the rubble of a building destroyed by an Israeli strike in Deir al-Balah, central Gaza Strip, Monday, June 16, 2025. (AP Photo/Abdel Kareem Hana)

Palestinians carry bags containing food and humanitarian aid packages delivered by the Gaza Humanitarian Foundation, a U.S.-backed organization, in Rafah, southern Gaza Strip, Monday, June 16, 2025. (AP Photo/Abdel Kareem Hana)

A Palestinian man walks across the rubble of a building destroyed by an Israeli strike in Deir al-Balah, central Gaza Strip, Monday, June 16, 2025. (AP Photo/Abdel Kareem Hana)

Palestinians carry bags containing food and humanitarian aid packages delivered by the Gaza Humanitarian Foundation, a U.S.-backed organization, in Rafah, southern Gaza Strip, Monday, June 16, 2025. (AP Photo/Abdel Kareem Hana)

Palestinians carry bags containing food and humanitarian aid packages delivered by the Gaza Humanitarian Foundation, a U.S.-backed organization, in Rafah, southern Gaza Strip, Sunday, June 15, 2025. (AP Photo/Abdel Kareem Hana)

Palestinians line up to buy dinner at a food stand near the beachfront at a tent camp for displaced people in the Gaza City port, Saturday, June 14, 2025. (AP Photo/Jehad Alshrafi)

WASHINGTON (AP) — Becky Pepper-Jackson finished third in the discus throw in West Virginia last year though she was in just her first year of high school. Now a 15-year-old sophomore, Pepper-Jackson is aware that her upcoming season could be her last.

West Virginia has banned transgender girls like Pepper-Jackson from competing in girls and women's sports, and is among the more than two dozen states with similar laws. Though the West Virginia law has been blocked by lower courts, the outcome could be different at the conservative-dominated Supreme Court, which has allowed multiple restrictions on transgender people to be enforced in the past year.

The justices are hearing arguments Tuesday in two cases over whether the sports bans violate the Constitution or the landmark federal law known as Title IX that prohibits sex discrimination in education. The second case comes from Idaho, where college student Lindsay Hecox challenged that state's law.

Decisions are expected by early summer.

President Donald Trump's Republican administration has targeted transgender Americans from the first day of his second term, including ousting transgender people from the military and declaring that gender is immutable and determined at birth.

Pepper-Jackson has become the face of the nationwide battle over the participation of transgender girls in athletics that has played out at both the state and federal levels as Republicans have leveraged the issue as a fight for athletic fairness for women and girls.

“I think it’s something that needs to be done,” Pepper-Jackson said in an interview with The Associated Press that was conducted over Zoom. “It’s something I’m here to do because ... this is important to me. I know it’s important to other people. So, like, I’m here for it.”

She sat alongside her mother, Heather Jackson, on a sofa in their home just outside Bridgeport, a rural West Virginia community about 40 miles southwest of Morgantown, to talk about a legal fight that began when she was a middle schooler who finished near the back of the pack in cross-country races.

Pepper-Jackson has grown into a competitive discus and shot put thrower. In addition to the bronze medal in the discus, she finished eighth among shot putters.

She attributes her success to hard work, practicing at school and in her backyard, and lifting weights. Pepper-Jackson has been taking puberty-blocking medication and has publicly identified as a girl since she was in the third grade, though the Supreme Court's decision in June upholding state bans on gender-affirming medical treatment for minors has forced her to go out of state for care.

Her very improvement as an athlete has been cited as a reason she should not be allowed to compete against girls.

“There are immutable physical and biological characteristic differences between men and women that make men bigger, stronger, and faster than women. And if we allow biological males to play sports against biological females, those differences will erode the ability and the places for women in these sports which we have fought so hard for over the last 50 years,” West Virginia's attorney general, JB McCuskey, said in an AP interview. McCuskey said he is not aware of any other transgender athlete in the state who has competed or is trying to compete in girls or women’s sports.

Despite the small numbers of transgender athletes, the issue has taken on outsize importance. The NCAA and the U.S. Olympic and Paralympic Committees banned transgender women from women's sports after Trump signed an executive order aimed at barring their participation.

The public generally is supportive of the limits. An Associated Press-NORC Center for Public Affairs Research poll conducted in October 2025 found that about 6 in 10 U.S. adults “strongly” or “somewhat” favored requiring transgender children and teenagers to only compete on sports teams that match the sex they were assigned at birth, not the gender they identify with, while about 2 in 10 were “strongly” or “somewhat” opposed and about one-quarter did not have an opinion.

About 2.1 million adults, or 0.8%, and 724,000 people age 13 to 17, or 3.3%, identify as transgender in the U.S., according to the Williams Institute at the UCLA School of Law.

Those allied with the administration on the issue paint it in broader terms than just sports, pointing to state laws, Trump administration policies and court rulings against transgender people.

"I think there are cultural, political, legal headwinds all supporting this notion that it’s just a lie that a man can be a woman," said John Bursch, a lawyer with the conservative Christian law firm Alliance Defending Freedom that has led the legal campaign against transgender people. “And if we want a society that respects women and girls, then we need to come to terms with that truth. And the sooner that we do that, the better it will be for women everywhere, whether that be in high school sports teams, high school locker rooms and showers, abused women’s shelters, women’s prisons.”

But Heather Jackson offered different terms to describe the effort to keep her daughter off West Virginia's playing fields.

“Hatred. It’s nothing but hatred,” she said. "This community is the community du jour. We have a long history of isolating marginalized parts of the community.”

Pepper-Jackson has seen some of the uglier side of the debate on display, including when a competitor wore a T-shirt at the championship meet that said, “Men Don't Belong in Women's Sports.”

“I wish these people would educate themselves. Just so they would know that I’m just there to have a good time. That’s it. But it just, it hurts sometimes, like, it gets to me sometimes, but I try to brush it off,” she said.

One schoolmate, identified as A.C. in court papers, said Pepper-Jackson has herself used graphic language in sexually bullying her teammates.

Asked whether she said any of what is alleged, Pepper-Jackson said, “I did not. And the school ruled that there was no evidence to prove that it was true.”

The legal fight will turn on whether the Constitution's equal protection clause or the Title IX anti-discrimination law protects transgender people.

The court ruled in 2020 that workplace discrimination against transgender people is sex discrimination, but refused to extend the logic of that decision to the case over health care for transgender minors.

The court has been deluged by dueling legal briefs from Republican- and Democratic-led states, members of Congress, athletes, doctors, scientists and scholars.

The outcome also could influence separate legal efforts seeking to bar transgender athletes in states that have continued to allow them to compete.

If Pepper-Jackson is forced to stop competing, she said she will still be able to lift weights and continue playing trumpet in the school concert and jazz bands.

“It will hurt a lot, and I know it will, but that’s what I’ll have to do,” she said.

Heather Jackson, left, and Becky Pepper-Jackson pose for a photograph outside of the U.S. Supreme Court in Washington, Sunday, Jan. 11, 2026. (AP Photo/Jose Luis Magana)

Heather Jackson, left, and Becky Pepper-Jackson pose for a photograph outside of the U.S. Supreme Court in Washington, Sunday, Jan. 11, 2026. (AP Photo/Jose Luis Magana)

Becky Pepper-Jackson poses for a photograph outside of the U.S. Supreme Court in Washington, Sunday, Jan. 11, 2026. (AP Photo/Jose Luis Magana)

The Supreme Court stands is Washington, Friday, Jan. 9, 2026. (AP Photo/J. Scott Applewhite)

FILE - Protestors hold signs during a rally at the state capitol in Charleston, W.Va., on March 9, 2023. (AP Photo/Chris Jackson, file)