Famine fears and the new death toll are grim milestones in a conflict that began almost two years ago when Hamas attacked Israel.

The U.N.-developed panel, known as IPC, said conditions “worsened dramatically” in recent months, with food consumption at its lowest level since the conflict began.

Experts warned Tuesday that the territory of about 2 million Palestinians is on the brink of famine after Israeli restrictions and a breakdown of security have made it nearly impossible to safely deliver aid.

The “worst-case scenario of famine” is unfolding in Gaza, according to a warning issued by the Integrated Food Security Phase Classification.