Palestinians in Gaza marked the first day of Ramadan on Monday amid rising hunger and desperation, with Israel continuing to restrict aid shipments into the besieged territory. United Nations officials have complained that even basic items like medical scissors have resulted in trucks being stopped by Israeli forces at the border. This comes as countries such as the United States conduct dangerous airdrops of essential supplies and have announced plans to build a pier off the coast of Gaza to deliver aid. “It’s going to be more simple, more realistic and more efficient if the United States has pushed the Israelis to allow the aid truck to go into the north of Gaza and Gaza City,” says Yousef Hammash, advocacy officer with the Norwegian Refugee Council, speaking to us from Rafah. “The only issue that we are facing on delivering the aid on the ground is the restrictions the Israelis put on it.” Hammash also describes “living day by day” amid “madness, violence [and] bombardment.”