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

The Palestinian death toll in Gaza has passed 60,000. The world’s leading authority on food crises says the “worst-case scenario of famine is currently playing out” in the territory of over 2 million people.

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.