A boat laden with food for Palestinians in war-ravaged Gaza was "ready" to set sail from Cyprus, an NGO said, as fighting raged between Israeli troops and Palestinian group Hamas ahead of Ramadan.

The sea route aims to counter aid access restrictions, which humanitarians and foreign governments have blamed on Israel, more than five months into the war which has left Gaza's 2.4 million people struggling to survive.

Hopes were fading fast for a pause in the fighting before Ramadan, which could begin as early as Sunday depending on the lunar calendar, as Israel accused Hamas of seeking to "inflame" the region during the Muslim fasting month.

The United Nations has repeatedly warned of looming famine, particularly in north Gaza where no overland border crossings are open.

In Rafah, in Gaza's far south, "we can barely get water," said displaced Palestinian woman Nasreen Abu Yussef.

The United Nations has repeatedly warned of looming famine, particularly in north Gaza.

Roughly 1.5 million Palestinians have sought refuge in the city, where Atallah al-Satel said he wanted an end to the war.

"We are just exhausted citizens," said Satel, who had fled to Rafah from Khan Yunis.

Spanish charity Open Arms said its boat, which docked three weeks ago in Cyprus's Larnaca port, was "ready" to embark but awaits final authorisation.

It would be the first shipment along a maritime corridor from Cyprus -- the closest European Union country to Gaza -- that the EU Commission hopes will open on Sunday.

Open Arms spokeswoman Laura Lanuza told the media that Israeli authorities were inspecting the cargo of "200 tonnes of basic foodstuffs, rice and flour, cans of tuna".

Hospital doctors report that Gaza is continue under Israel’s bombardment, offensives and siege.

US charity World Central Kitchen, which has partnered with Open Arms, has teams in the besieged Gaza Strip who were "constructing a dock" to unload the shipment, Lanuza said.

Meanwhile, the US Central Command said a US Army ship left Joint Base Langley-Eustis in Virginia on Saturday carrying the "first equipment to establish a temporary pier" to receive aid off Gaza.

The Pentagon said Friday it would take up to 60 days to set up the temporary pier, which Biden announced the previous night.

With ground access limited, countries have also turned to airdropping aid, although a parachute malfunction turned one delivery deadly on Friday.

After months of warnings over the risk of famine in Gaza under Israel’s bombardment, offensives and siege, hospital doctors have reported 20 malnutrition-related deaths at two northern Gaza hospitals.

Agence France-Presse