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Dozens of people were killed in a crowd surge in Yemen’s capital on Wednesday as needy residents in the war-torn nation flocked to receive charity handouts from local merchants during the holy month of Ramadan, officials have confirmed.

Video of the tragedy in Sanaa showed a chaotic scene with dozens of people packed tightly together, unable to move and shouting for help, CNN reported.

Those trapped formed a tangled wall of bodies with some desperately stretching out their arms for help. A couple of men who were freed could then be seen attempting to pull others out of the deadly crush. Images from the aftermath showed shoes and slippers heaped into piles as well as scarfs strewn on the floor.

“What happened tonight is a tragic and painful accident, as dozens of people were killed due to a large stampede of a number of citizens caused by a random distribution of sums of money by some merchants and without coordination with the Ministry of Interior,” the spokesman of the Houthi-run Ministry of Interior, Abdul-Khaleq al-Ajri, said in the statement.

At least 78 people were killed in the crush and dozens injured, Mutahar al-Marouni, the director of the Houthi-run Health office in Sanaa, told the Houthi-run Al-Masirah news agency.

According to Reuters, hundreds of people had crowded into a school to receive donations of 5,000 Yemeni Riyal (about $9).

The incident came just a few days ahead of the Muslim holiday of Eid al-Fitr, which marks the end of the Islamic holy month of Ramadan. During this time of the month, people start giving away Zakat al-Fitr, or the Zakat of Breaking the Fast of Ramadan, to people who are in need.