Arbin, Syria: Syrian and Russian air strikes on Tuesday slammed into the rebel-held Eastern Ghouta enclave, leaving more than 100 civilians dead for the second straight day and putting another hospital out of service.
In a major twist for Syria’s complex seven-year war, Damascus also sent pro-regime fighters to the northern Afrin region, where they came under fire by Turkish forces attacking the Kurdish-controlled enclave.
On the outskirts of Damascus, air strikes, rockets and artillery fire have battered the Eastern Ghouta enclave in apparent preparation for a government ground assault.
At least 250 civilians have been killed since the escalation began on Sunday, among them dozens of children, the Syrian Observatory for Human Rights said.
Bombardment on Tuesday killed 106 civilians, including 19 children, the Britain-based war monitor said.
It was the second straight day that the civilian death toll topped 100, after 127 were killed Monday in Eastern Ghouta’s bloodiest day in four years.
Strikes put a key hospital out of service on Tuesday, further limiting the little medical aid that besieged civilians could access.
“The Arbin hospital was hit twice today and is now out of service,” said Moussa Naffa, country director in Jordan for the Syrian American Medical Society (SAMS), which supported the clinic.
The Observatory blamed Russian warplanes, saying Moscow carried out its first strikes in three months on Eastern Ghouta.
The rebel-held region is nominally included in a “de-escalation” deal meant to tamp down violence, but President Bashar Al Assad is apparently preparing troops for an imminent ground assault to retake it.
The United States said it was “deeply concerned” about the escalating attacks on the enclave.
“The cessation of violence must begin now,” State Department spokeswoman Heather Nauert said, criticising what she called the “siege and starve tactics” of the Al Assad regime.
Six hospitals hit
Eastern Ghouta is home to more than 400,000 people living under crippling government siege, with little access to food or medical resources.
The United Nations said six hospitals had been hit in the region in the past 48 hours, in addition to the one in Arbin.
At least three were out of service and two were only partially functioning, said the UN’s regional humanitarian coordinator for Syria, Panos Moumtzis.
“It’s beyond imagination what is happening in East Ghouta today,” he said.
“The untold suffering is intolerable and residents have no idea whether they will live or die. This nightmare in East Ghouta must end and must end now.”
Hours before the Arbin hospital was bombed, a doctor there spoke of the casualties they had been treating.
“February 19 was the one of the worst days that we’ve ever had in the history of this crisis,” Abu Al Yasar told AFP.
He described treating a one-year-old with blue skin and a faint pulse, rescued from under the rubble.
“I opened his mouth to put in a breathing tube and I found it packed with dirt,” said Abu Al Yasar.
He pulled out the dirt as fast as possible, put in the breathing tube and managed to save the baby.
“This is just one story from among hundreds of wounded.”
The bloodshed prompted the UN children’s agency UNICEF to issue a largely blank statement saying “we no longer have the words to describe children’s suffering.”
Syria’s main opposition group condemned the government onslaught as a “bloodbath” and a “war crime”, saying it may pull out of UN-backed peace talks in protest.
Eastern Ghouta is mostly held by two hardline rebel groups that often fire rockets and mortar rounds into residential neighbourhoods of east Damascus.
On Tuesday, at least nine people were killed and 49 wounded by rebel fire on the capital, state media reported.
Al Watan newspaper, which is close to the government, said the bombing campaign “comes ahead of a vast operation on Ghouta, which may start on the ground at any moment.”
The army already waged a ferocious five-day air assault on Eastern Ghouta earlier this month that left around 250 civilians dead and hundreds wounded.
Turkey shells regime
Syria’s conflict erupted in 2011 with protests against Al Assad, but the ensuing war has carved the country into various zones of control among rebels, extremists, the regime, and Kurds.
Turkey has been waging an air and ground offensive against the Kurdish People’s Protection Units (YPG) militia in the Afrin enclave for the past month but on Tuesday the stakes were ratcheted up.
Hundreds of Syrian pro-government forces entered the region for the first time since 2012 to face off against Turkey alongside Kurdish forces that Ankara views as an offshoot of its own internal insurgency.
But they quickly came under shelling by Turkish forces, who said they had fired “warning shots” at the “pro-regime terrorist groups”.
In a statement, YPG spokesman Nuri Mahmud said the Kurdish forces had called on the Damascus government to help fend off Turkey’s assault.
“The Syrian government responded to the invitation, answered the call of duty and sent military units today, February 20, to take up positions on the borders, and participate in defending the territorial unity of Syria and its borders,” the statement said.
The YPG has controlled Afrin since government forces withdrew from Kurdish-majority northern areas in 2012.
Turkish President Recep Tayyip Erdogan defended the operation’s slow progress, saying rebel allies would lay siege to the town of Afrin “in the coming days.”