A/HRC/27/60 Annex V [English only] Specifically protected persons and objects 1. Government forces 1. The healthcare system has been severely affected in the course of military operations carried out by Government forces, as well as through a deliberate and systematic campaign to persecute medical staff treating anyone perceived to be opposing the Government. The prevention of access to healthcare continues to be used to punish and subdue civilians residing in armed group-held or contested areas, or persons perceived to be affiliated with armed opposition groups. 2. Healthcare infrastructure and medical facilities in contested areas have been damaged in hostilities and destroyed by targeted attacks. The flight of healthcare professionals owing to fear of arrest, and the death and injury of medical staff has left armed group-controlled areas without adequate medical care. The continued denial and removal of medical supplies from humanitarian aid deliveries and the collapse of the country’s pharmaceutical industry have further worsened the provision of medical care. 3. Medical functions continue to be targeted as part of a broader assault on civilians. During the Government’s offensive on Yabroud (Rif Damascus) in early February, a hospital in which internally displaced persons were seeking shelter was shelled, killing three and injuring seven people. As the military operation escalated, medical clinics were targeted and destroyed on 15 and 16 March. On 15 May, Government forces dropped two consecutive vacuum bombs on Radwan field hospital in Jasem (Dara’a), destroying the facility. Four medical personnel and two children were killed, and more than 15 were critically injured. This facility was the sole source of medical care in Jasem. Residents described how the hospital’s destruction and resulting lack of medical care led to an increase in infant mortality. 4. During the military campaign on Aleppo, Government forces attacked medical facilities to achieve military advantage. In eight documented attacks between early February and 24 June, Government forces dropped barrel bombs on M10 Trauma Field Hospital in Masakin Hanano, Aleppo city. Doctors and patients were killed in the attacks, which damaged crucial infrastructure such as operating rooms and the intensive care unit, as well as life-saving equipment. These attacks have severely limited access to medical care in Masakin Hanano during the barrel bombing campaign on northeastern Aleppo, depriving those injured in Government attacks on Sheikh Najar Industrial Area and around Aleppo Central Prison of medical treatment. 5. On 12 April, Al-Zarzour Hospital, which provides medical treatment for opposition forces based in Al-Ramoussa, Al-Azizia and Al-Layramoun, was targeted by two consecutive barrel bombs. The hospital serves the most heavily bombarded opposition-held districts in Aleppo city, including Al-Ansari al-Sharqi, Al-Sukkari, Bustan Al-Qasr, Salah Al-Din and Al-Mashahed. It was further damaged on 7 May and 18 June, when helicopters dropped a barrel bomb 200-400 metres away. 6. Al-Sakhour Hospital, one of the few remaining medical facilities in eastern Aleppo, was hit by a barrel bomb on 7 February, killing two and injuring 16 people, including four medical staff. In June, Al-Sakhour Hospital suffered seven barrel bomb and missile attacks, causing significant damage to medical equipment and the partial destruction of the facility. 42

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