A/HRC/27/60 Four medical staff were injured in the attacks. Following an attack on 23 June, the hospital was temporarily closed. The attacks severely limited access to medical care in oppositioncontrolled areas of Aleppo. 7. On the morning of 13 April, a barrel bomb hit the M1 Trauma Hospital in Aleppo, destroying its top floor. The same day, a barrel bomb hit Al-Daqqaq Hospital in Al-Shaar, causing significant damage to its operating rooms, water and sewage infrastructure. On 24 June, Bab Al-Hadid field hospital was attacked by missiles, injuring two patients and damaging equipment. Omar bin Abdulaziz Hospital in central Aleppo city was severely damaged on 5 July by a barrel bomb dropped in its vicinity. In Idlib, Bab Al-Hawa field hospital was hit by two consecutive missiles on 7 June, damaging the facility infrastructure. 8. Across the country, field hospitals and makeshift clinics are concealed in underground cellars and basements. Medical staff at a field hospital in Quneitra noted they do not mark the location with a red cross or red crescent emblem since “once the regime learns where the hospital is, they will attack it.” 9. Government forces and authorities acted in disrespect for medical ethics and the duty of health workers to treat the sick and wounded regardless of affiliation. Doctors, nurses, pharmacists and paramedics arrested and disappeared in 2011 and 2012 continued to be detained or their whereabouts remain unknown. A field hospital doctor detained in Damascus in spring 2013 for aiding the opposition continues to be imprisoned in the Air Force Intelligence Branch at Mezzeh Airport. A nurse working in Douma Hospital, arrested in October 2013 for treating wounded members of the armed opposition, died in the custody of Syrian authorities. In May, his parents were informed of his death and burial in Najha cemetery (Rif Damascus) and instructed to retrieve his identification and belongings from a hospital in Damascus. 10. Attacks on medical personnel and facilities violate common article 3 of the Geneva Conventions and customary international humanitarian law and amount to war crimes. The frequency of attacks on medical facilities in opposition-controlled areas of Aleppo city and governorate is indicative of a deliberate policy. Government forces target healthcare infrastructure with the apparent intention of depriving civilians and fighters injured in Government offensives of medical treatment, increasing the loss of life and the number of persons maimed, wounded or killed. Humanitarian workers continue to be targeted in grave violation of international humanitarian law, hampering the operations of aid organizations. 2. Non-State armed groups Islamic State of Iraq and Al-Sham 11. In January, a nurse working at a hospital in Byanoon (Aleppo) was abducted by ISIS while transporting a wounded patient. In late January, ISIS detained a pediatrician working for an international NGO in Jarabulus (Aleppo). In early February, three medical staff from a field hospital in Al-Bab (Aleppo) were detained by ISIS and brought in front of a shari’a court before being released. These incidents fit a previously documented pattern of ISIS detaining doctors in contravention of the customary international humanitarian law rule that under no circumstances shall any person be punished for carrying out medical activities. 12. ISIS fighters occupied Al-Jabal Hospital in Al-Bab in January, and have converted the operation rooms to a detention facility. Using hospitals outside their humanitarian function prevents the impartial provision of medical treatment, endangers patients and medical professionals, and compromises the humanitarian function of medical facilities. This has a grave impact on the fulfilment of the obligation under common article 3 to care for the sick and wounded. Failing to respect the emblems of the Geneva Conventions undermines their protective purpose. 43

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