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who are now encircled by advancing Syrian Democratic Forces. A further 70,000 to 90,000
displaced Syrians remain trapped in an uninhabitable desert area near the southern border.
C.
Assaults on medical care
42.
Since March 2011, attacks on medical care have characterized the unrest, and now
conflict, in the Syrian Arab Republic. Medical workers, including doctors, dentists, nurses,
paramedics, ambulance drivers and laboratory technicians, have been attacked for attending
to the wounded. Many have been killed and injured. Others have fled with their families
across the Syrian borders, seeking refuge. Hospitals, clinics and ambulances have been
destroyed. As a consequence, there has been a severe weakening of health-care
infrastructure, particularly in areas of the country not under government control. This has
had a disastrous impact on the civilian population, with particularly adverse consequences
for infants, young children, pregnant women, lactating mothers, the disabled and those with
chronic illnesses.
43.
In the past six months, there has been a surge of attacks affecting people and places
providing medical care. The majority of the attacks have been carried out by proGovernment forces. The pattern of attacks, and in particular the repeated bombardments,
strongly suggests that there has been deliberate and systematic targeting of hospitals and
other medical facilities during this reporting period. Some anti-Government armed groups
and the terrorist group ISIL have also attacked medical workers and facilities in
Government-held areas.
44.
Perhaps nowhere has the government assault on medical care been felt more
strongly than in the opposition-controlled areas of Aleppo city and governorate, where at
least 20 hospitals and clinics have reportedly been destroyed since January. Many of those
attacks have caused the death of medical personnel and first responders.
45.
In mid-January, government forces barrel-bombed Al-Sakhour hospital in Aleppo.
The barrel bomb landed close to the hospital, which serves patients with mental health
disorders, killing at least two patients and injuring staff and other patients. The hospital has
reportedly been bombarded over a dozen times since early 2014.
46.
In late January and early February, government forces reportedly attacked a field
hospital in Maskan village, as well as a field hospital and rehabilitation centre in Anadan.
Several staff members, including a nurse, were killed in the attack on the Anadan hospital.
In early February, planes belonging to pro-Government forces bombarded a field hospital, a
rehabilitation centre and a dialysis centre in Tal Rifat in northern Aleppo. Medical staff and
patients were injured and the facilities closed, leaving the area with no medical care.
47.
On 15 February, pro-Government planes bombarded the street outside a maternity
hospital in Azaz in northern Aleppo governorate. Approximately five civilians in the areas
outside the hospital were killed, including two guards who were on staff. An interviewee
described his relief that none of the infants lying in the incubators had been killed. The
hospital itself was severely damaged and closed.
48.
On 27 April, there were three aerial bombardments of the area surrounding the AlQuds hospital, supported by Médecins sans frontières, in the Al-Sukari neighbourhood of
Aleppo city. Al-Quds had been the main paediatric referral hospital in Aleppo governorate.
Each bombardment struck progressively closer to the hospital, the final one destroying an
apartment building, in which many hospital staff resided, only 10 metres from the hospital.
A doctor, a dentist, two nurses, a security officer and a maintenance technician were killed,
as were approximately 55 people living in the apartment building, which collapsed into
rubble. More than 100 people were injured. Essential equipment, including seven
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