Government forces bombed the northeastern suburbs of the Syrian capital for a second straight day on Tuesday, killing more than 100 people and raising the specter of a full-scale offensive that could spell catastrophe for the nearly 400,000 residents trapped under siege.
Rescuers raced to reach survivors in the devastated Damascus suburbs known as eastern Ghouta as warplanes and helicopter gunships circled overhead, bombing hospitals, apartment blocks, markets and other civilian targets. The suburbs are the last major stronghold for rebels in the capital region.
At least 250 civilians were killed during the 48 hours of unrelenting onslaught that began on Monday, including 58 children, according to the Syrian Observatory for Human Rights monitoring group. Another 1,000 people were wounded, it said.
"We no longer have the words to describe children's suffering and our outrage," the UN children's agency said in a terse statement about the carnage.
Russian Foreign Minister Sergey Lavrov appeared to endorse the unrestrained assault, which he said was backed by the Russian air force. “In keeping with the existing agreements, the fight against terrorism cannot be restricted by anything,” he said.
Russia has been an unwavering ally of Syrian President Bashar Assad's forces and was instrumental to the all-out assault in late 2016 that ejected rebels from their enclave in eastern Aleppo, Syria's largest city before the war — an outcome that Lavrov said could serve as a model for eastern Ghouta.
Pro-government forces have been amassing since the weekend on the perimeter of the rebel-held region, a collection of towns and farmland that once provided grain and fruit to the capital before nearly five years of warfare turned it into a landscape of havoc and despair.
The towns of eastern Ghouta were among the first to organise into self-governing collectives and shake off government rule after popular demonstrations against Assad swept through the country in 2011, eventually leading to civil war. They are also among the last to resist Assad's determined campaign to bring every last rebellious corner of the country to heel. Assad and his allies maintain they are fighting a war on terrorism.
At least 10 hospitals in eastern Ghouta were damaged by airstrikes or shelling since Sunday night, according to Ahmad al-Dbis, the security manager for the Union of Medical Care and Relief Organisations, which runs hospitals and clinics in Syria. Ten medical staff and rescue workers were among the dead.
The International Committee of the Red Cross said in a statement that it was receiving "distressing reports" of dozens killed and wounded every day in eastern Ghouta, with "families trapped, with no safe place to hide from shelling."
As the death toll climbed in eastern Ghouta, the rebels retaliated on Tuesday by hitting some Damascus neighborhoods with mortar shells, killing eight people, including three children, and wounding 15 others, according to the state news agency SANA.
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