| 11 Avril 2018
 The World Health Organization is deeply alarmed by reports of the suspected use of toxic chemicals in Douma city, East Ghouta.
 
 According to reports from Health Cluster partners, during the shelling  of Douma on Saturday, an estimated 500 patients presented to health  facilities exhibiting signs and symptoms consistent with exposure to  toxic chemicals. In particular, there were signs of severe irritation of  mucous membranes, respiratory failure and disruption to central nervous  systems of those exposed.[1]
 
 More than 70 people sheltering in basements have reportedly died, with  43 of those deaths related to symptoms consistent with exposure to  highly toxic chemicals. Two health facilities were also reportedly  affected by these attacks.
 
 WHO reminds parties to the conflict of their obligation to refrain from  attacking medical facilities and personnel as per Security Council  Resolution 2286 (2016). Any use of chemical weapons to cause harm is  illegal under international law. Global norms against chemical weapons  reflect a particular abhorrence to their disproportionate harm to the  eldest, the most infirm, and the youngest among us.
 
 "We should all be outraged at these horrific reports and images from  Douma,” said Dr. Peter Salama, WHO Deputy Director- General for  Emergency Preparedness and Response. “WHO demands immediate unhindered  access to the area to provide care to those affected, to assess the  health impacts, and to deliver a comprehensive public health response.”
 
 WHO is currently coordinating the health cluster response for people  displaced from East Ghouta and stands ready to provide more assistance  to newly-accessible areas of East Ghouta as soon as access is granted.
 
 WHO and partners are providing trauma care; medicines, medical supplies  and personal protective equipment; mental health support; medical  consultations and integrated reproductive health services; antenatal and  obstetric care; vaccinations; and support for disease surveillance.