| 13 Novembre 2017
 
12 November, 2017, Cairo, Egypt - Up to 400 000 people  remain besieged in eastern Ghouta in Rural Damascus, where they face  deteriorating humanitarian, health, and security conditions. More than  240 people require urgent advanced medical care, including 29 priority  patients (mostly children) in critical condition who need immediate  medical evacuation.
 
 “The situation is heartbreaking,” says Ms Elizabeth Hoff, WHO  Representative in Syria. “For months, the people of eastern Ghouta have  been subjected to sustained deprivation, restrictions on humanitarian  access and serious human rights violations. We have now reached a  critical point, where the lives of hundreds of people, including many  children, are at stake. If they do not immediately get the medical care  they urgently need, they will most likely die.”
 
 WHO and health partners have prepared a plan for medical evacuations  from eastern Ghouta to medical facilities in Damascus, Rural Damascus  and Idlib depending on patients’ consent. Medicines have also been  prepared for immediate dispatch to minimize the number of medical  evacuations needed.
 
 On 6 November, the Syrian Arab Red Crescent (SARC) was able to medically  evacuate a four-year- old girl from Douma in eastern Ghouta. At this  stage, however, no formal approval for evacuations has been received  from the responsible national authorities.
 
 WHO is also concerned at reports of malnutrition in eastern Ghouta,  especially among children. Recent World Food Programme (WFP) reports  indicate severe shortages of food supplies. Children who are already  weak and hungry are much more likely to contract life-threatening  infectious diseases.
 
 Due to restrictions in humanitarian aid reaching the area, almost all  medicines and medical supplies are limited, and there are patients dying  as a result, including one patient with kidney failure who reportedly  passed away today.as a result of lack of safe drinking water, diseases  like brucellosis, hepatitis A and tuberculosis have reappeared.
 
 On 30 October, an Inter-Agency convoy led by the Syrian Arab Red  Crescent (SARC) entered besieged Kafr Batna and Saqba in eastern Ghouta  with food, health, and nutrition supplies for almost 40 000 people. As  part of this convoy, WHO delivered five tons of life-saving and  life-sustaining health supplies to provide 35 000 medical treatments.  Among other items, WHO supplies included four different kinds of  therapeutic milk, antiepileptic medicines, psychotropic medicines and  medicines for chronic diseases, including insulin.
 
 As the situation in eastern Ghouta deteriorates, WHO demands that all  parties to the conflict comply with their legal obligations to stop  attacks on civilians, especially children; facilitate the immediate and  safe evacuation of the sick and wounded; and allow the safe passage for  medicines and medical supplies.