Assault on eastern Ghouta, Syria in pictures

More than 1,500 people have been killed since Syrian government troops backed by Russia launched a ferocious attack on eastern Ghouta on February 18. Airstrikes have reduced much of the area near Damascus to ruins. According to the UN, there were an estimated 400,000 people trapped inside the besieged enclave without access to food and water when the offensive began.

The town of Douma, with its 200,000 residents, is now the only remaining Ghouta pocket still under rebel control. The full recapture of eastern Ghouta would mark a significant victory for Syrian President Bashar Assad. Referring to the month-long assault on the enclave, UN Secretary General Antonio Guterres demanded "this hell on earth" be stopped immediately.

According to activists and doctors in the region, several people have suffered symptoms consistent with those triggered by a chlorine gas attack and had to be treated in hospital. French President Emmanuel Macron has warned the Syrian regime that the use of chemical weapons will result in French retaliation, but the Syrian government claims it has never used this kind of munition.

A man and child look at the remains of a missile in Douma, the largest in eastern Ghouta. More than 300,000 people have been killed since the conflict began in 2011, when the government cracked down on protesters who were calling for the release of political prisoners and for President Assad to step down.

Activists say people in Douma have little food or water. Marten Mylius, the emergency relief coordinator for CARE in the Middle East, told DW that "after the tunnels were destroyed and the crossings closed, the price of basic foods skyrocketed. One kilo of rice now costs $4.50 (€3.66). A lot of people cannot afford that anymore. In other words, we are witnessing a rapid spread of malnutrition."

Aid access to eastern Ghouta is difficult because there is no direct route from neighboring countries. "In Idlib, for example...you can get in directly from the Turkish border. You can wait with supplies at the border and then bring in the convoy. It is much more difficult in eastern Ghouta," Mylius told DW.