Syria: Situation in Idlib deteriorates dramatically

07 Aug 2019

Bombing and shelling of Syria’s southern Idlib and northern Hama governorates have caused more than 450,000 people to flee north towards the Turkish border in the past three months and have led to increasing numbers of casualties, with hundreds of deaths and thousands of injuries, according to multiple reports. The violence has escalated over the past month, which has seen more people killed or wounded than at any time so far this year.  


In northern rural Idlib, we're supporting the health care centre in Al Karama with drug donations, and an MSF mobile clinic is providing care to patients affected by non-communicable diseases. The number of IDPs has increased in the area, following the bombing and shelling on the southern Idlib and northern Hama countryside. As a result, the number of medical consultations has sharply increased. © MSF

Medical teams at hospitals in the area supported by Médecins Sans Frontières/Doctors Without Borders (MSF) have faced mass-casualty influxes – when 10 or more wounded arrive at once – on multiple occasions over recent weeks. Earlier this month, an MSF-supported hospital received over 35 wounded from airstrikes in the space of just 48 hours. Another facility receiving MSF support treated 50 casualties that same week.

The military offensive was launched by Syrian government forces and their allies in late-April on southern Idlib and northern Hama governorates, which are within an existing ‘de-escalation zone’. Civilian infrastructure – including medical facilities, schools, markets and camps for displaced people – has been hit and damaged in the offensive. One MSF-supported hospital has been damaged by bombing, while other MSF-supported facilities have had to partially interrupt their services multiple times over recent weeks for fear of being hit. 

“Patients, their caretakers and hospital staff are all struggling psychologically. When planes fly over the hospital, they are extremely scared – some leave the building out of fear it will be hit. We often have to empty the hospital, worried that something could happen. There are days when we have to go to the safe room multiple times because planes are flying overhead. But no matter how many times we have to interrupt our work, we try to keep the emergency room open – we put all our efforts into this. Some hospitals in the area serve tens of thousands of people. We have no choice but to be there for them when something happens.”

Hospital Director in the affected area

The escalation in violence has caused 450,000 people to leave their homes, adding to the previous displacements of hundreds of thousands of people to and within Idlib governorate. Most of the newly displaced people have headed for densely-populated areas and are now living in tents or out in the open under olive trees, in need of food, water and medical care. We have been distributing essential relief items and drinking water to the newly displaced people over recent months, as well as installing latrines, both in existing camps and in newly formed settlements. But the displaced people need much more support than is currently available.


Women and children who were recently displaced by the conflict in Northwest Syria are lining up in front of MSF’s mobile clinic. © MSF

“What we’re facing now are hundreds of thousands of displaced people living in appalling conditions,” says Lorena Bilbao, operations coordinator for MSF programmes in Syria. “Many of the settlements are very overcrowded, their infrastructure is inadequate and living conditions are unhygienic, posing a severe risk of disease outbreaks. If people do not have clean water to drink, we can expect more patients with dehydration, diarrhoea and waterborne diseases in the coming weeks. This will lead to a further deterioration of what is already a critical situation.

We’ve scaled up our mobile clinic activities and reinforced our support to medical facilities by donating medications to health centres and first aid kits and surgical kits to hospitals, and by supporting referral systems in the area. We will continue to provide vital humanitarian aid to people displaced or wounded by the military offensive.

Will you join us?


My name is Lisa and I'm a Doctor with experience working in Médecins Sans Frontières projects in places like Bangladesh, Mali and South Sudan. 

Did you know that Médecins Sans Frontières is funded by millions of individual supporters throughout the world?

You can become a Field Partner today by joining us with a monthly donation.

Your monthly gifts will help provide the independent funding we need to respond rapidly when emergencies strike – and the flexibility to adapt our response as circumstances change, so we can go where the medical needs are greatest. We will keep you informed about our work with special updates from the field and stories from our medical projects in over 70 countries. 

An ongoing donation from just $10 per month over one year could purchase a surgeon’s tool kit. 

Please consider joining us as a Field Partner with a monthly donation today.

Warm regards,