The evacuation of fighters and civilians from four besieged Syrian towns has resumed after a deadly weekend bombing. Some 30,000 people should be moved as part of the deal.
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A convoy of buses carrying some 3,000 fighters and civilians from the rebel-besieged villages of Fuaa and Kafraya in Idlib province reached the rebel-held transit point of Rashidin, near government-controlled Aleppo, the UK-based Syrian Observatory for Human Rights monitoring group said on Wednesday.
Separately, a convoy carrying several hundred rebel fighters and civilians from government-besieged Zabadani made its way to rebel-held territory in Idlib.
Syria sanctions hit child cancer treatment
In the cancer ward at Damascus Children's Hospital, doctors are struggling with a critical shortage of specialist drugs to treat their young patients - and it's not just due to the general chaos of the Syrian civil war.
Image: Reuters/O.Sanadiki
Sanctions hinder imports
Six years of conflict have brought the Syrian health service, once one of the best in the Middle East, close to collapse. Fewer than half of the country's hospitals are fully
functioning. Around 200 children visit the Children's Hospital in Damascus every week, with more than 70 percent from outside the capital.
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Foreign firms remain wary
Young cancer patients wait for treatment at Damascus Children's Hospital. Local and World Health Organization officials blame Western sanctions for severely restricting pharmaceutical imports, even though medical supplies are largely exempt from measures imposed by the United States and European Union.
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State spending cuts
Cuts in health expenditure by the Syrian government fighting a hugely expensive war, a drastic fall in the value of the currency and indirect effects of the sanctions are all deepening the misery of patients who need foreign-made drugs. Before the conflict, Syria produced 90 percent of the medicines it needed but anti-cancer drugs were among those where it traditionally relied on imports.
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Cuts in Syria's health budget
Nurses taking care of a sick child. The World Health Organization in Syria, says medicine imports have been hit by significant cuts in the government's health budget since the war began in 2011. Adding up tot hat is a 90 percent drop in the value of the Syrian pound, which has made some pharmaceuticals prohibitively expensive.
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More than a lack of cash
"The impact of economic sanctions imposed on Syria heavily affected the procurement of some specific medicine including anti-cancer medicines," says Elizabeth Hoff, the WHO representative in Syria. "The sanctions were preventing many international pharmaceutical companies from dealing with the Syrian authorities as well as hindering foreign banks in handling payments for imported drugs."
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Patients waiting for treatment
Cancer patient Fahd plays with his mobile phone while his mother sits by his bed. Both the U.S. and EU sanctions include exemptions for medicines and other humanitarian supplies. However, by clamping down on financial transactions and barring much business with the Syrian government, the sanctions are indirectly affecting trade in pharmaceuticals.
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Delays in treatment
One private charity, Basma, is trying to help out by funding cancer drugs for poor families. The proportion of patients who need assistance has risen from about 30 percent to nearly 80 percent since the war began, according to executive manager Rima Salem. Salem finds the delays in treatment worrying. "A child with cancer might die waiting for his turn to get treatment," she said.
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The negotiated transfer of fighters and civilians from the two pro-government Shiite villages and two opposition-held towns in opposite parts of the country was put on hold after more than 120 people, including nearly 70 children, were killed in a bombing at the Rashidin transfer point on Saturday.
No group has claimed credit for the bombing of those leaving Fuaa and Kafraya, which reportedly occurred after an unknown person lured hungry children with candy to a car prior to the explosion.
The UN said Wednesday that the attack "likely amounts to a war crime," while the Syrian government earlier pinned blame on rebel "terrorists."
An al-Qaeda linked rebel alliance controls large parts of Idlib province. It has clashed periodically with the powerful ultra-conservative Ahrar al-Sham rebel faction, which condemned the attack and said some of its fighters were also killed.
Qatar, one of Ahrar al-Sham's backers, and Iran, a regime ally, hammered out the population transfer after months of negotiations.
Madaya and Zabadani, two largely Sunni towns near Damascus, have been under siege by pro-government forces for nearly two years. The largely Shiite villages of Fuaa and Kafraya have similarly been under siege by rebels. All the towns have suffered from lack of medicine, food, water and other supplies.
According to the UN, some 600,000 people in Syria are under siege, mostly by government-allied forces.
After Wednesday, some 8,000 fighters and civilians will have left Fuaa and Kafraya to government-held areas of Aleppo, while another 2,500 civilians and rebel fighters will have been transferred to Idlib province.
In all, more than 30,000 people are expected to be transferred as part of the deal over a two month period.
The evacuations are the latest in what the Assad regime calls "reconciliation" deals. Most of the deals have involved moving rebel fighters and civilians from towns besieged by pro-government forces to areas controlled by rebels in Idlib and a slice of territory in northern Syria controlled by Turkish-backed rebels.
The Assad regime says the deals are the best way to end violence and restore government control and services. Critics say the transfers amount to forced displacement.
Who's fighting in the Syria conflict?
Syria's civil war erupted out of the Arab Spring protests that swept much of the Middle East and North Africa in 2011. The conflict has since drawn in multiple warring factions from around the world.
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War with no end
Syria has been engulfed in a devastating civil war since 2011 after Syrian President Bashar Assad lost control over large parts of the country to multiple revolutionary groups. The conflict has since drawn in foreign powers and brought misery and death to Syrians.
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The dictator
Syria's army, officially known as the Syrian Arab Army (SAA), is loyal to Syrian President Bashar al-Assad and is fighting to restore the president's rule over the entire country. The SAA has been fighting alongside a number of pro-Assad militias such as the National Defense Force and has cooperated with military advisors from Russia and Iran, which back Assad.
Turkey, which is also part of the US-led coalition against IS, has actively supported rebels opposed to Assad. It has a tense relationship with its American allies over US cooperation with Kurdish fighters, who Ankara says are linked to the Kurdistan Workers' Party (PKK) fighting in Turkey. Turkey has launched multiple military offensives targeting Kurdish militias.
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The eastern guardian
The Kremlin has proven to be a powerful friend to Assad. Russian air power and ground troops officially joined the fight in September 2015 after years of supplying the Syrian army. Moscow has come under fire from the international community for the high number of civilian casualties during its airstrikes. However, Russia's intervention turned the tide in war in favor of Assad.
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The western allies
A US-led coalition of more than 50 countries, including Germany, began targeting IS and other terrorist targets with airstrikes in late 2014. The anti-IS coalition has dealt major setbacks to the militant group. The US has more than a thousand special forces in the country backing the Syrian Democratic Forces.
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The rebels
The Free Syrian Army grew out of protests against the Assad regime that eventually turned violent. Along with other non-jihadist rebel groups, it seeks the ouster of President Assad and democratic elections. After suffering a number of defeats, many of its members defected to hardline militant groups. It garnered some support from the US and Turkey, but its strength has been greatly diminished.
Image: Reuters
The resistance
Fighting between Syrian Kurds and Islamists has become its own conflict. The US-led coalition against the "Islamic State" has backed the Syrian Democratic Forces, an alliance of Kurdish and Arab militias. The Kurdish YPG militia is the main component of the SDF. The Kurds have had a tacit understanding with Assad.
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The new jihadists
"Islamic State" (IS) took advantage of regional chaos to capture vast swathes of territory in Iraq and Syria in 2014. Seeking to establish its own "caliphate," IS has become infamous for its fundamentalist brand of Islam and its mass atrocities. IS is on the brink of defeat after the US and Russia led separate military campaigns against the militant group.
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The old jihadists
IS is not the only terrorist group that has ravaged Syria. A number of jihadist militant groups are fighting in the conflict, warring against various rebel factions and the Assad regime. One of the main jihadist factions is Hay'at Tahrir al-Sham, which controls most of Idlib province and has ties with al-Qaeda.
Image: picture-alliance/AP Photo/Nusra Front on Twitter
The Persian shadow
Iran has supported Syria, its only Arab ally, for decades. Eager to maintain its ally, Tehran has provided Damascus with strategic assistance, military training and ground troops when the conflict emerged in 2011. The Iran-backed Lebanese Shiite militant group Hezbollah also supports the Assad regime, fighting alongside Iranian forces and paramilitary groups in the country.