Eastern Ghouta is now the last opposition-controlled pocket around Damascus and Syrian President Bashar al-Assad has dispatched reinforcements there in an apparent bid to retake it.
Four days of ferocious Syrian government raids on the rebel-held enclave of Eastern Ghouta have killed more than 200 civilians, a war monitor said on Thursday.
Air strikes killed 31 civilians including 12 children in the rebel-held Eastern Ghouta region near Syria's capital Damascus on Wednesday, the Syrian Observatory for Human Rights said.
Regime air strikes killed 28 civilians in a rebel enclave near Damascus on Monday as Syria's seven-year-old conflict raged on several fronts with non-combatants paying a heavy price.
Regime and Russian air strikes on a rebel-held enclave near the Syrian capital killed at least 17 civilians on Saturday, a war monitor said.
Syrian regime and Russian air strikes on Sunday killed 57 civilians, among them 19 children, in rebel-held Eastern Ghouta region and in a village held by the Islamic State group in Syria's eastern Deir Ezzor province, a monitor said.
The deaths were the result of the latest bout in an escalating cycle of tit-for-tat attacks between regime forces and the rebels holding the enclave on the Syrian capital's eastern outskirts.
At least six schoolchildren were among 11 people killed in Syrian regime shelling on Tuesday in Eastern Ghouta, a war monitor said, despite a ceasefire in the hunger-hit rebel enclave.
Dozens of trucks carrying aid for 40,000 people on Monday entered the besieged rebel-held Eastern Ghouta area near Damascus, where residents and relief groups have warned a humanitarian crisis is escalating.
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