Situation Overview

Children exceed one-third of casualties

Casualties are rising in north-west Syria as shelling and airstrikes continue to pound Idleb and western Aleppo. Since the escalation began on 5 October, more than 2,300 locations have been affected, resulting in the displacement of over 120,000 people.

“What’s particularly distressing is the growing reports of child deaths, the youngest being six months old,” said David Carden, UN Deputy Regional Humanitarian Coordinator for the Syria Crisis.

“I reiterate my call to all parties to respect their obligations under International Humanitarian Law, particularly regarding the protection of civilians and civilian objects. In no circumstances should a child be collateral damage,” he added.

At least 70 people have been killed, including three aid workers, 14 women and 27 children, and 338 others injured, including 77 children, according to local health authorities as of 27 October. On average, this means that at least one child has been killed per day during the period of escalation. On 22 October alone, six children – all under the age of 10 – lost their lives due to shelling on the Qarqour community.

The number of health facilities impacted by hostilities has also risen to 43 – compared to 23 in the last update – including maternity and child hospitals and multiple primary healthcare centers. Other affected critical facilities and infrastructure include 24 schools and over 20 water systems.

UN officials assessed frontline areas in Idleb

The security and displacement situations remain fluid as hostilities are ongoing. On 26 October, a UN delegation led by the Head of OCHA Türkiye ad interim, Tahir Ibrahim, crossed to Idleb to assess the security environment and response in frontline areas, particularly Ehsem, Ariha, and Sarmin.

The team conducted on-site observations, surveyed local markets and met with community members. In Sarmin, they visited a primary health center, operated by SAMS, which was partially damaged by shelling. In Orm Al Jouz, they inspected a water station run by People in Need and funded by the Syria Cross-border Humanitarian Fund (SCHF).

The response landscape in frontline areas however is strikingly limited where only a handful of NGOs are providing aid including WFP food baskets. According to local authorities, only a third of the 16,000 families residing in Jabal Al Zawya receive food support.


UN Office for the Coordination of Humanitarian Affairs
To learn more about OCHA’s activities, please visit

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