These Syrians had already endured years of suffering. Then a massive earthquake hit

A steady stream of injured were flowing into an overwhelmed hospital in the town of Darkush, in rebel-held north-western Syria,Amid the chaos, one man sat with a dazed expression, his face covered with abrasions.The man, Osama Abdul Hamid, had barely made it out alive with his wife and four children from his apartment building in the nearby village of Azmarin. Many of their neighbours were not so lucky.

Hospitals and clinics were flooded with injured. In the enclave, centred in Idlib province, many of the displaced live in dire conditions in makeshift camps. Many others there and in neighbouring government-held areas are housed in buildings weakened by past bombings and left even more vulnerable to shocks from earthquakes.

“This disaster will worsen the suffering of Syrians already struggling with a severe humanitarian crisis,” Carsten Hansen, the director for Middle East at the Norwegian Refugee Council, said in a statement. “Millions have already been forced to flee by war in the wider region and now many more will be displaced by disaster.”

The scale of the casualties quickly overwhelmed the hospital’s resources, said Majdi al-Ibrahim, a general surgeon at the hospital.The Syrian American Medical Society, which runs hospitals in northern Syria and southern Turkey, said in a statement that its facilities are “overwhelmed with patients filling the hallways” and called urgently for “trauma supplies and a comprehensive emergency response to save lives and treat the injured”.

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