(MSF) – Mass-casualty influxes, with hundreds of dead and wounded, have been reported to Médecins Sans Frontières (MSF) by medical facilities MSF supports in the besieged, opposition-controlled East Ghouta enclave near Damascus, Syria. This comes amid an extraordinary increase in bombing and shelling over the area, with 13 hospitals and clinics that are regularly or ad-hoc supported by MSF hit and damaged or destroyed over just three days, reducing health capacity at a time of critical medical need. The siege around East Ghouta is preventing medics from obtaining essential life-saving supplies.