(MSF) – In the besieged East Ghouta enclave near Damascus, Syria, intense bombing and shelling is resulting in huge numbers of wounded and is creating a disaster for patients in need of medical treatment, says Médecins Sans Frontières (MSF). From 14 to 26 November, five MSF-supported field hospitals in East Ghouta, to the east of the Syrian capital Damascus, have responded to 24 mass casualty influxes. Including those mass casualties and other individual admissions, the reported numbers in those medical facilities so far amount to 576 wounded and 69 dead.  This does not represent the total casualty numbers as there are further wounded and dead being reported from facilities that MSF does not regularly support in the area.