Tag Archives: Death

CDC director urges flu vaccinations as pediatric deaths mount

Emergency room nurse Christine Bauer treats Joshua Lagade of Vista, California, for the flu as his girlfriend Mayra Mora looks on in the emergency room at Palomar Medical Center in Escondido, California, U.S., January 18, 2018.

By Julie Steenhuysen

CHICAGO (Reuters) – Of the 30 U.S. children who have died from the flu so far this season, some 85 percent had not been vaccinated, said Centers for Disease Control and Prevention Director Dr. Brenda Fitzgerald, who urged Americans to get flu shots amid one of the most severe flu seasons in years.

“My message is, if you haven’t gotten a vaccine, please get a vaccine. Also, please get your children vaccinated,” said Fitzgerald, who is urging citizens “to take every advantage that you can to protect yourself.”

The dominant strain during this flu season is an especially nasty type called influenza A (H3N2) that in seasons past has been linked with severe disease and death, especially in the elderly and young. This year’s seasonal flu epidemic is especially severe.

In its latest report, the CDC said the virus is present in every state, with 32 states reporting severe flu activity.

Although the vaccine is only estimated to be about 30 percent effective against the H3N2 strain, it has been shown in studies to reduce severity and duration if people do become infected, said Dr. Dan Jernigan, director of the influenza division at the Centers for Disease Control and Prevention.

Fitzgerald conceded in a telephone interview that reports that the flu vaccine in Australia was only 10 percent effective may have caused people to think the vaccine would not be worth the trouble.

Fitzgerald said the agency’s flu division has been on the job during the three-day federal government shutdown. Senators on Monday reached a deal to keep the government funded through Feb. 8.

Studies have shown that even a vaccine that has lower overall effectiveness can decrease the number of days spent in hospital, duration of the flu and the degree of symptoms.

“That helps support the point of getting a vaccine,” Jernigan said.

Fitzgerald said the flu vaccine and antiviral drugs used to fight the flu are widely available across the country, noting that people can go to the CDC website and enter their zip code to find the nearest flu clinics with vaccines.

Fitzgerald also recommended that people frequently wash their hands or use hand sanitizer, avoid those who are sick or coughing and carry disinfectant wipes.

The CDC does not have numbers for adult deaths from the flu because adult flu is not a reportable disease in all U.S. states. But she said North Carolina, which collects such data, has reported 42 adult flu deaths so far this season.

Official estimates from the CDC are expected at the end of the current season, based on a calculation from hospitals and states reporting data to the agency.

In the 2014/2015 flu season, in which the H3N2 strain was also the leading strain, there were an estimated 35.6 million cases, 710,000 hospitalizations and 56,000 deaths. At this point, it is not clear whether the current flu season will surpass those estimates, Jernigan said.

(Reporting by Julie Steenhuysen; Editing by Cynthia Osterman)

Rescuers in rebel-held Syrian area accuse government of gas attack

A man is seen at a medical center in Douma, Eastern Ghouta in Damascus, Syria January 22, 2018.

BEIRUT (Reuters) – Rescue workers in a Syrian rebel-held enclave east of Damascus accused government forces of using chlorine gas during bombardment of the area on Monday, and the Syrian Observatory for Human Rights said at least 13 people had suffered suffocation.

The Syrian army and government have consistently denied using chlorine or other chemical weapons during Syria’s conflict, now in its seventh year.

The White Helmets civil defense rescue force, which operates in rebel-held parts of Syria, said 13 civilians including women and children had been “injured after (the) Assad regime used Chlorine gas in Douma city in EasternGhouta”.

Douma is in the eastern Ghouta, a suburb east of Damascus where almost 400,000 people have been under siege by the Syrian government and allied militia since 2013. Eastern Ghouta is the last major rebel position close to the capital.

The health directorate for opposition-held areas in the Damascus region said patient symptoms “suggest they have been exposed to chlorine gas inhalation”.

It said patients said the smell around the attack site resembled chlorine.

The Britain-based Syrian Observatory for Human Rights, quoting local medical and other sources, said “gasses” released during a dawn rocket attack on Douma city caused “cases of suffocation”.

The Observatory said a gas was also used during a rocket attack last week on the enclave.

A witness in the area said people had fled the area of the attack and were receiving treatment for breathing problems at medical centers.

In the past two years, a joint U.N. and the Organization for the Prohibition of Chemical Weapons (OPCW) inquiry has found the Syrian government used the nerve agent sarin and has also several times used chlorine as a weapon.

It has also said Islamic State has used sulfur mustard.

(Reporting by Lisa Barrington; Editing by Toby Chopra)

Major highway reopened as California mudslides toll climbs to 21

Workers on the 101 Highway clear mud and debris from the roadway after a mudslide in Montecito, California, U.S. January 12, 2018.

By Chris Kenning

(Reuters) – California’s iconic Highway 101 in Santa Barbara reopened on Sunday nearly two weeks after it was covered with 12 feet (3.7 meters) of debris from mudslides, and a day after the discovery of a missing woman’s body pushed the death toll to 21.

Torrential rains triggered the Jan. 9 mudslides, which injured dozens more people and destroyed or damaged hundreds of buildings around the affluent community of Montecito, 85 miles (137 km) northwest of Los Angeles.

The reopening of the busy north-south coastal highway followed what the state transportation agency Caltrans called a “Herculean effort,” and was expected to ease hours-long detours and traffic chaos that bedeviled commuters.

Cleanup crews had been working around the clock in 12-hour shifts, officials said, while ferry boats had been making commuter runs twice a day between Santa Barbara and Ventura to help residents trying to get to work.

Search and rescue teams continued working with dogs on Sunday in Montecito to look for a two-year-old and a 17-year-old who are still missing, the Santa Barbara County Sheriff’s Office said on Twitter.

On Saturday the teams found the body of missing 28-year-old Faviola Benitez Calderon, of Montecito. She belonged to a family that lost several members in the disaster.

“The Sheriff’s Office wants to express our deepest condolences to the Benitez family, who were already mourning the loss of Faviola’s 10-year-old son, Jonathan Benitez and his cousin 3-year-old Kailly Benitez, as well as Kailly’s mother, 27-year-old Marilyn Ramos,” the office said in a statement.

The discovery of Calderon’s body brought the number of fatalities to 21. The toll had already marked the greatest loss of life from a California mudslide in at least 13 years.

(Reporting by Chris Kenning in Chicago; Editing by Daniel Wallis)

Three still missing in California’s deadly mudslides

Rescue workers scour through cars for missing persons after a mudslide in Montecito, California, U.S. January 12, 2018. REUTERS/Kyle Grillot

(Reuters) – The number of people missing from last week’s deadly Southern California mudslides fell to three on Monday as hundreds of rescue workers searched for survivors from the rain-driven slides that killed 20 people.

A 53-year-old transient, John Keating, had been listed among the four still missing but was found safely in Ventura, California, with his dog, the Santa County Sheriff’s Office said in a statement.

Three people ages 2 to 28 are still listed as missing after sheriff’s detectives investigated more than 100 missing persons cases, the statement said.

Emergency officials said hopes were diminishing that they would pull more survivors from the ravaged landscape of hardened muck, boulders and twisted debris left behind by the Tuesday mudslides that scoured a landscape already barren from last year’s record-setting wildfires.

The mudslides that scoured the affluent community of Montecito, 85 miles (137 km) northwest of Los Angeles, caused the greatest loss of life from a California mudslide in at least 13 years.

A search and rescue dog is guided through properties after a mudslide in Montecito, California, U.S. January 12, 2018. REUTERS/ Kyle Grillot

A search and rescue dog is guided through properties after a mudslide in Montecito, California, U.S. January 12, 2018. REUTERS/ Kyle Grillot

Ten people perished in January 2005 when a hillside saturated by weeks of torrential rains collapsed in the seaside hamlet of La Conchita, 18 miles (29 km) southeast of Montecito, burying more than a dozen homes in seconds.

The White House on Monday said that President Donald Trump had been briefed on the situation.

“The President and First Lady extend their deepest sympathies to the families affected, their appreciation for the first responders saving lives, and their prayers for those who remain missing,” the White House said in a statement.

Another 900 emergency personnel arrived this weekend to join the relief effort conducted by more than 2,100 personnel from local, state and federal agencies.

The destruction covered 30 square miles (78 square km), leaving 65 single-family homes demolished and more than 450 damaged. Nearly 30 commercial properties were damaged or destroyed, officials said.

As a precaution against further slides, officials have ordered residents in most of the southeastern corner of Montecito to leave their homes for what was likely to be one or two weeks.

(Reporting by Scott Malone in Boston; Editing by Chizu Nomiyama and Lisa Shumaker)

Strong earthquake in southern Peru leaves one dead, scores injured

A man observes a damage building after a strong magnitude 7.1 earthquake struck the coast of southern Peru, in Acari, Arequipa , Peru, January 14, 2018.

By Marco Aquino

LIMA (Reuters) – A strong magnitude-7.1 earthquake struck the coast of southern Peru on Sunday morning, killing one person, injuring scores and causing homes and roads to collapse.

The quake hit offshore at 4:18 a.m. local time (0918 GMT) at a depth of around 36 km (22.4 miles), the U.S. Geological Survey said. The epicenter was in the Pacific Ocean 40 km from the town of Acari.

Arequipa Governor Yamila Osorio said on Twitter that a 55-year-old man died in the town of Yauca after being crushed by rocks. Jorge Chavez, chief of Peru’s Civil Defense Institute, told local radio station RPP that 65 people were injured.

Several municipalities lost electricity, and many roads and adobe houses collapsed, Osorio said. Many residents of Lomas, a coastal town, were evacuated after feeling an aftershock.

President Pedro Pablo Kuczynski traveled to the towns of Chala and Acari, two of the areas most affected by the quake, to assess the damages and coordinate the response. He said some 100 houses had collapsed.

A man and a child stand at debris of a building after a strong magnitude 7.1 earthquake struck the coast of southern Peru, in Acari, Arequipa , Peru, January 14, 2018.

A man and a child stand at debris of a building after a strong magnitude 7.1 earthquake struck the coast of southern Peru, in Acari, Arequipa , Peru, January 14, 2018. REUTERS/Diego Ramos

“We are going to send everything that is needed, such as tents for people whose homes were destroyed,” Kuczynski told reporters in Chala.

Earthquakes are common in Peru, but many homes are built with precarious materials that cannot withstand the tremors.

In 2007 an earthquake killed hundreds in the region of Ica.

Prime Minister Mercedes Araoz said at a news conference in Lima that the government would declare a state of emergency in the affected zones to allow for faster reconstruction of roads and homes. Devastating floods last year resulted in $8 billion in rebuilding costs.

Peruvian maritime authorities said the quake did not produce a tsunami on the coast. In the morning, officials said a second person had died and that 17 people were missing in a mine, but later withdrew the reports.

Peru is the world’s No. 2 copper producer, although many mines in the south are located far inland from the quake’s epicenter. A Southern Copper Corp representative said there were no reports of damage at its Cuajone and Toquepala mines.

Jesus Revilla, a union leader at the Cerro Verde copper mine in Arequipa, said there were no reports that operations had been affected.

The quake was also felt in northern Chile, Peru’s southern neighbor, but authorities said there was no tsunami risk.

(Reporting by Marco Aquino and Luc Cohen; Additional reporting by Antonio de la Jara in Santiago; Editing by Louise Heavens, Lisa Von Ahn and Jeffrey Benkoe)

California mudslide death toll up to 15 as rescues continue

Emergency personnel carry a woman rescued from a collapsed house after a mudslide in Montecito, California, U.S. January 9, 2018.

By Alex Dobuzinskis

LOS ANGELES (Reuters) – California rescuers worked through the night plucking stranded Santa Barbara residents from mudslides that have killed at least 15 people and devastated the coastal community after it was drenched by rain, authorities said on Wednesday.

The death toll could go higher still as rescuers continued searching for victims, mostly in the upscale enclave of Montecito – where mudslides slammed into homes, covered highways and swept away vehicles – officials warned.

“We don’t know how many additional people are still trapped,” Santa Barbara County Sheriff Bill Brown said on the “CBS This Morning” program. “We know there are some, and we’re still making our way into certain areas of Montecito and the adjacent areas to determine if anyone is still there and still alive.”

An aerial view from a Ventura County Sheriff helicopter shows a site damaged by mudslide in Montecito, California, U.S. January 9, 2018.

FILE PHOTO: An aerial view from a Ventura County Sheriff helicopter shows a site damaged by mudslide in Montecito, California, U.S. January 9, 2018. Ventura County Sheriff’s Office/via REUTERS

The mudslides followed an ordeal of fire and water for the area northwest of Los Angeles. A torrential downpour on Tuesday soaked the area, which was left vulnerable after much of its vegetation burned in the state’s largest wildfire last month.

Forecasters were calling for clear skies on Wednesday.

Emergency workers began their task on Tuesday using search dogs and helicopters to rescue dozens of people stranded in mud-coated rubble in the normally pristine area, sandwiched between the ocean and the sprawling Los Padres National Forest.

A 14-year-old girl was found alive on Tuesday after firefighters using rescue dogs heard cries for help from what was left of her Montecito home, the Los Angeles Times reported.

“I thought I was dead there for a minute,” the teenager Lauren Cantin, covered in mud, told NBC News after workers spent six hours rescuing her.

Rescuers worked through the night, searching for victims amid the dozens of homes that were destroyed, and using helicopters to lift more than 50 stranded residents from the mud.

“We’re finding people continuously,” said Yaneris Muniz, spokeswoman for the Santa Barbara County Joint Information Center. “We had a helicopter and several crews out all night, and now that it’s day, we’ll be able to intensify those searches.”

Officials have ordered residents in a large swath of Montecito to stay in their homes so that rescuers can better go about their work.

About 300 people were stranded in a canyon. Local rescue crews, using borrowed helicopters from the U.S. Coast Guard, worked to airlift them out, officials said.

Emergency personnel evacuate local residents and their dogs through flooded waters after a mudslide in Montecito, California, U.S. January 9, 2018. Kenneth Song/Santa Barbara

Emergency personnel evacuate local residents and their dogs through flooded waters after a mudslide in Montecito, California, U.S. January 9, 2018. Kenneth Song/Santa Barbara News-Press via REUTERS

The county initially ordered 7,000 residents to evacuate and urged another 23,000 to do so voluntarily, but only 10 to 15 percent complied with mandatory orders, said Amber Anderson, a spokeswoman for the Santa Barbara County Fire Department.

The county set up an evacuation shelter at Santa Barbara City College, where some people showed up drenched in mud, and also provided a place for people to take their animals.

The number of fatalities surpassed the death toll from a California mudslide on Jan. 10, 2005, when 10 people were killed as a hillside gave way in the town of La Conchita, less than 20 miles south of the latest disaster.

Last month’s wildfires, the largest in California history, left the area vulnerable to mudslides. The fires burned away grass and shrubs that hold the soil in place and also baked a waxy layer into the earth that prevents water from sinking deeply into the ground.

Some local residents had to flee their homes due to the fires last month and again this week because of the rains.

(Reporting by Peter Szekely in New York, Rich McKay in Atlanta and Brendan O’Brien in Milwaukee; Editing by Raissa Kasolowsky and Jonathan Oatis)

Toyota expands U.S. Takata air bag recall to 600,000 extra vehicles

The Toyota logo is shown at the Los Angeles Auto Show in Los Angeles, California, U.S., November 30, 2017.

By David Shepardson

WASHINGTON (Reuters) – Toyota Motor Corp said on Tuesday it was expanding its safety recall involving Takata Corp front passenger air bag inflators to cover about 601,300 additional vehicles in the United States.

Takata and its U.S. entity TK Holdings Inc filed for bankruptcy in June after it said it was recalling more than 100 million of its air bag inflators worldwide through the end of 2019 because they could inflate with too much force and spray metal fragments.

Air bags with the inflators have been linked to at least 180 injuries and 20 deaths, mostly in the United States including one in Louisiana that was identified last month.

The U.S. National Highway Traffic Safety Administration on Saturday posted a notice from Takata that said the company would recall another 3.3 million inflators for vehicles from automakers including Toyota, Honda Motor Co, BMW AG, Daimler AG, General Motors Co, Tata Motors Jaguar Land Rover unit and Subaru Corp.

NHTSA said in November that 19 automakers had recalled 46 million inflators in 34 million U.S. vehicles — and by 2019 as many as 70 million U.S. inflators will have been recalled. In June, the agency said only about 35 percent of vehicles recalled have been repaired to date.

In January 2016, Takata agreed to plead guilty to criminal wrongdoing and pay $1 billion to resolve a U.S. Justice Department investigation into the inflator ruptures.

(Reporting by David Shepardson in Washington and Sanjana Shivdas in Bengaluru; Editing by Tom Brown)

At least six dead in Southern California flooding, mudslides

A search dog looks for victims in damaged homes after a mudslide in Montecito, California, U.S. in this photo provided by the Santa Barbara County Fire Department, January 9, 2018.

By Alex Dobuzinskis

LOS ANGELES (Reuters) – At least six people died and thousands fled their homes in Southern California on Tuesday as a powerful rainstorm triggered flash floods and mudslides on slopes where a series of intense wildfires had burned off protective vegetation last month.

The heavy downpours subsided early Tuesday after prompting evacuation orders for residents along the Pacific Coast north of Los Angeles, but forecasters warned of more rain throughout the day. Rainfall totals ranged from 2 inches to 4-1/2 inches (5 to 11 cm) in the area, said the National Weather Service.

At least six people died in the storm and mudslides in Santa Barbara County, the hardest-hit county in the region, incident command spokeswoman Amber Anderson said in a telephone interview. She did not specify the cause of the fatalities, but said they occurred in several locations in Santa Barbara where there were mudslides.

The threat of mudslides prompted the county to order 7,000 residents to leave their homes before the rains came and to urge 23,000 others to evacuate voluntarily.

Boulders block a road after a mudslide in Montecito, California, U.S. in this photo provided by the Santa Barbara County Fire Department, January 9, 2018.

Boulders block a road after a mudslide in Montecito, California, U.S. in this photo provided by the Santa Barbara County Fire Department, January 9, 2018. Mike Eliason/Santa Barbara County Fire Department/Handout via REUTERS

The county set up an evacuation shelter at Santa Barbara City College, and also gave residents a place to take their animals. The weather in Southern California was mild this week, so residents who fled their homes did not have to endure the cold snap that has gripped the U.S. Midwest and East Coast in recent weeks.

A neighborhood in the upscale community of Montecito, where mudslides ravaged homes near the city of Santa Barbara, residents had not been put under mandatory evacuation orders before mud from a creek cascaded toward their homes, Anderson said.

But she could not immediately say whether any of the fatalities were in the area that was not evacuated.

An unknown number of people in the county were unaccounted for, Anderson said, and 25 residents have been injured.

Photos posted by the local fire department showed a teenager covered in black mud being led away from the rubble of a house that had been destroyed by the Montecito mudslide. She had been trapped in the home for hours before rescuers came to her aid, the Santa Barbara County Fire Department said on Twitter.

Other pictures showed ankle-deep mud, logs and boulders in residential areas.

Emergency workers, using search dogs and helicopters, have rescued dozens of people stranded in rubble, Anderson said.

Emergency personnel search through debris and damaged homes after a mudslide in Montecito, California, U.S. in this photo provided by the Santa Barbara County Fire Department, January 9, 2018.

Emergency personnel search through debris and damaged homes after a mudslide in Montecito, California, U.S. in this photo provided by the Santa Barbara County Fire Department, January 9, 2018. Mike Eliason/Santa Barbara County Fire Department/Handout via REUTERS

Last month’s wildfires, the largest in California history, left the area vulnerable to mudslides. The fires burned away grass and shrubs that hold the soil in place, and also baked a waxy layer into the earth which prevents water from sinking deeply into the ground.

The overnight rains forced road closures, including a 30-mile (48-km) stretch of U.S. Highway 101, essentially cutting off traffic between Santa Barbara and Ventura counties northwest of Los Angeles. Ventura County escaped with little damage, the county sheriff’s office said.

(Additional reporting by Peter Szekely in New York and Brendan O’Brien in Milwaukee; editing by Jeffrey Benkoe and Jonathan Oatis)

In blizzard’s wake, northeastern U.S. brace for intense cold

A pedestrian walks through blinding snow across the Brooklyn Bridge in New York City.

By Scott Malone and Jonathan Allen

BOSTON/NEW YORK (Reuters) – Street crews in the U.S. Northeast raced through the night into Friday to clear snow-clogged streets after a powerful blizzard and restore power to homes ahead of a brutal cold spell that has killed more than a dozen people.

From Baltimore to Caribou, Maine, efforts were under way to clear roadways of ice and snow as wind chill temperatures were to plunge during the day, reaching -40 F (-40 C) in some parts after sundown, according to the National Weather Service.

The brutal cold was forecast to reach from New England across to the Midwest and down to the Carolinas, forecasters warned, adding that low-temperature records could be broken across the broad region in the coming days.

“In a lot of New England, the highs will be in the single digits and the teens today, with intense wind chills,” said Dan Pydynowski, a meteorologist with private forecasting service Accuweather. The cold will extend down to the mid-Atlantic states, he said.

“It can be very dangerous,” Pydynowski said. “Any kind of exposed skin can freeze in a couple of minutes.”

The cold also raised the risk that road salt would not work to melt ice, possibly leaving highway crews to shift over to sanding roads to improve traction, Massachusetts transportation officials said.

Utility companies across the East worked to repair downed power lines early on Friday as about 31,000 customers remained without electricity, down from almost 80,000 the day before, and issued warnings that temperatures may become dangerously low.

“If the temperature in your home begins to fall, we recommend taking shelter elsewhere until service can be restored,” National Grid power company, which serves Massachusetts, said on Twitter. “You can find warming centers by contacting local authorities.”

People walk in Times Square during a winter storm in Manhattan. REUTERS/Jeenah Moon

17 DEATHS

The storm, with winds gusts of more than 70 miles per hour (113 kph), dumped a foot (30 cm) or more of snow throughout the region, including Boston and parts New Jersey and Maine, where heavy snow continued to fall early on Friday.

The wintry weather has been blamed for at least 17 deaths in the past few days, including three in North Carolina traffic accidents and three in Texas because of the cold.

Schools in Boston and Baltimore canceled classes Friday while New York was open and Newark, New Jersey, schools were to open two hours late.

Commuter railways serving New York and Boston’s suburbs were reporting extensive delays, as they worked to repair frozen equipment and clear snow-covered tracks.

The storm on Thursday caused a 3-foot (0.9-metre) tidal surge that flooded the area around Boston’s historic Long Wharf with icy seawater. Firefighters used an inflatable raft to rescue one motorist from a car submerged in water up to its door handles, Boston Fire Commissioner Joseph Finn told reporters.

Communities outside Boston, including Scituate, also saw extensive flooding, with parking lots filled with water damaging unoccupied vehicles.

New York’s John F. Kennedy and LaGuardia airports resumed flights on Friday after closing in whiteout conditions a day earlier. More than 1,000 U.S. flights had been canceled early on Friday with New York’s three major airports and Boston Logan International Airport seeing the most cancellations.

The storm was powered by a rapid plunge in barometric pressure that some weather forecasters called a bombogenesis, or a “bomb cyclone.” It brought high winds and swift, heavy snowfall.

Nearly 500 members of the National Guard were activated along the East Coast to assist with emergency response, including 200 in New York state, the U.S. Department of Defense said in a statement.

Officials reported traffic accidents throughout the Northeast and the storm’s reach extended to eastern Canada.

(Additonal reporting by Brendan O’Brien; Editing by Richard Balmforth and Bill Trott)

Suspected Russian jets bomb residential area near Damascus; kill 30

A boy walks on rubble of damaged buildings after an airstrike on the Eastern Ghouta town of Misraba, Syria, January 4, 2018.

AMMAN (Reuters) – At least 30 civilians were killed early on Thursday when jets dropped bombs on a residential area in a besieged rebel enclave east of Syria’s capital, a war monitor said, identifying the planes as Russian.

At least four bombs flattened two buildings in the Eastern Ghouta town of Misraba, in an attack that killed around 20 and wounded more than 40 people, the Syrian Observatory for Human Rights and civil defense sources said.

Elsewhere in Eastern Ghouta, the last major rebel enclave near Damascus, at least ten people were killed in aerial strikes in other nearby towns, the Observatory, rescuers and residents said.

The Observatory, a war monitor based in Britain, said 11 women and a child were among the dead in the strikes in Misraba, which it said were carried out by Russian planes.

Backed by Russian strikes, government forces have escalated military operations against Eastern Ghouta in recent months, seeking to tighten a siege that residents and aid workers say is a deliberate use of starvation as a weapon of war, a charge the government denies.

Russia rejects Syrian opposition and rights groups’ accusations that its jets have been responsible for deaths of thousands of civilians since its major intervention two years ago that turned the tide in the country’s nearly seven-year-old war in favor of President Bashar al-Assad.

Moscow says it only attacks hardline Islamists.

Video footage posted on Thursday by activists on social media in Eastern Ghouta showed rescue workers pulling women and children from rubble. The footage could not be independently confirmed.

Jets also pounded Harasta, on the western edge of the enclave, where rebels this week besieged and overran a major military base which residents say the army uses to pound residential areas.

The rebel assault aimed partly to relieve the pressure of the tightening siege.

The United Nations says about 400,000 civilians besieged in the area face “complete catastrophe” because aid deliveries by the government are blocked and hundreds of people who need urgent medical evacuation have not been allowed outside the enclave.

Scores of hospitals and civil defense centers in Ghouta and across Syria have been bombed during the conflict in what the opposition said is a “scorched earth policy” to paralyze life in rebel-held areas.

Syrian state news agency SANA said on Thursday rebel shelling of the government-held capital Damascus killed one and injured 22 in the Amara district of the city.

A man stands on rubble of damaged buildings after an airstrike on the Eastern Ghouta town of Misraba, Syria, January 4, 2018.

A man stands on rubble of damaged buildings after an airstrike on the Eastern Ghouta town of Misraba, Syria, January 4, 2018. REUTERS/Bassam Khabieh

IDLIB PUSH

Supported by Iran-backed militias and intensive Russian bombing, the Syrian army has since last month waged a new campaign to push into the heart of another rebel-held part of Syria, Idlib province in the country’s northwest.

Idlib is a heavily populated area where over two million people live.

Rescue workers said there had been a spike in civilian casualties there in the last twenty days from stepped-up aerial strikes on residential areas, documenting 50 dead at least in that period.

“There have been at least six major massacres perpetrated by Russia in indiscriminate bombing of cities and towns with thousands fleeing their homes in the last two weeks,” said Mustafa al Haj Yousef, the head of Idlib’s Civil Defence, rescuers who work in opposition-held areas.

On Wednesday air strikes hit a maternity hospital in Idlib’s Ma’arat al-Nu’man city, killing five people, the Syrian American Medical Society (SAMS) charity, which supports the hospital, said.

The hospital, which SAMS said delivers around 30 babies a day, had been struck three times in four days and the last strikes temporarily put the hospital out of service.

Overnight, a family of seven was buried under rubble in Tel Dukan village, rescuers said.

The army has been gaining ground in Idlib and the adjoining eastern Hama countryside, with scores of villages seized from rebels mainly belonging to Tahrir al Sham, a coalition of jihadist groups with mainstream Free Syrian Army (FSA) factions also engaged in the battles.

(Reporting by Suleiman Al-Khalidi; Additional reporting by Lisa Barrington in Beirut; Editing by Nick Macfie and John Stonestreet)