Hospitals are overwhelmed with casualties. Civilians face mounting challenges in accessing essential food supplies. Health facilities no longer have fuel and run on small amounts they have secured locally. These are expected to run out in the next day or so. Water production capacity is at 5 per cent of normal levels. Pre-positioned humanitarian supplies have already been depleted. Vulnerable people are at greatest risk, and children are dying at an alarming rate and being denied their right to protection, food, water and health care.