While there had been a period of de-escalation in many areas of war-riven Syria – reducing human suffering to some extent – the fighting now seems to be returning to some of the “bleakest days” of the conflict, a senior United Nations official warned Thursday.

The situation is particularly concerning in eastern Ghouta, near the capital Damascus, where some 400,000 men, women and children are living in besieged towns and villages, and extremely high prices have put food and basic supplies beyond reach. There are fears that conditions could get much worse as winter closes in and temperatures could plummet to freezing.

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