Residents of Syria's eastern Ghouta district say they are waiting their "turn to die", amid one of the most intense bombardments of the war by pro-government forces on the besieged, rebel-held enclave near Damascus.
At least 38 people died on Wednesday. At least 310 people had been killed in the district since Sunday night and more than 1550 injured, the Britain-based Syrian Observatory for Human Rights war monitor said.
The eastern Ghouta, a densely populated agricultural district on the Damascus outskirts, is the last major area near the capital still under rebel control. Home to 400,000 people, it has been besieged by government forces for years.
A massive escalation in bombardment, including rocket fire, shelling, air strikes and helicopter-dropped barrel bombs, since Sunday has become one of the deadliest of the Syrian civil war, now entering its eighth year.
The Syrian government and its ally Russia, which had backed Assad with air power since 2015, said they do not target civilians and point to rebel mortar fire on Damascus.
"We are waiting our turn to die. This is the only thing I can say," said Bilal Abu Salah, 22, whose wife is five months pregnant with their first child in the biggest eastern Ghouta town Douma. They fear the terror of the bombardment will bring her into labour early, he said.
"Nearly all people living here live in shelters now. There are five or six families in one home. There is no food, no markets," he said.
Reuters photographs taken in eastern Ghouta showed men searching through the rubble of smashed buildings, carrying blood-smeared people to hospital and cowering in debris-strewn streets.
An air strike warning system run by the Syrian Civil Defence, a rescue service in opposition areas, was sending alerts every few minutes, triggered when warplanes are spotted taking off from air bases.
Abdullah Kahala, a construction worker, was having breakfast with his wife and six children when a huge explosion shattered the wall.
"I saw Hala and Sara lying in blood with their mother hysterical and our other children shell-shocked on the floor," he said in a voice message.
"Bombs were falling everywhere near our house. We have been spending the last week digging into the rubble of nearby areas with our bare hands," he added.
Australian Associated Press