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Eight hundred civilians - including at least 177 children - have been killed since Russia-backed regime forces launched an assault on the besieged enclave outside Damascus on Feb 18, the Syrian Observatory for Human Rights said in its latest death toll.

The Syrian Observatory for Human Rights says more than 800 civilians have died there since mid-February in attacks by Syrian government forces and Russian troops.

Russian Federation pledged to let the insurgents and their families leave Eastern Ghouta, but rebels have been sceptical of the offer from Moscow, a key ally of Syrian President Bashar al-Assad.

There were media reports of Syrian government forces removing lifesaving medicine and medical supplies, including insulin, before allowing the aid vehicles into Eastern Ghouta.

It was only the second convoy so far in 2018 to reach the area, where the United Nations says 400,000 residents were already running out of food and medicine even before the bombing campaign began.

A spokesman for one of the dominant rebel groups in Eastern Ghouta, Faylaq al-Rahman, accused Russia - Syria's key ally - of military escalation and of trying to displace the population by force.

The offensive has been backed by Russian Federation, the government's key military ally.

"It says the rebels are also free to leave the enclave with their weapons and families unhindered".

Despite the ceasefire resolution, Moscow and Damascus have not halted the campaign to retake eastern Ghouta, arguing that the fighters they are striking are members of banned terrorist groups unprotected by the truce.

"The Syrian government and its ally Russian Federation is pummeling the area with airstrikes and shelling attacks, as it makes a concerted effort to take back control of these towns and villages near Damascus", Ruth reports.

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Late on Monday, the Observatory reported 18 people suffered breathing difficulties following a strike on Hammuriyeh.

Among the incidents mentioned in the statement were the November Russian strike in Atareb, which killed at least 84 people, along with three USA airstrikes on a school near Raqqa in March which killed 150 civilians.

"Our Western partners, especially the United States, would like to take the heat off al-Nusra Front, which has now changed its name - but this does not mean it has changed its nature - and save it, in case they decide to return to plan 'B, ' which is to change the regime in Damascus", Lavrov underscored.

On Monday, an worldwide convoy of humanitarian aid trucks cut short its mission to deliver supplies in eastern Ghouta after government forces continued their aerial bombardment and ground assault.

A boy stands on the rubble of a damaged building at the besieged town of Douma, Eastern Ghouta, Damascus, Syria March 5, 2018. The Security Council should impose an arms embargo on Syria and sanctions against Syrian officials implicated in worldwide law violations in Eastern Ghouta and elsewhere.

The relentless attacks prompted France and Britain to request an emergency meeting of the top United Nations body behind closed doors on Wednesday to discuss the ceasefire's failure to take hold.

Aksoy said the camps would host a total of 170,000 people.

Syria has established a humanitarian corridor to allow civilians to leave the operation zone, while Russian Federation has been enforcing daily pauses in fighting from 09:00 a.m.to 02:00 p.m. local time to facilitate the exit of people.

Turkey sent troops into the Afrin enclave on January 20 to drive out Syrian Kurdish fighters it considers to be terrorists.