INTERNAL AND CONFIDENTIAL
3 accompanied by international staff; removal of medical items from humanitarian convoys by security services (e.g. removal of contents from diarrhoea kits); and requirement that WHO items be stored in Ministry of Health facilities (large amounts of life-saving medicines and supplies are stored in Ministry of Health warehouses in Damascus and Tartous).
In a positive development, in August and October 2013,
surgical supplies and medicines were successfully delivered to Idlib
and Ter’mallah in
Homs through inter-agency convoys
At least 700,000 children have not been reached with essential vaccines and communicable diseases are spreading
rapidly due to poor hygiene and sanitation and lack of access to medical treatment in areas most affected by the conflict. For example, there are now reportedly at least 100,000 cases of leishmaniasis in Aleppo and in October 2013 there were reports of cases of polio in Deir ez Zor.
Distribution of medical, surgical and reproductive health supplies to hard-to-reach areas identified by the HCT; Nationwide polio vaccination campaign commenced and vaccinations procured for polio and measles vaccinations; Leishmaniasis elimination. Procurement of medicines/supplies and equipment to eliminate the transmission of leishmaniasis and ensure effective treatment for patients. Garbage collection support provided as needed.
SAFE AND UNHINDERED DELIVERY OF HUMANITARIAN ASSISTANCE
The Security Council: urges all parties, in particular the Syrian authorities, to take all appropriate steps to facilitate the efforts of the United Nations, its specialized agencies and all humanitarian actors engaged in humanitarian relief activities, to provide immediate humanitarian assistance to the affected people in Syria; urges the Syrian authorities to promptly facilitate safe and unhindered humanitarian access to people in need, through the most effective ways, including across conflict lines and, where appropriate, across borders from neighbouring countries in accordance with the UN guiding principles of humanitarian emergency assistance; urges all parties to agree on the modalities to implement humanitarian pauses, as well as key routes to enable promptly
upon notification from relief agencies
the safe and unhindered passage of humanitarian convoys along these routes to access people in need.
Hard to reach and besieged areas:
At least 2.5 million people are estimated
to be living in “hard to reach” areas
in dire need of humanitarian assistance, including in Rural Damascus (525,000), Aleppo (500,000), Damascus (320,000), Hassakeh (290,000), Dara
’a (185,000) and Homs (150,000).
This figure is likely to increase based on latest information and includes besieged