As aid agencies prepare to deliver food to Madaya, on the outskirts of Damascus and two other besieged towns in Idlib province, an estimated 400,000 people are living under siege in 15 areas across Syria, according to the UN. A deal struck on Saturday permits the delivery of food to Madaya, currently surrounded by forces loyal to Syrian President Bashar al-Assad, and the villages of Foua and Kefraya in Idlib, both of which are hemmed in by rebel fighters.
Due to a siege imposed by the Syrian government and the Lebanese Hezbollah group, an estimated 42,000 people in Madaya have little to no access to food, resulting in the deaths of at least 23 people by starvation so far, according to the charity Doctors Without Borders (MSF). Reports of widespread malnutrition have emerged, some of them suggesting that Madaya residents are resorting to eating grass and insects for survival.
In Kefraya and Foua, about 12,500 people are cut off from access to aid supplies by rebel groups, including al-Nusra Front. On December 26, Syrian government forces set up a checkpoint and sealed off the final road to Moadamiyah, a rebel-controlled town on the outskirts of Damascus, demanding that opposition groups lay down their arms and surrender. The Moadamiyah Media Office, run by pro-opposition activists, estimates that 45,000 civilians have been stuck in the area for more than two weeks.