With hospitals destroyed, winter weather setting in and food running low, people in east Aleppo are running out of time.
Syria’s rebels lost all of the northern neighbourhoods of their stronghold in east Aleppo on Monday, as the army made significant advances in its offensive to recapture the entire city.
The government gains have prompted an exodus of thousands of desperate civilians, some fleeing to districts held by the government or Kurdish forces, others heading south into areas still under opposition control.
“The situation is disastrous,” said Ibrahim Abu Al-Leith, a spokesman for the White Helmets rescue group in the Ansari neighbourhood.
“There is mass displacement and morale is in the gutter,” he said, his voice cracking with emotion.
“People are sleeping in the streets. They don’t have anything to eat or drink, but neither do we,” he told AFP.
UN humanitarian envoy Stephen O’Brien said on Tuesday initial reports indicated that up to 16,000 people have been displaced by fighting in the city over the past few days.
“The parties to the conflict in Syria have shown time and again that they are willing to take action to secure military advantage even if it means killing, maiming or starving civilians into submission in the process.”
The loss of eastern Aleppo would be a potentially devastating blow to Syria’s rebels, who seized the area in 2012.
The opposition has steadily lost territory since Russia intervened to bolster President Bashar al-Assad in September 2015.
On Monday, government forces seized the Sakhour, Haydariya and Sheikh Khodr districts, and Kurdish fighters took the Sheikh Fares neighbourhood from rebels, the UK-based Syrian Observatory for Human Rights monitor said.
“This is their (the rebels’) worst defeat since they seized half the city in 2012,” Observatory director Rami Abdel Rahman said.
The advances left all of northeast Aleppo under government control.
East Aleppo-based journalist Zouhir al-Shimale told Al Jazeera that there was a “constant collapse”, as rebel-held neighbourhoods continued to fall to government forces.
The Syrian Civil Defense group, know as the White Helmets, warned on Monday they had no more fuel reserves for rescue vehicles.
In a video statement, the group urged “all humanitarian, aid, and medical organisations to immediately intervene to put an end to the humanitarian disaster” facing civilians in besieged Aleppo.
Nearly 10,000 civilians have fled the east, the Observatory said late on Sunday, with about 6,000 moving to the Kurdish-held Sheikh Maqsoud neighbourhood and 4,000 to government-held west Aleppo.
Kurdish officials published a video they said showed civilians crossing a field to Sheikh Maqsoud, where local forces helped people cross a makeshift barrier.
Syria’s Kurds are officially aligned with neither the government nor the rebels, but the opposition views them as effectively allied with the regime in its efforts to recapture Aleppo.
Hundreds of civilians were also fleeing south to the remaining rebel-held districts with little more than the clothes they were wearing.
People in southern neighbourhoods were donating blankets and other items to the new arrivals, who had travelled on foot, exhausted, cold and hungry.
The United Nations said it was “deeply concerned” about civilians in the east, where international aid is exhausted and food stocks are desperately low.
The UN has appealed for access to the east many times, but has failed to secure the necessary guarantees to enable aid deliveries.
“In terms of east Aleppo, we just need the green light from the people who control the roads going in because, as you know, the east of Aleppo is besieged,” said Ramesh Rajasingham, the UN’s deputy regional humanitarian coordinator for the Syria crisis.
The government advances mean the regime now controls at least a third of eastern Aleppo, just under two weeks into its renewed bid to recapture the city.
State television said the army had captured the key Suleiman al-Halabi pumping station, which controls water supplies to government-held west Aleppo and has periodically been shut by rebels.
Three people were killed and 29 wounded in rebel fire on western Aleppo on Monday, state media said.
Government bombardment of eastern districts killed 18 civilians, Abdel Rahman said.
The government assault of heavy air strikes, barrel bomb attacks and artillery fire has killed at least 247 civilians in east Aleppo, according to the Observatory.
Rebel fire into the government-held west has also killed at least 27 civilians, among them 11 children, since November 15, it says.
Syria’s Al-Watan daily, which is close to the government, said the next stage would be “to divide the remaining (rebel-held) area into… districts that will be easily controlled and to capture them successively”.
British Foreign Secretary Boris Johnson called for an immediate ceasefire in Aleppo, saying the assault “is threatening a humanitarian catastrophe”.
More than 400,000 people have been killed and millions displaced since the conflict began with anti-government protests in March 2011.
Syria’s deputy foreign minister, Faisal Mekdad, on Monday, denounced accusations by “western” countries that it has used chemical weapons in the conflict as “a campaign of lies”.
Mekdad was speaking at the annual conference in The Hague of countries belonging to the Chemical Weapons Convention.