Chaos deepens in rebel enclave, global outcry grows

The United Nations chief said the bloodshed wreaked by the aerial campaign had turned Eastern Ghouta into "hell on earth", while German Chancellor Angela Merkel called for an end to the "massacre".

Residents huddled in basements as government forces pounded the besieged enclave with rockets and bombs, turning towns into fields of ruins and even hitting hospitals.

According to Doctors Without Borders, 13 of the facilities it supports in Eastern Ghouta were damaged or destroyed in three days, leaving remaining staff with very little to save the hundreds of wounded brought to them every day.

In the hospital mortuary in Douma, the main town in the enclave just east of Damascus, bodies wrapped in white shrouds were already lining up on the floor, two of them children.

Little pools of blood dotted the way to the hospital, where most of the victims of the sustained rocket fire unleashed by government troops on Thursday were taken.

Nowhere safe

"The rocket fire hasn't stopped this morning. Around 200 ground-to-ground rockets struck Douma alone," said Rami Abdel Rahman, head of the Syrian Observatory for Human Rights.

Morning rain appeared to initially keep warplanes away but the sky cleared by midday and jets, some of them Russian according to the Observatory, soon returned.

Russia has so far denied direct involvement in the assault on Ghouta but the pro-government Syrian newspaper Al-Watan reported on Thursday that Russian warplanes and advisers had joined the battle.

Regime and allied forces have been massing around the enclave, in which an estimated 400,000 people live, ahead of a likely ground offensive to flush out holdout Islamist and jihadist groups.

The brief respite provided by the rain on Thursday encouraged some residents to venture out of their basements and shelters, to buy food, check on their property or enquire about their relatives and neighbours.

In the town of Hammuriyeh, a queue had formed outside a shop as starving residents tried to stock up but another rocket sowed panic and sent everybody back to their shelters.

In Douma, a young boy tried to peddle lighters on the street but rocket fire quickly forced him to scamper back to cover.

Powerless

An AFP correspondent saw rescuers known as the "White Helmets" forced to stop their efforts to retrieve a wounded woman from the rubble of a collapsed home when air strikes resumed.

When they ventured back to the site, the woman was dead.

The indiscriminate bombardment and the strikes on medical facilities sparked global outrage but few concrete options emerged to stop the bloodletting.

"The killing of children, the destruction of hospitals -- all that amounts to a massacre that must be condemned and which must be countered with a clear no," Merkel said.

Russia has asked for a special meeting of the UN Security Council and the Red Cross has demanded it be allowed to enter the besieged enclave to help overwhelmed doctors and nurses to treat the wounded.

The aid community voiced its frustration as the world appeared once again powerless to stop a conflict that has left almost 350,000 dead in seven years and caused destruction rarely seen since World War II.

Humanitarian agencies are "sickened that no matter how many times they've raised the alarm, taken the step of speaking out, called on the Security Council to do something, the violence and brutality will sink to new lows," a statement by the Syria INGO Regional Forum said.

Talks for a deal between the regime and the armed groups controlling Ghouta appear to have stalled.