On Wednesday 4 February, a rebel group called Islam Army fired more than 120 rockets and mortar rounds into the capital, killing 10 people. The government’s response has been intense and prolonged.

At least 82 people were killed on Thursday and Friday as the Syrian Air Force conducted 60 air strikes on Douma.

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A cloud of smoke rises following an air strike by Syrian government forces in the rebel-held area of Douma on 5 February, 2015(Abd Doumany/AFP)
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A view of the destruction after what activists said were at least 20 government air strikes in the Douma neighbourhood of Damascus(Mohammed Badra/Reuters)
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Residents of Douma carry an injured man, after what activists said were seven air strikes by forces loyal to Syria’s President Bashar al-Assad(Bassam Khabieh/Reuters)
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An injured man is covered with dust after reported government air strikes(Bassam Khabieh/Reuters)
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A man gives medical assistance to an injured man as two wounded children wait nearby at a field hospital after what activists said was an air strike by government forces in the Douma neighbourhood of Damascus(Mohammed Badra/Reuters)
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An injured man carries a serum bag for another injured civilian in a field hospital after what activists said was shelling by government forces in the Douma neighbourhood of Damascus, on 6 February, 2015(Mohammed Badra/Reuters)
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Men walk past damaged buildings after reported air strikes in Douma(Amer Almohibany/Reuters)

Assad’s forces carried out further air strikes on Monday 9 February, flattening buildings and killing at least 15 people.

The rebel-held area has been under an army siege for nearly two years – leaving tens of thousands of civilians short of food and medical supplies.

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A man walks amid debris inside a heavily damaged building following reported air strikes by regime forces in Douma on 9 February, 2015(Abd Doumany/AFP)
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A boy stands on rubble as people try to put out a fire after what activists said were airstrikes followed by shelling(Mohammed Badra/Reuters)
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Syrian emergency personnel extinguish a fire following reported government air strikes(Abd Doumany/AFP)
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A man tries to listen for survivors trapped under the rubble of a building(Bassam Khabieh/Reuters)
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An injured Syrian man reacts after receiving treatment at a clinic in the rebel-held area of Douma(Abd Doumany/AFP)
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A Syrian boy holds his bleeding hand over a waste paper basket as he awaits treatment at a makeshift hospital(Abd Doumany/AFP)
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An injured civilian sits inside a shelter as he waits to receive medical assistance(Mohammed Badra/Reuters)
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A man removes rubble inside a house that was damaged by reported Syrian government air strikes in Douma on 8 February, 2015(Mohammed Badra/Reuters)

Around 200,000 people have been killed since 2011 in Syria’s civil war, which pits President Assad against a range of rebel groups including Islamist brigades and hardline jihadists such as Islamic State (Isis) and al-Qaeda’s Nusra Front.