Escalations of conflict in North-west Syria since mid-December have caused 298 000 new displacements already, including 175 000 children. More than 80% of the displaced are women and children. Airstrikes have hit areas where displaced families have gathered leading to significant civilian deaths. The winter season means families have had to flee with almost nothing, under torrential rains and in night-time temperatures close to freezing. They have been settling in tents, flooded camps, destroyed buildings, under trees or out in the open. The desperation is beyond belief and the needs on the ground are growing by the minute. It is heart wrenching that after 9 years the Syrian people are still going through this.