Half of Aleppo residents want to flee, no food, fuel, no aid

A medic holds a dead child after airstrikes in the rebel held Karam Houmid neighbourhood in Aleppo

By Tom Miles

GENEVA (Reuters) – Half of the estimated 275,000 Syrians besieged in eastern Aleppo want to leave, the United Nations said on Wednesday, as food supplies are running thin and people are driven to burning plastic for fuel.

Food prices are rising and supplies are running out. Mothers were reportedly tying ropes around their stomachs or drinking large amounts of water to reduce the feeling of hunger and prioritize food for their children, the U.N. said.

“An assessment conducted in eastern Aleppo city concluded that 50 percent of the inhabitants expressed willingness to leave if they can,” the U.N. Office for Coordination of Humanitarian Affairs said in an update on the Aleppo situation.

It did not say how many of the other 50 percent were determined to stay.

The United States and other Western countries say Moscow and Damascus are guilty of war crimes in deliberately targeting civilians, hospitals and aid deliveries for more than 250,000 people trapped under siege in Aleppo. The Syrian and Russian governments say they target only militants.

Aid workers in eastern Aleppo have distributed food rations for 13,945 children under 6 years old, but a lack of cooking gas makes it difficult to cook what little food remains.

MENTAL HEALTH

“Reports of civilians rummaging through the rubble of destroyed buildings to salvage any flammable material that can be used for cooking are common,” the report said.

“Poor-quality fuel, which is made from burning plastic, is available in limited amounts.”

A liter of diesel fuel costs about 1,300 Syrian pounds or about $2.25, while a liter of petrol costs 7,000 Syrian pounds or about $13.70.

Psychological health is also suffering, the report said.

“Moreover, arguments among spouses have reportedly increased as many women are blaming their husbands for choosing to stay while it was possible to leave the city.”

Civilians are walking up to 2 km to fetch water, which is available from boreholes, and the water situation across the city is “of grave concern”, the report said.

“Local authorities in charge of the Sulaiman Al-Halabi water station shut off the electrical power to the station to prevent extensive damage should hostilities impact the water station directly,” it said.

(editing by Ralph Boulton)

Philippine leader tells Obama he can buy arms from Russia, China

Philippines President Rodrigo Duterte clenches fist with members of the Philippine Army during his visit at the army

MANILA (Reuters) – Philippine leader Rodrigo Duterte on Tuesday told U.S. President Barack Obama to “go to hell” and said the United States had refused to sell some weapons to his country but he did not care because Russia and China were willing suppliers.

In his latest salvo, Duterte said he was realigning his foreign policy because the United States had failed the Philippines and added that at some point, “I will break up with America”. It was not clear what he meant by “break up”.

During three tangential and fiercely worded speeches in Manila, Duterte said the United States did not want to sell missiles and other weapons, but Russia and China had told him they could provide them easily.

“Although it may sound shit to you, it is my sacred duty to keep the integrity of this republic and the people healthy,” Duterte said.

“If you don’t want to sell arms, I’ll go to Russia. I sent the generals to Russia and Russia said ‘do not worry we have everything you need, we’ll give it to you’.

“And as for China, they said ‘just come over and sign and everything will be delivered’.”

His comments were the latest in a near-daily barrage of hostility toward the United States, during which Duterte has started to contrast the former colonial power with its geopolitical rivals Russia and China.

On Sunday, he said he had got support from Russia and China when he complained to them about the United States. He also said he would review a U.S.-Philippines Enhanced Defence Cooperation Agreement.

The deal, signed in 2014, grants U.S. troops some access to Philippine bases, and allows them to set up storage facilities for maritime security and humanitarian and disaster response operations.

He said the United States should have supported the Philippines in tackling its chronic drugs problems but instead criticized him for the high death toll, as did the European Union.

‘HELL IS FULL’

“Instead of helping us, the first to hit was the State Department. So you can go to hell, Mr Obama, you can go to hell,” he said.

“EU, better choose purgatory. Hell is full already. Why should I be afraid of you?”

At a later speech he said he was emotional because the United States had not been a friend of the Philippines since his election in May.

“They just … reprimand another president in front of the international community,” he told the Jewish community at a synagogue.

“This is what happens now, I will be reconfiguring my foreign policy. Eventually, I might in my time I will break up with America.”

It was not clear if by his “time”, he was referring to his six-year term in office.

According to some U.S. officials, Washington has been doing its best to ignore Duterte’s rhetoric and not provide him with a pretext for more outbursts.

While an open break with Manila would create problems in a region where China’s influence has grown, there were no serious discussions about taking punitive steps such as cutting aid to the Philippines, two U.S. officials said on Monday.

Several of Duterte’s allies on Monday suggested he act more like a statesman because his comments had created a stir. On Tuesday, he said his outbursts were because he was provoked by criticism of his crackdown on drugs.

“When you are already at the receiving end of an uncontrollable rush, the only way out is to insult,” he said.

“That is my retaliation.”

(Reporting by Martin Petty; Editing by Robert Birsel)

U.S. suspends talks with Russia on Syria ceasefire

A rebel fighter rides past damaged buildings in al-Rai town, northern Aleppo countryside,

WASHINGTON (Reuters) – The United States on Monday suspended talks with Russia on trying to end the violence in Syria and accused Moscow of not living up to its commitments under a ceasefire agreement.

The announcement came as Syrian government supported by Iranian-backed militias and Russian air power pounded the rebel-held area of Aleppo, bombing one of the city’s main hospitals and badly damaging water supplies.

“The United States is suspending its participation in bilateral channels with Russia that were established to sustain the cessation of hostilities,” U.S. State Department spokesman John Kirby said in a statement. “This is not a decision that was taken lightly.”

The confirmation that the U.S.-Russian talks on Syria have collapsed suggests that there is little hope, if any, of a diplomatic solution to end the 5-1/2-year-old civil war emerging anytime soon.

It could also trigger deeper U.S. consideration of military options such as providing more sophisticated arms, logistical support, and training to Syrian rebel groups that U.S. officials have said were under consideration, either directly or via Gulf Arab states or Turkey.

However, U.S. President Barack Obama has been loath to get the United States more deeply involved in a third war in the Islamic world and U.S. officials have said he is unlikely to do so with less than four months left in office.

U.S. Secretary of State John Kerry threatened last week to end the talks after a ceasefire he and his Russian counterpart, Sergei Lavrov, brokered collapsed last month after warplanes believed to belong to Russia bombed a U.N. aid convoy.

In the statement, Kirby said the United States would continue to communicate with Russian military to avoid so-called deconfliction – to avoid accidental military interactions – over Syria.

But he said the United States would withdraw all personnel it had dispatched to prepare for military co-operation with Russia under the latest ceasefire agreement.

“Unfortunately, Russia failed to live up to its own commitments …and was also either unwilling or unable to ensure Syrian regime adherence to the arrangements to which Moscow agreed,” Kirby said.

News of the suspending of the talks came as diplomats said the United Nations Security Council would begin to negotiate on Monday a draft resolution that urges Russia and the United States to ensure an immediate truce in Aleppo.

(Reporting by Lesley Wroughton; Editing by Chizu Nomiyama and Diane Craft)

‘No doubt’ Russia behind hacks on U.S. election system: senior Democrat

Vice Presidential debate in Virginia

By Dustin Volz

WASHINGTON (Reuters) – A senior Democratic lawmaker said Sunday he had “no doubt” that Russia was behind recent hacking attempts targeting state election systems, and urged the Obama administration to publicly blame Moscow for trying to undermine confidence in the Nov. 8 presidential contest.

The remarks from Representative Adam Schiff, the top Democrat on the intelligence committee in the U.S. House of Representatives, come amid heightened concerns among U.S. and state officials about the security of voting machines and databases, and unsubstantiated allegations from Republican candidate Donald Trump that the election could be “rigged.”

“I have no doubt [this is Russia]. And I don’t think the administration has any doubt,” Schiff said during an appearance on ABC’s “This Week.”

Schiff’s call to name and shame the Kremlin came a week after Trump questioned widely held conclusions made privately by the U.S. intelligence community that Russia is responsible for the hacking activity.

“It could be Russia, but it could also be China,” Trump said during a televised debate with Democratic candidate Hillary Clinton. “It also could be somebody sitting on their bed that weighs 400 pounds.”

On Saturday, Homeland Security Secretary Jeh Johnson said hackers have probed the voting systems of many U.S. states but there is no sign that they have manipulated any voting data.

Schiff said he doubted hackers could falsify vote tallies in a way to affect the election outcome. Officials and experts have said the decentralized and outdated nature of U.S. voting technology makes such hacks more unlikely.

But cyber attacks on voter registration systems could “sow discord” on election day, Schiff said. He further added that leaks of doctored emails would be difficult to disprove and could “be election altering.”

The National Security Agency, FBI and DHS all concluded weeks ago that Russian intelligence agencies conducted, directed or coordinated all the major cyberattacks on U.S. political organizations, including the Democratic National Committee, and individuals, a U.S. official who is participating in the investigations said on Sunday.

However, the official said, White House officials have resisted naming the Russians publicly because doing so could result in escalating cyberattacks, and because it is considered impossible to offer public, unclassified proof of the allegation.

Schiff and Senator Dianne Feinstein, the top Democrat on the U.S. Senate intelligence committee, said last month they had concluded Russian intelligence agencies were “making a serious and concerted effort to influence the U.S. election.”

(Reporting by Dustin Volz and John Walcott; Editing by Nick Zieminski)

Russia’s Putin suspends plutonium cleanup accord with U.S. because of ‘unfriendly’ acts

Putin at award ceremony

By Dmitry Solovyov

MOSCOW (Reuters) – Russian President Vladimir Putin on Monday suspended an agreement with the United States for disposal of weapons-grade plutonium because of “unfriendly” acts by Washington, the Kremlin said.

A Kremlin spokesman said Putin had signed a decree suspending the 2010 agreement under which each side committed to destroy tonnes of weapons-grade material because Washington had not been implementing it and because of current tensions in relations.

The two former Cold War adversaries are at loggerheads over a raft of issues including Ukraine, where Russia annexed Crimea in 2014 and supports pro-Moscow separatists, and the conflict in Syria.

The deal, signed in 2000 but which did not come into force until 2010, was being suspended due to “the emergence of a threat to strategic stability and as a result of unfriendly actions by the United States of America towards the Russian Federation”, the preamble to the decree said.

It also said that Washington had failed “to ensure the implementation of its obligations to utilize surplus weapons-grade plutonium”.

The 2010 agreement, signed by Russian Foreign Minister Sergei Lavrov and then-U.S. Secretary of State Hillary Clinton, called on each side to dispose of 34 tonnes of plutonium by burning in nuclear reactors.

Clinton said at the time that that was enough material to make almost 17,000 nuclear weapons. Both sides then viewed the deal as a sign of increased cooperation between the two former adversaries toward a joint goal of nuclear non-proliferation.

“For quite a long time, Russia had been implementing it (the agreement) unilaterally,” Kremlin spokesman Dmitry Peskov told a conference call with journalists on Monday.

“Now, taking into account this tension (in relations) in general … the Russian side considers it impossible for the current state of things to last any longer.”

Ties between Moscow and Washington plunged to freezing point over Crimea and Russian support for separatists in eastern Ukraine after protests in Kiev toppled pro-Russian President Viktor Yanukovich.

Washington led a campaign to impose Western economic sanctions on Russia for its role in the Ukraine crisis.

Relations soured further last year when Russia deployed its warplanes to an air base in Syria to provide support for Syrian President Bashar al-Assad’s troops fighting rebels.

The rift has widened in recent weeks, with Moscow accusing Washington of not delivering on its promise to separate units of moderate Syrian opposition from “terrorists”.

Huge cost overruns have also long been another threat to the project originally estimated at a total of $5.7 billion.

(Reporting by Dmitry Solovyov; Editing by Richard Balmforth)

World anger over ‘barbarous’ strikes in Syria, Russia sends more warplanes

People walk on the rubble of damaged buildings in the rebel held area of al-Kalaseh neighbourhood of Aleppo,

By Dmitry Solovyov and Ellen Francis

MOSCOW/BEIRUT (Reuters) – Russia is sending more warplanes to Syria to further ramp up its campaign of airstrikes, a Russian newspaper reported on Friday, as Moscow defied global censure over an escalation that Western countries say has torpedoed diplomacy.

In a statement issued by the White House after the two leaders spoke by telephone, U.S. President Barack Obama and German Chancellor Angela Merkel described the Russian and Syrian bombing of Aleppo as “barbarous”.

Fighting intensified a week into a new Russian-backed government offensive to capture all of Syria’s largest city and crush the last remaining urban stronghold of the rebellion.

Moscow and its ally, Syrian President Bashar al-Assad, spurned a ceasefire this month to launch the offensive, potentially the biggest and most decisive battle in the Syrian civil war which is now in its sixth year.

Western countries accuse Russia of war crimes, saying it has deliberately targeted civilians, hospitals and aid deliveries in recent days to crush the will of 250,000 people trapped inside Aleppo’s besieged rebel-held sector.

Moscow and Damascus say they have targeted only militants.

Hundreds of people have been killed in the bombing and many hundreds more wounded, with little access to treatment in hospitals that lack basic supplies.

Children play with water from a burst water pipe at a site hit yesterday by an air strike in Aleppo's rebel-controlled al-Mashad neighbourhood, Syria,

Children play with water from a burst water pipe at a site hit yesterday by an air strike in Aleppo’s rebel-controlled al-Mashad neighbourhood, Syria, September 30, 2016. REUTERS/Abdalrhman Ismail

Residents say the air strikes are unprecedented in their ferocity, deploying heavier bombs that flatten buildings on top of the people huddled inside.

Russia joined the war exactly a year ago, tipping the balance of power in favor of its ally Assad, who is also supported by Iranian ground forces and Shi’ite militia from Lebanon and Iraq.

The Kremlin said on Friday there was no time frame for Russia’s military operation in Syria. The main result of Russian air strikes over the past year is “neither Islamic State, nor al Qaeda nor the Nusra Front are now sitting in Damascus”, Kremlin spokesman Dmitry Peskov told reporters.

“REALITY A NIGHTMARE”

Britain’s Special Representative to Syria, Gareth Bayley, said: “From Russia’s first air strikes in Syria, it has hit civilian areas and increasingly used indiscriminate weapons, including cluster and incendiary munitions.”

“Today, the reality in Syria is a nightmare. Aleppo is besieged again, with vital necessities such as water, fuel, and medicine running out for hundreds of thousands. Civilian infrastructure, including schools and hospitals, are being attacked.”

The Izvestia newspaper reported that a group of Su-24 and Su-34 warplanes had arrived at Syria’s Hmeymim base.

“If need be, the air force group will be (further) built up within two to three days,” it quoted a military official as saying. “Su-25 ground attack fighters designated to be sent to Hmeymim have already been selected in their units and their crews are on stand-by, awaiting orders from their commanders.”

The Su-25 is an armored twin-engine jet which was battle-tested in the 1980s during the Soviet war in Afghanistan. It can be used to strafe targets on the ground, or as a bomber. Russia’s defense ministry did not immediately respond to a request from Reuters for comment.

U.S. Secretary of State John Kerry said on Thursday there was no point pursuing further negotiations with Russia over Syria. That leaves Washington – which is fighting Islamic State militants in northern Syria but has avoided direct involvement in the war between Assad and his main opponents – with no backup plan for a policy that hinged on talks co-sponsored with Moscow.

BATTLEFIELD VICTORY

After months of intensive diplomacy with Russia, conducted despite the scepticism of other senior Obama administration officials, Kerry reached agreement three weeks ago on a ceasefire. But it collapsed within a week, and Moscow and Damascus swiftly launched the latest escalation.

Western officials believe Moscow’s decision to spurn the truce signals the Kremlin believes Assad’s government can now win a decisive victory on the battlefield, after years of mostly stalemated war that killed hundreds of thousands of people and made half of Syrians homeless.

Syrian government forces and rebels fought battles on Friday in the city center and north of Aleppo, where government troops had re-captured a camp for Palestinian refugees on Thursday that had already changed hands once since the start of the attack.

The sides gave conflicting accounts of the outcome of Friday’s fighting. North of the city, the military said it had captured territory around the Kindi hospital near the refugee camp. Rebel sources denied the army had advanced there.

In the city center, the military said it had advanced in the Suleiman al-Halabi district. Rebel officials said troops had moved forward but had subsequently been forced to withdraw.

A Syrian military source said government forces captured several buildings in the area and were “continuing to chase the remnants of the terrorists fleeing them”. One of the rebel officials said government forces had “advanced and then retreated”, losing “a number of dead”.

The multi-sided Syrian civil war pits Assad, a member of the Alawite sect supported by Iran and Shi’ite militia, against rebels mainly drawn from Syria’s Sunni Muslim majority, backed by Saudi Arabia and other regional Sunni states.

RISE OF ISLAMIC STATE

The rebellion includes several groups inspired by or linked to al Qaeda, and helped give rise to Islamic State, a hardline Sunni group that broke away from al Qaeda and declared a caliphate in swathes of Syria and Iraq.

Russia, which has been allied to Assad and his father since the Cold War, says the only way to defeat Islamic State is to support Assad. Washington and its European allies say the Syrian leader has too much blood on his hands and must leave power so the rest of the country can unite against the militants.

Some rebels have responded to the government onslaught by cooperating more closely with jihadist fighters – precisely the opposite of Washington’s aim. The rebels are demanding more weapons, above all anti-aircraft missiles.

Washington, which helps to coordinate the arming of rebel groups with weapons from Saudi Arabia and other states, opposes sending anti-aircraft missiles for fear they could fall into the hands of jihadists.

A Syrian rebel source familiar with the details of foreign military support said rebels had received promises of new arms, but so far there was nothing that would have an impact.

“If they don’t give us anti-aircraft, they have no value,” the source said.

(Additional reporting by Tom Perry, Angus McDowall, Lisa Barrington in Beirut; Eric Beech in Washington, Dmitry Solovyov in Moscow, writing by Peter Graff, editing by Peter Millership)

Moscow vows to press Syria offensive; U.S. weighs tough response

Rebel fighters of 'Al-Sultan Murad' brigade gather on the outskirts of the northern Syrian town of Shawa, which is controlled by Islamic State militants, in Aleppo Governorate, Syria,

By Jonathan Landay and Tom Perry

WASHINGTON/BEIRUT (Reuters) – The Kremlin vowed on Thursday to press on with its assault in Syria, while U.S. officials searched for a tougher response to Russia’s decision to ignore the peace process and seek military victory on behalf of President Bashar al-Assad.

Moscow and Damascus launched an assault to recapture the rebel-held sector of Aleppo this month, abandoning a new ceasefire a week after it took effect to embark on what could be the biggest battle of a nearly six-year war.

Rebel fighters have launched an advance of their own in countryside near the central city of Hama, where they said they made gains on Thursday.

The United States and European Union accuse Russia of torpedoing diplomacy to pursue military victory in Aleppo, and say Moscow and Damascus are guilty of war crimes for targeting civilians, hospitals and aid workers to break the will of 250,000 people living under siege inside Syria’s largest city.

EU foreign affairs chief Federica Mogherini called the air strikes in Aleppo a “massacre” and said European governments were considering their response. Russia and the Syrian government say they are targeting only militants.

U.S. Secretary of State John Kerry, who personally negotiated the failed truce in talks with Russia despite scepticism from other senior U.S. officials, has said Washington could walk away from diplomacy unless the fighting stops.

He has called for a halt to flights, a step rejected by Moscow. Kremlin spokesman Dmitry Peskov said on Thursday Russia would “continue the operation of its air force in support of the anti-terrorist activity of Syria’s armed forces”.

Peskov said Washington was to blame for the fighting, by failing to meet an obligation to separate “moderate” rebel fighters from terrorists.

“In general, we express regret at the rather non-constructive nature of the rhetoric voiced by Washington in the past days.”

U.S. officials are considering tougher responses to the Russian-backed Syrian government assault, including military options, although they have described the range of possible responses as limited and say risky measures like air strikes on Syrian targets or sending U.S. jets to escort aid are unlikely.

BATTLE FOR ALEPPO

Recapturing Aleppo would be the biggest victory of the war for government forces, and a potential turning point in a conflict that until now most outside countries had said would never be won by force.

The multi-sided civil war has killed hundreds of thousands of people, made half of Syrians homeless, and allowed much of the east of the country to fall into the hands of Islamic State jihadists who are enemies of all other sides.

Aleppo has been divided into government and opposition sectors for four years, and its rebel zone is now the only major urban area still in the hands of anti-Assad fighters supported by the West and Arab states. The government lay siege to it in July, cutting off those trapped inside from food and medicine.

The last week of bombing has killed hundreds of people and left many hundreds more wounded, with no way to bring in medical supplies. There are only around 30 doctors inside the besieged zone. The two biggest hospitals were knocked out of service by air strikes or shelling on Wednesday.

Russia says the only way to defeat Islamic State is to support Assad. Washington says the Syrian president has too much blood on his hands and must leave power.

Washington is bombing Islamic State targets in the east but has otherwise avoided any direct participation in the civil war in the rest of the country, leaving the field open to Russia, which joined the war a year ago tipping the conflict in favor of its ally Assad.

Relations between Moscow and Washington are already at their worst since the Cold War, with the United States and European Union having imposed economic sanctions over Russia’s annexation of territory from Ukraine and support for separatists there.

WASHINGTON CAUGHT OFF GUARD

The ferocity of the assault on Aleppo is driving many of the Western-backed anti-Assad groups to cooperate more closely with jihadist fighters, the opposite of the strategy Washington has hoped to pursue, rebel officials told Reuters.

In Aleppo, rebels fighting under the Free Syrian Army banner are sharing operational planning with Jaish al-Fatah, an alliance of Islamist groups that includes the former Syrian wing of al Qaeda.

Meanwhile, in nearby Hama province, FSA groups armed with U.S.-made anti-tank missiles are taking part in a major offensive with the al Qaeda-inspired Jund al-Aqsa group that has diverted some of the army’s firepower from Aleppo.

The FSA rebels have deep ideological differences with the jihadists, and have even fought them at times, but say survival is the main consideration.

“At a time when we are dying, it is not logical to first check if a group is classified as terrorist or not before cooperating with it,” said a senior official in one of the Aleppo-based rebel factions. “The only option you have is to go in this direction.”

Two U.S. officials said the speed with which the diplomatic track collapsed in Syria and pro-government forces advanced in Aleppo had caught some in the administration off guard.

Obama administration officials have begun considering responses, including military options, U.S. officials said. The new discussions were being held at “staff level,” and had yet to produce any recommendations to Obama.

Even administration advocates of a more muscular U.S. response said on Wednesday that it was not clear what, if anything, the president would do, and that his options “begin at tougher talk”, as one official put it.

One official said that before any action could be taken, Washington would first have to “follow through on Kerry’s threat and break off talks with the Russians” on Syria.

OPTIONS ON THE TABLE

Possible responses include allowing Gulf allies to supply rebels with more sophisticated weaponry, or carrying out a U.S. air strike on a Syrian government air base, viewed as less likely because of the potential for causing Russian casualties, the officials told Reuters, speaking on condition of anonymity.

The options being weighed are limited in number and stop well short of any large-scale commitment of U.S. troops.

One of the officials said the list of options included supporting rebel counter-attacks elsewhere with additional weaponry or even air strikes, which “might not reverse the tide of battle, but might cause the Russians to stop and think”.

Another official said any weapons supplied to rebels would not include shoulder-fired anti-aircraft missiles, which rebels say they need to fight the Russian air force but which Washington fears could end up in the hands of militants.

Other ideas under consideration include sending more U.S. special operations forces to train and advise Kurdish and Syrian Arab rebel groups, and deploying additional American and allied naval and airpower to the eastern Mediterranean.

U.S. officials had considered a humanitarian airlift to rebel-held areas, which would require escorts by U.S. warplanes, but this has been deemed too risky and “moved down the list”, one official said.

(Additional reporting by John Walcott, Matt Spetalnick, Arshad Mohammed and Phil Stewart in Washington, Dmitry Solovyov in Moscow and Robin Emmott in Brussels,; writing by Peter Graff, editing by Peter Millership)

U.N. calls Aleppo a slaughterhouse as Russia, Syria forces bomb hospitals

Medics inspect the damage outside a field hospital after an airstrike in the rebel-held al-Maadi neighbourhood of Aleppo, Syria,

By Ellen Francis and Tom Perry

BEIRUT (Reuters) – Russian or Syrian warplanes knocked two hospitals out of service in the besieged rebel sector of Aleppo on Wednesday and ground forces intensified an assault in a battle which the United Nations said had made the city worse than a slaughterhouse.

Two patients died in one of the hospitals and other shelling killed six residents queuing for bread under a siege that has trapped 250,000 people with food running out.

The week-old assault, which could herald a turning point in the war, has already killed hundreds of people, with bunker-busting bombs bringing down buildings on residents huddled inside. Only about 30 doctors are believed to be left inside the besieged zone, coping with hundreds of wounded a day.

“The warplane flew over us and directly started dropping its missiles … at around 4 a.m.,” Mohammad Abu Rajab, a radiologist at the M10 hospital, the largest trauma hospital in the city’s rebel-held sector, told Reuters.

“Rubble fell in on the patients in the intensive care unit.”

M10 hospital workers said oxygen and power generators were destroyed and patients were transferred to another hospital.

Photographs sent to Reuters by a hospital worker at the facility showed damaged storage tanks, a rubble strewn area, and the collapsed roof of what he said was a power facility.

There were no initial reports of casualties there, but medical charity Médecins Sans Frontières (MSF) said two patients had been killed at the other hospital, in shelling which took it out of service as well, leaving east Aleppo with only seven doctors in a position to undertake surgery.

“And this comes at a time when east Aleppo has been under siege since July and is suffering the bloodiest indiscriminate bombing since the beginning of the war,” MSF’s Syria head Carlos Francisco said.

The government of President Bashar al-Assad, backed by Russian air power, Iranian ground forces and Shi’ite militia fighters from Iran, Iraq and Lebanon, has launched a massive assault to crush the rebels’ last major urban stronghold.

Syria’s largest city before the war, Aleppo has been divided for years between government and rebel zones, and would be the biggest strategic prize of the war for Assad and his allies.

Taking full control of the city would restore near full government rule over the most important cities of western Syria, where nearly all of the population lived before the start of a conflict that has since made half of Syrians homeless, caused a refugee crisis and contributed to the rise of Islamic State.

UNPRECEDENTED BOMBING

The offensive began with unprecedentedly fierce bombing last week, followed by a ground campaign this week, burying a ceasefire that had been the culmination of months of diplomacy between Washington and Moscow.

Washington says Moscow and Damascus are guilty of war crimes for targeting civilians, hospitals, rescue workers and aid deliveries, to break the will of residents and force them to surrender. Syria and Russia say they target only militants.

Asked by a reporter at the United Nations whether Syria had bombed the two hospitals hit on Wednesday, the Syrian ambassador to the world body, Bashar Ja’afari, appeared to laugh.

The Syrian army said a Nusra Front position had been destroyed in Aleppo’s old quarter, and other militant-held areas targeted in “concentrated air strikes” near the city.

U.N. Secretary-General Ban Ki-moon said those using “ever more destructive weapons” were committing war crimes. Describing the situation in Aleppo, he said: “This is worse. Even a slaughterhouse is more humane.”

France’s Foreign Minister Jean-Marc Ayrault said he was working to put forward a United Nations Security Council resolution to impose a ceasefire in Aleppo, and that any country that opposed it would be deemed complicit in war crimes.

“This resolution will leave everyone facing their responsibilities: those who don’t vote it, risk being held responsible for complicity in war crimes,” he said.

Another hospital, M2, was damaged by bombardment in the al-Maadi district, where at least six people were killed while queuing for bread at a nearby bakery, according to the Syrian Observatory for Human Rights monitoring body and residents.

Food supplies are scarce in the besieged area, and those trapped inside often line up before dawn for food.

The collapse of the peace process leaves U.S. policy on Syria in tatters and is a personal blow to Secretary of State John Kerry, who led talks with Moscow despite scepticism from other top officials in President Barack Obama’s administration.

Kerry spoke to Lavrov on Wednesday and Russia said later that it was ready to continue diplomacy on Syria and would soon send experts to Geneva for talks with U.S. counterparts on normalizing the situation in Aleppo and elsewhere.

The U.S. State Department said non-diplomatic options to halt the violence had been discussed within the administration, but declined to say what the options might be.

BATTLEFIELD VICTORY

Assad’s Iranian and Lebanese Hezbollah allies have said in recent days the war will be won in combat.

But the rebels remain a potent military force even as they have lost control of urban areas. The collapse of peace efforts ends a proposed scheme to separate Western-backed fighters from hardened jihadists.

It has also raised the question of whether the rebels’ foreign backers, states including Saudi Arabia, Turkey and the United States, will increase military backing to rebels who have long said weapons they provide are inadequate.

The rebels’ main demand has long been for the provision of anti-aircraft missiles, but Washington has resisted this, fearing they could end up in the hands of jihadists.

U.S. officials told Reuters in Washington that the collapse of the Syrian ceasefire had heightened the possibility that Gulf states, particularly Saudi Arabia, might arm rebels with shoulder-fired anti-aircraft missiles.

A senior rebel commander, speaking on condition of anonymity, said it was not out of the question that this could happen. “The Americans might thinking about doing something, but nobody knows how big it will be,” the commander said.

Another rebel commander told Reuters his group had received deliveries of a new type of Grad surface-to-surface rockets. The rockets, with a range of 22-40 km, had arrived in “excellent quantities” and will be used on battlefronts in Aleppo, Hama and the coastal region, Colonel Fares al-Bayoush said.

Fierce fighting accompanied by air strikes was reported on Wednesday in northern Hama province between Syrian government and allied forces trying to recapture territory lost to insurgents this week, and rebels who made some advances, the Observatory and a rebel group said.

MORE GROUND ATTACKS

A senior official in Aleppo-based rebel group said pro-government forces were mobilizing in apparent preparation for more ground attacks in central areas of the city.

“There have been clashes in al-Suweiqa from 5 a.m. until now. The army advanced a little bit, and the guys are now repelling it, God willing,” a fighter in the rebel Levant Front group said in a recording sent to Reuters, referring to an area in the city center where there was also fighting on Tuesday.

Another rebel official said government forces were also attacking the insurgent-held Handarat refugee camp a few kilometers to the north of Aleppo.

“It doesn’t seem that their operation in the old city is the primary operation, it seems like a diversionary one so that the regime consumes the people on that front and advances in the camp,” the official, Zakaria Malahifij, head of the political office of the Fastaqim group, told Reuters from Turkey.

(Reporting by Tom Perry, Ellen Francis and Lisa Barrington in Beirut, Philip Pullella in Vatican City, John Irish in Paris and Stephanie Nebehay in Geneva, Lidia Kelly in Moscow, Michelle Nichols in New York and Arshad Mohammed in Washington, writing by Peter Graff, editing by Peter Millership and Philippa Fletcher)

Putin faces dilemma after vote win; How to prolong a system based on himself

Russian President Vladimir Putin gestures as he addresses students during his visit to the German Embassy school in Moscow, Russia,

By Andrew Osborn

MOSCOW (Reuters) – Vladimir Putin appears politically invincible after Russia’s ruling party won its biggest ever parliamentary majority this month. But he faces an increasingly pressing dilemma: How best to ensure the survival of a system built around himself.

With a presidential election due in March 2018, Putin, 63, must decide whether or not to run again. He must also decide whether to bring that vote forward to 2017 to reset the system early to hedge against the risk of a flat-lining economy.

Few outside his tiny coterie know what he will do. Most Kremlin-watchers are sure he will run again and win, delaying the successor question until 2024. Others say he may surprise.

On the face of it, staying on looks to be an obvious choice. Polls give Putin an approval rating of about 80 percent, the ruling United Russia party just won 76 percent of seats in parliament, and his annexation of Ukraine’s Crimea sealed his savior-of-the-nation image in many Russian eyes.

But beneath the surface, Putin’s problems are piling up. They include what is forecast to be an anemic economic recovery, the lack of an obvious successor, voter apathy, his own complaints about the physical demands of the job, and the risk of destabilizing clan infighting inside the system.

Increasingly, it also seems that the only way Moscow can reset ties with the West would be for Putin to stand aside. The United States and European Union imposed economic sanctions over Russia’s actions in Ukraine in 2014 and thus far there has been little sign of a lifting of trade restrictions.

Nikolai Petrov, a political analyst at Moscow’s Higher School of Economics, believes Putin could preserve the system’s legitimacy if he handed over to a handpicked successor in 2018.

“It’s a possible scenario,” Petrov told Reuters.

He said he was skeptical Putin would choose that path, however, despite being under pressure to find alternative ways of maintaining broad support for the system beyond nationalism and foreign military adventures.

“Putin is a hostage of his own popularity,” said Petrov.

People who know Putin say he is growing weary. In an unguarded moment picked up by microphones last year, he was heard complaining about how little he slept.

One former high-ranking official close to the Kremlin said Putin, in power either as president or prime minister for nearly 16 years, was fatigued.

“Putin is tired, he’s getting older,” the source, who declined to be named, told Reuters.

Dmitry Gudkov, a liberal opposition politician who lost his seat in this month’s elections, told Reuters Putin looked certain to run again regardless because he was afraid stepping down might leave him vulnerable to prosecution for his actions in Ukraine.

“With a lot of enemies both inside and outside the country, he’s starting to feel less secure. It doesn’t look like a time when he’d give up control,” said Gudkov.

Putin is fond of a surprise though. Many thought he would not step down from the presidency in 2008, but he did, albeit to make a triumphant return to the office four years later.

The source close to the Kremlin said the outcome of the U.S. presidential election and how the winner dealt with Russia initially was likely to influence Putin’s decision.

“Putin is rather taken by global politics and won’t run unless ‘a firm hand’ is needed,” said the source. “Otherwise he will leave it to (Prime Minister Dmitry) Medvedev.”

Democratic candidate Hillary Clinton would take a tough line with Moscow, unlike Republican contender Donald Trump who has said he wants to reset ties with Russia, people close to the Kremlin believe.

THE ENEMY WITHIN

The economic outlook is bleak. More than two years after the West imposed sanctions, their impact appears to be waning and the economy is expected to return to modest growth next year.

A continuing dearth of foreign investment, something that has played a major role in kick-starting growth in the past, means the recovery is likely to take years however and growth is forecast to reach only around 0.5 percent in 2017 and stay that way for a prolonged period.

Maintaining a semblance of popular support amid signs that growing numbers of voters believe their participation in elections is an empty ritual is becoming harder too.

Turnout at the Sept. 18 vote fell to a post-Soviet low.

And while there are no signs of serious unrest among the elite, Putin’s allies are starting to worry that a threat might emerge from within the system one day.

“Our state is always destroyed from the top and from inside,” Dmitry Olshansky, a columnist for the pro-Kremlin Komsomolskaya Pravda tabloid, wrote after the election, saying the appearance of the state’s victory might be deceptive.

Such fears and the need to reshuffle officials to create the impression that the system is renewing itself help explain why Putin has replaced a slew of senior Kremlin, security and regional officials in recent months, a process seen continuing.

EARLY ELECTIONS?

Putin will have to make his mind up about the timing of the next presidential election soon.

Alexei Kudrin, an economics adviser to the government and a former finance minister, suggested bringing the vote forward to next year from 2018, saying that would allow the authorities to win a new mandate to launch tough reforms.

Kudrin, a Putin ally, did not say who he thought should stand, but the country’s elite assumed he was talking about Putin.

The finance ministry fueled speculation that such a decision has already been taken, publishing a letter in July talking about a presidential vote in 2017.

The same source close to the Kremlin said there was now a more than 50 percent chance of an early presidential election.

Political analyst Petrov said he thought early elections were highly likely unless Trump won the U.S. presidency and lifted sanctions.

A different source close to the Kremlin said:

“By 2018, the economy won’t be any better and the population will be weary. There will be more negativity around, Putin’s rating will be falling, and our financial reserves will be running out,” the source, who also declined to be named, said.

“All this backs the argument for early elections.”

OPERATION SUCCESSOR

Even if, as is widely expected, Putin decides to run for president again, he will need to begin preparing a successor.

After years of fawning state TV coverage, many voters say they struggle to imagine political life without Putin.

“The president will find himself in a trap,” the Carnegie Moscow Center said this month. “Legitimacy bestowed on a charismatic leader is not automatically passed down to his successors.”

The only other politician regularly given prominence on state TV is Medvedev, the prime minister. He stood in as president from 2008-12 to help Putin skirt a constitutional ban on anyone serving more than two back-to-back presidential terms.

He is a potential successor, though many voters find his style too soft.

Speculation about other possible successors ranges from the defense minister to the governor of the central bank to the new and unknown head of the presidential administration.

One new name to have emerged after the elections is Vyacheslav Volodin, the former deputy head of the presidential administration. Putin has said Volodin should be the new speaker of parliament, a job that would give him a high public profile.

(Additional reporting by Elena Fabrichnaya, Katya Golubkova and Daria Korsunskaya; Editing by Janet McBride)

MH17 was shot down by Russian-made missile fired from rebel held area

Local workers transport a piece of the Malaysia Airlines flight MH17 wreckage at the site of the plane crash near the village of Hrabove (Grabovo) in Donetsk region, eastern Ukraine

By Toby Sterling and Anthony Deutsch

NIEUWEGEIN, Netherlands (Reuters) – A Malaysian airliner shot down in eastern Ukraine was hit by a Russian-made Buk missile launched from a village held by rebels fighting Ukrainian government forces, international prosecutors said on Wednesday.

The findings challenge Moscow’s suggestion that Malaysia Airlines flight 17, en route from Amsterdam to Kuala Lumpur in July 2014, was brought down by the Ukrainian military. All 298 people on board, most of them Dutch citizens, were killed.

The prosecutors cannot file charges but victims’ relatives have been seeking details of who shot the plane down in the hope that it might lead eventually to prosecutions over an incident which led to a sharp rise in East-West tensions.

The Buk missile system used to shoot down the plane fired one missile from the village of Pervomaysk and was later returned to Russia, said the prosecutors, from the Netherlands, Australia, Belgium, Malaysia and Ukraine.

They told a news conference in the central Dutch city of Nieuwegein that the investigative team had identified 100 people who were described as being of interest to them but had not yet been formally identified individual suspects.

It was not clear whether an order had been given for fighters to launch the missile or whether they had acted independently, the prosecutors said.

A civilian investigation by the Dutch Safety Board also concluded last year that MH17 was hit by a Buk missile fired from eastern Ukraine, but Moscow denied that pro-Russian rebels were responsible.

Repeating those denials on Wednesday, Kremlin spokesman Dmitry Peskov said: “First-hand radar data identified all flying objects which could have been launched or were in the air over the territory controlled by rebels at that moment.”

“The data are clear-cut…there is no rocket. If there was a rocket, it could only have been fired from elsewhere,” he said.

The investigators said they had not had access to the new radar images on which Moscow was basing its latest statements.

Ukraine's President Poroshenko and Dutch ambassador to Ukraine Klompenhouwer commemorate victims of Malaysia Airlines Flight

Ukraine’s President Petro Poroshenko (R) and Dutch ambassador to Ukraine Kees Klompenhouwer commemorate victims of Malaysia Airlines Flight MH17 outside the Dutch embassy in Kiev July 21, 2014. REUTERS/Valentyn Ogirenko

RELATIVES WANT DETAILS

Victims’ families were informed of the findings shortly before the prosecutors’ news conference.

At the time of the incident on July 17, 2014, pro-Russian separatists were fighting Ukrainian government forces in the region. The Boeing 777 broke apart in mid-air, flinging wreckage over several kilometers (miles) of fields in rebel-held territory.

Prosecutors cannot file charges because there is no international agreement on what court a case would be heard in.

Speaking before the news conference, Silene Fredriksz, whose 23-year-old son Bryce was on the airplane with his girlfriend, Daisy Oehlers, said the victims’ families wanted justice.

“As a family we are impatient. We want to know what happened, how it happened and why. We want those responsible to face justice,” she said.

The downing played a significant part in a decision by the European Union and United States to impose sanctions on Russia over the Ukraine conflict.

Ukrainian and Western officials, citing intelligence intercepts, have blamed pro-Russian rebels for the incident. Russia has always denied direct involvement in the Ukraine conflict and rejects responsibility for the destruction of MH17.

Prosecutors have sought legal assistance from Moscow since October 2014, and visited in person for a week in July.

“Russian authorities have offered information in the past, but have not answered all questions,” they said in a statement at the time.

(Writing by Timothy Heritage; Editing by Pravin Char)