Jad Salem, a doctor with UOSSM (Union of Medical Care and Relief Organizations), explained to BuzzFeed News, "People are not coming to hospitals because they are afraid they will be military targets now." In order to reach a doctor, "people have to make a journey of two to three hours, with bleeding injuries," Salem said. "It is not only the distance, but you have to go the safe route. With no petrol, diesel, no cars, no public transportation. Walking most of the time." Salem said the situation in Idlib was like "we are in the first world war."