While many younger people have been able to flee from several locations, there are tens of thousands of elderly – many of them disabled – who are trapped and unable or unwilling to leave.

Global charities have expressed deep concerns that intensified fighting in eastern Ukraine will lead to besiegement of entire cities and towns. The immense suffering and bloodshed that engulfed Mariupol may be senselessly repeated elsewhere, as the country marks two months of war.

“The escalation of war in east Ukraine will result in horrific bloodshed and mass displacement from the eastern regions, including Luhansk and Donetsk, re-traumatising communities who have already suffered eight years of hostilities. In some places the escalation may also lead to entire cities being besieged,” warned Jan Egeland, Secretary General of the Norwegian Refugee Council (NRC), on a five-day visit to Ukraine.

“It’s heart-breaking to think about the horrors these people are forced to relive, and to know that we are unable to get lifesaving assistance into many affected areas. We call for an immediate ceasefire to stop this tidal wave of human suffering.”

Several areas in eastern Ukraine are already on fire or completely in ruins. Communities in Luhansk and Donetsk regions are fully dependent on humanitarian aid as markets in the east have collapsed.

Full and unimpeded humanitarian access to all communities in the east, and elsewhere across Ukraine, is a matter of life-or-death.

Civilians caught up in fighting must be enabled to leave voluntarily and safely in any direction they choose. Adequate security allowing civilians to evacuate from the hardest-hit areas is crucial.

Humanitarian needs across Ukraine continue to skyrocket as the country marks two months of war. One in four Ukrainians – have been forced to flee their homes in the fastest mass flight this century. Hundreds of thousands of people remain trapped in areas of active hostilities without access to food or water. Thousands have been killed in several parts of the country because of the use of explosive weapons in densely populated areas.

NRC staff report that entire communities have experienced massive trauma, with children terrified of the slightest noise. Families lack everything from cancer medication to baby diapers. Homes, hospitals and roads have been destroyed all over Ukraine.

HEADER: Facts and figures
• NRC has ongoing operations in Lviv, Ternopil, Luhansk, eastern Ukraine, Poland, Romania, and Moldova. We plan to assist 800,00 displaced people over the coming months.
• NRC has been working in Ukraine since 2014 assisting over 700,000 people through its legal aid, food security and livelihoods, WASH and shelter programmes.
• 12 million people have been displaced since the war began on 24 February – over 7 million inside Ukraine and over 5 million to neighbouring countries.
• 12 million people inside Ukraine are estimated to need humanitarian aid.
• At least 199 health facilities suffering attacks, while hundreds of thousands are now without water or electricity.
• NRC is part of two appeals launched by the humanitarian community on 1 March calling for $1.7 billion to help 16 million people across Ukraine ($1.1 billion) and beyond ($551 million). Over $1.5 billion of support has already been committed.
• UNICEF estimates that over 2 million children have already fled Ukraine.