Monitors and activists say more than 1,100 people have been killed since the government offensive began.
Syrian government forces have made major inroads into one of the last rebel strongholds, east of the capital Damascus.
They have divided Eastern Ghouta into three parts, isolating the main town of Douma.
And there are reports rebel groups are considering an evacuation deal with the government.
Al Jazeera’s Mereana Hond reports.
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