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Nizar Fattouh, a nurse in Ibn Sina Hospital in Idlib city, received one of 53,800 AstraZeneca vaccines delivered to northwest Syria through Turkey on April 21.

The vaccines come amid a new surge of infections in the war-torn country. Syria's supplies of oxygen are depleted and its hospitals were already overwhelmed from 10 years of conflict and deteriorating health care services.

The AstraZeneca vaccines were delivered to the rebel-controlled area through a border crossing with Turkey, the northwestern territory’s only gateway to the outside world.

Idlib health official Yasser Najib said the jabs were provided through the U.N.-led COVAX program for the world’s poor and developing nations.

He said the vaccination campaign will last 21 working days, starting Saturday in two of the enclave's largest hospitals. On Monday, the campaign will unfold in other health centers, Najib said.

He said the small quantity of doses means prioritizing health care workers and aid personnel who are on the front line of the battle against the coronavirus. Infections among health care workers in the enclave have been high, accounting for as much as 30% of confirmed cases at one point.

There are over 21,000 confirmed infections in rebel-held Idlib province, home to 4 million people, most of them displaced from different parts of Syria by the conflict.

At least 641 have died in the area from Covid-19 related complications. Conflict has subsided in the area, but outbreaks of violence are still reported.

Syria has been divided by the war so vaccinations in government-controlled areas, nearly 60% of the country's territory, take place separately.

The Syrian government has secured 200,000 vaccines through the U.N.-led program but also has obtained doses from China, Russia and the United Arab Emirates. A limited inoculation campaign had also begun in government-controlled areas that are experiencing increased pressure on hospitals.

In the Kurdish-controlled northeast, authorities announced this week they will extend a partial lockdown amid a surge in infections. The one-week extension comes as an international aid group warned of oxygen shortages in the region.

Northeastern Syria, administered by a Kurdish-led authority, doesn’t have a separate inoculation program and is dependent on Damascus for testing for the virus and for vaccinations. The local health department reported 123 new cases and 14 deaths in the region, which is home to nearly 4 million people and borders Turkey and Iraq. The new cases raise to nearly 15,800 the total registered coronavirus cases in the region, including 571 deaths.

The World Health Organization has said the vaccination campaign in Syria aims to inoculate 20% of the total population residing in the country by the end of the year.