UNICEF, the United Nations agency for children, issued a mostly blank statement Friday to express outrage over the continued suffering of Syrian children and at the justifications used by those inflicting the pain.

The statement was released as aid agencies and monitoring groups said that more than 100 people had been killed in government attacks on the rebel-held Damascus suburb of Ghouta, in what was described as one of the bloodiest 24-hour periods of Syria's seven-year war.

UNICEF released a mostly blank statement in response. Here it is in full:

Reports of mass casualties among children in Eastern Ghouta and Damascus
From Geert Cappelaere, UNICEF regional director for the Middle East and North Africa
AMMAN, 20 February 2018- “No words will do justice to the children killed, their mothers, their fathers and their loved ones”.

A note accompanied the statement:

UNICEF is issuing this blank statement. We no longer have the words to describe children’s suffering and our outrage. Do those inflicting the suffering still have words to justify their barbaric acts?

Ghouta is the last bastion of control for the Syrian opposition outside the capital. It has been surrounded for four years by government forces, who appear to be targeting hospitals, according to the Union of Medical Care and Relief Organizations.

Even before the most recent attacks, there was serious concern about a humanitarian disaster. After a visit to eastern Ghouta last week, United Nations coordinator Ali Al-Za’tari described the situation as “far graver than imagined” and called for a one-month cessation of hostilities to allow aid groups access to the area.

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