Three years after popular protests drew a brutal response from the Syrian authorities, leading to internal armed conflict, a quarter of a million civilians are living under siege in Syria. This report focuses on the situation in Yarmouk, where the siege has had the harshest impact and has caused the largest number of deaths from starvation. When the current crisis began, Yarmouk was home to the country’s largest Palestinian refugee community. Thousands of people displaced by fighting elsewhere in of Syria have since arrived to seek shelter there.