In northeast Syria, MSF scaled up activities as a rapid influx of more than 60,000 displaced people arrived at Al-Hol camp, most of them from the IS group’s last strongholds of Deir ez-Zor governorate. Later that year, the Turkish military, alongside allied Syrian armed opposition groups, launched the ‘Peace Spring’ operation, aimed at clearing the Kurdish People’s Protection Units from a strip of land 30 kilometres long and 440 kilometres wide along the Turkish border. On top of continuous conflict and displacement, by 2019, Syria was going through its worst economic crisis in years and the Syrian pound reached an all-time low on the black market, making people’s lives even more difficult.