New regime air strikes hit the last rebel pocket Syria's Eastern Ghouta on Sunday, a monitor said, despite reports the fighters had struck a ceasefire deal with regime ally Russia.

The Syrian Observatory for Human Rights war monitor said raids had resumed a day after more than 40 people were killed in other strikes on Douma, where dozens also suffered from breathing difficulties.

Negotiators in Douma and the Syrian state news agency SANA said a deal had been reached for negotiations with the Jaish al-Islam rebel group, who hold Douma, the last pocket of resistance in Ghouta.

On Sunday morning, a civilian committee taking part in the talks between the rebels and Russia announced "a ceasefire and the resumption of talks today" hoping it will lead to a "final accord".

SANA, citing an official source, said the "Jaish al-Islam terrorists are requesting negotiations with the Syrian government and the government will begin these negotiations within two hours".

The Britain-based Observatory said "regime aircraft have resumed bombardment of Douma" after a brief lull overnight, adding that the strikes were aimed at piling pressure on Jaish al-Islam.

It added, however, that "despite the renewed strikes, negotiations are underway".

According to the Observatory, air raids killed 42 people in Douma on Saturday and 30 of Friday.

It also reported that 70 civilians suffered from breathing difficulties on Saturday, and that 11 of them, including four children, had died.

The White Helmets rescue organisation, Jaish al-Islam and Syria's main opposition forces however claimed that Douma had been hit by a chemical attack.

Syrian state media denounced the allegations as "fabrications".

The Observatory's Abdel Rahman said he could not "confirm or deny" the claims of a chemical attack.

But he said the civilians had difficulty breathing probably because of the amount of smoke that rose over Douma "after the air strikes".

A regime offensive against Ghouta since February 18 has killed more than 1,600 civilians and sliced the area into three isolated pockets, each held by different rebel factions.

The first two were evacuated under Russian-brokered deals last month that saw more than 46,000 rebels and civilians bussed to opposition-held Idlib province in the northwest.

But talks with Jaish al-Islam which controls Douma -- the third and last pocket -- have faltered despite a preliminary accord last week that saw nearly 3,000 fighters and civilians bussed to northern Syria.

Air strikes return to Syria's Ghouta killing 32 as talks sputter
Beirut (AFP) April 6, 2018 - Air strikes killed 32 civilians in the last opposition-held town in Syria's Eastern Ghouta on Friday and the army launched a ground offensive on its outskirts after talks sputtered over a rebel withdrawal.

Backed by Russia, Syrian troops had captured nearly all of the one-time opposition stronghold of Ghouta with a combination of ferocious bombing raids and negotiated withdrawals.

All that remained was its largest town of Douma, held by the Jaish al-Islam Islamist faction and home to tens of thousands of people.

Moscow announced a deal with Jaish al-Islam last Sunday, ushering in three consecutive days of evacuations from Douma that saw nearly 3,000 fighters and civilians bussed to northern Syria.

But the evacuations stalled this week amid reports Jaish al-Islam remained divided over a withdrawal, and heavy bombing hit Douma on Friday afternoon for the first time in around 10 days.

The Syrian Observatory for Human Rights said dozens of air strikes hit various parts of Douma, including some suspected to have been carried out by Russian warplanes.

"At least 32 civilians died, including seven children," said Observatory head Rami Abdel Rahman, adding that around 50 people were wounded.

On Douma's outskirts, Syria's army entered fields surrounding the town, state news agency SANA said.

Regime forces were locked in violent clashes with Jaish al-Islam rebels in agricultural areas to the southwest and east of the town, the Observatory said.

- Dentists operating -

A medic inside Douma described to AFP chaos at the local hospital as wounded and dead were brought in.

"The hospital is in a state of panic," the medic said.

"Dentists are carrying out emergency surgeries. Dead bodies are being brought in pieces and are unrecognisable."

A doctor inside the town said state television was broadcasting the bombardment live.

"It feels like we're back in the days of the Gaza war" when Israel was bombing the Palestinian enclave and people around the world watched, he said, giving his name only as Mohammed.

State news agency SANA said Syrian air strikes hit the town on Friday in response to deadly rebel mortar fire from Douma.

It said mortar shells hit several suburbs of the capital and killed at four people and wounded more than a dozen.

But Jaish al-Islam spokesman Hamza Bayraqdar in a statement late Friday denied that the group had targeted any Damascus neighbourhood.

The regime and its ally Russia launched a blistering air and ground offensive on Eastern Ghouta in mid-February, killing more than 1,600 civilians and causing an international outcry.

The enclave on the eastern edge of Damascus had escaped government control since 2012 and, although it had shrunk over the years, it still covered sizeable territory two months ago.

The daily air raids kept residents cowering in basements for weeks and a ground assault soon sliced the area into three isolated pockets, each held by different rebel factions.

- Deal dead? -

The first two were evacuated under Russian-brokered deals last month that saw more than 46,000 rebels and civilians bussed to the northwestern province of Idlib, which the regime does not control.

Tens of thousands of people also fled through humanitarian corridors opened by Russia and Syrian troops.

Some have already returned to their devastated neighbourhoods, while others are staying in crowded shelters.

As talks over the third and final pocket of Douma dragged on, Russia and Syria's regime threatened Jaish al-Islam with a renewed military assault if they did not agree to withdraw.

Those still trapped in Douma had been nervous that any attempt to renege on an evacuation would only prompt Russia and regime warplanes to resume deadly strikes.

The nature of the ongoing discussions over Douma is unclear and Jaish al-Islam itself has not stated its position since this week's first evacuation.

It remains unclear exactly why the talks between Moscow and Jaish al-Islam have faltered.

SANA reported that they fell apart when rebels refused to release detainees they were holding in Douma, and said Friday that "military operations against Jaish al-Islam will not stop until the hostages are released."

Jaish al-Islam had been angling for a reconciliation deal that would allow them to stay in Douma as a police force.

The group appears to have little leverage, however, to face the regime's recovered might, and the latest strikes raised fears of a brutal end to the five-year-old siege of Eastern Ghouta.

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