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Several medical, monitoring and activist groups reported details of a chemical attack, but figures vary and details of what happened are still emerging."Seventy people suffocated to death and hundreds are still suffocating," said Raed al-Saleh, head of the White Helmets. An earlier, now deleted tweet, put the number dead at more than 150.
The pro-opposition Ghouta Media Center tweeted that more than 75 people had "suffocated", while a further 1,000 people had suffered the effects of the alleged attack.It blamed a barrel bomb allegedly dropped by a helicopter which it said contained Sarin, a toxic nerve agent.
The Union of Medical Relief Organizations, a US-based charity that works with Syrian hospitals, told the BBC the Damascus Rural Specialty Hospital had confirmed 70 deaths.A spokeswoman said reports on the ground suggested a much higher number of around 180 dead, but that it was hard to reach victims.
She said there were reports of people being treated for symptoms including convulsions and foaming of the mouth, consistent with nerve or mixed nerve and chlorine gas exposure.
Continued shelling overnight and on Sunday was making it impossible to reach victims.
As the allegations emerged, Syria's state news agency Sana said the reports were invented by the Jaish al-Islam rebels who remain in control in Douma.
"Jaish al-Islam terrorists are in a state of collapse and their media outlets are [making] chemical attack fabrications in an exposed and failed attempt to obstruct advances by the Syrian Arab army," Sana said.
Has the Syrian government used chemical weapons before?
In August 2013, rockets containing the nerve agent Sarin were fired at rebel-held areas of the Eastern Ghouta, killing hundreds of people.A UN mission confirmed the use of Sarin, but it was not asked to state who was responsible. Western powers said only Syrian government forces could have carried out the attack.
In April 2017, more than 80 people died in a Sarin attack on the opposition-held town of Khan Sheikhoun, and a joint inquiry by the UN and the Organization for the Prohibition of Chemical Weapons (OPCW) held the Syrian government responsible.
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