S/2018/138 14/19 18-02426 42. Nevertheless, progress on these issues remains to be seen. The level of humanitarian access remains catastrophic, in particular to the 5.6 million Syrians in acute need. No convoys have reached a besieged area in more than two months; this is the worst situation regarding United Nations access to besieged locations since 2015. There were also limitations on access for all modalities of assistance delivery in January. Medical evacuations continue to be urgently required. International humanitarian law is clear that medical evacuations are an obligation based on medical need alone. 43. Accountability for serious violations is a requirement under international law and central to achieving sustainable peace in the ...