BEIRUT — One-month-old Heyim Hassan was receiving treatment for a chest infection in the Afrin general hospital in northern Syria when a shell landed a few meters (feet) away. His panicked father whisked him out of the building and spent hours looking for nebulizers to aid the infant's breathing. No one was killed in the attack, but nearly 30 children had to be evacuated to safety.
It was the third time Heyim's father, Serbest, had to seek shelter for his family in the last month. Four days after the baby was born, Turkey launched an offensive in northwestern Syria, forcing them to flee their home and Serbest's mobile phone shop to find safety in the district's center.
Nearly a month into the offensive in Afrin, hundreds of thousands of Syrians like Hassan and his family are hiding from bombs and airstrikes in caves and basements, trapped in the Kurdish enclave while Turkey and its allies are bogged down in fierce ground battles against formidable opponents.
Crammed with 40 relatives into their new shelter, a three-bedroom apartment, the baby Heyim contracted the infection. Then the new neighborhood also got shelled while he was evacuated from the hospital.
"This is how it is in Afrin. It is not just me," Hassan said in a series of messages to The Associated Press from inside Afrin, encircled and under attack since Jan. 20.
A slow-moving ground offensive, the assault on Afrin threatens to become a protracted standoff, deepening an already dire humanitarian situation. It could also prove costly for Turkey, diplomatically and militarily. So far, nearly 80 civilians in Afrin, according to the Syrian Observatory for Human Rights, and 31 Turkish soldiers have been killed. Seven civilians were killed in rocket attacks launched from Afrin on Turkish border towns.
A senior Turkish government official told the AP that Turkey pays the "utmost attention" to civilian safety, and accused the Kurdish fighters of wearing civilian clothing to hide among locals, preventing civilians from leaving Afrin and even using some as human shields — a charge denied by the Kurdish fighters.
Turkey launched its offensive with more than 70 aircraft. Airstrikes were followed by a ground assault in which an estimated 10,000 allied Syrian rebel fighters took part, backed by Turkish artillery and other troops.
Fighting on six fronts, the Turkey-backed troops have met stiff resistance from the Kurdish People's Defense Units, known as the YPG.
Turkish officials have made conflicting statements about the goals of the offensive, but have said they seek to push the Kurdish militia away from its borders.
The Turkish official, speaking on condition of anonymity in line with government regulations, said Ankara "periodically" provides information to NATO and the United Nations about the operation, insisting it is "not political" but aims to secure Turkey's borders.
The Kurdish fighters form the backbone of the U.S-backed Syrian Democratic Forces fighting Islamic State group militants in eastern Syria, but are viewed by Turkey as an extension of its own insurgents, the Kurdistan Workers Party or the PKK.
Although Afrin is encircled from all sides by Turkey, the guerrilla fighters — with years to prepare for the defense of their 1,500-square-mile (3,885-square kilometer) district — have proven a challenge.
They targeted Turkish tanks and bases and claimed to have downed at least one helicopter. Eleven soldiers were killed in one day last week. The weather and geography have also slowed down the offensive, with fog and rain grounding jets and obstructing ground advances as fighters grappled with the mountainous terrain.
The Observatory, which monitors in the war in Syria, estimates that Turkey has seized nearly 7 percent of district land along Afrin's outer edges, including a strategic hill in the east, and Bulbul, Hassan's hometown, in the north.
The YPG says 98 of its fighters have been killed. But the Observatory puts the toll at over 160, and estimates that over 200 Turkey-backed Syrian fighters have been killed.
YPG commanders hinted they could open new fronts against Turkey.
"We are in the first phase of the battle now," said YPG commander Sipan Hemo. "This strategic battle will not end ... until we teach the Turkish occupation the right lessons, and they withdraw to their borders."
Noah Bonsey, senior analyst with the International Crisis Group who recently returned from Kurdish-controlled territories in northern Syria, said Turkey may either remain along the edges of Afrin or attempt to gain additional ground inside the enclave.
"This is when things could really turn dangerous," he said. "I think it is unclear where things are moving from here. All eyes are on (U.S. Secretary of State Rex) Tillerson's visit to Ankara."
On Friday, Tillerson urged Turkey to show "restraint" in Afrin to minimize casualties and escalation in the area. He also said he presented several U.S. proposals to deal with "critical issues" between Washington and Ankara before the middle of March, including troop deployment to address Turkish border security concerns. But he offered no specific details.
"We are going to work together going forward," Tillerson said during a press conference with his Turkish counterpart Mevlut Cavusoglu.
Ultimately, Ankara wants Washington to halt its support for the Syrian Kurdish militia.
Afrin's offensive has emboldened Washington's adversary, the Syrian government, which with Russia's aid, is presenting itself as the solution to the bloody, unpredictable conundrum. Russia has tried to secure the return of some form of government presence to Afrin, asking the Kurdish militia to cede control of security and borders to Damascus.
Although the YPG rejected the proposal, it remains the only idea on the table and Kurdish commanders have recently called publicly on the Syrian government to assume its role guarding Afrin's borders.
The U.N., which has no access to Afrin, said it was "extremely difficult" to verify numbers of the displaced, estimating in the first week of February that between 15,000 to 30,000 people were uprooted inside the enclave. Estimates for Afrin residents, including those displaced from elsewhere in Syria — range from 300,000 to 800,000 people.
Local Kurdish official Arefeh Bakr said it was a struggle assisting people holed up with relatives in small apartments and caves. She herself is hosting 25 people in her home, relatives displaced from nearby villages.
"We don't want aid or help," Bakr said. "We just want an end to the airstrikes."
Jiwan Mohamed, director of the Afrin general hospital, said a staff of about 250 doctors and nurses, are overwhelmed with injuries, particularly with a lack of blood transfer products and emergency kits. The U.N. said there are four other facilities in the district center, including one operated by a U.N. partner.
Fuel and food supplies have come in through government-held areas, ensuring that prices have not gone up. A water treatment plant was damaged, temporarily affecting supply to one area in the north.
Local authorities are preventing people from leaving Afrin, except for critical medical cases allowed out by them and the Syrian government, the U.N. says. The Turkish official said those who managed to escape reached Turkish-run camps in Syria.
For Hassan, the return the Syrian government to Afrin is the least bad option. Afrin was one of the first areas to join the protests against the Syrian government that eventually turned into the current conflict.
But the prospect of Turkey-backed rebels swarming their town is frightening, he said.
Dozens of videos have surfaced showing Turkey-backed rebels taking hostages in Afrin, mistreating the elderly and mutilating the body of a female Kurdish fighter.Comment on this story
"This shows what will happen to us," Hassan said. "We are waiting in anticipation and watching videos."
In Turkey, the Afrin offensive is popular, playing to nationalist and anti-Kurdish sentiments ahead of the 2019 elections. Turkish opposition lawmaker and member of the defense committee, Dursun Cicek, said the operation is progressing slowly.
"But Turkey is not in any hurry," he said.
Associated Press writers Suzan Fraser in Ankara, Turkey, and Vladimir Isachenkov in Moscow contributed to this report.