In camps in northwest Syria, where there is limited access to basic shelter, sanitation, food, water and medical care, the harsh living conditions become even more overwhelming during winter. People living in camps face the prospect of suffering from respiratory diseases, as well as complications related to smoke inhalation, burns, waterborne diseases, and frostbites. Every year, MSF witnesses the direct health impact of winter through its activities in the camps. In order to proactively mitigate the consequences of the cold winter on the displaced people, MSF teams are currently conducting “winterization” activities that include distributing kits of warm clothes, tarpaulins, mattresses and blankets to around 3000 families in 18 camps. Moreover, a total of 3,916 families benefited from tent flooring, roof isolation and thermal insulation to overcome flooding and extreme cold temperature. MSF has also deployed health promotion teams to spread health awareness messages about common winter diseases, assess people’s health needs, and inform them about MSF’s mobile clinic services.