In the northeast MSF has witnessed a worrying increase of COVID-19 cases over the past few weeks. In the last week of September, an average of 342 people tested positive each day: the highest daily number since the pandemic began. While the numbers had started to come down in the first week of October, the only laboratory able to perform PCR tests to diagnose COVID-19 in the region is running short on materials and faces the possibility of having to stop all testing in the coming weeks if the numbers do not continue to decline. The supply of oxygen is also under serious strain, with the COVID-19 treatment facility in Hassakeh forced to source oxygen cylinders from Qamishli, Raqqa and Tabqa cities in order to meet demand. In response to this new COVID-19 wave, MSF is partnering with a local organisation, to care for people with suspected or confirmed COVID-19 in treatment centres in Hassakeh and Raqqa city.