Winter is approaching and, as part of MSF's response to the ongoing health crisis in Northwest Syria, field teams have conducted a week-long assessment in 23 camps, targeting 4,491 households in both Western Aleppo Countryside (WAC) and Idlib. During this time, MSF noticed that almost all households in the areas we visited in WAC and Idlib are without winter protective gear, and some of the tents are not well-insulated to protect families from the cold. If nothing is done, many of these families will be exposed to winter-related diseases and will face the massive drop in temperature in shelters that are underprepared to protect from the cold.