Baghdad: Tens of thousands of trapped Iraqi civilians are running out of food and medicine in the western city of Fallujah, an IS stronghold under siege by security forces, according to local officials and residents.
The Iraqi army, police and militias - backed by air strikes from a US-led coalition - imposed a near total siege late last year on Fallujah, located 50km (30 miles) west of Baghdad in the Euphrates river valley.
The city's population is suffering from a shortage of food, medicine and fuel, residents and officials told Reuters by phone, and media reports said several people had died due to starvation and poor medical care. Insecurity and poor communications inside the city make those reports difficult to verify.
Sohaib Al Rawi, the governor of Anbar province where Fallujah is located, appealed to the coalition to air-drop humanitarian supplies to the trapped civilians. He said this was the only way to deliver aid after IS mined the entrances to the city and stopped people leaving.
"No force can enter and secure (the delivery)... There is no option but for airplanes to transport aid," he said in an interview with Al Hadath TV late on Monday, adding the situation was deteriorating by the day.
Fallujah - a long-time bastion of militants - was the first Iraqi city to fall to IS, in January 2014, six months before the group that emerged from Al Qaeda swept through large parts of northern and western Iraq and neighbouring Syria.
Since recapturing the city of Ramadi - a further 50km to the west - from IS a month ago, Iraqi authorities have not made clear whether they will attempt to take Fallujah next or leave it contained while the bulk of their forces head north towards Mosul, the largest city under the militants' control.
Falih Al Essawi, deputy chief of Anbar's provincial council, said IS had turned Fallujah into "a huge detention centre".
"Security forces managed to control almost all areas around Fallujah. This victory has helped to reduce IS attacks outside the city, but it cost too much because civilians now are paying the price," he said from Ramadi, warning of a potential humanitarian disaster.
A doctor at a hospital in Fallujah said medicine and supplies were running low, especially for post-natal care.
"What is the sin of those born after living in their mothers' womb without nutrition or protection?" she said.
Spokesmen for the Iraqi army, police and militias besieging Fallujah were not immediately available to comment.
The US-led coalition battling IS estimates there are around 400 fighters from the ultra-hardline militant group in Fallujah, though some military analysts put the figure at closer to 1,000.
The coalition, which includes European and Arab powers, dropped food and water in 2014 to members of Iraq's minority Yazidi community trapped on Mount Sinjar by IS - a humanitarian crisis that sparked the international air campaign.
A Baghdad-based spokesman for the coalition did not rule out a similar operation in Fallujah but said I's control of the city made it more challenging.
"The thing about an air-drop is it's very difficult to control who gets it," said US Army Colonel Steve Warren. "The conditions have to be such that the people who you want to receive the supplies are actually able to receive them and there's no evidence that that's the case in Fallujah."
Fallujah, known as the "City of Minarets and Mother of Mosques", is a focus for faith and identity in Iraq. It was badly damaged in two offensives by US forces against Al Qaeda insurgents in 2004 following the invasion that toppled Saddam Hussein.
Maria Fantappie, Iraq analyst at the International Crisis Group think-tank, said the humanitarian situation would remain grave even after the siege ended as much of the city's infrastructure had been destroyed in the fighting.
Rawi, the provincial governor, said IS was using civilians as human shields in Fallujah like it did in Ramadi - a tactic that slowed the advance of Iraqi forces.
He said media reports of up to 10 deaths due to starvation and insufficient medical care were accurate, but local officials could not provide details.
The price of food in Fallujah's markets has rocketed and bakeries have begun rationing bread, residents told Reuters. They said fuel had become scarce during the cold winter months when temperatures drop close to freezing.
One man, who like the other residents declined to be named, said the last time IS distributed basic food items a few weeks ago, much of it had already gone off.
Lise Grande, UN humanitarian coordinator in Iraq, described conditions in Fallujah as "terrible".
"We're incredibly worried about the unconfirmed reports of people dying because of lack of medicine and widespread hunger," she told Reuters.
The United Nations appealed on Sunday for $861 million to help Iraq meet a big funding gap in its 2016 emergency response to the humanitarian crisis caused by the war against IS which has left 10 million people in need of urgent aid.