Syrian government forces are reported to have carried out a wave of air and artillery strikes on the besieged rebel-held Eastern Ghouta region for a fifth day running.

Forty-six more people died, bringing the number killed since Sunday to more than 400, a monitoring group says.

The UN has said the 393,000 people there are trapped in “hell on earth”.

The UN Security Council in New York is meeting to discuss a draft resolution calling for a 30-day nationwide truce.

The ceasefire would not apply to the Islamic State group, al-Qaeda and the al-Nusra Front.

But Russia’s UN representative, Vassily Nebenzia, has told the meeting that there is no agreement on the draft resolution, sponsored by Sweden and Kuwait, and he has presented amendments.