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COLOMBO — Human Rights Watch called on the Sri Lankan government and ethnic Tamil rebels Thursday to allow thousands of families to flee the northern war zone. A local doctor said scores of civilians were killed and hundreds wounded in two days of shelling.
A Red Cross staff member reportedly helping evacuate wounded patients from the area was among those killed.
International aid groups have expressed growing concerns for the safety of the civilians in recent weeks as government forces pushed the rebels out of much of their de facto state in the north and cornered them in a tiny strip of land along the northeast coast.
Health officials and witnesses have accused the government of killing civilians in artillery attacks, and the rebels of holding the local population hostage for use as human shields against the military offensive. Both sides deny the accusations.
Aid groups estimate 200,000 civilians might be trapped along with the rebels. The government says the number is closer to 70,000.
Human Rights Watch said the civilians in the area were at grave risk from the fighting and dwindling supplies of aid, and said a "humanitarian disaster" was unfolding in the country.
"A humanitarian evacuation of civilians is desperately needed right now," said Brad Adams, Asia director for the New York-based rights group.
The group, which estimated 2,000 civilians were killed in recent fighting, called on the government and the rebels to work together to let the civilians flee and to allow aid into the area.
The top government health official in the war zone, Dr. Thurairaja Varatharajah, said the tiny area still under rebel control along the northeastern coast was packed with civilians and under constant shelling.
"Day and night they are shelling. There isn't any gap," he told The Associated Press by telephone from a makeshift hospital in the war zone.
The shells fell both inside and outside a government-declared safe zone in rebel territory that the military promised not to attack, Varatharajah said.
The shelling killed 60 civilians Wednesday and injured 159 others, he said. By noon Thursday, five bodies had been brought to the makeshift hospital and 94 more wounded civilians were admitted, he said.
The number of casualties is quickly escalating because civilians are so densely packed into the 19-square-mile (50-square-kilometer) area still under rebel control, he said.
"If one shell falls, there are a big number of deaths, a big number of casualties," he said.
The pro-rebel Web site TamilNet said a Red Cross worker, who was returning from assisting a sea evacuation of wounded civilians, was among those killed Wednesday. Sophie Romanens, a spokeswoman for the International Committee of the Red Cross, confirmed a local staff member was killed by shrapnel, but did not provide details of the incident.
Military spokesman Brig. Udaya Nanayakkara denied the government was responsible for the attacks.
"We don't even use shells now. It's all house-to-house fighting, street-to-street," he said. "Hardly any artillery is being used. It's all false propaganda."
Verification of the fighting is not possible because independent journalists are barred from the war zone.
Many of those trapped in the area were running out of food, Varatharajah said. Some were eating only one meal a day and others had begun eating inedible leaves from trees, he said.
Over the past week, 13 people — most of them elderly — died from starvation, he said.
The population also has no clean supply of water or sanitation facilities and is facing outbreaks of diarrhea, chicken pox and hepatitis, he said.
The rebels have been fighting since 1983 for an independent state for ethnic Tamils after decades of marginalization by governments controlled by Sri Lanka's Sinhalese majority. More than 70,000 people have been killed in the fighting.
