BAGHDAD - At least seven civilians were killed and 23 wounded by Islamic State mortar shells as they tried to flee Mosul’s militant-controlled Zanjili district on Thursday, Iraqi police said.

Zanjili is part of the enclave that remains in the hands of Islamic State in the northern Iraqi city, alongside the Old City centre and the Medical City hospitals complex.

US-backed Iraqi government forces retook eastern Mosul in January and began a new push on Saturday to capture the enclave where about 200,000 people are trapped, regularly dropping leaflets telling families to flee.

The wounded from Zanjili were taken to a field clinic, a police officer told Reuters, adding that more people could have been killed while trying to flee. They were part of the first group of civilians who have managed to escape.

Several dozen other civilians managed to reach government-held lines unhurt, using the same exit route, the officer said.

The population in the Islamic State-held enclave live in harrowing conditions, running low on food, water and medicine, and with limited access to hospitals, the United Nations said on Sunday.

The militants began moving their prisoners out of the Medical City district as Iraqi forces advanced on them, two residents speaking by phone said, asking not to be identified.

Islamic State used basements in the Medical City as jails for former army and police officers and also people violating a code of conduct which forbids such activities as selling cigarettes and smoking.

The militants ordered dozens of families living in Zanjili district to move into the Old City to prevent them escaping towards the Iraqi forces, a resident told Reuters on Wednesday.

The Mosul offensive, now in its eighth month, has taken much longer than expected, with Iraqi government advances slowed by the need to avoid civilian casualties.

The fall of the city would, in effect, mark the end of the Iraqi half of the ‘’caliphate’’ declared in 2014 over parts of Iraq and Syria by Islamic State leader Abu Bakr al-Baghdadi, in speech from a historic mosque in Mosul’s old city.

In Syria, Kurdish forces backed by US-air strikes are besieging Islamic State forces in the city of Raqqa, the militants’ de facto capital in that country.

The militants have been countering the offensive with suicide car and motorbike bombs, snipers, booby-traps and mortar fire.

About 700,000 people, about a third of the pre-war city’s population, have already fled, seeking refuge either with friends and relatives or in camps.

Fleeing Raqqa, 10,000

refugees mass at camp

north of Syrian city

About 10,000 civilians have fled to a camp just north of Islamic State’s bastion of Raqqa with hundreds more arriving each day as the battle for the city nears, Medecins Sans Frontieres (MSF) said on Thursday.

Residents are escaping Raqqa under cover of night as US-backed forces close in, taking their chances against minefields and hostile fighters rather than risking death in a major battle expected to begin soon.

“It is not a massive exodus, but about 800 people a day are arriving in Ain Issa every day,” Natalie Roberts, an emergency doctor from MSF France who had just returned from the region, told reporters.

The camp in Ain Issa village is run by the US-backed Syrian Democratic Forces, which is made up predominantly of Kurdish fighters, who have now arrived to within 3 km (2 miles) of Raqqa and plan to press on with the assault on Islamic State.

The SDF had planned to make the camp a transit point for civilians. But the need to register each person and with many not having an alternative destination to travel to, the camp has expanded to beyond its 6,000-person capacity, Roberts said.

Conditions have deteriorated especially due to the summer heat. The United Nations and other aid groups have yet to establish themselves in the zone, she said.

MSF is providing basic care including vaccinations, maternity care and treatment of chronic conditions. People with war wounds, mostly caused by mines, are being sent to three MSF hospitals further north.

It is unclear how many people remain in Raqqa, Islamic State’s Syrian base of operations for more than three years and a major symbol of the cross-border “caliphate” in Iraq and Syria. The city’s population was estimated at 200,000 before the recent departures.

Roberts said that coalition bombing in Raqqa had appeared to be well targeted so far, but that the city’s hospitals would not be equipped to handle the sort of injuries resulting from an intensification.