Today, hundreds of thousands of Syrians are again fleeing an upsurge in violence and the ongoing attacks on healthcare facilities.
Since December Russian-backed Syrian government forces have upped their assault on Idlib province, slowly chipping away at its southern edge.
The offensive has pushed over half a million people out of their homes in the last two months, many fleeing north to overcrowded refugee camps on the Turkish Border.
Yesterday, government forces encircled the town of Saraqib, a significant rebel stronghold less than 10 miles from the provincial capital.
Once it falls, it could be the last staging point before a full on assault on the city itself.