After months of siege followed by tenuous and unreliable access for humanitarian agencies like UNRWA, Yarmouk camp and its thousands of residents are desperately in need of support. The sheer scale of suffering is unimaginable and almost impossible to articulate. With this food distribution on 24 February, UNRWA sought to provide a small piece of the help they need. Each parcel handed out helps, but unhindered, reliable and continuous access remains vital. The suffering of Yarmouk residents is not acceptable.