The latest exchanges signal that the Nagorno-Karabakh [(Artsakh)] conflict risks spiraling out of control. It is civilians across the region who are suffering the consequences. Civilian lives are being lost at an alarming rate. People are suffering life-changing injuries. The International Committee of the Red Cross (ICRC) on Wednesday noted this on Twitter.

“We are in contact with the sides in bilateral, confidential dialogue to remind them of their obligations under international humanitarian law. The appalling scenes that we are seeing cannot continue.

We strongly condemn the latest surge in violence in the Nagorno-Karabakh conflict. Civilian casualties mount as there is intense shelling in urban areas. Just today, an @AzRedCrescent volunteer died. He was a father of two.

Since the onset of the escalation at the end of September we’ve urged the sides to take all feasible measures to protect & spare civilians & civilian infrastructure like hospitals, schools, markets & cultural property. These are obligations under international humanitarian law.

Death. Destruction. Desolation. The intense shelling we witnessed today is unacceptable,” the ICRC added.