During the Battle of Baghuz Fawqani in December 2018, the camp saw a massive influx of refugees in a series of massive civilian evacuations, with people fleeing the fierce fighting between the SDF and ISIL. Conditions along the road to the camp, including in screening centers for ISIL operatives, have been described as "extremely harsh" with limited food, water, shelter and no health services. As of 4 February 2019, at least 35 children and newborns had also reportedly died either en route or shortly after arriving in the camp, mostly due to hypothermia.