Heavy and indiscriminate shelling and bombing by the srilankan army in Vanni caused 18 deaths in December. Among those killed were four children, two of them were infants. There were 91 injuries due to this bombing and shelling in Vanni in December. Among the injured were 10 children under the age of 16. The hospitals were struggling to cope with the increased number of injury admissions with shortages of medicine and blood. Total civilian toll for the month of December are: killed – 47; disappeared – 21; injured – 108; sought protection at the Human Rights Commission (Yaalppanam) – 9; and arrested 348. The total number of people displaced since 2006 in Vanni as at end of November is 262,000 .(approximately)