Tribal fighting has continued in Sebha for the fourth day with at least 15 people now killed and more than 35 wounded. The conflict between the Awlad Suleiman and the Qaddadfa tribes paused briefly this morning when a two-hour ceasefire was agreed. However, shooting resumed well before the period elapsed. The fighting has focused on the Al-Minshiya and Al-Mahdiya areas but families have been seeking to quit other areas of the town as the fire fights move around. Inhabitants confined in their homes for the battles reported properties shaking as heavy mortars and a tank cannon were fired as well as a heavy calibre DShKM (Dushka) machine gun. Sebha Medical Center called in all its staff to help with what it said was a state of emergency as more and more dead and injured were brought in. A spokesman warned that the hospital no longer had the medication nor the staff to deal with a crisis of this size.