Once a popular holiday destination for wealthy Syrians, Madaya is now plagued by month-long sieges from forces loyal to tyrant Bashar al-Assad.
Dr Mohamad Youssef, who acts as the manager of the medical council in Madaya, said two or three residents die of starvation each day.
After huge public outcry, the Syrian government has agreed to allow aid into the stricken area.
Residents are dangerously short of food, medicine and electricity as inflated prices mean a kilogram of rice costs as much as £170, leading them to kill and eat their pets in desperation.
Thousands are trapped without supplies, as families are forced to eat grass and water flavoured with spices in the shattered mountain town.
Louay, a local social worker, said: "People are dying in slow motion.
"We used to say nobody could ever die from hunger, but we have seen people actually die of hunger."
Dr Mohamad Youssef,said: "The death toll is striking mostly the elderly, the women and children.
"The medical staff are on high alert 24 hours. They are receiving people who are severely ill and fainting all hours - day and night."
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