TOPSHOT - Two eldery women stand in a basement shelter in the city of Stepanakert on October 23, 2020, during the ongoing fighting between Armenian and Azerbaijani forces over the breakaway region of Nagorno-Karabakh. - The Russian president said on October 22 that the death toll was nearing 5,000 since full-scale fighting reputed last month, in the worst flare-up in the disputed Nagorno-Karabakh region in more than two decades. (Photo by ARIS MESSINIS / AFP)