A dense sandstorm engulfing parts of the Middle East left at least eight people dead and hundreds suffering from respiratory problems on Tuesday, as officials warned residents to stay indoors.

Large parts of Lebanon, Syria, Israel and Cyprus were shrouded in a thick cloud of dust from the storm that began sweeping into the region on Monday.

Refugees from Syria now living in basic conditions in Lebanon were badly affected.

In Syria itself, the storm meant government warplanes and helicopters carried out fewer strikes, but at least six people died across the country from respiratory failure, a monitor said.

“There were four (killed) in Deir Ezzor, including a child and an elderly woman, as well as another child in Hama province and a person in Daraa,” said Rami Abdel Rahman, head of the Syrian Observatory for Human Rights.

Lebanon’s health ministry said two women had died at hospitals in the eastern Bekaa Valley region because of the storm, without specifying their nationality.

“The number of cases of choking and shortness of breath caused by the sandstorm has risen to 750,” the ministry said.

Police distributed face masks on city streets as authorities warned people suffering from health problems, the elderly, and pregnant women to stay indoors.

The storm was felt particularly in Lebanon’s dozens of informal camps where hundreds of thousands of Syrian refugees live with limited shelter.

In the Bekaa, a woman wrapped her headscarf over her mouth as she walked by a makeshift tent in one camp.

Education Minister Elias Bou Saab ordered private schools across the country to close on Wednesday, calling on “school officials to respect this decision and to protect students from any danger”, a ministry statement said.

Mouin Hamzeh, secretary general of Lebanon’s governmental National Council for Scientific Research, said satellite images “clearly show that the sandstorm came from northern Iraq in the direction of central and northern Lebanon, north and east Syria, and southern Turkey”.

“It usually happens twice or even three times a year in Lebanon but during spring, March and April, and the unusual thing today is the density of the storm,” he told AFP.

In the Syrian city of Mayadeen in Deir Ezzor, several hospitals were no longer receiving patients suffering respiratory problems after running out of oxygen tanks, the Observatory said.

Syria’s health minister urged citizens to “avoid prolonged exposure to the outdoors”, and said hundreds of people had been treated for asthma and other respiratory problems.

The dust cut visibility for regime aircraft, which carried out relatively few strikes during the storm, the Observatory said.

“The sandstorm has paralysed regime airplanes, there were only a few strikes in Damascus province,” said Abdel Rahman.

A thick haze hung over Occupied Jerusalem and much of Israel and the Occupied Palestinian Territories, with officials warning the vulnerable to stay indoors.

The thick cloud also enveloped parts of the eastern Mediterranean island of Cyprus, where residents were told to limit their time outdoors.

Health officials warned that the concentration of dust particles in the air was many times above normal levels.

Several flights were diverted from the coastal airport of Larnaca as visibility dropped to 500 metres (yards), although flights began arriving again as scheduled later on Tuesday.

Cyprus was also suffering from a heatwave, with inland temperatures hitting 41 degrees Celsius (106 degrees Fahrenheit).

Its interior ministry said dozens of Syrian refugees who had been rescued from a fishing boat off the coast on Sunday had been moved from a makeshift camp to a better-equipped facility because of the extreme weather.

The effects of the storm also reached Cairo, where the skyline was obscured by a thick haze.

Wahid Saudi, a top official at Egypt’s weather authority, said the dust had blown in from the eastern Mediterranean region and was expected to clear after several hours.