Also, the 15-member council allowed cross-border aid deliveries to continue from two places in Turkey, but dropped crossing points from Iraq and Jordan. It also only renewed the operation for six months instead of a year. The other 11 members voted in favor.
During the heated exchanges Friday evening, several Council members said they were disappointed that a scaled-down text had been adopted and that a better compromise was not reached. "Syrians will die as a result of this resolution", she stressed.
The UN has said it has no alternative to the cross-border operation, but Nebenzia said "alternatives exist" because the area is largely controlled by the Syrian government, a close ally of Russian Federation. It also reflected the deep divisions that have prevented the Security Council, which is charged with maintaining worldwide peace and security, from taking any significant action to end the Syrian conflict.
More than 3 million Syrian civilians are completely dependant on cross-border aid, the United Nations said.
Many countries that voted for the resolution expressed disappointment that more crossing points weren't included, but said they did so to save lives in Idlib province and other opposition areas in the northwest.
Britain's U.N. Ambassador Karen Pierce accused Russian Federation of playing politics with humanitarian aid for the first time in the almost nine-year Syrian conflict, and "playing dice with the lives of Syrian people in the northeast". He said the situation had changed dramatically and that Security Council action should reflect that.
In practical terms, Yarubiyah means medical aid for chronic illnesses, vaccines and trauma cases to about 1.4 million Syrians will not be able to get into northeastern Syria.
Secretary-General António Guterres has stressed that if the authorization is not agreed to on Friday, the United Nations border operation in Syria will immediately cease.
There are now an estimated 2.7 million people in need of humanitarian assistance in north-western Syria, including thousands of internally-displaced people who have fled hostilities in other parts of the country since the crisis began in 2011.
The council failed last month to extend the operation when Russian Federation vetoed a draft resolution that would have authorized three crossing points a year, and then failed to secure enough support for its rival text, which would allow two passes for six months.
"Security Council members and the UN Secretary General must take a strong stance against the use of veto when a resolution is aimed at protecting civilians".
United Nations resolution 2165, originally adopted in 2014, has enabled United Nations agencies and their partners to send more than 30,000 truck-loads of humanitarian assistance from Jordan, Iraq and Turkey to those in need in opposition-controlled areas in Syria.