Darwish was arrested on February 16, 2012 along with Hani Zaitani and Hussein Ghreir, his colleagues at the Syrian Centre for Media and Freedom of Expression. They are accused of "promoting terrorist acts".
"I call on the Syrian authorities for his and his colleagues' release," UNESCO director general Irina Bokova said at the ceremony in Latvia to mark World Press Freedom Day, echoing repeated calls by rights groups, press organisations and the United Nations.
UNESCO awarded its prize to Darwish "in recognition of the work that he has carried out in Syria for more than 10 years at great personal sacrifice, enduring a travel ban, harassment, as well as repeated detention and torture."
Darwish's wife Yara Bader accepted the award on his behalf. She said the prize was important in raising awareness not only of his case but of the "hundreds" of people currently imprisoned in Syria for openly expressing their views.
Another 50,000 are believed to be held by the regime's myriad of military intelligence branches.
"Mazen has already forgiven those who tortured him almost to death," Bader said and dedicated the award to his children, in the hope that they would grow up in a free Syria.
"We need a time to learn how to listen to people who have different opinions," she said, adding that she took heart form the example of Australian-Latvian journalist Peter Greste -- who attended the award ceremony and was himself released from an Egyptian prison in February after more than a year thanks to a global campaign.
Created in 1997, the annual UNESCO/Guillermo Cano World Press Freedom Prize honours a person, organisation or institution that has made a contribution to the defence and, or promotion of press freedom anywhere in the world.
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