A wave of airstrikes and shelling killed more than 60 people in less than 24 hours in the northern Syrian city of Aleppo, monitors and activists said today.
The contested city is now one of the main battlegrounds of Syria's devastating civil war, with a cease-fire that has collapsed and peace talks in Geneva stalled.
At least 27 people died as a hospital supported by Doctors Without Borders and the International Committee for the Red Cross and nearby buildings were hit overnight in the rebel-held part of Aleppo.
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However, the violence only escalated. New airstrikes Thursday in residential areas in the rebel-held part of the city killed at least 20 while state media reported that at least 1,000 mortars and rockets were fired at government-held areas of Aleppo, killing at least 14 civilians.
The chief Syrian opposition negotiator Mohammed Alloush blamed the government of President Bashar Assad for the violence. He told The Associated Press that it shows "the environment is not conducive to any political action."
About 200 civilians have been killed in the past week, nearly half of them around Aleppo. There has also been shelling in Damascus, along with a car bombing - both rarities for the capital.
The ICRC said the fighting, including the destruction in airstrikes overnight of a key hospital in Aleppo, is putting millions at grave risk.
With peace talks in Geneva completely deadlocked, Syrians are regarding the escalating bloodshed with dread, fearing that Aleppo is likely to be the focus of the next phase of the war.
Rebel commanders said government forces have been mobilizing soldiers, equipment and ammunition in preparation for a military action in Aleppo.
The well-known al-Quds filed hospital supported by MSF and ICRC and located in the rebel-held district of Sukkari was hit shortly before midnight Wednesday, according to opposition activists and rescue workers. Six hospital staff and three children were among the 27 who died there.
The Syrian Civil Defense, a volunteer first-responders agency whose members went to the scene of the attack, put the death toll at 30 and said the dead included six hospital staff.
Among those slain was one of the last pediatricians remaining in opposition-held areas of the contested city and a dentist.
The defense agency, also known as the White Helmets, said the hospital and adjacent buildings were struck in four consecutive airstrikes. It said there were still victims buried under the rubble and that the rescue work continued.