Beirut: Clashes in northwestern Syria have killed at least 42 fighters in 24 hours, a monitor said Monday, after regime bombardment on the region devastated health services.

The northwestern region has come under increasing fire by the regime and its ally Russia in recent weeks, despite a months-old buffer zone deal intended to shield it from any government offensive.

The Syrian Observatory for Human Rights said 16 loyalists and 19 jihadists died from Sunday to Monday in clashes in the area of Jabal al-Akrad in Latakia province, which lies on the bastion's northwestern edge.

Russian and regime aircraft bombarded the area on Monday, while they also hit southern parts of the jihadist stronghold, said the Britain-based war monitor.

Russian air strikes hit a branch of the White Helmets rescue volunteers in the town of Kafranbel, rendering it unable to operate, the Observatory and a rescue worker said.

At the White Helmets facility, an AFP correspondent saw a concrete roof had collapsed in on a bulldozer and other vehicles, and the ground was covered with rubble.

"Two high-explosive missiles hit the centre" just minutes after its personnel had headed out to the site of strikes in a nearby village, Oneida Zikra, the civil defence chief for the area, told AFP.

To the south, rocket fire killed one child in the regime-held town of Suqaylabiyah in Hama province, the Observatory and the state news agency SANA said.

HTS and its allies launched a counter-attack late Monday, bombing areas in the north of the province and sparking fierce clashes on the ground, according to the Observatory.

Idlib's three million inhabitants are supposed to be protected from a massive regime assault by a September buffer zone deal signed by Russia and rebel backer Turkey.

But an uptick in air strikes and shelling displaced 180,000 people between April 29 and May 9 alone, the United Nations says. The Observatory says 119 civilians have been killed in the bombardment since late April.

On Monday, the UN Office for the Coordination of Humanitarian Affairs said 18 health facilities had been knocked out of service in a little over a fortnight, two of them hit twice.

"Attacks on health facilities in northwest Syria continue to exact a devastating toll on the civilian population," said OCHA spokesman for Syria David Swanson.

"Such violence is appalling. Hospitals are and must remain a place of sanctuary and unequivocal neutrality," he told AFP.

UN-linked aid groups on Saturday said they had suspended activities in parts of the region, as the violence has jeopardised the safety of humanitarian workers.

In a filmed interview released on Sunday night, HTS chief Abu Mohammad al-Jolani urged supporters to "take up weapons" to defend Idlib.

The spike in violence signalled "the death of all previous agreements and conferences", he said. In a joint statement on Monday, Britain, France and Germany said the military escalation in northwestern Syria "must stop".

"The current brutal offensive by the Syrian regime and its backers on millions of civilians living in the area is not about fighting terrorism. It is about pushing forward the ruthless reconquest by the regime," they said.

Damascus has not announced a wide offensive, but analysts believe there could be a limited military operation.

The civil war in Syria has killed more than 370,000 people and displaced millions since it started with the brutal repression of anti-government protests in 2011.

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New York/Washington (PTI): The Trump administration on Wednesday announced pausing immigrant visa processing for individuals from 75 countries, including Pakistan, Bangladesh, Nepal and Russia, as part of increasing crackdown on foreigners likely to rely on public benefits in the US.

“The State Department will pause immigrant visa processing from 75 countries whose migrants take welfare from the American people at unacceptable rates. The freeze will remain active until the US can ensure that new immigrants will not extract wealth from the American people,” the State Department said in a post on X.

“The Trump administration will PAUSE immigrant visa processing from 75 countries until the US can ensure that incoming immigrants will not become a public charge or extract wealth from American taxpayers. AMERICA FIRST,” the White House said in a post on X.

“The freeze will remain active until the US can ensure that new immigrants will not extract wealth from the American people. The pause impacts dozens of countries – including Somalia, Haiti, Iran, and Eritrea – whose immigrants often become public charges on the United States upon arrival. We are working to ensure the generosity of the American people will no longer be abused," the State Department said.

"The Trump Administration will always put America First," the State Department added.

State Department spokesperson Tommy Piggott said in a statement, "The State Department will use its long-standing authority to deem ineligible potential immigrants who would become a public charge on the United States and exploit the generosity of the American people."

A report in the Fox News said that the pause will begin from January 21.

The State Department memo, seen first by Fox News Digital, directs “consular officers to refuse visas under existing law while the department reassesses screening and vetting procedures”.

The list of countries include Afghanistan, Albania, Algeria, Antigua and Barbuda, Armenia, Azerbaijan, Bahamas, Bangladesh, Barbados, Belarus, Belize, Bhutan, Bosnia, Brazil, Burma, Cambodia, Cameroon, Cape Verde, Colombia, Cote d’Ivoire, Cuba, Democratic Republic of the Congo, Dominica, Egypt, Eritrea, Ethiopia, Fiji, Gambia, Georgia, Ghana, Grenada, Guatemala, Guinea, Haiti, Iran, Iraq, Jamaica, Jordan, Kazakhstan, Kosovo, Kuwait, Kyrgyzstan, Laos, Lebanon, Liberia, Libya, Macedonia, Moldova, Mongolia, Montenegro, Morocco, Nepal, Nicaragua, Nigeria, Pakistan, Republic of the Congo, Russia, Rwanda, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and the Grenadines, Senegal, Sierra Leone, Somalia, South Sudan, Sudan, Syria, Tanzania, Thailand, Togo, Tunisia, Uganda, Uruguay, Uzbekistan and Yemen.

The Fox News report added that in November 2025, a State Department cable sent to missions around the globe instructed consular officers to “enforce sweeping new screening rules under the so-called "public charge" provision of immigration law.

The guidance had instructed US consular officers across the world to deem those individuals seeking to enter and live in the US ineligible if they have certain medical conditions, including cardiovascular diseases and diabetes, saying these people could end up relying on public benefits.

The foreigners applying for visas to live in the US “might be rejected if they have certain medical conditions”. “You must consider an applicant’s health…Certain medical conditions – including, but not limited to, cardiovascular diseases, respiratory diseases, cancers, diabetes, metabolic diseases, neurological diseases, and mental health conditions – can require hundreds of thousands of dollars’ worth of care,” the cable had said.

The cable also advised visa officers to consider conditions like obesity in making their decisions, noting that the condition can cause asthma, sleep apnea, and high blood pressure.

The guidance directed "visa officers to deem applicants ineligible to enter the US for several new reasons, including age or the likelihood they might rely on public benefits.

The guidance says that such people could become a “public charge” — "a potential drain on US resources — because of their health issues or age”.

The report added that older or overweight applicants could be denied, along with those who had any past use of government cash assistance or institutionalisation.