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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Beirut, Nov 28: The Israeli military on Thursday said its warplanes fired on southern Lebanon after detecting Hezbollah activity at a rocket storage facility, the first Israeli airstrike a day after a ceasefire between Israel and Hezbollah took hold.

There was no immediate word on casualties from Israel's aerial attack, which came hours after the Israeli military said it fired on people trying to return to certain areas in southern Lebanon. Israel said they were violating the ceasefire agreement, without providing details. Lebanon's state-run National News Agency said two people were wounded.

The back-to-back incidents stirred unease about the agreement, brokered by the United States and France, which includes an initial two-month ceasefire in which Hezbollah members are to withdraw north of the Litani River and Israeli forces are to return to their side of the border. The buffer zone would be patrolled by Lebanese troops and UN peacekeepers.

On Thursday, the second day of a ceasefire after more than a year of bloody conflict between Israel and Hezbollah, Lebanon's state news agency reported that Israeli fire targeted civilians in Markaba, close to the border, without providing further details. Israel said it fired artillery in three other locations near the border. There were no immediate reports of casualties.

An Associated Press reporter in northern Israel near the border heard Israeli drones buzzing overhead and the sound of artillery strikes from the Lebanese side.

The Israeli military said in a statement that “several suspects were identified arriving with vehicles to a number of areas in southern Lebanon, breaching the conditions of the ceasefire.” It said troops “opened fire toward them” and would “actively enforce violations of the ceasefire agreement.”

Israeli officials have said forces will be withdrawn gradually as it ensures that the agreement is being enforced. Israel has warned people not to return to areas where troops are deployed, and says it reserves the right to strike Hezbollah if it violates the terms of the truce.

A Lebanese military official said Lebanese troops would gradually deploy in the south as Israeli troops withdraw. The official spoke on condition of anonymity because they were not authorized to brief media.

The ceasefire agreement announced late Tuesday ended 14 months of conflict between Israel and Hezbollah that began a day after Hamas' Oct. 7, 2023 attack out of Gaza, when the Lebanese Hezbollah group began firing rockets, drones and missiles in solidarity.

Israel retaliated with airstrikes, and the conflict steadily intensified for nearly a year before boiling over into all-out war in mid-September. The war in Gaza is still raging with no end in sight.

More than 3,760 people were killed by Israeli fire in Lebanon during the conflict, many of them civilians, according to Lebanese health officials. The fighting killed more than 70 people in Israel — over half of them civilians — as well as dozens of Israeli soldiers fighting in southern Lebanon.

Some 1.2 million people were displaced in Lebanon, and thousands began streaming back to their homes on Wednesday despite warnings from the Lebanese military and the Israeli army to stay out of certain areas. Some 50,000 people were displaced on the Israeli side, but few have returned and the communities near the northern border are still largely deserted.

In Menara, an Israeli community on the border with views into Lebanon, around three quarters of homes are damaged, some with collapsed roofs and burnt-out interiors. A few residents could be seen gathering their belongings on Thursday before leaving again.