| Turkish medics carry a wounded Syrian to a hospital in Kilis. |
The upsurge in violence comes just days after international powers, meeting in Munich, proposed a "cessation of hostilities" within a week as a step towards a permanent ceasefire. Neither the United States nor the United Nations identified who carried out the airstrikes, but Russia has been waging an air campaign in and around Aleppo in support of a Syrian government ground offensive.
State Department spokesperson John Kirby said the latest development "casts doubt on Russia's willingness and/or ability to help bring to a stop the continued brutality of the Assad regime against its own people".
"That the Assad regime and its supporters would continue these attacks, without cause and without sufficient regard for international obligations to safeguard innocent lives, flies in the face of the unanimous calls by the ISSG, including in Munich, to avoid attacks on civilians," he said.
AFP photos of the MSF hospital hit by an air strike showed it had partially collapsed in the attack.
The surrounding area was strewn with twisted metal, cinderblocks and detritus from the damaged building.
"The destruction of the hospital leaves the local population of around 40 000 people without access to medical services in an active zone of conflict," said MSF Syria operations chief Massimiliano Rebaudengo.
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