Syria, Damascus: Residents said, at least 23 civilians were killed when missiles hit three hospitals and a school in rebel-held Syrian towns on Monday, as Russian-backed Syrian troops intensified their push toward the rebel stronghold of Aleppo. Fourteen people were killed in the town of Azaz near the Turkish border when missiles slammed into a school sheltering families fleeing the offensive and the children’s hospital, two residents and a medic said.

Bombs also hit another refugee shelter south of the town and a convoy of trucks, another resident said. “We have been moving scores of screaming children from the hospital,” said medic Juma Rahal. At least two children were killed and scores of people injured, he said. In a separate incident, missiles hit another hospital in the town of Marat Numan in Idlib province, in north western Syria, said the French president of the Doctors Without Borders/Médecins Sans Frontières (MSF) charity, which was supporting the hospital.

“There were at least seven deaths among the personnel and the patients, and at least eight MSF personnel have disappeared, and we don’t know if they are alive,” Mego Terzian told Reuters. “The author of the strike is clearly … either the government or Russia,” he said, adding that it was not the first time MSF facilities in Syria had been attacked.

Also in Marat Numan, another strike hit the National Hospital on the north edge of town, killing two nurses, the Observatory said. Residents in both towns blamed Russian strikes, saying the planes deployed were more numerous and the munitions more powerful than the Syrian military typically used. Rescue workers and rights groups say Russian bombing has killed scores of civilians at market places, hospitals, schools and residential areas in Syria. Western countries also say Russia has been attacking mostly Western-backed insurgent groups.

But Moscow has said it is targeting “terrorist groups” and dismissed any suggestion it has killed civilians since beginning its air campaign in support of President Bashar al-Assad’s forces in September. The town of Azaz has been the scene of fierce fighting as Kurdish anti-government forces advance from the west. They have reached the edge of town, only a few kilometres away from the main Bab al Salam border crossing. The Syrian army is advancing from the south.