Syrian regime and Russian air strikes on Sunday killed 57 civilians, among them 19 children, in rebel-held Eastern Ghouta region and in a village held by the Islamic State group in Syria's eastern Deir Ezzor province, a monitor said.
The Britain-based Syrian Observatory for Human Rights said strikes that hit the village of Al-Shafah, on the eastern bank of the Euphrates River, in the early hours of Sunday morning, killed 19 adults and 15 children.
The Observatory relies on a network of sources inside Syria, and says it determines whose planes carry out raids according to type, location, flight patterns and munitions used.
Russia is a close ally of Syria's President Bashar al-Assad, and in September 2015 began a military intervention in support of his government that has gradually helped Damascus regain territory.
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