At least eight people, including five children, were killed Tuesday in Russian air strikes in northwest Syria, as the UN warned youngsters were bearing the brunt of the violence.
The strikes targeted the village of Jubass near the town of Saraqeb in southern Idlib province, killing civilians sheltering in a school and nearby, the Syrian Observatory for Human Rights said.
"Children are bearing the brunt of intensifying violence in northwest Syria," the United Nations children's organisation UNICEF said Tuesday.
"Nine years into the war, children in Syria continue to experience unspeakable violence, trauma and distress."
Heightened regime and Russian bombardments on southern Idlib since December 16 have forced tens of thousands of vulnerable people to flee their homes, according to the UN.
Nearly 80 civilians have been killed by air strikes and artillery attacks over that same period, according to the Observatory, which puts the number of displaced in recent weeks at more than 40,000.
An uptick in attacks around Saraqeb over the past 24 hours has driven thousands more out, the Observatory added.
The UN has called for "immediate de-escalation" and warned of further mass displacement if the violence continues in Syria's last major opposition bastion.
But Russian and regime air strikes have continued to pummel the region as Damascus loyalists advanced on the ground.
Since Thursday, regime forces have taken control of dozens of towns and villages in southern Idlib following battles with jihadists.
The clashes have killed 260 fighters on both sides, according to the Observatory.
Regime forces are now less than four kilometres (two miles) from the strategic city of Maaret al-Numan, the head of the Britain-based monitor, Rami Abdel Rahman, told AFP.
In a statement on Tuesday, the Syrian army said it has seized 320 square kilometres from its rivals in recent days, pledging to continue its push until it recaptures all of Idlib.
"The Syrian army stresses its insistence on cleansing the province of Idlib from terrorism and its sponsors," it said, calling on civilians to exit areas under jihadist control.
Fearing further advances, thousands of Maaret al-Numan's residents have fled towards Idlib's north.
"I did not expect to have to leave," said Abu Ahmad, poking his head out of the pick-up truck driving him and his family towards a camp for the displaced.
"This is my home, this is where I grew up," the father of ten told AFP.
Idlib is dominated by the country's former Al-Qaeda affiliate, Hayat Tahrir al-Sham.
It hosts some three million people, including many displaced by years of violence in other parts of Syria.
The Damascus regime, which now controls 70 percent of Syria, has repeatedly vowed to take back the area.
Backed by Moscow, Damascus launched a blistering offensive against Idlib in April, killing around 1,000 civilians and displacing more than 400,000 people.
Despite a ceasefire announced in August, the bombardment has continued, killing hundreds of civilians and fighters.
The latest spike in violence comes after Russia and China on Friday vetoed a UN Security Council resolution that would have extended for a year cross-border aid deliveries to four million Syrians, many of them in Idlib.
The move raised fears that UN-funded assistance could stop entering opposition-held parts of Syria from January unless an alternative agreement is reached.
"Humanitarian access must be sustained to provide life-saving assistance to hundreds of thousands of children everywhere in the northwest and other parts of Syria," UNICEF said in a statement.
Syria's war has killed over 370,000 people and displaced millions since beginning in 2011 with the brutal repression of anti-government protests.
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