Syrian armed groups launched a large-scale attack on areas controlled by government forces and seized territory in northwestern Syria, opposition groups said Thursday. The government and its allies responded with airstrikes and shelling to ward off the insurgent advances, activists said.

The violence has displaced thousands of families, and forced aid groups to suspend some of their services. Volunteers with the Syrian Civil Defense, known as the White Helmets, said at least 18 people, including three children and two women, were killed in two different villages in western Aleppo following airstrikes. The Syrian Observatory for Human Rights, a war monitor, said the airstrikes were from Russian warplanes.

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