On Tuesday Reuters reported that pro-government forces struck the rebel-held district of Ghouta, in a surge of violence which a war monitor said has killed at least 250 people since Sunday night. The Syrian Observatory for Human Rights said it was the highest 48-hour death toll in the Syria conflict since a 2013 chemical attack on eastern Ghouta. The Observatory said the bombardment had killed more than 106 adults and children in eastern Ghouta on Tuesday alone.