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The highest toll was in Eastern Ghouta’s Islamist-controlled town of Harsta, where 18 civilians were killed in government airstrikes, according to the watchdog that relies on a network of activists inside Syria.
During the past two days, Syrian forces stepped up shelling and air attacks on Eastern Ghouta, one of the remaining opposition strongholds in the war-ravaged country.
The violence comes two days after 29 critically ill people had been evacuated from Eastern Ghouta under a deal with the government.
A total of 400,000 people in the region have been largely cut off from humanitarian aid since 2013.
Eastern Ghouta has been under siege by forces of Syrian President Bashar al-Assad for the past four years.
In recent months, al-Assad's forces, supported by Russian air power, have regained ground from Western-backed opposition fighters and militants in a devastating multi-sided conflict that started with peaceful anti-government protests in 2011.
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During the past two days, Syrian forces stepped up shelling and air attacks on Eastern Ghouta, one of the remaining opposition strongholds in the war-ravaged country.
The violence comes two days after 29 critically ill people had been evacuated from Eastern Ghouta under a deal with the government.
A total of 400,000 people in the region have been largely cut off from humanitarian aid since 2013.
Eastern Ghouta has been under siege by forces of Syrian President Bashar al-Assad for the past four years.
In recent months, al-Assad's forces, supported by Russian air power, have regained ground from Western-backed opposition fighters and militants in a devastating multi-sided conflict that started with peaceful anti-government protests in 2011.
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