(MSF) – Airstrikes by Syrian and Russian forces have hit four hospitals in besieged east Aleppo in the past 24 hours, causing huge damage to one of them and injuring at least two doctors. The bombings also destroyed an ambulance and killed its driver. The struggling health care system in besieged eastern Aleppo suffered its worst day yet on October 14, with confirmed attacks on four hospitals and an ambulance, leaving at least two doctors injured and one ambulance driver dead. This was the worst damage to health facilities from airstrikes by Syrian and Russian forces since the collapse of the brief ceasefire at the end of September.