The Human Rights Watch (HRW) organization said Wednesday that a Syrian army air strike Tuesday hit a hospital in Aleppo. The strike wounded two civilians and caused extensive damage, the group reported.

The group accused the army of killing four and wounding three in a previous airstrike on the hospital.

HRW Emergencies researcher Ole Solvang said, “Fighter jet attacks on a hospital twice in three days indicate that this was no accident. By firing rockets at a clearly marked hospital, the government shows blatant disregard for human lives.”