Russia has stepped up its air strikes in recent days, announcing on Tuesday it had carried out 88 missions in the previous 24 hours, one of the heaviest days of bombardment of its campaign so far.

Moscow’s intervention means Russian and U.S. jets are flying combat missions over the same country for the first time since World War Two, raising fears of accidental confrontation.

Russia says it has asked Washington to discuss coordination of military efforts, but Foreign Minister Sergei Lavrov said the United States had declined to send a military delegation to Moscow for discussions.

In the fighting near Damascus, government forces fired hundreds of rockets at towns in the Eastern Ghouta, according to the Civil Defense for Rural Damascus, a rescue service operating in rebel-held areas.

Warplanes launched at least 10 air strikes on Jobar, the Syrian Observatory for Human Rights reported. Rami Abdulrahman, director of the Observatory, said insurgents had also fired rockets at government-held Damascus.

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