Men transport the body of a dead woman at a site hit by what activists said were airstrikes by forces loyal to Syria’s President Bashar al-Assad, in Syria November 7, 2015.

The Doctors Without Borders (MSF) charity on Tuesday decried the repeated barrel-bombing of a hospital in a besieged opposition-held part of the central Syrian city of Homs, leaving seven dead and 47 wounded.

Saturday’s bombing “shows all the signs of a double-tap, where one area is bombed and then a second bombing hits the paramedic response teams or the nearest hospital providing care,” Brice de le Vingne, MSF director of operations, said in a statement, adding that the tactic showed “a level of calculated destruction that can scarcely be imagined.”

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