The White House and State Department on Thursday condemned the attack on a hospital in Aleppo, Syria that killed dozens of people as “abhorrent” and “immoral,” and attributed it to Syrian leader Bashar Assad’s military.

Presidential press secretary Josh Earnest said the attack killed at least 14 patients and three doctors, including the last pediatrician in the city, and said it appears to follow an “abhorrent pattern of [Assad] striking first responders.”