The United Nations Children’s Fund (UNICEF) has warned that Israeli airstrikes in Lebanon are having a catastrophic impact on children. According to the agency, Tuesday’s bombing killed 33 children and injured 153 others within minutes. The latest assault adds to a shocking toll of nearly 600 children killed or wounded since March 2, according to UNICEF figures.

The organization reported that more than one million people across Lebanon have been displaced, including an estimated 390,000 children, many of whom have been forced to move multiple times. Children are being pulled from rubble, with many missing or separated from their families. UNICEF said the loss of loved ones and homes has left many suffering severe psychological trauma.

The agency emphasized that international humanitarian law clearly requires the protection of all civilians, including children, at all times.