At least 11 people were killed in Israeli strikes on the southern Lebanese town of Kfar Rumman early Monday, according to Lebanon’s National News Agency.

The agency reported that an Israeli airstrike hit a residential building shortly after midnight, killing nine people, including two children, and injuring five others.

A separate drone strike targeted a civilian vehicle in the town, killing two medics, according to the Lebanese state news agency. The strikes reportedly took place without an online evacuation warning from the Israeli military.

The Israeli military did not immediately respond to questions regarding the strikes, including whether it knew civilians and medics were present at the locations targeted.

The attacks come as tensions continue to rise along the Israel-Lebanon border. Israel has intensified strikes in southern Lebanon in recent days despite a ceasefire reached in June that was intended to halt fighting between Israel and Hezbollah.

At least seven people were also reported killed in Israeli strikes on Sunday, according to Reuters.

The wider escalation began after Hezbollah launched rockets toward Israel on March 2, following US and Israeli strikes on Iran. Israel subsequently expanded its military operations in Lebanon.

According to Reuters, Israeli strikes in Lebanon have killed more than 4,300 people since the escalation began. Violence had declined significantly after the June ceasefire, but Israeli forces have continued operations in parts of southern Lebanon.

The latest strikes have renewed concerns over the durability of the ceasefire and the possibility of further escalation across the region.