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Forces loyal to Libyan military leader Khalifa Haftar have launched fresh land and air operations against besieged Derna, one of the last eastern cities still outside of his control whose residents have suffered almost two years of siege warfare.

The Middle East Eye, reports that at least five people on Tuesday were killed as Haftar forces, used aircraft and artillery support to take villages on the outskirts of the city, according to his military commanders.

It was the first major operation against the city since Haftar last week announced intentions to seize the last stronghold of LNA opposition in the east of the country.

Under Haftar’s command, LNA forces have besieged Derna since 2016 in an effort to drive out fighters from the Derna Shura Council.