Mass killings and torture have become “the norm” in Syria, and rapes and sexual violence against women, men and children are being reported, the United Nations human rights chief said Monday.

With 2.5 million people in urgent need of humanitarian assistance and the government showing no sign of halting the violence, it’s time for the case to go to the International Criminal Court, Navi Pillay said.

“A referral will make it abundantly clear to all actors in Syria that they will not escape justice and will be held accountable for alleged violations of international human rights law and international humanitarian law,” said Pillay, reiterating her previous call for the ICC to be involved.

The following are key developments in the country Monday:

On the ground

At least 22 people were killed Monday, including five women and a child, the opposition Local Coordination Committees of Syria said.

The group reported deaths in Aleppo, Deir Ezzor, the Damascus area and elsewhere.

On Sunday, 160 people were killed, including 17 children and 11 women, the LCC said.

Syria, meanwhile, said 30 civilians, including women and children, were killed and 64 others were wounded Sunday in a “terrorist bombing” in Aleppo.

The attack took place in front of al-Hayat hospital, state-run news agency SANA reported Monday.

A car designed to transport food was rigged with explosives and left a deep crater after the blast, the report said.

Separately, another blast in Aleppo killed three people, including a 10-year-old girl, and wounded six other civilians, SANA said.

The government said its forces inflicted “heavy losses” on “terrorists” and also released 30 people who had been kidnapped by terrorist groups.

Diplomacy

U.N. and Arab League envoy Lakhdar Brahimi said Monday he will head to Damascus in a few days to meet with Syrian officials.

Speaking at a news conference in Cairo, where he was meeting with Arab League officials, Brahimi said he is “fully aware” that his mission is “extremely difficult.”

When asked whether he will meet with Syrian President Bashar al-Assad, Brahimi responded, “I have hope I will, but I don’t know before I will get to Damascus.”

United Nations meets

Pillay spoke at a meeting of the U.N. Human Rights Council focused on Syria.

“Human rights abuses are rampant and have reached the point where mass killings, summary executions and torture are the norm,” she said.

She called for an end to supplying ammunition to both sides of the conflict.

Reports that homes in Damascus were being bulldozed “may well amount to collective punishment and constitute a war crime or a crime against humanity,” Pillay said.

She called for an investigation into killings in Daraya, which “deeply shocked” her.

“Both government and opposition forces deploy snipers who target civilians,” Pillay said.

“As time has passed, opposition forces have also been increasingly implicated in kidnappings and abductions, including of foreigners perceived as being government supporters.”

Delivery of humanitarian assistance “is hampered by the worsening security situation,” she added.

She said she agrees with Brahimi that his job “appears at this point to be close to impossible.”

Syria denounces Iraq violence

Syria, meanwhile, slammed a series of attacks that killed dozens Sunday in Iraq.

“The Ministry of Foreign Affairs assures that these terrorist attacks that aim to destabilize the security and stability of brotherly Iraq and the killing of innocent Iraqis without discrimination, will not succeed to return Iraq backwards and cannot affect the solid will of the Iraqi people in moving forward in the advancement of their country and to establish stability,” Syrian Foreign Ministry spokesman Jihad Makdissi said in a statement.