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COPENHAGEN — The U.S. is heaping new pressure on Russia to change course and support international action in Syria, warning that intransigence by Moscow may lead to open civil war that could spill across the Middle East with devastating effects.

Speaking on Russia’s doorstep in Denmark, Secretary of State Hillary Rodham Clinton derided the Russian government for continuing to support Syrian President Bashar Assad, even after last week’s massacre of more than 100 people in Houla. In pointed remarks, she said Russia’s position “is going to help contribute to a civil war” and rejected Russian officials’ insistence that their stance actually is helping to ease the crisis.

On the first stop of a European tour, Clinton said Russia and China would have to be on board before the U.S. and other nations might engage in what could become a protracted conflict in support of a disorganized rebel force.

Russia is Syria’s closest ally, other than isolated Iran.

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