The relentless and indiscriminate bombing in Ukraine must cease
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Last night, April 23, Kyiv faced yet another wave of massive bombardment. This follows devastating attacks in Dnipro region, and Kryvyi Rih, all of which resulted in mass casualties. The massive use of force employed by Russian forces across Ukraine is relentless. Hospitals, residential buildings, humanitarian workers, patients are not spared; with the use of drones and long-range missiles, no-one in the country is safe.
Last night’s strikes in Kyiv saw a missile hit a residential building. Emergency services are still searching through the rubble for survivors. Twelve people have been confirmed killed, and over 70 injured—among them, six children. Many remain in hospital, with life-threatening injuries.
Kyiv is home to MSF’s coordination offices in Ukraine. MSF teams live and work in the city.
“Right now, our staff—like millions of others—face almost nightly bombing raids. Last night some of our colleagues spent the night in metro stations, others had no choice but to wake their children and shelter at home as best they could, while explosions shook the ground, and rattled windows.” says Thomas Marchese, MSF's Programme Director in Ukraine.
No-one is safe, people are exhausted and many live in fear.”
This latest attack in Kyiv continues a pattern of bombardments in Ukraine: attacks on residential buildings, hospitals, and schools occur daily. On 5 April, MSF ambulance teams responded to a strike in Kryvyi Rih, where 20 people were killed, including nine children. One survivor referred by MSF paramedics was just seven years old; she suffered a fractured hip, haemorrhagic shock and shrapnel wounds.
On 23 April, a drone strike by Russian forces hit a bus in Marhanets, Dnipro region, reportedly killing nine people and wounding 50. MSF ambulance teams supported the Ministry of Health in the mass casualty plan, referring patients suffering from significant blood loss and shrapnel wounds.
Around 2,000 medical facilities have been damaged or destroyed since the war in Ukraine escalated in 2022. In recent months, hospitals across the country have faced multiple mass casualty events, and have even become targets, particularly in areas near the frontline, where the health system is already under immense pressure.
“The scale of attacks people endure are huge, our mobile clinics have seen a rise in cases of heart attacks and strokes—conditions directly linked to prolonged stress. In Ukraine, no part of daily life is untouched by the war.", says Marchese.
People can be hit while commuting, buying bread, or dropping their children at kindergarten. There’s no warning, no safe place—just seconds between normal life and extreme violence. Civilians must never be targets,” says Marchese.
MSF paramedical teams are currently supporting emergency responses in Sumy, Dnipropetrovsk, Kharkiv, Kherson, and Mykolaiv regions, while surgical teams continue to provide life-saving care in hospitals close to active conflict areas. Rehabilitation care, including physiotherapy and mental health care continue in Cherkasy and Odesa, while in Vinnytsia the mental health team provides treatment for post traumatic syndrome caused by the war. Among medical facilities in Ukraine, one thing is a constant: the influx of wounded never truly stops.