Russia rained missiles down on cities across Ukraine in broad daylight on Monday morning, killing at least 41 civilians and badly damaging Kyiv's main children's hospital in the deadliest air strike in months, officials said.
Hundreds of people rushed to clear debris at the hospital, where windows had been smashed and panels ripped off. Parents holding babies walked in the street outside, dazed and sobbing after the rare daylight aerial attack.
President Volodymyr Zelenskiy said Russia fired more than 40 missiles, damaging residential and commercial buildings and infrastructure in Kyiv, his home city of Kryvyi Rih, the central city of Dnipro and two eastern cities.
Ten people were killed and 35 wounded in the main wave of attacks on Kyiv, authorities said. Some two hours later, debris from another missile attack hit a different hospital in Kyiv, killing four more and injuring three more, the emergency services said.
Eleven were confirmed dead in Kryvyi Rih and over 40 wounded, the emergency services said. Three people had been killed in the eastern town of Pokrovsk where missiles hit an industrial facility, the regional governor said. One person was also killed in the city of Dnipro, officials said.
The Russian Defence Ministry said its forces had carried out strikes on defence industry targets and aviation bases in Ukraine.
Moscow has repeatedly denied targeting civilians and civilian infrastructure, although its attacks have killed thousands of civilians since it launched its full-scale invasion in February 2022.
The attack came a day before leaders of NATO countries were due to begin a three-day summit of the military alliance that Zelenskiy is expected to attend with the war in Ukraine one of the focuses.
"This callous aggression - a total disregard for human life, jeopardizing European & Transatlantic security - is why leaders will make significant security commitments to Ukraine this week," the US ambassador to Kyiv, Bridget Brink, posted on X.

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