Russia Strikes Largest Children’s Hospital Full of Sick, Cancer Stricken Children/Their Drs.

CreditCredit...Tsapilenko Ukraine Fights, via telegram

The type of the weapon and its trajectory suggested that Russia intentionally targeted the hospital, according to Mr. Hoffman. He said that the trajectory of the missile “appears controlled,” and that it was likely programmed before launch.

Mr. Hoffman also noted that the missile was not struck by a Ukrainian anti-air-defense interceptor, and was “fully intact, with no visible damage to the fuselage.”

The Ukrainian Security Services recovered fragments of what it said was the missile that struck the hospital, also identifying it as a Kh-101 cruise missile.

The Ukrainian prosecutor’s office said seven of the casualties on Monday were caused by missile debris that fell onto another medical facility, a women’s hospital, in Kyiv. 

The Ukrainian Air Force said Monday’s attacks were carried out in part by bombers operating from deep within Russian territory, where Ukraine is restricted from using Western weapons to strike. The strikes came a day before NATO leaders were scheduled to meet in Washington, where they were expected to announce new efforts to bolster Ukraine’s air defenses.

A view of a damaged building.

While a medical building about 150 yards away sustained the most damage, the explosion also blasted out the windows of the main hospital and sent shrapnel tearing into it.Credit...Thomas Peter/Reuters

Mr. Zelensky, who was in Warsaw on Monday to sign a new security pact with Poland, said the document “includes a provision for shooting down Russian missiles and drones in Ukraine’s airspace that are fired in the direction of Poland.”  said both sides were “committed to implementing it,” but he did not say when it would go into effect

Russia has relentlessly bombed Ukraine in recent weeks, seeking to overwhelm its defenses with the sheer volume of attacks. While Kyiv has some of the most robust air defenses in the country — and thus has been largely protected from direct missile strikes — the city’s military administrator warned last month that Moscow has been testing new tactics to breach them.

Overall, the country’s air defenses are stretched thin, struggling to protect vital military assets, critical infrastructure, and residential neighborhoods at the same time.

“The strike is a tragic reminder that it is not possible to have air defenses everywhere, that choices must be made about what will be defended and which are not,” said Thomas Karako, who directs the missile defense project at the Center for Strategic and International Studies in Washington.

“The protection of military assets tends to be prioritized,” Mr. Karako added, “which, unfortunately, plays into the hand of those who target civilians contrary to the most basic laws of armed conflict.”

At the hospital, Volodymyr Zhovnir, the director, said more than 600 children were being treated there when it was hit.

Doctors and others inside the hospital shared images of bloodstained hallways, collapsed ceilings and destroyed operating rooms.

Dr. Tymofii Dvorovyi, a surgeon, said he had managed to get his patients into the bomb shelter just before the strike. “I don’t know about other departments,” he said. “There were surgeons who were performing operations when the missile hit.” 

After the explosion, he said, he saw scores of “badly injured” people staggering through the halls.

Facing an Endless Barrage, Ukraine’s Air Defenses Are Withering

A two-story medical building next to the main hospital sustained the most extensive damage. Shortly after an explosion tore through it, a woman carrying a small child covered in dust and blood emerged near the entrance. More dazed and bloody staff, many carrying children, followed.

The explosion also blasted out the windows of the main hospital and sent shrapnel tearing into the building.

“Now, we are evacuating the patients to another hospital,” Dr. Dvorovyi said

Viktor Lyashko, the Ukrainian health minister, said intensive care units, operating rooms and the oncology department had all sustained damage.

“Maybe Russians knew that families like us are an easy target,” said Ms. Melnyk, the mother whose child was being treated at the hospital. “I just can’t believe it’s happening.” 

A woman holding a baby sits in an emergency vehicle.

The hospital evacuated patients to other facilities after the strike.Credit...Brendan Hoffman for The New York Times

Monday’s attacks began before dawn when Russian bombers launched four X-101 cruise missiles and two Iskander-M ballistic missiles, the commander of the Ukrainian Air Force, Lt. Gen. Mykola Oleschuk, said in a statement. Three of the cruise missiles were shot down, he said, without offering details on those that evaded air defenses.

A few hours after that first strike, air alarms sounded across Ukraine as Russia launched the second, larger, barrage, including the one that hit the hospital.

Three transformer substations were also destroyed in the Russian barrage, according to DTEK, Ukraine’s largest private energy utility. All told, damage was reported in at least seven districts of the capital.

In an analysis provided to The Times after Monday’s attack, Janes, a British security intelligence firm, concluded: “Ukraine’s air defense network will have a harder time defending against saturation attacks until it is reinforced, or Ukraine gains the ability to consistently and accurately strike the assets Russia is using to launch these attacks.” 

Reporting was contributed by Eric Schmitt, Aric Toler, Nataliia Novosolova and Dzvinka Pinchuk.

Marc Santora has been reporting from Ukraine since the beginning of the war with Russia. He was previously based in London as an international news editor focused on breaking news events and earlier the bureau chief for East and Central Europe, based in Warsaw. He has also reported extensively from Iraq and Africa. More about Marc Santora.

The New York Times