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This is the aftermath of Vladimir Putin’s bloodshed on the largest hospital for children in Ukraine, the biggest assault on Kyiv in several months.

Footage showed the destruction at the Ohmatdyt National Specialised Children’s Hospital in the centre of the capital.

Part of the toxicology ward, next to the 10-storey main building, was struck by a Russian missile, leading to its collapse.

There are fears children are amongst those trapped under the layers of concrete.

Evacuations are ongoing at the scene and people – both medics and civilians have formed a human chain to remove the debris, brick by brick.

Kyiv’s mayor Vitali Klitschko described the attack as one of the worst during the full-scale invasion.

The Ohmatdyt Children’s Hospital has bared the brunt of the attack (Picture: Reuters)
Rescuers form a human chain to clear the rubble (Picture: Reuters)
Hundreds of people have rushed to the scene to help the evacuation efforts (Picture: Getty)

Standing near the damaged building, he said: ‘It is one of the worst attacks. You can see: it is a children’s hospital.’

Multiple people have already been pulled out of the building – bloodied toddlers wrapped in blankets and medics covered in cuts and wounds. But it is unclear how many more are trapped inside.

At least five people have been killed and at least 11 more injured, eight of whom have been hospitalised. But the number is likely to rise in the coming hours.

Klitschko said official assessments of the attack’s consequences were still being carried out.

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Smoke is still rising from the debris (Picture: Reuters)
Multiple people have been injured, with some being rushed to nearby medical facilities (Picture: Reuters)
On the hospital‘s main 10-story building, windows and doors were blown out and walls were blackened
(Picture: Reuters)

Parents clutching to their babies walked out into the street, dazed and sobbing.

Svitlaka Kravchenko said: ‘We heard an explosion, then we were showered with debris.’

Her two-month old baby had been unharmed, but she had suffered cuts, and the car was totally buried under the rubble of the destroyed building across the courtyard from the main ward.

The 33-year-old said: ‘I could not breath. I was trying to cover (my baby). I was trying to cover him with this cloth so that he could breathe.’

It remains unclear how many people are under the rubble (Picture: Reuters)
A toddler wounded in the Russian strike is being carried out of the damaged building (Picture: E2W news)
Multiple people have been wounded (Picture: Astra)

The mass bombardments included Kinzhal hypersonic missiles, one of the most advanced Russian weapons, the Ukrainian Air Force said.

The Kinzhal flies at 10 times the speed of sound, making it hard to intercept. City buildings shook from the blasts.

Air raid sirens rang out in multiple cities in Ukraine earlier this morning, alerting people to take shelter.

President Volodymyr Zelensky said Russia targeted five cities with more than 40 missiles of different types.

Medical staff provide assistance to local residents injured during a missile attack in Kyiv (Picture: AFP)
Ohmatdyt Children’s Hospital is the largest in the country (Picture: Reuters)
Children were rushed outside in the moments after the attack (Picture: Reuters)

In Kryviy Rih, the native city of the Ukrainian leader, 10 people were killed and 31 were injured.

Another three people died in Pokrovsk, in eastern Ukraine, when missiles struck an industrial facility.

‘All services are involved to save as many people as possible,’ Zelensky said on his Telegram channel.

‘And the whole world should use all its determination to finally put an end to the Russian strikes.’

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