On the evening of 17 November, a densely populated area in Sumy city, northeastern Ukraine, was bombed. The explosion struck a courtyard surrounded by residential buildings, damaging 13 structures and dozens of apartments.

Médecins Sans Frontières (MSF) emergency ambulance teams provided medical assistance to injured residents. According to preliminary information from local authorities, 84 people were wounded, including 11 children. Eleven fatalities were reported, among them two children: a nine-year-old boy and a 14-year-old girl.

“It’s hard when you see the lifeless bodies of children,” says Hanna Sushkina, an MSF emergency doctor. “When we arrived, their bodies had already been carried out of the burning building. There was a long line of ambulances. The windows in nearby buildings were shattered, fires were raging, and rescue workers were extinguishing the flames while carrying out the injured and the deceased.”

The MSF team treated four residents with injuries, including soft tissue wounds.

“One patient described sitting on her sofa when the attack occurred,” says Sushkina. “Shattered glass caused cuts, and many people we saw were experiencing acute stress and disorientation.”

The attack caused a temporary power outage in the area. Rescue crews used floodlights to continue their work in the dark. While our teams were on-site, there was a second strike nearby, prompting the team to relocate patients to a nearby shelter to continue care.

“Responding to these strikes is extremely difficult,” says Thomas Marchese, MSF chief emergency coordinator in Ukraine. “Ongoing bombardment or even double taps put medical responders at risk. This can delay the response time, limiting essential medical care in an emergency situation.”

Since October 2024, MSF’s ambulance project has been active in Sumy, offering medical care during missile strikes and transferring patients between healthcare facilities across Ukraine. In just two months, MSF teams have transported more than 150 patients from Sumy to cities including Kyiv, Chernihiv, and Zhytomyr. Most of these patients required intensive care referrals.