On July 8, 2024, a Russian Kh-101 cruise missile directly struck the Okhmatdyt pediatric hospital in Kyiv, Ukraine's largest children's medical center. At the time of the attack, 670 child patients and over 1,000 medical staff were present. The attack caused 2 deaths and 16 injuries, severely damaging intensive care units, oncology, and surgical departments. Videos verified by the UN, Amnesty International, and forensic analysis confirmed the direct missile hit, not an air defense interception as Russia claimed. The attack is part of a systematic campaign against medical facilities: since 2022, over 1,736 healthcare facilities have been damaged or destroyed. On June 24, 2024, the ICC had issued arrest warrants for Shoigu and Gerasimov for systematic attacks on civilian infrastructure. The attack drew international condemnation at the UN Security Council. The WHO documented this as part of over 1,600 attacks on Ukrainian healthcare since the invasion.