Dozens have been killed in a military strike on a hospital in Myanmar’s western Rakhine state, according to an aid worker, a rebel group, a witness and local media reports, as the junta wages a withering offensive ahead of elections beginning this month.

“The situation is very terrible,” said on-site aid worker Wai Hun Aung. “As for now, we can confirm there are 31 deaths and we think there will be more deaths. Also there are 68 wounded and will be more and more.”

The hospital in Rakhine’s Mrauk U township was struck late on Wednesday by bombs dropped by a military aircraft, said Khine Thu Kha, a spokesperson for the Arakan Army, which is battling the ruling junta along parts of the coastal state.

“The Mrauk U General Hospital was completely destroyed,” Khine Thu Kha told Reuters news a

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