The humanitarian crisis in Myanmar escalated further on Wednesday night as a military airstrike struck the Mrauk-U General Hospital in northern Rakhine State, killing at least 31 people and injuring approximately 68 more. The bombing, which occurred around 9:00 PM local time on December 10, has destroyed one of the region’s most vital medical facilities and intensified global concern regarding the conduct of Myanmar’s ruling junta.
A Direct Strike on a Civilian Medical Facility
According to witnesses and aid workers, a Myanmar military fighter jet released multiple bombs directly on the hospital compound. The attack took place in Mrauk-U township, a historic cultural center and a stronghold of the Arakan Army (AA), an ethnic armed organization that has seized extensive territory from Myanmar’s military over the past two years.
Impact assessments from emergency responders depict a scene of overwhelming devastation. At least ten patients were killed instantly in their beds, and images from the aftermath show bodies shrouded and laid across the hospital grounds overnight. Aid workers warn that the death toll is likely to rise, as many of the wounded remain in critical condition with limited access to further medical care.
A Critical Blow to a Collapsing Healthcare System
Mrauk-U General Hospital has been one of the few remaining functional medical centers in northern Rakhine State amid Myanmar’s ongoing civil war. Its destruction leaves tens of thousands of civilians without reliable access to medical services.
Humanitarian organizations have long warned that Myanmar’s healthcare system—already strained by conflict, shortages, and ongoing displacement—cannot withstand sustained attacks on medical infrastructure. The hospital’s collapse further compounds the logistical and ethical challenges facing medical professionals who continue to serve in areas affected by the conflict.
Escalation Ahead of Controversial Elections
The airstrike comes amid a sharp escalation in violence as Myanmar’s junta seeks to consolidate control ahead of national elections scheduled for December 28, 2025. The military leadership has promoted the election as a step toward legitimacy, while opposition groups and ethnic armed forces have rejected the process and vowed resistance.
Ground losses to resistance forces, including the AA, have prompted the junta to rely increasingly on air power. The Mrauk-U hospital bombing follows another deadly incident on December 5, when an airstrike on a tea shop in Sagaing Region killed 18 civilians watching a football match. These attacks reflect a pattern of intensified aerial operations as the junta attempts to reassert territorial dominance.
Strikes on Mrauk-U: Strategic or Indiscriminate?
Mrauk-U is among the most significant battlegrounds in Myanmar’s conflict due to its symbolic and strategic value. The AA’s control over much of the area has represented one of the junta’s most substantial setbacks. Analysts note that Wednesday’s attack may signal an attempt to break the AA’s influence or disrupt local governance structures ahead of the election period.
However, the strike on a hospital, a non-military target, raises urgent questions about adherence to international humanitarian law and the proportionality of the junta’s military actions.
International Law and Human Rights Violations
The timing of the attack carries profound symbolism: it occurred on International Human Rights Day. Aid workers and legal experts have emphasized that deliberate or indiscriminate attacks on medical facilities are considered war crimes under international humanitarian law, including the Geneva Conventions.
Witness accounts describe chaotic conditions as medical staff struggled to treat survivors amid rubble and fire. Humanitarian responders characterized the strike as “terrible” and “overwhelming,” underscoring the human cost of the conflict's newest phase.
Wider Implications for Civilians in Rakhine State
Civilians in Rakhine State have increasingly borne the brunt of intensified fighting between the junta and the AA. Displacement has surged, food shortages have worsened, and access to health services has dwindled. With Mrauk-U General Hospital now inoperable, local communities face even greater risk from untreated injuries, disease outbreaks, and deteriorating living conditions.
Humanitarian groups continue to call for unrestricted access to affected areas, though such access remains severely limited due to military restrictions and active conflict zones.
Growing Pressure for International Accountability
The attack has renewed calls from human rights organizations and foreign governments for international scrutiny, targeted sanctions, and potential war-crimes investigations. While global pressure has mounted over the past several years, Myanmar’s military leadership has shown little willingness to alter its tactics or engage in meaningful negotiations.
As the country approaches the December 28 elections, many observers fear that violence against civilians may intensify further, particularly in regions where resistance forces maintain territorial control.

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