Relentless missile and drone strikes by Russian forces have killed and injured hundreds of civilians in Ukraine this month, continuing a devastating pattern of attacks far from the frontlines.

According to the UN human rights office, OHCHR, at least 139 civilians have been killed and 791 injured so far in July alone.

“The devastating physical and psychological impact on civilians of repeated attacks in this and other conflicts cannot be captured by numbers alone,” said OHCHR spokesperson Liz Throssell on Tuesday.

Escalating attacks

On the night of 12 July, Russian forces reportedly launched nearly 600 Shahed-type unmanned attack and decoy drones, along with 26 missiles, killing two civilians and injuring 41.

Damage was reported across multiple regions, including Chernivtsi, Lviv, Cherkasy, Volyn and Kirovohrad – all far from active combat zones. Earlier that same week, Russian forces reportedly launched a record-breaking 728 long-range drones in a single 24-hour period.

June marked the deadliest month for civilians in over three years.

“People are having to spend hours sheltering (…) in basements, corridors and available refuges such as metro stations,” said Ms. Throssell. “In some cases, they’re unable to get to shelter at all.”

Health under pressure

The UN World Health Organization (WHO) meanwhile has verified 2,504 attacks on health facilities and personnel in Ukraine since the start of the full-scale invasion by the Russian Federation on 24 February 2022.

These strikes have hit hospitals, ambulances and first responders, including in so-called “double tap” attacks where secondary strikes follow the initial impact.

“This means more than two attacks every day…Healthcare is not a safe place for patients and healthcare workers,” said Dr. Jarno Habicht, WHO Representative in Ukraine.

Access to healthcare remains especially limited in frontline areas, where personnel and supplies are scarce.

Only 69 per cent of residents in those areas have seen a primary care doctor, compared to 74 per cent nationally. WHO mobile teams operating in 82 locations have conducted more than 7,500 consultations in 2025 so far.

The psychological toll is also wearing people down. A recent assessment found that seven out of 10 people reported anxiety, depression or severe stress over the last 12 months, while one in two said they had experienced significant stress in just the past two months.

To address this, WHO and national partners have trained more than 125,000 health workers and expanded mental health services through more than 220 community resilience centres.

Despite continued deliveries of trauma kits and medical supplies by UN and humanitarian partners, the response remains critically underfunded. As of mid-July, only 35.5 per cent of the required $129 million for 2025 has been secured, leaving more than two million people without adequate medical support.

Call for accountability

In Geneva, Throssell highlighted the UN human rights chief’s calls for an immediate end to hostilities and for efforts toward a just and lasting peace.

“The Russian Federation’s full-scale armed attack on Ukraine must urgently be halted and work on a lasting peace in line with international law must intensify,” Volker Türk said in a statement.

The High Commissioner emphasized that any sustainable solution must include accountability for serious human rights violations, the return of deported children, protection for civilians in occupied areas, humane treatment of prisoners of war, and restoration of humanitarian corridors.