MOSCOW - A fire killed 37 people in a Russian psychiatric hospital on Friday, the second deadly blaze at such a facility this year and it was likely to heighten concerns about Russia's treatment of the mentally ill and other wards of the state.
There have been many deadly fires at state institutions like hospitals and schools over the past decade, raising questions about safety standards. Russia is also dogged by transport and industrial accidents, and critics point to a culture of negligence bred by President Vladimir Putin's top-down ruling style.
The pre-dawn fire razed a dilapidated ward for severely ill patients at the hospital in a provincial village north of Moscow, apparently killing some while under sedation as fog slowed firefighters travelling from 45 km (28 miles) away.
Emergency authorities had recently sought to have the run-down wood, brick and concrete building condemned as unfit for use, a senior official said. Federal authorities began a criminal inquiry into suspected lethal negligence.
State television showed firefighters spraying water on the smoking, blackened ruins of the ward at the hospital - footage that has become grimly familiar after a number of deadly fires at state institutions in Russia in recent years.
A female orderly died while trying to save patients at the hospital in the village of Luka, which is in Novgorod province between Moscow and St Petersburg, the regional branch of the federal Investigative Committee said in a statement.
It said 37 people were killed, and the Emergency Situations Ministry said 15 bodies had been recovered by midday.
More than 20 patients were evacuated after the fire broke out shortly before 3 a.m. (2300 GMT on Thursday). Official initially said some others may have escaped on their own, but none had been found hours later by police combing the area.
The fire left little but the concrete foundation of the single-story building housing male patients at the hospital.