At least three people have been killed and more than 30 are feared dead after a fire swept through a psychiatric hospital in northwest Russia.
A spokesman for the Emergency Situations Ministry said about 60 people, most of them patients, were in the building when the blaze broke out just before dawn.
He said some of the missing may have escaped the hospital in the village of Luka in the region of Novgorod and fled into nearby woodland.
The charred remains of the hospital, where at least three people diedA man who investigators believe started the fire by smoking inside the building survived, according to state television channel Rossiya 24.
The blaze engulfed the majority of the hospital's mostly wooden structure, which dates back to the 1800s.
Officials had warned the facility was unsafe and had called for it to be closed but hospital administrators won permission to use it until next year.
Luka is a small town in the Novgorod region of northwest RussiaThe blaze was the second deadly fire at a Russian psychiatric hospital this year.
In April, a fire at a facility outside Moscow killed 38 people and prompted criticism of the state over the care of mentally ill patients.
There have been many fires at state institutions such as hospitals, schools, drug treatment centres and homes for the disabled in the past decade, raising questions about safety measures, conditions and escape routes.
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