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By Christian Borys By Christian Borys February 3 at 6:05 PM

AVDIIVKA, Ukraine From the center of this beleaguered eastern Ukrainian town, air bursts from exploding shells could be seen just a few hundred yards away Friday, and the sound of intense outgoing and incoming rounds echoed from several directions.

This is the worst fighting weve seen in Ukraine since 2014 and early 2015, said a visibly upset Alexander Hug, head of the Organization for Security and Cooperation in Europes monitoring mission in Ukraine, who was standing near a makeshift humanitarian aid station where shrapnel had collapsed a tent overnight. The town has been bombarded relentlessly every night this week in the latest flare-up of hostilities between Russian-backed separatists and Ukrainian forces.

[Ukraine fighting could pose early challenge to Trump]

According to Hug, both sides are making use of heavy weapons such as the multiple-launch Grad missile system, and they are doing so in plain sight of OSCE observers. Grads, along with 152mm and 122mm artillery, were banned under the Minsk II agreement, which was signed two years ago after the catastrophic battle of Debaltseve.

In the town of Avdiivka, whose prewar population of 35,000 has been reduced to an estimated 15,000 to 20,000, residents who have elected to stay voiced utter dismay Friday.

I have to sleep in my bathroom. Theyre going to kill me in my bathroom, shouted 72-year-old Liliana Nikolaina, who had gathered with other women near another makeshift aid station, set up in a low-rise building next to a set of apartment blocks a few minutes walk from where Hug spoke. I cant believe its happening again.

This is the fourth year of war, said Vera, 56, who declined to give her last name. Were all Ukrainians, were for a united Ukraine, and we just want this war to finally stop. Tell Poroshenko to find a way to end this, she said referring to Ukrainian President Petro Poroshenko before bursting into tears.

While the fighting has been largely kept to the outskirts of Avdiivka during the day, the nighttime has been hellish for residents. Shells have landed indiscriminately throughout the town, and civilian casualties are racking up. Some residents are still without power or heat lost during the fighting, and most are relying on humanitarian aid boxes for food, bedding, candles and other supplies.

Outside the aid station where the women were gathered Friday, a shell had fallen just hours earlier. A 25-year-old rescue worker was killed in the blast when shrapnel riddled the ambulance he was sitting in. Hours later, blood and matter were still visible in the front seat of the vehicle.

Authorities reported that a woman was also killed overnight Thursday, and the Ukrainian military said that three of its soldiers were killed, as well.

An apartment block on the edge of town was also shelled, and the fourth-floor apartment of 70-year-old Anatoliy Nikolaivich and his wife, Elena, took a direct hit from a 122mm shell.

Everything is destroyed, Anatoliy said as he stood amid the remnants of his home. It was so beautiful, and now look at this, its all gone.

He and his wife had been sleeping in their daughters first-floor apartment when the shell landed.

Several hundred feet away, another mid-rise apartment building was also struck. The top-floor apartment was destroyed, and shrapnel from the blast ripped through the one below it, where British photographer Christopher Nunn was conducting an interview. The woman Nunn was interviewing died in the blast, and he suffered shrapnel wounds to his face and eyes.

Tetiana Gruba, a Dnipropetrovsk regional war adviser, said doctors in the city of Dnipro, where Nunn was evacuated, had saved his eyesight but were unsure how well he will be able to see.

A Ukrainian commander, Yevhen Deydey, 25, said he expects the escalation of hostilities to continue.

He said his troops had received text messages as part of a psychological warfare effort mounted by the separatists. Among them were messages that read: Theyll find your body when the snow melts; Youre just meat to your commanders; and Youre like Germans at Stalingrad.

Although residents in town say theyre hopeful that a cease-fire can be negotiated, they are bracing for the worst. Most are once again spending their nights in basements.

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'Everything is destroyed': A deadly surge of violence strikes eastern Ukraine - Washington Post