Conflict monitors say the junta has increased airstrikes year-on-year since the start of Myanmar’s civil war

Dozens have been killed in a military strike on a hospital in Myanmar’s western Rakhine state, according to an aid worker, a rebel group, a witness and local media reports, as the junta wages a withering offensive ahead of elections beginning this month.

“The situation is very terrible,” said on-site aid worker Wai Hun Aung. “As for now, we can confirm there are 31 deaths and we think there will be more deaths. Also there are 68 wounded and will be more and more.”

In early 2025, Sian traveled deep into the mountains of Shan State, on Myanmar’s eastern border with China, in search of work. He had heard from a friend that Chinese companies were recruiting at new rare-earth mining sites in territory administered by the United Wa State Army, Myanmar’s most powerful ethnic armed group, and that workers could earn upwards of $1,400 a month.

It was an opportunity too good to pass up in a country where the formal economy has collapsed since the 2021 military coup, and nearly half of the population lives on less than $2 a day. So Sian set off by car for the town of Mong Pawk, then rode a motorbike for hours through the thick forest.

Hired for daily wages of approximately $21, he now digs boreholes and installs pipes. It is the first step in a process called in situ leaching, which involves injecting acidic solutions into mountainsides, then collecting the drained solution in plastic-lined pools where solids, like dysprosium and terbium, two of the world’s most sought-after heavy rare-earth metals, settle out. The resulting sediment sludge is then transported to furnaces and burned, producing dry rare earth oxides.

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