Russian officials say the dead include 36 patients at the psychiatric hospital near Moscow.
38 Die in Russian Hospital Fire

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Russian emergency service staff work at the site of a fire at a psychiatric hospital in the village of Ramensky, north of Moscow, April 26, 2013.

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Russian emergency service staff spray water and remove remains at the site of a fire at a psychiatric hospital in the village of Ramensky, north of Moscow, April 26, 2013.

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Russian emergency service staff work at the site of a fire at a psychiatric hospital in the village of Ramensky, north of Moscow, April 26, 2013.

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This image taken from video footage provided by the Russian Emergencies Ministry shows a fire at a psychiatric hospital north of Moscow, April 26, 2013 .