Kiev , Ukraine ( CNN ) Shelling in eastern Ukraine on Wednesday killed four people , as fighting damaged a hospital and schools , local officials said . The deaths occurred at a hospital in Kirov district in Donetsk , the city council there said . The shelling damaged area schools , including a kindergarten . Kirov district was left without power . Wednesday 's deaths are the result of a worsening conflict between Ukrainian forces and pro-Russian separatists in eastern Ukraine . Civilians increasingly are falling victim , with at least 224 killed and more than 540 injured in the final three weeks of January , the U.N. high commissioner for human rights said Tuesday . As the situation deteriorates , the United States is considering sending lethal aid to help the Ukrainian government fend off attacks from pro-Russian rebels in eastern Ukraine 's Donetsk and Luhansk regions . This assistance would come in the form of so-called defensive lethal aid , which could include antitank , antiaircraft and counter-artillery systems .
Four wounded at a hospital in a district in Donetsk , city authorities say . Local schools , including a kindergarten , damaged by fire .