(JNS) A man and woman were killed by “severe shrapnel injuries” after an Iranian missile hit a residential neighborhood in Ramat Gan in central Israel, Magen David Adom said early on Wednesday morning in Israel.

The emergency service also said that a man in his 20s was being treated for “mild” shrapnel injuries to his hand and being evacuated to the hospital.

Magen David Adom also said that one of its vehicles was “seriously damaged” and an emergency medical technician was “mildly injured.”

United Hatzalah said that it “provided emergency medical treatment following a direct hit on a building in Central Israel.”

“A man and woman in their 70s were pronounced dead at the scene,” it said. “Over 15 others were treated for minor injuries and emotional shock across several locations.”

The Iranian strike caused “severe structural damage to an apartment building and surrounding infrastructure,” according to United Hatzalah.

“Upon arrival, we encountered a scene of extensive devastation,” United Hatzalah medics, who responded to the incident, said. “Tragically, two individuals were found without signs of life within the building. In addition, we provided medical treatment to several other individuals, who sustained light injuries.”

Israeli security and rescue forces inspect the damage at the scene where a missile fired from Iran toward Israel caused damage and killed two people in Ramat Gan, central Israel, March 18, 2026. Credit: Avshalom Sassoni/Flash90.

United Hatzalah also provided treatment to “numerous” people for “acute anxiety and shock,” it said.

The two victims were reportedly trying to get to a shelter and were reportedly a couple.

Carmel Shama-Hacohen, mayor of Ramat Gan, told Channel 14 in Hebrew that it was a “deadly and harsh scene.”

“We’re dealing with a mad regime that attacks anything that moves,” the mayor said in Hebrew. “There’s no reason to stop, only to increase the pace.”

Simmy Allen, international spokesman for United Hatzalah, said that “this was not only a scene of physical destruction, but of profound human impact.”

“Our volunteers are trained to respond to both the visible injuries and the invisible trauma that follows such attacks,” Allen said. “Within minutes, they were on the ground, delivering care where it was needed most.”

The Centre for Israel and Jewish Affairs, the advocacy arm of the Jewish Federations of Canada-UIA, stated that it was “devastated by the loss of two innocent lives, an elderly couple killed in their own home, in another Iranian cluster missile attack on Israeli civilians in central Israel.”

“Iran’s Islamic regime continues to murder its own citizens and civilians throughout the Middle East,” CIJA said. “Its missile and drone program is a danger to the region and the entire world. This brutal regime must be stopped—for the sake of the Iranian people, the region and the world.”

Want more news from Israel?
Click Here to sign up for our FREE daily email updates