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The explosion killed 218 people, including nationals of Lebanon, Syria, Egypt, Ethiopia, Bangladesh, Palestine, Philippines, Pakistan, the Netherlands, Canada, Germany, France, Australia, and the United States.[447] Thirty-four of those killed were refugees.[448] It wounded 7,000 people, of whom at least 150 acquired a physical disability, caused untold psychological harm, and damaged 77,000 apartments, displacing over 300,000 people.[449] At least three children between the ages of 2 and 15 lost their lives.[450] Thirty-one children required hospitalization, 1,000 children were injured, and 80,000 children were left without a home.[451] The explosion affected 163 public and private schools and rendered half of Beirut’s healthcare centers nonfunctional, and it impacted 56 percent of the private businesses in Beirut.[452] There was extensive damage to infrastructure, including transport, energy, water supply and sanitation, and municipal services totaling between US$390 and 475 million in losses.[453] According to the World Bank, the explosion caused an estimated $3.8-4.6 billion in material damage.[454] The explosion also resulted in ammonia gas and nitrogen oxides being released into the air, potentially with toxins from other materials that may have also ignited as a result of the blast.[455] Ammonia gas and nitrogen oxides are harmful to the environment as well as to the respiratory system.[456] Ammonium nitrate is widely used and its production is energy-intensive
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