The injured arrive in ever greater numbers at the Madina hospital in Mogadishu. As shelling rocks the Somali capital for a fourth day in a row, the number of dead and wounded grows. Though many in need have not been able to reach help because of the barrage, hospitals are struggling to cope.

The Madina has put up tents to accomodate the overflow from its packed wards. The International Committee of the Red Cross says it is the worst fighting the city has seen for more than 15 years. Government and Ethiopian troops launched an offensive against Islamic militants and their clan militia allies on Thursday.

Ethiopia says its forces have killed more than 200 insurgents since it began.

Witnesses say hundreds more Ethiopian soldiers are on their way to Mogadishu.

With them are trucks laden with military equipment.

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