BENI MELLAL, Morocco (AP) — In the unrelenting heat of Morocco’s Middle Atlas, people were sleeping on rooftops. Hanna Ouhbour needed refuge too, but she was outside a hospital waiting for her diabetic cousin who was in a room without air conditioning.

On Wednesday, there were 21 heat-related deaths at Beni Mellal’s main hospital as temperatures spiked to 48.3 degrees (118.9 degrees Fahrenheit) in the region of 575,000 people, most lacking air conditioning.

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