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Towards the end of World War II the city, which was the seventh largest in Japan, was utterly devastated by the first US atomic bomb dropped by the Enola Gay; the strike on Nagasaki followed three days later. More than 10 sq km/4 sq mi were obliterated, with very heavy damage outside that area. Casualties totalled at least 137,000 out of a population of 343,000: 78,150 were found dead, others died later. By 1995, the estimated death toll, which included individuals who had died from radiation-related diseases in the intervening years, had climbed to about 192,000. An annual commemorative ceremony is held on 6 August.