Two children were airlifted to Cox South Hospital in Springfield after they were hit by a vehicle as they ran onto the highway to retrieve a ball.
The accident occurred 5 p.m. Saturday on MO 59, a quarter of a mile south of Noel.
According to the Highway Patrol report, Olivia Kosmes, 8, Siloam Springs, Arkansas, and Tafadi Ruan, 12, Noel, were struck by a 1989 Chevrolet Suburban driven by John R. Ackerman, 77, Sulfur Springs, Arkansas.
The children were treated for serious injuries.
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