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Intense fighting a serious challenge for patients, MSF staff in Helmand

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Médecins Sans Frontières reported Tuesday that while fighting has been intense since May in Helmand province, clashes between the Afghan security forces and the Taliban have intensified in recent weeks and spread to more urban areas such as the provincial capital of Lashkargah city.

“There has been relentless gunfire, airstrikes and mortars in densely populated areas. Houses are being bombed, and many people are suffering severe injuries,” says Sarah Leahy, coordinator of the MSF Helmand project.

“Fighting within the city makes it harder for us to respond; our staff are part of the community and they, like many people, are afraid to leave their homes. It’s just far too dangerous and life is at a standstill,” says Leahy.

“Some of our colleagues are staying overnight in the hospital as it’s safer, but also so they can keep on treating patients. The situation has been dire for months but now it is even worse.”

Despite the challenges, the MSF-supported Boost hospital remains operational and has seen a marked increase in trauma needs over the past week.

“In just one day we performed 10 surgeries on people injured by violence, which is unheard of for us as we are not Lashkargah’s main provider of trauma care,” says Leahy. “Before last week we were operating on average on two war-wounded people per day.”

The main trauma centre in the city is run by another organisation, and is also under immense pressure; the people they cannot admit are sent to MSF for care, the statement read.

Between 29 and 31 July alone, MSF treated 70 war-wounded patients. In total from 3 May until 31 July, we have treated 482 war-wounded people, nearly all (92 per cent) for injuries caused by shells and bullets, and around a quarter (26 per cent) aged under 18. The patients seen by MSF are just a fraction of the total number injured by the violence, the organization reported.

MSF also said the conflict is stopping people from seeking medical attention when ill.

“The conflict leads people to think 10 times about whether they really want to make the journey. They delay until they can’t wait anymore, when their relatives haven’t opened their eyes for two or three days, have shallow breathing and are unresponsive. From a medical perspective, that’s almost too late.”

Even amongst MSF staff, the impact of the fighting is clearly visible. “Healthcare staff are exhausted. The work itself, seeing all these patients, is hugely difficult. And then on top of that, people have to deal a lot with outside pressures and worries,” says an MSF doctor.

Our teams continue to provide much-needed healthcare in Boost hospital, while continuing to run projects in four other locations around the country; Herat, Kandahar, Khost and Kunduz.

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Afghanistan publishes 20 new laws and dozens of legal documents over five years

The documents include 20 laws, 77 decrees, 30 orders, eight guidelines, six procedures, three codes, two charters, one regulation, one directive and one legal framework.

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The Progress website, affiliated with the Government Media Centre, has reported that Afghanistan’s Ministry of Justice has published 20 laws and dozens of other legislative documents in 31 issues of the Official Gazette since the Islamic Emirate returned to power.

According to the published figures, the documents include 20 laws, 77 decrees, 30 orders, eight guidelines, six procedures, three codes, two charters, one regulation, one directive and one legal framework.

Among the laws published over the past five years are legislation on preventing land grabbing, hearing complaints, the promotion of virtue and prevention of vice, money changers and monetary services, as well as preventing the smuggling of food products and medicines.

The report highlights the Ministry of Justice’s legislative activities and the publication of legal documents through Afghanistan’s Official Gazette during the past five years.

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UN pledges to expand cooperation with Afghanistan as over 8 million migrants return home

Rabab said the United Nations intends to expand its cooperation with Afghanistan in several areas, alongside coordinating humanitarian assistance.

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Abdul Salam Hanafi, Administrative Deputy Prime Minister of the Islamic Emirate of Afghanistan, has met with Rabab Fatima, the newly appointed Special Representative of the UN Secretary-General for Afghanistan, and her accompanying delegation to discuss humanitarian assistance, economic development and the challenges facing returning Afghan migrants.

During the meeting, Rabbah expressed her satisfaction at having the opportunity to serve the people of Afghanistan. She also spoke positively about development projects carried out in the country by the Islamic Emirate and expressed hope that efforts to promote economic growth and reconstruction would continue.

Rabab said the United Nations intends to expand its cooperation with Afghanistan in several areas, alongside coordinating humanitarian assistance. These include providing alternative livelihood opportunities for farmers, creating employment opportunities and expanding assistance to returning migrants.

She also praised the Islamic Emirate’s efforts to address the challenges facing returning Afghan migrants, describing the management of their return as one of Afghanistan’s major challenges.

For his part, Hanafi said more than eight million Afghan migrants have returned to the country, adding that the Islamic Emirate would use all available resources to support them and address their needs.

He further called on relevant institutions to strengthen efforts to protect the rights of returnees, create employment opportunities and provide adequate shelter.

The meeting comes amid ongoing humanitarian and economic challenges in Afghanistan, with support for returning migrants and expanded international cooperation remaining key priorities.

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Unexploded ordnance contaminates 901 square kms of land in Afghanistan

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Around 901 square kilometres of land across Afghanistan is contaminated with unexploded ordnance, posing a continuing threat to civilians, particularly children, Afghanistan National Disaster Management Authority said.

Mohammad Yousuf Hammad, spokesperson for the Afghanistan National Disaster Management Authority, made the remarks in an interview with Afghanistan’s state-controlled national broadcaster.

Hammad said explosions involving landmines and unexploded remnants of war continue to kill and injure large numbers of Afghans every year.

He added that, with financial support from the United Nations Special Trust Fund for Afghanistan, more than 73,000 square metres of contaminated land had been cleared in Kunduz and Baghlan provinces by December 2025.

According to available figures, approximately 1,026 people were killed or injured in Afghanistan in landmine and unexploded ordnance explosions in 2021.

Decades of conflict have left large quantities of explosive remnants of war scattered across the country, creating persistent dangers for civilians.

Children remain particularly vulnerable, as unexploded devices can be mistaken for ordinary objects or encountered while playing and travelling through affected areas.

The reported contamination highlights the continuing need for mine-clearance operations, humanitarian assistance and public awareness programmes to protect communities and prevent further civilian casualties.

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