Thirty-three critically injured civilians have been airlifted to Kabul by helicopter for emergency medical treatment following reported airstrikes in eastern Afghanistan, health officials said on Monday.

According to officials, the patients are among 66 people initially identified as being in critical condition after the strikes, which reportedly hit residential areas in the eastern provinces of Paktia, Paktika and Kunar overnight.

The injured have been admitted to several hospitals across the capital, where specialist medical teams are providing emergency care. Authorities have not released details on the conditions of the remaining critically wounded patients or whether they will also be transferred to Kabul.

The medical evacuations come as Afghan officials continue to assess the human toll of Pakistan’s overnight airstrikes against Afghanistan.

The Islamic Emirate has accused Pakistan of carrying out the strikes, saying at least 36 civilians, including women and children, were killed and 163 others wounded. Officials said the deadliest attack occurred in Mandokhail village in Paktia’s Chamkani district, where a residential home was allegedly struck before a second strike hit as villagers gathered to help the wounded.

Additional strikes were reported in Paktika’s Giyan district and Kunar’s Manogai district, where authorities said several homes were damaged or destroyed.

Pakistan has not officially commented on the allegations, and the casualty figures released by Afghan authorities have not been independently verified.

The reported strikes have drawn widespread condemnation from senior Afghan officials and international figures, including former US Special Representative for Afghanistan Reconciliation Zalmay Khalilzad, who criticised the attacks and called for dialogue between the two neighbouring countries rather than military action.

The latest violence underscores the continuing tensions along the Afghanistan-Pakistan frontier, where both countries have repeatedly exchanged accusations over cross-border militancy and security threats.

Afghan authorities have described the reported strikes as violations of the country’s sovereignty, while Pakistan has previously maintained that its military operations target militant groups it says operate from Afghan territory.

Former US Special Representative for Afghanistan Reconciliation Zalmay Khalilzad has condemned Pakistan’s overnight airstrikes in eastern Afghanistan, saying the attacks have caused heavy civilian casualties despite repeated calls for dialogue to resolve tensions between the two countries.

In a statement posted on social media, Khalilzad said Pakistan had once again resorted to military action despite appeals from the international community and many Pakistanis to settle disputes through diplomatic means.

“I have always condemned the killing of Afghan civilians by Pakistan, and I condemn it again today,” he said.

His comments came after Afghanistan’s Islamic Emirate said Pakistani military aircraft carried out strikes in the eastern provinces of Paktia, Paktika and Kunar overnight. 

According to Deputy Spokesman Hamdullah Fitrat, at least 36 civilians, including women and children, were killed and 163 others wounded. 

The Islamic Emirate said the deadliest attack occurred in Mandokhail village in Paktia’s Chamkani district, where an initial strike hit a civilian home before a second strike allegedly targeted villagers responding to the scene. Officials also reported civilian casualties in Paktika province and the destruction of a residential home in Kunar province.

Khalilzad said Islamabad had also failed to respond to numerous proposals put forward by the Islamic Emirate aimed at addressing security concerns between the neighbouring countries.

He questioned whether Pakistan genuinely wanted a negotiated solution, asking whether the country’s leadership was seeking to resolve the dispute or pursuing broader strategic objectives.

“I also wish to point out that Islamabad has not responded to the numerous proposals and plans put forward by the Taliban (IEA) government, despite indicating that it agrees with them.

“In the continued absence of any constructive effort or response from Pakistan, it is time to ask an important question: Does Islamabad genuinely seek a solution and an agreement?”

Khalilzad further suggested that continued military action could indicate an effort to keep Afghanistan unstable, raising questions about whether such instability benefits foreign actors, including China, while running counter to US interests.

“Is this conflict really what Islamabad claims it is? Or is Pakistan’s security and military establishment pursuing other objectives? If so, what are those objectives?

“Is the goal to keep Afghanistan unstable?

“Is Pakistan’s security establishment being encouraged or rewarded by China to create conditions that would allow Afghanistan to fall further under Chinese influence? Or is it both?,” he asked.

Khalilzad warned that if this were the case, the consequences could include greater regional instability, an expansion of activities by extremist groups such as ISIS-Khorasan, and increased Chinese influence in Afghanistan.

Relations between Afghanistan and Pakistan have remained strained in recent years, with both sides accusing each other of failing to address cross-frontier security threats. 

Pakistan has previously said its military operations target militant groups responsible for attacks inside its territory, while Afghan authorities have repeatedly condemned cross-Durand Line strikes as violations of Afghanistan’s sovereignty and say civilians continue to bear the brunt of the violence.

Islamic Emirate of Afghanistan (IEA) officials say at least 36 civilians were killed and more than 160 others wounded in a series of overnight airstrikes carried out by Pakistani military aircraft in the eastern provinces of Paktia, Paktika and Kunar.

According to Hamdullah Fitrat, deputy spokesman for the Islamic Emirate, the dead include women, children and elderly civilians.

The most severe attack was reported in Mandokhail village in Chamkani district of Paktia province, where officials said a residential home was struck by Pakistani fighter jets. The initial strike reportedly killed an elderly man and a child and injured several other members of the family.

Fitrat said a second strike hit the area as local residents gathered to assist the victims, killing a further 28 people and injuring 158 others.

In Giyan district of neighbouring Paktika province, officials said a house in Walust village was bombed, killing six civilians, most of them women and children.

Meanwhile, in Barolo village in Manogai district of Kunar province, another residential home was reportedly destroyed in an airstrike. No casualties were reported there, although the property sustained extensive damage.

The Islamic Emirate said that, based on preliminary information, three civilian homes were completely destroyed during the attacks.

The reported strikes come amid renewed tensions along the Afghanistan-Pakistan border, where both sides have repeatedly accused each other of allowing militant groups to operate from their respective territories. 

Pakistan has previously conducted cross-border strikes, saying it is targeting militants responsible for attacks inside Pakistan, while Afghan authorities have condemned such operations as violations of the country’s sovereignty and insist civilians are disproportionately affected.

Further details are expected as officials continue assessing the damage and verifying casualty figures.