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Nakamura’s legacy revived as leprosy care resumes in Afghanistan

Disturbed by the hardships of their long journeys, Nakamura began establishing clinics in Afghanistan during the 1990s. But worsening security forced leprosy treatment to halt in 2010.

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Six years after the killing of renowned Japanese humanitarian doctor Tetsu Nakamura, his earliest mission in Afghanistan—providing care for leprosy patients—has been brought back to life.

Ahead of the sixth anniversary of Nakamura’s death on December 4, his colleagues have reopened leprosy services in eastern Afghanistan, marking the first time in 15 years that dedicated treatment has been available locally.

On November 1, the Tetsu Nakamura Memorial Leprosy Center officially opened in Jalalabad. A three-story private residence has been fully renovated to house treatment rooms and separate five-bed wards for men and women. The facility is jointly operated by Peshawar-kai, the Fukuoka-based NGO, and Peace Japan Medical Services (PMS), the local organisation Nakamura founded.

Staff at the new center include two doctors, three nurses, and 19 local employees. The name of the center was chosen unanimously, reflecting their shared commitment to carry forward Nakamura’s guiding motto: “Continue all of Dr. Nakamura’s projects and carry forward all hopes.”

Before the opening, Chiyoko Fujita, head of the PMS support office, urged the staff to embrace the responsibility handed down to them: “Patients’ lives are in your hands.”

From leprosy care to life-saving irrigation

Nakamura’s humanitarian journey began in 1984 when he was assigned to a hospital in Peshawar, Pakistan, where he oversaw the leprosy ward. Patients from remote Afghan mountain regions—where no medical services existed—soon began crossing the border in growing numbers.

Disturbed by the hardships of their long journeys, Nakamura began establishing clinics in Afghanistan during the 1990s. But worsening security forced leprosy treatment to halt in 2010.

Amid a devastating drought in 2000, Nakamura shifted focus to irrigation, launching the transformative Green Ground Project in 2003 to channel river water into parched farmland. Irrigation and water management became the core of his work in the years that followed.

Even shortly before being shot dead in 2019, alolng with his four security guards and his driver, Nakamura reportedly said: “We must build a leprosy center.”

A renewed mission

Since Nakamura’s death, Peshawar-kai and PMS have continued his irrigation and medical initiatives. Improved security conditions and a request from provincial authorities paved the way for reopening leprosy services.

Newly recruited staff are now undergoing specialised training, with plans to expand into mobile clinics and inpatient care. Early detection remains a challenge, especially because cultural norms often prevent women from being examined by male doctors.

“We will focus on training female nurses and ensure these skills are passed on,” Fujita said.

PMS general director Masaru Murakami said the reopening marks a turning point after years of uncertainty. “Now we can finally resume treatment. With Nakamura’s will—to sustain life and keep this light alive—we want to move forward,” he said.

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UN report warns of shift toward synthetic drugs in Afghanistan

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The United Nations has warned that drug use patterns in Afghanistan are shifting away from traditional narcotics toward synthetic drugs and the misuse of medical substances, according to a new report released by the UN Office on Drugs and Crime (UNODC).

The report, the third and final volume of the National Drug Use Survey in Afghanistan, found that cannabis and opium remain the most commonly used substances, accounting for 46 percent and 19 percent of drug consumption, respectively. However, it highlights a growing use of synthetic drugs, with so-called “K” tablets making up 11 percent and methamphetamine, commonly known as crystal meth, accounting for 7 percent.

The survey was conducted by UNODC with financial support from the United Nations Development Programme (UNDP). It also points to the heavy economic burden drug use places on Afghan households, noting that the cost of substances such as methamphetamine can consume a substantial share of a daily wage earner’s income.

Respondents identified poverty, unemployment, physical pain, psychological stress and family problems as the main factors driving drug use. UN officials emphasized that addressing the issue requires integrated responses, including treatment and harm-reduction services alongside primary healthcare, psychosocial support and social protection measures.

The report also highlights significant gaps in access to drug treatment services, particularly for women, whose access remains considerably lower than that of men.

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CSTO to strengthen Tajik–Afghan border security amid escalating clashes

The CSTO, which includes Russia, Belarus, Kazakhstan, Kyrgyzstan, and Tajikistan, has pledged to ensure the region’s border security is strengthened in light of the growing instability.

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The Russia-led Collective Security Treaty Organization (CSTO) is stepping up efforts to enhance security along the Tajik–Afghan border, following a series of rising clashes in the region. The decision comes as Tajikistan grapples with increasing instability at the border, exacerbated by violent incidents and the growing presence of armed groups.

On January 29, Tajik border forces engaged in a deadly firefight with suspected drug traffickers in the Khatlon Province, resulting in the deaths of three traffickers. Others managed to flee into Afghanistan. Fortunately, no casualties were reported among Tajik forces. The confrontation also led to the seizure of weapons, ammunition, and over 70 packages of illicit narcotics, including hashish and opium.

This incident underscores the intensifying security challenges along the border, where armed clashes have surged in recent months. Notably, in November, a series of attacks targeted Chinese workers in the region, killing five individuals and prompting China to suspend several infrastructure and mining projects due to safety concerns.

To address these escalating security threats, CSTO Secretary General Taalatbek Masadykov confirmed that the organization is finalizing plans to deliver advanced military equipment to bolster Tajikistan’s border defense capabilities. Masadykov stated that CSTO member states are currently coordinating the types of weapons, military gear, and technical resources to be provided, with contracts and suppliers still under negotiation.

The CSTO, which includes Russia, Belarus, Kazakhstan, Kyrgyzstan, and Tajikistan, has pledged to ensure the region’s border security is strengthened in light of the growing instability. However, no specific timeline has been set for the delivery of the new equipment.

As tensions continue to rise, the international community is closely monitoring developments, with concerns mounting over the potential spillover of violence from Afghanistan into neighboring Central Asian countries.

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Mujahid: IEA seeks positive ties with US, denies receiving foreign aid

“The policy of the Islamic Emirate is based on self-reliance. Afghans must resolve their internal challenges themselves,” Mujahid said.

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Zabihullah Mujahid, spokesperson for the Islamic Emirate of Afghanistan (IEA), said the group seeks positive and balanced relations with all countries, including the United States, while insisting that no foreign financial aid has been provided directly to the Emirate or the Afghan government.

In an exclusive interview with Payam Afghan TV, Mujahid responded to recent U.S. Senate legislation aimed at restricting aid to Afghanistan, stating that Washington has not sent any assistance directly to the Islamic Emirate. He said humanitarian aid to Afghanistan has been suspended or provided solely on humanitarian grounds.

Mujahid added that past international assistance was channeled through domestic institutions and human rights organizations and remained under the control of those entities, with no direct involvement from the Islamic Emirate.

“The policy of the Islamic Emirate is based on self-reliance. Afghans must resolve their internal challenges themselves,” Mujahid said.

He emphasized that the Emirate’s focus is on attracting investment and promoting economic development while safeguarding national sovereignty and preventing foreign political interference. Mujahid cited engagement with China, Russia, and neighboring countries as examples of this approach.

He concluded that the Islamic Emirate is open to cooperation with European and American investors, aiming to turn Afghanistan into a regional and global economic hub, provided its sovereignty and internal affairs are fully respected.

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