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Over half a million Afghans receive health aid in October as infections surge

Measles and ARI outbreaks remain particularly concerning amid low vaccination coverage, harsh winter conditions, and limited access to primary healthcare.

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Afghanistan’s health sector continues to face mounting pressure as humanitarian organizations respond to rising disease outbreaks, large-scale population movements, and the lingering impact of natural disasters, according to the Afghanistan Health Cluster’s October 2025 bulletin issued by the World Health Organization (WHO).

Despite severe funding gaps and operational restrictions, 54 Health Cluster partners provided lifesaving health services to 512,679 people across all 34 provinces during the month.

Assistance was delivered through 862 health facilities in 310 districts, underscoring both the scale of need and the continued reliance on humanitarian actors to keep essential services running.

Between 1 September and 31 October, 25 Health Cluster partners supported the health response in Afghanistan’s eastern region — an area heavily affected by mass return movements from Pakistan and Iran.

In October alone, 15 partners provided health services to earthquake-affected populations, while 139,285 returnees were reached during the two-month period, including:

  • 35,957 women
  • 26,897 men
  • 38,722 girls
  • 37,659 boys

Humanitarian agencies warn that the influx of returnees, many with urgent health needs, is straining already fragile health infrastructure.

Disease outbreaks rising sharply

The bulletin highlights multiple disease outbreaks, with several conditions showing alarming increases in October:

  • Acute Watery Diarrhea (AWD) with dehydration: 15,460 cases
  • Acute Respiratory Infections (ARI)/Pneumonia: 118,090 cases and 197 deaths
  • A 54.5% spike compared to September (76,430 cases)
  • Measles: 3,721 cases
  • Dengue fever: 1,826 cases
  • Malaria: 15,253 cases (a 9.5% decrease from September’s 16,846 cases)
  • Crimean-Congo Hemorrhagic Fever (CCHF): 120 cases

Measles and ARI outbreaks remain particularly concerning amid low vaccination coverage, harsh winter conditions, and limited access to primary healthcare.

Coordination and support strengthened

To streamline humanitarian health operations, 35 Memorandums of Understanding (MoUs) were reviewed in October, with 15 approved by the Ministry of Public Health (MoPH). Approvals are crucial for NGOs to maintain legal access and operate medical facilities across the country.

Emergency supplies distributed

As part of emergency preparedness efforts, WHO delivered 951 emergency medical kits to 114 health facilities in 26 provinces, enough to support an estimated 928,050 people for the next three months.

A health system under strain

Afghanistan’s healthcare system remains heavily dependent on humanitarian aid following years of conflict, economic collapse, and reduced international funding since 2021.

Recurrent border closures, harsh winter conditions, rising displacement, and ongoing outbreaks continue to drive up humanitarian needs.

The Health Cluster warns that without sustained support, essential services — particularly maternal and child health, vaccination coverage, and emergency response — risk severe disruption.

The October bulletin underscores both the immense challenges facing Afghanistan’s health sector and the critical role aid agencies play in sustaining basic health services for millions.

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IEA rejects claims of al-Qaeda presence in Afghanistan

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The Islamic Emirate of Afghanistan (IEA) has rejected reports alleging that al-Qaeda and other militant groups are regrouping in the country, saying such groups are no longer present and that there is no evidence supporting the claims.

Hamdullah Fitrat, deputy spokesman for the Islamic Emirate, said groups that had previously been present in Afghanistan were linked to the circumstances and jihad of an earlier period, but that major regional developments had since changed the situation.

“Those groups are no longer present in Afghanistan, nor is there any need for their presence. There is also no evidence to prove the claims about their presence,” Fitrat said.

The comments came after The Washington Post reported Saturday, citing US and Western security officials and a United Nations organization, that al-Qaeda and other militant groups have been rebuilding their networks in Afghanistan since the Islamic Emirate returned to power in 2021.

Fitrat said such claims are made by certain intelligence circles that seek to portray Afghanistan as insecure and to make the region insecure.

He reiterated that the IEA will not allow Afghanistan’s soil to be used against any other country.

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Mujahid states Kabul seeks stronger ties with region and beyond

According to figures from Afghanistan’s Ministry of Foreign Affairs, the Islamic Emirate currently has 40 active diplomatic missions in different countries.

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The Islamic Emirate says it is seeking to strengthen and expand Kabul’s relations with countries in the region and beyond, with its foreign policy focused on economic cooperation and regional connectivity.

Zabiullah Mujahid, spokesman for the Islamic Emirate, says Afghanistan’s current government has managed to establish trust-based relations with countries in the region and around the world over the past five years.

Mujahid says visits by senior officials from several countries to Afghanistan, along with expanding trade relations with a number of countries, demonstrate the growing trend of these interactions.

The Islamic Emirate spokesman stresses that Afghanistan needs the cooperation and effective role of neighboring and regional countries to strengthen regional cooperation and achieve its economic and regional connectivity objectives.

He also says the Islamic Emirate is seeking to further expand and consolidate Kabul’s relations with countries in the region.

According to figures from Afghanistan’s Ministry of Foreign Affairs, the Islamic Emirate currently has 40 active diplomatic missions in different countries.

Meanwhile, a number of international relations experts state that expanding Afghanistan’s engagement with the world could help reduce political isolation, strengthen diplomatic ties, attract investment, and ultimately foster the country’s economic growth.

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Khalilzad warns US risks losing influence in Afghanistan to China and Russia

Khalilzad also warned that continued restrictions on women’s and girls’ access to education and employment could have serious consequences.

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Former US Special Representative for Afghanistan Zalmay Khalilzad has warned that Washington risks creating a vacuum in Afghanistan that could be filled by China and Russia if the United States does not re-engage with the country.

Speaking to Al Jazeera, Khalilzad said maintaining stability in Afghanistan remains in the US interest, warning that a return to collapse and chaos could once again create conditions for terrorist groups to expand and pose threats to the United States.

“If we do not engage and try to advance our interests, then our rivals will fill the vacuum,” Khalilzad said.

He pointed to growing Chinese and Russian engagement with Afghanistan, saying China is seeking access to the country’s natural resources while Russia has also become increasingly active.

Khalilzad said US policy should take Afghanistan’s current circumstances and future direction into account, including what Washington wants the country to look like in the years ahead.

He identified preventing Afghanistan from again becoming a base for anti-US terrorist groups as one of Washington’s key interests.

“Economic progress is important to achieving this goal, and developing Afghanistan’s resources is also important,” he said.

Khalilzad also warned that continued restrictions on women’s and girls’ access to education and employment could have serious consequences.

Meanwhile, Islamic Emirate spokesman Zabiullah Mujahid said Kabul and Washington have held talks through various channels on several occasions.

However, Mujahid said the absence of changes in US policy towards Afghanistan has prevented the discussions from producing meaningful progress in relations between the two sides.

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