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Fear of deportation turns deadly for Afghan refugees in Pakistan

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Fear of arrest and forced deportation is pushing Afghan refugees in Pakistan into life-threatening situations, with women, children and the sick paying the heaviest price, humanitarian groups warn.

Doctors Without Borders (Médecins Sans Frontières – MSF) has shared harrowing accounts of Afghan families too afraid to leave their homes, even for urgent medical care, due to Pakistan’s ongoing deportation drive.

In one recent incident, an Afghan refugee couple knocked on the door of a Pakistani rickshaw driver late on a cold November night, begging for help. The woman was in labor, but the family feared that leaving their home would result in police detention. Despite having no money, the driver agreed to take her to hospital.

“She was screaming all the way,” the driver later told MSF staff in Balochistan province. “She gave birth in my rickshaw. It was full of blood. I cannot describe it in words. It broke me mentally.”

The mother and newborn survived after receiving care at an MSF facility, but aid workers say such cases are becoming increasingly common as Afghan refugees face serious barriers to accessing health services.

According to MSF, mass deportations have turned into a catastrophic humanitarian crisis. Thousands of Afghan refugees are being held in temporary camps with little or no access to shelter, clean water, sanitation, food, or health care. With winter temperatures dropping sharply, fear of arrest is preventing many from seeking treatment, leading to miscarriages, untreated illnesses and preventable deaths.

Pakistan has hosted millions of Afghan refugees since the late 1970s. However, since November 2023, the government has implemented the Illegal Foreigners Repatriation Plan, initially targeting undocumented Afghans before expanding to Afghan Citizen Card holders and, more recently, those with UN-issued proof of registration cards.

Deportations surged again from September 2025, coinciding with winter, and are now affecting Afghans regardless of legal status.

MSF has reported tragic cases, including the death of a five-month-old baby who spent the night in freezing conditions at a holding center before reaching medical care, and the case of a woman who died after delivering a stillborn baby in a camp with no basic facilities. Her family was deported to Afghanistan shortly after—along with her body.

“Lives are at stake,” said Xu Weibing, MSF’s head of mission in Pakistan. “Afghan families are being forced to choose between living in fear of deportation and danger upon return. Safety, dignity and humanity are not optional.”

Aid organizations are urging Pakistan to halt forced returns and calling on the international community to urgently increase humanitarian assistance, provide winter shelter, health care and protection, and find safe relocation options for the most vulnerable.

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Herat governor urges UN to prioritize Afghan domestic products in food purchases

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Noor Ahmad Islamjar, the governor of Herat, has urged the United Nations to give priority to domestic Afghan products when procuring food and essential goods.

According to a statement from the Herat governor’s office, Islamjar met with Indrika Ratwatte, the UN humanitarian coordinator in Afghanistan, and Arafat Jamal, Representative of the UN High Commissioner for Refugees (UNHCR) office in Afghanistan.

During the meeting, the governor praised the UN’s cooperation and described the support provided during the first wave of returning migrants as a significant success. He emphasized that the local administration is fully prepared to address the needs of any potential new wave of migrants.

Islamjar also stressed the importance of international support in expanding foreign markets for Afghan agricultural and industrial products, and called for easing banking restrictions, facilitating visa issuance, and improving online services for the private sector and local traders.

In response, Indrika Ratwatte welcomed the governor’s proposals and assured that the UN would strive to source necessary goods from Afghan domestic products in the future, while continuing its cooperation with the local administration across various sectors.

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Four civilians killed in Khost overnight in Pakistani military attacks

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Hamdullah Fetrat, Deputy Spokesperson of the Islamic Emirate, reported on Thursday that four civilians were killed overnight in Khost province during artillery and mortar shelling by the Pakistani military.

The attacks occurred around 4:00 a.m. in Alishir-Trezi district.

The victims were members of a nomadic family, including a man, a woman, and two children. Three additional children were injured in the strikes.

The Pakistani military also carried out attacks in Kunar province last night. While no casualties were reported there, several homes and private properties were damaged.

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China urges de-escalation in Iran crisis and Afghanistan–Pakistan tensions

Wang noted that China’s Special Envoy for Afghan Affairs is currently shuttling between the two countries to help promote dialogue and reconciliation.

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China has called for restraint and dialogue amid rising regional tensions, saying diplomatic efforts are needed to prevent further escalation in both the Iran crisis and the border clashes between Afghanistan and Pakistan.

According to China’s Foreign Ministry, Wang Yi, the Foreign Minister of China, held a phone conversation with Mohammad Ishaq Dar, Pakistan’s Deputy Prime Minister and Foreign Minister, to discuss recent developments.

During the call, Wang said the key to preventing further escalation in Iran lies in halting military operations by the United States and Israel. He said China does not condone attacks on Gulf states and strongly condemns strikes against civilians and civilian infrastructure.

The discussion also addressed the recent clashes between Afghanistan and Pakistan.

Wang noted that China’s Special Envoy for Afghan Affairs is currently shuttling between the two countries to help promote dialogue and reconciliation.

He emphasized that the immediate priority is to prevent further escalation and ensure a swift return to negotiations between the two sides.

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