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

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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IEA urges UN to remove sanctions against its members

Islamic Emirate of Afghanistan (IEA) officials have once again called on the United Nations to remove the names of IEA members who are on the UN blacklist, and said the international community should engage with the group instead of putting pressure on it.
The UN Security Council failed to reach an agreement to extend travel exemptions, allowing 13 Islamic Emirate officials to travel abroad, which expired in August 2021.
“Some 20 to 25 Islamic Emirate officials are on the UN blacklist and have been sanctioned. Some of them have died, and a few are working with the caretaker government,” said Zabihullah Mujahid, the IEA’s spokesman.
According to Mujahid, adding pressure and force will not bear results. The war of the past 20 years has proven that the people of Afghanistan will not surrender to pressure. Instead, engagement and negotiations are ideal options to reach a comprehensive conclusion, he added.
In addition, inclusion of the Islamic Emirate officials on the UN blacklist violates the Doha Agreement, Mujahid said.
The Doha Agreement is a peace deal between the US and the IEA aimed at restoring peace in Afghanistan. The agreement was signed in Doha in 2020, finalizing the US withdrawal from Afghanistan contingent on IEA security assurance that Afghan soil will not be used against the US by al-Qaeda and other terrorist groups.
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Japan contributes $21 million for life-saving vaccines in Afghanistan

The Embassy of Japan in Afghanistan on Monday announced that Japan has contributed $21 million for life-saving vaccines for mothers and children, and water and sanitation facilities in schools.
With this funding, UNICEF will provide clean water for 30,000 people in four provinces, and vaccines for 18.3 million mothers and children across Afghanistan.
Amid the devastating humanitarian crisis in Afghanistan, the government of Japan has donated to UNICEF $18 million in support of essential vaccines for over 18 million mothers and children, and $3.6 million for water and sanitation facilities in public schools.
The vaccines are for measles, rotavirus, tetanus and diphtheria, polio, hepatitis B and others. These funds will also enable UNICEF to reach around 10 million children with oral polio vaccines during national vaccination campaigns in 2023.
“This support from the Japanese government will not only help to give mothers and children the immunity boost they need to stay healthy, but it will also improve sanitation and hygiene in schools,” said Rushnan Murtaza, UNICEF Afghanistan Deputy Representative.
“Complementing our past support to Afghanistan in health, nutrition and education, we hope these contributions will create cleaner, safer learning environments and communities for children and their families,” says Takashi Okada, Ambassador of Japan to Afghanistan.
Water and sanitation projects will be implemented in Ghor, Uruzgan, Zabul and Pakitika which are among the most deprived provinces in Afghanistan, according to UNICEF officials.
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At least six civilians dead in Kabul explosion

At least six civilians were killed and several others, including three Islamic Emirate forces, were wounded in a suicide bombing near a security checkpoint in Malik Azghar Square in Kabul, a spokesman for the Kabul security department, Khalid Zadran said.
The Emergency NGO hospital in Kabul meanwhile said on Twitter that it received 12 injured people, including a child from the blast that happened near the Foreign Ministry on Monday afternoon.
The hospital said soon after the explosion that two bodies had also been taken to the hospital.
So far, no group or individual has claimed responsibility for the attack.
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