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

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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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Experts to assess environmental and social impact of Mes Aynak copper mine

Officials said that discussions have been held in this regard with the contracted company and a team of domestic experts is going to carry out assessments within three months.

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A team of experts will start assessing the environmental and social impact of an operational Mes Aynak copper mine in Logar province, Afghanistan’s National Environmental Protection Agency announced on Monday.

Officials said that discussions have been held in this regard with the contracted company and a team of domestic experts is going to carry out assessments within three months.

"This project has different dimensions. One of them is related to the Ministry of Mines and Petroleum, which should proceed according to their principles. Second, there are antiquities in the area and the Ministry of Information and Culture is working according to its principles over vulnerability. Our principle is that [the mining company] MCC must comply with environmental standards,” said Zain al-Abidin Abid, the technical deputy chief of the National Environmental Protection Agency.

Ministry of Mines and Petroleum officials stated that they will assess the environmental effects in cultural and economic fields.

"At each stage, it is necessary to have separate plans in accordance with the norms in the environmental protection area. Another issue is that for the reconstruction in the mining area, which is a very important step, global effective standards should be included in the environmental and social impact assessment report,” said Hamidullah Habibi, head of Aynak copper mining project department at the Ministry of Mines and Petroleum.

Officials of the contracted company emphasized that they are ready to cooperate with officials on the environmental assessment.

Mes Aynak copper deposit is located 40 km southeast of Kabul in Logar province. It is the world's second largest copper deposit.

 

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Qatar and Germany review situation in Afghanistan

Qatar’s foreign ministry, the diplomats reviewed the latest developments in Afghanistan, with particular focus on security, humanitarian, economic, and political issues

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Qatar’s special envoy for foreign affairs met with Germany's ambassador to Doha and other high-ranking German diplomats on Sunday to discuss the situation in Afghanistan. 

Faisal bin Abdullah Al Hanzab, Special Envoy of Qatar’s Minister of Foreign Affairs, met with Lothar Freischlader, Ambassador of Germany to Qatar; Rolf Dieter Reinhard, Head of the German Liaison Office for Afghanistan in Doha and Acting Chargé d'Affaires of the German Embassy in Afghanistan.

According to Qatar’s foreign ministry, the diplomats reviewed the latest developments in Afghanistan, with particular focus on security, humanitarian, economic, and political issues.

Qatar, which has hosted the political office of the Islamic Emirate of Afghanistan for many years, has been instrumental in helping Afghanistan in the political, educational and medical fields, as well as in rebuilding and reactivating Kabul International Airport following the withdrawal of US troops.

Just last week, Qatar called on the international community to not  ignore the improved security situation in Afghanistan and other positive realities.

At a meeting with Afghanistan’s Foreign Minister Mawlawi Amir Khan Muttaqi, Qatar’s Special Envoy for Afghanistan Mutlaq bin Majed Al Qahtani, stressed the need to maintain good international relations with Afghanistan.

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Netherlands mulls deal with Uzbekistan on deporting failed Afghan asylum seekers

Uzbekistan recently agreed to accept rejected Afghan migrants from Germany in return for migrant worker exchange program

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The Netherlands is deciding whether it can persuade Uzbekistan to accept Afghan migrants who have had their asylum applications rejected. 

Germany recently agreed with Uzbekistan that it could send rejected Afghan asylum seekers to the neighboring country.

“At the moment, the Cabinet is examining the extent to which agreements can be made with Uzbekistan,” said Asylum Minister Marjolein Faber on Wednesday. 

Faber did not elaborate nor would she say when more details would be available. 

These are "sometimes very early discussions, only explorations”, and these do not benefit from openness, Faber said.

Asylum seekers who have exhausted all legal remedies, especially criminals, are often not welcome in their countries of origin, the Netherlands and other European countries have been looking for ways to send them back for years. 

Germany meanwhile hopes to send them back via Uzbekistan. The two countries agreed on this last month, in return for the admission of Uzbek migrant workers and development aid, among other things.

 

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