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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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Kabul rejects U.S. claim that meth seized in Pakistan was of Afghan origin

Balkhi said the Islamic Emirate of Afghanistan (IEA) has imposed an absolute ban on the production, trafficking and use of all types of narcotics in Afghanistan.

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Afghanistan’s Foreign Ministry spokesperson Abdul Qahar Balkhi has rejected a U.S. claim that 463 kilograms of synthetic drugs seized in Pakistan were of Afghan origin, calling the attribution “unfounded and politically motivated.”

Balkhi said the U.S. Embassy in Islamabad should investigate the origin of the seized drugs in Pakistan rather than attributing them to Afghanistan.

“The attribution by the U.S. Embassy in Islamabad of the synthetic drugs bound for Sri Lanka and intercepted in Pakistan through joint U.S.-Pakistani efforts as ‘Afghan-origin’ is an unfounded and politically motivated allegation,” Balkhi said.

He said the Islamic Emirate of Afghanistan (IEA) has imposed an absolute ban on the production, trafficking and use of all types of narcotics in Afghanistan.

Balkhi also claimed that following the ban in Afghanistan, the cultivation, production and trafficking of narcotics have increased “on the other side of the Durand Line.”

He further argued that Afghanistan does not have the capacity to produce synthetic drugs and said crossing points along the Durand Line have been completely closed to all movement for nearly a year.

His remarks came after the U.S. Embassy in Islamabad said U.S. and Pakistani anti-narcotics authorities had seized 463 kilograms of crystal methamphetamine worth an estimated $21 million and bound for Sri Lanka.

The embassy said the operation led to multiple arrests and highlighted ongoing U.S. cooperation and training with Pakistani authorities to disrupt international drug-trafficking networks.

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Khalilzad warns Pakistan-Afghanistan tensions likely to worsen after fresh airstrikes

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Former U.S. special representative for Afghanistan reconciliation Zalmay Khalilzad has warned that the latest Pakistani airstrikes in Afghanistan and recent violence inside Pakistan are part of a wider crisis, saying he sees no indication that the situation is about to change.

In a post on X on Thursday, Khalilzad described the Pakistani airstrikes that have killed Afghan civilians and the increasing use of force against civilians in Pakistan as “interconnected tragedies,” implying both effected by Pakistan’s establishment.

“Unfortunately, I do not see any signs of change,” Khalilzad said, adding that current indicators suggested the use of force against Pakistanis would “likely get worse” in the coming days.

His comments came after Pakistan carried out a new wave of airstrikes inside Afghanistan overnight Thursday, saying it had targeted 10 locations used to launch and store drones.

Pakistani Information Minister Attaullah Tarar said the strikes were conducted in response to drones launched from Afghan territory a day earlier and described them as “deliberate, precise, calibrated and proportionate.”

Afghan officials said the strikes killed four civilians. The attacks reportedly hit locations including Kandahar, Khost and Paktia provinces. Afghanistan’s Islamic Emirate authorities have denied launching the drones cited by Pakistan and have condemned the strikes.

The latest attacks follow Pakistani airstrikes earlier this week in Kunar and Paktika. Pakistan said those operations killed 28 militants, while the United Nations confirmed that three Afghan civilians — a man, a woman and a girl — were killed, with four others injured.

The renewed airstrikes come amid a sharp deterioration in relations between Kabul and Islamabad. Pakistan has accused Afghanistan of allowing militant groups, including the Tehreek-e-Taliban Pakistan (TTP), to operate from its territory and launch attacks inside Pakistan.

Afghan authorities reject the allegations and say militancy inside Pakistan is an internal issue.

Khalilzad has previously called for a change in Pakistan’s strategy toward both its internal security problems and Afghanistan.

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Afghanistan summons Pakistani chargé d’affaires over latest airstrikes

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Afghanistan’s Ministry of Foreign Affairs summoned Pakistan’s chargé d’affaires to Kabul and lodged a strong protest against the violation of Afghan airspace and Pakistani military airstrikes on several Afghan provinces.

The ministry handed the Pakistani diplomat a formal protest note following the attacks on Kandahar, Paktia and Khost provinces on Wednesday night, which reportedly caused civilian casualties.

The Islamic Emirate strongly condemned the strikes, calling them a violation of Afghanistan’s sovereignty and territorial integrity and contrary to Islamic, international, humanitarian and good-neighborly principles.

The ministry also rejected what it called baseless claims that Afghan territory was being used as a source of Pakistan’s recent security incidents.

It said using such claims to justify military action was an attempt to distort facts, mislead public opinion and conceal Pakistan’s internal failures.

The Islamic Emirate further accused Pakistan’s military leadership of avoiding commitments made to regional countries and warned that such actions could further escalate tensions in the region.

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