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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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Economic Commission approves 66 draft national standards

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Afghanistan’s Economic Commission has approved 66 draft national standards and testing methods covering a wide range of agricultural, industrial and commercial sectors.

The commission, chaired by Deputy Prime Minister for Economic Affairs Mullah Abdul Ghani Baradar, approved 36 national standards and 30 testing methods following discussions and a review of the proposals, according to a statement from the Office of the Prime Minister.

The approved standards cover areas including agricultural products, food, medicines, textiles, chemicals and plastics, telecommunications and electricity, mining, construction materials and environmental protection, among other sectors.

The move is aimed at establishing clearer standards and testing procedures across key areas of production and trade, helping to provide a common framework for assessing the quality and safety of products.

The commission also discussed the ownership and management of coal unloading, loading, processing and packaging facilities in Paktia, Paktika, Khost, Kandahar and Nangarhar provinces.

Following a comprehensive assessment, the commission decided that the facilities would fall under the Ministry of Transport and Civil Aviation, which will oversee their operations.

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Petition filed in Islamabad High Court against PMDC directive affecting Afghan students

The move comes as Afghan medical students continue to challenge PMDC directives that could affect their ability to continue their studies in Pakistan.

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A petition has been filed in the Islamabad High Court challenging a recent notification issued by the Pakistan Medical and Dental Council (PMDC) that affects Afghan students studying at medical institutions in Pakistan.

The petition was submitted on behalf of Afghan students by Islami Jamiat-e-Talaba (IJT), which said it is seeking legal relief for students impacted by the directive.

According to a statement issued on Tuesday, IJT chief Sahibzada Waseem Haider visited the Islamabad High Court alongside Afghan students from the Federal Medical College in Islamabad and IJT Islamabad chief Hashir Abbasi. Legal representation is being provided by Advocate Imran Shafiq and his team.

The move comes as Afghan medical students continue to challenge PMDC directives that could affect their ability to continue their studies in Pakistan.

Earlier, the Lahore High Court and the Sindh High Court granted interim relief to Afghan students through stay orders, temporarily preventing the implementation of measures affecting students enrolled in institutions across Punjab and Sindh.

“We remain hopeful that, following a detailed hearing, the students’ academic future will be safeguarded and the PMDC’s unjust notification will be reviewed,” Haider said in the statement.

He added that IJT has actively supported Afghan students and organised solidarity demonstrations at medical and dental colleges across Pakistan.

The issue has sparked concern among Afghan students studying in Pakistan, many of whom are enrolled in advanced years of their medical education and fear that changes to regulations could disrupt their studies and future careers.

The Islamabad High Court is expected to consider the petition and determine whether relief should be granted to the affected students while the case proceeds.

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At least 17 Afghan migrants reportedly die of thirst near Iran border

Videos released by the group show people digging several graves at an unidentified location.

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At least 17 Afghan migrants, including women and children, have reportedly died from severe thirst near Saravan in southeastern Iran, according to the human rights group HalVash.

The incident reportedly occurred on Thursday, September 10, in the Mak-Sukhteh area of Rutak, Saravan County. HalVash said the victims’ bodies were later transferred to a morgue in the nearby city of Khash.

Videos released by the group show people digging several graves at an unidentified location.

HalVash reported that five of the victims were members of a family from Afghanistan’s Baghlan province. They included a 45-year-old mother and her four daughters, aged 22, 18, 16 and 14. Relatives of the family live in Saravan, and a funeral prayer was expected to be held Sunday.

According to HalVash, at least six other victims were children under the age of 14.

Witnesses and relatives told the group that the migrants ran critically short of water during their journey and died of thirst. Some reportedly died within a short distance of one another.

A relative said the men travelling with the group separated from the women and children during the journey, leaving the women and children to continue without adequate access to water.

Local sources said the bodies were transferred to Khash because the Saravan morgue lacked sufficient capacity.

Four days after the incident, relatives were reportedly still working to arrange the transfer and burial of the victims.

HalVash cautioned that it could not independently verify the exact number of deaths or all details surrounding the incident. The identities of the remaining victims and the circumstances of their deaths were still under investigation.

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