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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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Omari and Iranian ambassador meet to strengthen Afghan migrant labor ties

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Pakistan’s actions target militants, not religious sites: Khawaja Asif

He rejected claims equating these operations with India’s alleged strikes on mosques and religious seminaries in Bahawalpur and Muridke, stressing that Pakistan does not target religious or civilian sites.

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Pakistan’s Defence Minister Khawaja Muhammad Asif has dismissed comparisons between Pakistan’s counterterrorism operations along the disputed Durand Line and what he described as India’s attacks on religious sites, saying such parallels are “entirely wrong and inappropriate.”

In a statement issued Tuesday, Asif said Pakistan’s military actions are strictly aimed at verified camps belonging to Tehreek-e-Taliban Pakistan (TTP) militants operating from Afghanistan. He rejected claims equating these operations with India’s alleged strikes on mosques and religious seminaries in Bahawalpur and Muridke, stressing that Pakistan does not target religious or civilian sites.

The defence minister said the international community, including the United Nations, has repeatedly expressed concern over the threat of terrorism they claim is originating from Afghanistan. He said these concerns are reinforced by continued militant infiltration and attacks inside Pakistan, which, according to him, are carried out by armed groups entering from Afghan territory.

Referring to India’s allegations surrounding the Pahalgam incident, Asif said New Delhi has failed to present credible or verifiable evidence to support its claims. He added that Pakistan had offered to cooperate with an independent and impartial investigation, an offer that India declined.

Asif further said a recent United Nations report had described India’s actions as illegal and based on unsubstantiated claims, while affirming that Pakistan’s response was justified under international law. He said Pakistan has already addressed and clarified allegations regarding India, what he termed proxy extremist elements, and their alleged supporters.

Reiterating Pakistan’s stance, the defence minister said the country remains vigilant and determined to protect its sovereignty and national security. He emphasized that Pakistan will continue its counterterrorism efforts and will challenge what he described as baseless accusations and hostile narratives at all international forums.

Meanwhile, the Islamic Emirate of Afghanistan (IEA) has consistently rejected Pakistan’s accusations, maintaining that Afghanistan does not allow any group to operate from its soil. Afghan authorities have repeatedly stated that Pakistan’s security challenges are an internal matter and should be addressed domestically.

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Germany conducts first deportation to Syria in a decade

The deportation marks a historic shift in German migration policy and signals the government’s determination to enforce stricter measures against convicted foreign nationals.

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Germany has carried out its first deportation to Syria since the outbreak of the country’s civil war in 2011, sending a convicted Syrian national back to Damascus on a scheduled commercial flight.

The 37-year-old man, who had served a prison sentence in North Rhine-Westphalia for aggravated robbery, bodily harm, and extortion, was escorted by federal police to the Syrian capital, where he was handed over to local authorities on Tuesday, December 23.

The Federal Interior Ministry confirmed the deportation, which coincided with another removal of an individual to Afghanistan. The ministry said it had reached agreements with both Damascus and Kabul authorities to facilitate “regular” deportations of serious offenders and individuals considered security risks in the future.

The Afghan national had been imprisoned in Bavaria, including for intentional bodily harm. The ministry said this marked the second deportation of an Afghan criminal within a week.

“Criminals must leave our country. We stand for control, consequence, and zero tolerance towards offenders and threats,” said Interior Minister Alexander Dobrindt (CSU), emphasizing that the move reflects Germany’s commitment to law and order.

Dobrindt further justified the policy by highlighting the strain on local municipalities, which have faced challenges accommodating foreign nationals serving prison sentences. “We have reached the breaking point for a long time, and the overload in the municipalities is visible,” he said.

The deportation follows months of diplomatic negotiations after the fall of Bashar al-Assad’s regime in December 2024, which ended a 14-year civil war. The change prompted Germany to reassess its long-standing ban on returns to Syria.

The current coalition government, formed by CDU/CSU and SPD, explicitly committed in its agreement to resume deportations to Syria and Afghanistan, targeting criminals and “Gefährder” — individuals considered potential security threats. Chancellor Friedrich Merz has been a vocal supporter of the policy, meeting with Syria’s transitional president Ahmed al-Sharaa to discuss mechanisms for further returns.

The move carries symbolic weight amid heightened public concern over migration, with roughly one million Syrians currently residing in Germany, many of whom arrived during the 2015-2016 refugee influx under former Chancellor Angela Merkel.

While the German government asserts that the Syrian conflict is over, human rights organizations continue to caution against deportations, citing lingering instability, ongoing reconstruction challenges, and potential security risks for returnees.

The deportation marks a historic shift in German migration policy and signals the government’s determination to enforce stricter measures against convicted foreign nationals.

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