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Nakamura’s legacy revived as leprosy care resumes in Afghanistan
Disturbed by the hardships of their long journeys, Nakamura began establishing clinics in Afghanistan during the 1990s. But worsening security forced leprosy treatment to halt in 2010.
Six years after the killing of renowned Japanese humanitarian doctor Tetsu Nakamura, his earliest mission in Afghanistan—providing care for leprosy patients—has been brought back to life.
Ahead of the sixth anniversary of Nakamura’s death on December 4, his colleagues have reopened leprosy services in eastern Afghanistan, marking the first time in 15 years that dedicated treatment has been available locally.
On November 1, the Tetsu Nakamura Memorial Leprosy Center officially opened in Jalalabad. A three-story private residence has been fully renovated to house treatment rooms and separate five-bed wards for men and women. The facility is jointly operated by Peshawar-kai, the Fukuoka-based NGO, and Peace Japan Medical Services (PMS), the local organisation Nakamura founded.
Staff at the new center include two doctors, three nurses, and 19 local employees. The name of the center was chosen unanimously, reflecting their shared commitment to carry forward Nakamura’s guiding motto: “Continue all of Dr. Nakamura’s projects and carry forward all hopes.”
Before the opening, Chiyoko Fujita, head of the PMS support office, urged the staff to embrace the responsibility handed down to them: “Patients’ lives are in your hands.”
From leprosy care to life-saving irrigation
Nakamura’s humanitarian journey began in 1984 when he was assigned to a hospital in Peshawar, Pakistan, where he oversaw the leprosy ward. Patients from remote Afghan mountain regions—where no medical services existed—soon began crossing the border in growing numbers.
Disturbed by the hardships of their long journeys, Nakamura began establishing clinics in Afghanistan during the 1990s. But worsening security forced leprosy treatment to halt in 2010.
Amid a devastating drought in 2000, Nakamura shifted focus to irrigation, launching the transformative Green Ground Project in 2003 to channel river water into parched farmland. Irrigation and water management became the core of his work in the years that followed.
Even shortly before being shot dead in 2019, alolng with his four security guards and his driver, Nakamura reportedly said: “We must build a leprosy center.”
A renewed mission
Since Nakamura’s death, Peshawar-kai and PMS have continued his irrigation and medical initiatives. Improved security conditions and a request from provincial authorities paved the way for reopening leprosy services.
Newly recruited staff are now undergoing specialised training, with plans to expand into mobile clinics and inpatient care. Early detection remains a challenge, especially because cultural norms often prevent women from being examined by male doctors.
“We will focus on training female nurses and ensure these skills are passed on,” Fujita said.
PMS general director Masaru Murakami said the reopening marks a turning point after years of uncertainty. “Now we can finally resume treatment. With Nakamura’s will—to sustain life and keep this light alive—we want to move forward,” he said.
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Afghanistan highlights water diplomacy at Tashkent ministerial forum
Speaking at the event, Mujeeb-ur-Rahman Omar Akhundzada emphasized the need for equitable water distribution between Afghanistan and Central Asian nations.
Afghanistan has underscored the importance of water diplomacy and regional cooperation during a ministerial forum held in Tashkent, the capital of Uzbekistan.
The country’s Deputy Minister for Water at the Ministry of Water and Energy participated in the “Water Week” forum, where he called for stronger collaboration among regional partners in managing shared water resources.
Speaking at the event, Mujeeb-ur-Rahman Omar Akhundzada emphasized the need for equitable water distribution between Afghanistan and Central Asian nations. He also highlighted the importance of enhancing water diplomacy and adopting modern technologies to improve water management systems.
Akhundzada further stressed the urgency of joint regional efforts to tackle the effects of climate change and prevent environmental degradation along the Amu Darya River. He reaffirmed Afghanistan’s commitment to respecting the water rights of neighboring countries while strengthening its domestic water infrastructure.
On the sidelines of the forum, Akhundzada met with Shavkat Khamrayev to discuss expanding bilateral cooperation in water management between Afghanistan and Uzbekistan.
Afghanistan’s participation in the forum is seen as a significant step toward boosting its engagement in regional and international water discussions, potentially paving the way for deeper cooperation across Central Asia.
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UN experts call for lasting ceasefire as Afghan–Pakistan violence escalates
United Nations human rights experts have called for an urgent and lasting ceasefire between Afghanistan and Pakistan following a sharp escalation in cross-Durand Line fighting that has caused widespread civilian suffering.
In a statement issued Tuesday, the experts warned that renewed hostilities since late February have resulted in at least 289 civilian casualties in Afghanistan, including 76 deaths and 213 injuries.
More than 115,000 people have reportedly been displaced, with extensive damage to homes, hospitals, markets, and displacement camps. The violence has also forced school closures and disrupted trade in affected regions.
The latest unrest follows the collapse of a ceasefire agreement reached in October 2025. Fighting reignited after Pakistani airstrikes targeted positions linked to Tehreek-e-Taliban Pakistan (TTP), prompting retaliatory attacks along the disputed Durand Line.
Concerns over civilian harm
UN experts strongly condemned a March 16 airstrike by Pakistan that struck a drug rehabilitation centre in Kabul, reportedly causing mass civilian casualties. They also raised concerns over attacks inside Pakistan attributed to TTP groups, which have also resulted in civilian harm.
“Both sides must commit to a permanent ceasefire, address the root causes of the conflict, and ensure accountability for violations of international law,” the experts said.
They emphasized the obligation of all parties to adhere to international human rights and humanitarian law, particularly the protection of civilians and civilian infrastructure. The experts also called for independent, transparent investigations into alleged violations.
Disputed claims and rising tensions
Pakistan has defended its military operations, saying they were carried out in response to alleged support by Afghan authorities for the TTP, a group under UN sanctions. Authorities in Afghanistan have rejected the claims denying any involvement.
UN experts noted that Pakistan has not publicly presented credible evidence linking TTP attacks directly to Afghan authorities.
They further stressed that under international law, states must not support or tolerate armed groups conducting cross-Durand Line attacks and must resolve disputes through peaceful means.
Calls for dialogue
The United Nations experts confirmed they have been in contact with officials from both countries, urging restraint, de-escalation, and a return to dialogue.
With tensions continuing to rise, they warned that ongoing violence risks further civilian casualties and deepening instability unless immediate steps are taken toward a sustainable peace agreement.
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Doyle returns to US after release by Islamic Emirate in Afghanistan
An American citizen, Dennis Coyle, arrived in the United States on Wednesday after being released by the Islamic Emirate in Afghanistan, marking a significant development amid ongoing diplomatic efforts between Washington and Kabul.
U.S. officials confirmed that Coyle arrived on American soil, landing at a major international airport in Texas, where he was met by close family members, including immediate relatives who had long campaigned for his release. Emotional scenes were reported as family members welcomed him home after an extended period in detention.
While authorities have not disclosed full details surrounding his release, officials indicated that quiet diplomatic engagement played a key role in securing his freedom. The case had drawn attention from human rights groups and policymakers, who had called for his release on humanitarian grounds.
Sources familiar with the situation said Coyle is expected to undergo medical evaluations following his return, a standard procedure for detainees released after prolonged confinement. Family members have requested privacy as he begins the process of reintegration.
Coyle’s release comes at a time of complex relations between the United States and the Islamic Emirate, with limited formal diplomatic ties but ongoing indirect engagement on humanitarian and security issues.
Analysts say the development could signal potential openings for further negotiations, particularly regarding other detainees still held in Afghanistan and abroad. It also follows renewed calls by families of other prisoners—including Afghan nationals held overseas—for similar humanitarian consideration.
U.S. officials have not confirmed whether additional releases are under discussion, but emphasized their continued commitment to securing the return of all American citizens detained abroad.
For now, Coyle’s return marks a positive development, offering hope to other families awaiting similar outcomes.
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