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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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‘Media freedom is increasingly restricted’ in Afghanistan: Gagnon
Georgette Gagnon, Deputy Secretary-General’s Special Representative for Afghanistan, stated in her latest report to the UN Security Council that Media freedom in Afghanistan has become increasingly restricted.
In her report, released on the occasion of International Human Rights Day, Gagnon said: “Media freedom is increasingly restricted. Journalists face intimidation, detention, and censorship, reducing the space for public debate and public participation with people excluded from decisions on their own future.”
According to Gagnon’s report, the people of Afghanistan continue to face multiple crises, and their situation requires urgent attention and broader support from the international community.
She added: “Women and girls continue to be systematically excluded from almost all aspects of public life. The ban on secondary and tertiary education for girls persists now into its fourth year, depriving Afghanistan of female doctors, entrepreneurs, teachers, and leaders critical to the country today and for its future.”
Meanwhile, the Islamic Emirate has repeatedly emphasized that media in the country can operate freely according to Islamic principles and national interests, and that citizens’ rights, especially those of women are safeguarded within the framework of religion.
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Bertrand assures Muttaqi of continuation of EU assistance to Afghanistan
The Ministry of Foreign Affairs of the Islamic Emirate said in a statement on Wednesday that Gilles Bertrand, the newly appointed EU Special Envoy for Afghanistan, has assured the IEA of the continuation of EU assistance to the country.
Bertrand made these remarks during a meeting with Amir Khan Muttaqi, the Minister of Foreign Affairs.
Bertrand has praised the Islamic Emirate for their four-year achievements in areas of stability, security and economy, assuring continued EU assistance and calling for expanded cooperation to attract major foreign investment to the country.
The statement added that Bertrand praised the IEA as well for accommodating millions of returning Afghan migrants.
He also noted the EU’s increased attention and cooperation in the economic sector, particularly regarding Afghanistan’s private sector and called for further collaboration between the two sides to attract investment from major international companies.
During the meeting, Muttaqi expressed appreciation for the work of the EU’s previous envoy for Afghanistan within the framework of humanitarian cooperation.
Muttaqi also highlighted major projects launched by the Islamic Emirate of Afghanistan over the past four years and called on the European Union to take positive steps toward Afghanistan’s development in various areas.
In conclusion, both sides emphasized the continuation of cooperation and such meetings.
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Regional powers intensify mediation as Kabul–Islamabad tensions escalate
Tensions between Kabul and Islamabad continue to rise, prompting renewed concern among regional stakeholders and pushing mediation efforts into a critical phase.
With relations worsening and no signs of a breakthrough, diplomatic actors are ramping up attempts to steer both sides toward dialogue and de-escalation.
Diplomatic sources say political engagement remains the only viable path to resolving the current standoff. Qatar, Türkiye, Iran, and China have all stepped in to facilitate communication, each seeking to create conditions that could pave the way for direct talks between the Islamic Emirate and Pakistan.
Iran is reportedly working to convene a dedicated regional meeting focused on jump-starting dialogue — an initiative that follows earlier mediation efforts by Qatar and Türkiye, both of which are currently on hold. China has also reiterated its support for negotiations, stating that Beijing stands ready to help ease tensions and strengthen bilateral ties.
Meanwhile, Saudi Arabia is expected to host a fresh round of talks between Kabul and Islamabad in the coming weeks. Riyadh previously facilitated discussions between delegations from both countries, though those meetings ended without tangible progress.
Analysts caution that regional diplomacy, however active, can only succeed if both Kabul and Islamabad demonstrate the political will to resolve their disputes. Effective mediation, they say, could restore stability to one of South and Central Asia’s most strained bilateral relationships — but the window for a peaceful settlement may be narrowing.
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