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Over half a million Afghans receive health aid in October as infections surge
Measles and ARI outbreaks remain particularly concerning amid low vaccination coverage, harsh winter conditions, and limited access to primary healthcare.
Afghanistan’s health sector continues to face mounting pressure as humanitarian organizations respond to rising disease outbreaks, large-scale population movements, and the lingering impact of natural disasters, according to the Afghanistan Health Cluster’s October 2025 bulletin issued by the World Health Organization (WHO).
Despite severe funding gaps and operational restrictions, 54 Health Cluster partners provided lifesaving health services to 512,679 people across all 34 provinces during the month.
Assistance was delivered through 862 health facilities in 310 districts, underscoring both the scale of need and the continued reliance on humanitarian actors to keep essential services running.
Between 1 September and 31 October, 25 Health Cluster partners supported the health response in Afghanistan’s eastern region — an area heavily affected by mass return movements from Pakistan and Iran.
In October alone, 15 partners provided health services to earthquake-affected populations, while 139,285 returnees were reached during the two-month period, including:
- 35,957 women
- 26,897 men
- 38,722 girls
- 37,659 boys
Humanitarian agencies warn that the influx of returnees, many with urgent health needs, is straining already fragile health infrastructure.
Disease outbreaks rising sharply
The bulletin highlights multiple disease outbreaks, with several conditions showing alarming increases in October:
- Acute Watery Diarrhea (AWD) with dehydration: 15,460 cases
- Acute Respiratory Infections (ARI)/Pneumonia: 118,090 cases and 197 deaths
- A 54.5% spike compared to September (76,430 cases)
- Measles: 3,721 cases
- Dengue fever: 1,826 cases
- Malaria: 15,253 cases (a 9.5% decrease from September’s 16,846 cases)
- Crimean-Congo Hemorrhagic Fever (CCHF): 120 cases
Measles and ARI outbreaks remain particularly concerning amid low vaccination coverage, harsh winter conditions, and limited access to primary healthcare.
Coordination and support strengthened
To streamline humanitarian health operations, 35 Memorandums of Understanding (MoUs) were reviewed in October, with 15 approved by the Ministry of Public Health (MoPH). Approvals are crucial for NGOs to maintain legal access and operate medical facilities across the country.
Emergency supplies distributed
As part of emergency preparedness efforts, WHO delivered 951 emergency medical kits to 114 health facilities in 26 provinces, enough to support an estimated 928,050 people for the next three months.
A health system under strain
Afghanistan’s healthcare system remains heavily dependent on humanitarian aid following years of conflict, economic collapse, and reduced international funding since 2021.
Recurrent border closures, harsh winter conditions, rising displacement, and ongoing outbreaks continue to drive up humanitarian needs.
The Health Cluster warns that without sustained support, essential services — particularly maternal and child health, vaccination coverage, and emergency response — risk severe disruption.
The October bulletin underscores both the immense challenges facing Afghanistan’s health sector and the critical role aid agencies play in sustaining basic health services for millions.
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UN rights envoy urges ICC to probe alleged Pakistani war crimes in Afghanistan
UN special rapporteur Richard Bennett says Pakistani airstrikes that kill Afghan civilians may constitute war crimes, calling for independent investigations and accountability.
In an interview with the BBC, Bennett said the United Nations Assistance Mission in Afghanistan (UNAMA) had documented civilian casualties in the cross-Durand Line violence between Afghanistan and Pakistan, with women and children among those killed.
Bennett said this is a very serious issue, noting that the consequences of the conflict disproportionately affect society’s most marginalized and disadvantaged people.
He also cited a March airstrike on a drug rehabilitation hospital in Kabul, saying that, according to figures attributed to UNAMA, 269 people were killed. The victims were men undergoing treatment and rehabilitation for drug addiction, he added.
Bennett called for full and independent investigations into the incidents, saying victims and their families deserved justice and accountability.
He said he had raised the issue with the UN Human Rights Council, which has yet to establish a dedicated mechanism to investigate the attacks. However, he pointed to an independent investigative mechanism established a year earlier that could potentially examine the incidents.
Bennett also called on the ICC to consider investigating the alleged attacks, noting that the court already has an ongoing investigation into the situation in Afghanistan. While the decision rests with the court, he said he hoped it would examine the incidents closely.
His remarks come amid mounting concerns over cross-Durand Line violence and its toll on Afghan civilians.
In early October, UN Secretary-General’s spokesperson Stéphane Dujarric said the UN mission had documented more than 1,100 civilian casualties in Afghanistan resulting from cross-Durand Line violence in 2026.
The United Nations has called for de-escalation and respect for international law, stressing that civilians must be protected from the effects of armed conflict.
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IEA condemn attacks on Saudi airports amid rising regional tensions
It urged all parties involved to refrain from violence, prevent further escalation and take necessary measures to protect civilians.
The Islamic Emirate’s Ministry of Foreign Affairs has expressed concern over recent attacks on Riyadh and other airports in Saudi Arabia, describing the reported civilian casualties as deeply regrettable.
In a statement issued on Monday, Abdul Qahar Balkhi, spokesperson for the ministry, said that any attack threatening the lives and safety of civilians is condemnable.
The ministry warned that escalating violence and the widening scope of the conflict could jeopardize the security and stability of the entire region.
It urged all parties involved to refrain from violence, prevent further escalation and take necessary measures to protect civilians.
According to Saudi officials, one person was killed and 12 others injured in Saturday’s attack on King Khalid International Airport in Riyadh.
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EU pledges continued humanitarian aid for returning Afghans
The two officials discussed humanitarian assistance for returnees, their reintegration into society and measures to address their longer-term needs.
The European Union has reaffirmed its commitment to providing humanitarian assistance to returning Afghans, with a focus on reintegration, employment opportunities and sustainable solutions to the challenges they face.
The commitment was reiterated during a meeting between Afghanistan’s Minister of Refugees and Repatriation, Mawlawi Abdul Kabir, and the EU’s newly appointed representative to Afghanistan, Nicola Bellomo, according to a statement from the ministry.
The two officials discussed humanitarian assistance for returnees, their reintegration into society and measures to address their longer-term needs.
Bellomo praised the Islamic Emirate’s handling of the return of millions of Afghans, saying the process had been managed successfully despite the challenges posed by the return of approximately eight million people.
He said the EU would continue providing humanitarian assistance to Afghans and expressed its readiness to cooperate on creating employment opportunities and addressing the difficulties faced by returnees.
Abdul Kabir said the Islamic Emirate was working towards sustainable solutions for returning Afghans, noting that 80 townships had been designated to accommodate them.
He also called on the EU to support the construction of residential townships, stressing the need to provide adequate housing and assistance to vulnerable returnees, particularly women and those without family support.
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