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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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Most Afghans in Pakistan reject German cash offer, await uncertain futures
The issue has sparked criticism of Chancellor Friedrich Merz’s government, which took office in May 2025 and pledged in its coalition agreement to wind down voluntary federal admission programs, including those for Afghans.
The majority of Afghan nationals stranded in Pakistan after being denied resettlement in Germany have rejected a German government offer of financial assistance in lieu of relocation, leaving hundreds facing an uncertain future, infomigrants.net reported.
According to the report German authorities informed more than 660 Afghans in December 2025 that despite earlier assurances of resettlement, Germany would no longer be able to admit them. As an alternative, Berlin offered cash support to help affected individuals return to Afghanistan or seek refuge in another country willing to accept them.
According to official figures, only 167 Afghans — including 25 principal applicants and 142 family members — accepted the offer. By contrast, 358 people have rejected the proposal, while at least 137 others were still considering their options as of late December.
Those who declined the offer remain in Pakistan, where their legal status is increasingly precarious. Pakistan has intensified efforts over the past two years to reduce the number of displaced Afghans, raising concerns that those still awaiting decisions could be forced to leave on short notice.
The German government said the decision was influenced by logistical constraints and mounting pressure from Pakistani authorities to complete transfers before the end of 2025 — a deadline Germany was unable to meet. A bilateral agreement protecting Afghans with German resettlement pledges expired at the end of last year, the German Foreign Office confirmed.
The issue has sparked criticism of Chancellor Friedrich Merz’s government, which took office in May 2025 and pledged in its coalition agreement to wind down voluntary federal admission programs, including those for Afghans.
While Germany continued to resettle hundreds of Afghans in 2025 — primarily former local staff of German institutions and their families — the latest group of rejected applicants largely consisted of journalists, judges, teachers, and human rights activists nominated under a humanitarian admissions program launched by the previous government.
Some applicants succeeded in reaching Germany late last year after winning individual court cases forcing authorities to honor resettlement pledges. However, German officials stressed that these rulings do not automatically apply to others, leaving several hundred Afghans still in limbo.
As of January 2025, more than 35,500 Afghans have been resettled in Germany since the Islamic Emirate takeover in 2021. Yet for hundreds still stranded in Pakistan, the prospect of reaching safety remains uncertain, as diplomatic efforts continue amid tightening regional pressures.
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Afghan FM, UN Political Chief discuss engagement, Doha process in Kabul
DiCarlo arrived in Kabul in the early hours of Saturday, January 24. Her visit comes amid ongoing UN efforts to coordinate dialogue on Afghanistan’s political future, humanitarian needs, and regional stability.
Afghanistan’s Foreign Minister Amir Khan Muttaqi held talks in Kabul with Rosemary DiCarlo, the UN Under-Secretary-General for Political and Peacebuilding Affairs, focusing on engagement between the Islamic Emirate and the United Nations and the UN-led Doha process.
In a statement, the Ministry of Foreign Affairs said the meeting covered ways to strengthen coordination and cooperation between the Islamic Emirate and the UN, as well as consultations related to the Doha talks.
Muttaqi briefed the UN delegation on Afghanistan’s political and security situation, efforts to stabilize the economy, and the management of returning migrants, describing recent measures by the Islamic Emirate as positive. He emphasized that lifting banking restrictions and unfreezing Afghanistan’s central bank assets are critical to supporting the private sector and facilitating humanitarian assistance, allowing the economy to function normally.
The foreign minister also highlighted steps taken to curb narcotics cultivation and trafficking, warning that failure to prevent drug production outside Afghanistan could once again pose risks to the country, the region, and the wider world.
DiCarlo welcomed what she described as positive developments in Afghanistan, particularly the handling of millions of returnees and transparency in the delivery of humanitarian aid. She praised efforts to combat narcotics, treat drug addiction, and implement reforms in other sectors.
The UN political chief reaffirmed continued cooperation under the Doha process, including through two working groups focused on counter-narcotics and private sector support, and called for expanding collaboration to other areas of dialogue. She stressed that humanitarian assistance remains vital for the Afghan people and underscored the need for joint efforts to ensure its delivery.
Both sides expressed hope for more frequent engagement and deeper cooperation in the future.
DiCarlo arrived in Kabul in the early hours of Saturday, January 24. Her visit comes amid ongoing UN efforts to coordinate dialogue on Afghanistan’s political future, humanitarian needs, and regional stability.
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Heavy rain and snowfall kill 61 in three days in Afghanistan
Afghanistan’s National Disaster Management Authority said on Saturday that 61 people have been killed and 110 others injured as a result of heavy rain and snowfall over the past three days.
According to the authority, the casualties were reported in Kabul, Parwan, Panjshir, Bamyan, Daikundi, Maidan Wardak, Ghazni, Herat, Ghor, Badghis, Faryab, Sar-e-Pul, Balkh, Samangan, and Nuristan provinces.
The agency also said that 458 houses were damaged or destroyed, leaving 360 families affected. In addition, 620 livestock perished due to the severe weather.
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