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Russian fighting destroys, damages nearly 400 hospitals, medical centres, Zelenskiy says

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Russia’s invasion of Ukraine has devastated hundreds of hospitals and other medical institutions and left doctors without drugs to tackle cancer or the ability to perform surgery, President Volodymyr Zelenskiy said.

Zelenskiy said many places lacked even basic antibiotics in eastern and southern Ukraine, the main battlefields.

“If you consider just medical infrastructure, as of today Russian troops have destroyed or damaged nearly 400 healthcare institutions: hospitals, maternity wards, outpatient clinics,” Zelenskiy said in a video address to a medical charity group on Thursday.

In areas occupied by Russian forces the situation was catastrophic, he said.

“This amounts to a complete lack of medication for cancer patients. It means extreme difficulties or a complete lack of insulin for diabetes. It is impossible to carry out surgery. It even means, quite simply, a lack of antibiotics.”

In one of the most widely denounced acts of the war, a maternity hospital was all but destroyed on March 9 in the besieged port city of Mariupol. Russia alleged pictures of the attack were staged and said the site had been used by armed Ukrainian groups.

The Kremlin says it targets only military or strategic sites and does not target civilians. Ukraine daily reports civilian casualties from Russian shelling and fighting, and accuses Russia of war crimes. Russia denies the allegations.

Pavlo Kyrylenko, governor of Donetsk region, said 25 people had been injured in intense shelling in the town of Kramatorsk, site of a railway station bombing last month in which more than 50 died. He said a total of 32 residential buildings had been damaged in the shelling.

Reuters could not immediately verify battlefield reports by Russia and Ukraine.

Russia calls its actions in Ukraine a “special operation” to disarm Ukraine and protect it from fascists. Ukraine and the West say the fascist allegation is baseless and that the war is an unprovoked act of aggression. More than 5 million Ukrainians have fled abroad since the start of the invasion.

Russia has turned its heaviest firepower on Ukraine’s east and south, after failing to take the capital Kyiv. The new front is aimed at limiting Ukraine’s access to the Black Sea, vital for its grain and metal exports, and linking Russian-controlled territory in the east to Crimea, seized by Moscow in 2014.

In the port city of Mariupol an estimated 200 civilians, along with Ukrainian resistance fighters, are trapped undergound in the Azovstal steel plant with little food or water.

The steel works was rocked by heavy explosions on Thursday as Russian forces fought for control of Ukraine’s last stronghold and the United Nations rushed to evacuate civilians.

President Vladimir Putin said Russia was prepared to provide safe passage for the civilians but reiterated calls for Ukrainian forces inside to disarm.

Putin declared victory over Mariupol on April 21 and ordered his forces to seal off the Soviet-era plant but not venture inside its underground tunnel network.

Ukraine’s stubborn defence of Azovstal has underlined Russia’s failure to take major cities in a 10-week-old war that has united Western powers in arming Kyiv and punishing Moscow with sanctions.

Clinging on desperately, Ukrainian fighters have reported fierce battles with Russian troops in Azovstal.

A Ukrainian fighter who said he was holed up in Azovstal accused Russian forces of breaching the plant’s defences for a third day despite an earlier pledge by Moscow to pause military activity to permit civilian evacuations.

“Heavy, bloody fighting is going on,” said Captain Sviatoslav Palamar of Ukraine’s Azov Regiment. “Yet again, the Russians have not kept the promise of a ceasefire.” Reuters could not independently verify his account or location.

The Kremlin denies Ukrainian allegations that Russian troops stormed the plant in recent days.

Aerial footage of the plant, released Thursday by Ukraine’s Azov Regiment, showed three explosions striking different parts of the vast complex, which was engulfed in heavy, dark smoke.

Reuters verified the footage location by matching buildings with satellite imagery, but was unable to determine when the video was filmed.

Russia’s military promised to pause its activity for the next two days to allow civilians to leave. The Kremlin said humanitarian corridors from the plant were in place.

Ukrainian Deputy Prime Minister Iryna Vereshchuk said on Thursday that people would be evacuated from Mariupol on Friday at 1200 local time (0900 GMT).

Sweeping sanctions from Washington and European allies have hobbled Russia’s $1.8 trillion economy, while billions of dollars worth of military aid has helped Ukraine frustrate the invasion.

European Union countries are “almost there” in agreeing the bloc’s proposed new package of sanctions against Russia, including an oil embargo, EU foreign policy chief Josep Borrell said. read more

The Kremlin said Russia was weighing responses to the EU plan.

Ukrainian officials have warned that Russia might step up its offensive before May 9, when Moscow commemorates the Soviet Union’s victory over Nazi Germany in World War Two.

Health

Afghan Health Minister hails India visit as new chapter in bilateral ties

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Afghanistan’s Minister of Public Health, Noor Jalal Jalali, has described his recent visit to India as an important new chapter in strengthening health cooperation between Kabul and New Delhi.

Speaking at a press conference in Kabul on Tuesday, Jalali said the trip focused on expanding bilateral health collaboration and addressing key challenges facing Afghanistan’s healthcare system. He outlined the main objectives of the visit as preventing potential medicine shortages, standardizing traditional medicine, importing high-quality and affordable medicines, building the capacity of health workers through training programs, facilitating medical treatment for Afghan patients in India, and developing professional expertise in traditional medicine.

Jalali said India and relevant institutions made several concrete commitments during the visit. These include the provision of vaccines worth $5 million, a radiotherapy machine for cancer treatment valued at $3 million, five tons of cancer medicines worth $1 million, a CT scan machine valued at $300,000, and support for the construction of a hospital and a specialized thalassemia treatment center valued at $500,000.

According to a statement from the Ministry of Public Health, the visit also resulted in agreements on capacity-building programs for specialists and healthcare workers, the donation of 70,000 medical ampoules by an Afghan investor, plans to establish a research center and an institute of traditional medicine in Kabul, the transfer of high-quality medicines to Afghanistan, meeting market needs, and increased investment in the health sector.

The ministry said these outcomes represent significant progress in enhancing healthcare services and long-term cooperation between Afghanistan and India.

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Health

Afghan health minister hails India’s support, calls medical visas vital for patients

Jalali said India is planning to build a 30-bed hospital in Kabul’s Bagrami district, which is expected to include an oncology center, a trauma unit, and maternal and child healthcare clinics.

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Afghanistan’s Minister of Public Health, Noor Jalal Jalali, has praised India’s long-standing support for Afghanistan’s healthcare sector, describing Indian medical visas as a “vital humanitarian channel” for Afghan patients.

In an interview with an Indian television network, during his official visit to New Delhi, Jalali said Afghans have long relied on India for medical treatment, noting that the facilitation of medical visas has enabled thousands of patients to access advanced healthcare services in recent years.

He welcomed India’s contributions to Afghanistan’s health infrastructure, highlighting the Indira Gandhi Institute of Child Health in Kabul as one of the country’s most important pediatric hospitals.

India has supported the facility through the establishment of a thalassemia center, a modern diagnostic unit, upgrades to heating systems, and plans to provide a CT scan machine.

Jalali said India is also planning to build a 30-bed hospital in Kabul’s Bagrami district, which is expected to include an oncology center, a trauma unit, and maternal and child healthcare clinics.

He added that India has fitted around 75 Afghan patients with prosthetic limbs under the Jaipur Foot program and donated 20 ambulances.

During talks with India’s Minister of Health and Family Welfare, Jalali called for expanded cooperation in medical equipment, pharmaceutical regulation, training of healthcare workers, and the supply of essential medicines, particularly cancer drugs. He said India has pledged to provide these medicines on an urgent basis.

The Afghan health minister stressed the importance of capacity building, including training Afghan doctors in India and deploying Indian medical teams to Afghanistan.

He also said agreements have been reached to cooperate in traditional medicine, including Ayurveda and Unani practices, with plans to establish a Traditional Medicine Institute and Research Center in Afghanistan.

Jalali noted that Afghanistan has diversified its pharmaceutical import routes to ensure a steady supply of medicines and address concerns over counterfeit and substandard drugs through stronger regulation.

He described Afghanistan–India relations as people-centric and rooted in humanitarian values, expressing hope that cooperation in healthcare, pharmaceuticals, and medical infrastructure will continue to deepen.

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Afghan health officials visit Indian medical institute to expand ties

India has historically been a key partner in Afghanistan’s health and education sectors, providing training, medical support and institutional cooperation.

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During an official visit to India, a technical delegation from Afghanistan’s Ministry of Public Health visited the Hamdard Institute of Medical Sciences and Research (HIMSR) in New Delhi, as part of efforts to strengthen cooperation in the health sector, particularly in the field of traditional medicine.

Officials and senior professors at HIMSR welcomed the Afghan team and provided detailed briefings on the institution’s academic programmes, research activities and medical services.

Discussions focused on opportunities for closer collaboration in traditional and integrative medicine, an area where Hamdard has long-standing expertise and international recognition.

HIMSR’s leadership expressed readiness to work with Afghan health authorities on joint research initiatives, quality testing and standardisation of traditional medicines through Hamdard’s laboratories, as well as knowledge-sharing programmes. The institution also pledged to offer scholarships and specialised training opportunities for Afghan doctors and medical professionals.

The visit comes as Afghanistan seeks to rebuild and strengthen its public health system amid ongoing economic and humanitarian challenges, with an emphasis on cost-effective and culturally accepted healthcare approaches such as traditional medicine.

India has historically been a key partner in Afghanistan’s health and education sectors, providing training, medical support and institutional cooperation.

Both sides said enhanced collaboration would contribute to improving public health outcomes, standardising traditional medicine practices, and expanding scientific and medical institutions in Afghanistan.

They reaffirmed their commitment to developing the partnership in a sustainable manner, aimed at long-term capacity building and mutual benefit.

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