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Intense fighting a serious challenge for patients, MSF staff in Helmand

Médecins Sans Frontières reported Tuesday that while fighting has been intense since May in Helmand province, clashes between the Afghan security forces and the Taliban have intensified in recent weeks and spread to more urban areas such as the provincial capital of Lashkargah city.
“There has been relentless gunfire, airstrikes and mortars in densely populated areas. Houses are being bombed, and many people are suffering severe injuries,” says Sarah Leahy, coordinator of the MSF Helmand project.
“Fighting within the city makes it harder for us to respond; our staff are part of the community and they, like many people, are afraid to leave their homes. It’s just far too dangerous and life is at a standstill,” says Leahy.
“Some of our colleagues are staying overnight in the hospital as it’s safer, but also so they can keep on treating patients. The situation has been dire for months but now it is even worse.”
Despite the challenges, the MSF-supported Boost hospital remains operational and has seen a marked increase in trauma needs over the past week.
“In just one day we performed 10 surgeries on people injured by violence, which is unheard of for us as we are not Lashkargah’s main provider of trauma care,” says Leahy. “Before last week we were operating on average on two war-wounded people per day.”
The main trauma centre in the city is run by another organisation, and is also under immense pressure; the people they cannot admit are sent to MSF for care, the statement read.
Between 29 and 31 July alone, MSF treated 70 war-wounded patients. In total from 3 May until 31 July, we have treated 482 war-wounded people, nearly all (92 per cent) for injuries caused by shells and bullets, and around a quarter (26 per cent) aged under 18. The patients seen by MSF are just a fraction of the total number injured by the violence, the organization reported.
MSF also said the conflict is stopping people from seeking medical attention when ill.
“The conflict leads people to think 10 times about whether they really want to make the journey. They delay until they can’t wait anymore, when their relatives haven’t opened their eyes for two or three days, have shallow breathing and are unresponsive. From a medical perspective, that’s almost too late.”
Even amongst MSF staff, the impact of the fighting is clearly visible. “Healthcare staff are exhausted. The work itself, seeing all these patients, is hugely difficult. And then on top of that, people have to deal a lot with outside pressures and worries,” says an MSF doctor.
Our teams continue to provide much-needed healthcare in Boost hospital, while continuing to run projects in four other locations around the country; Herat, Kandahar, Khost and Kunduz.
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Iran determined to collaborate on water, energy projects with Afghanistan: Bikdeli

The Ministry of Energy and Water says Iran is determined to cooperate with Afghanistan in implementing water and energy development projects.
These remarks were made by Ali Reza Bikdeli, the acting ambassador of Iran in Kabul, during a meeting with Abdul Latif Mansour, the acting minister of Energy and Water.
In this meeting, the two sides also emphasized the need for developing and expanding cooperation between Kabul and Tehran, and discussed issues related to water shortages and droughts.
Mansour added that Afghanistan has created investment opportunities and that the Islamic Emirate welcomes developmental and economic cooperation with neighboring countries.
Meanwhile, private sector members have stated that economic relations with Iran can be expanded, and this could be important for economic stability between the two countries.
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Muttaqi urges Oman to release Afghan prisoners

Acting Minister of Foreign Affairs Amir Khan Muttaqi, during his visit to Oman, has called on the country to reduce the prison terms of Afghan prisoners and release them.
According to a statement issued by the Ministry of Foreign Affairs on Friday, Muttaqi met with several officials of Oman including the Minister of the Royal Office in the Sultanate of Oman, the officials of the Chamber of Commerce and Investment, and the Minister of Endowments and Religious Affairs.
He called for the start of direct flights between the two countries and Oman’s coordination with the Afghan Embassy in providing consular services to Afghans residing in Oman.
He also called for increased trade between the two countries.
Muttaqi told the Minister of Endowments and Religious Affairs of Oman that the experiences of the two countries in the field of mosques, pilgrimage and endowments should be shared with each other. He also called for Oman’s assistance in the reconstruction of mosques in Afghanistan.
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Greece at UN: Any engagement with IEA cannot be detrimental to women

Greece’s representative said at a United Nations meeting Tuesday that the Islamic Emirate continues gender discrimination in Afghanistan, and any engagement with it cannot be detrimental to women.
The meeting was held under the theme “Afghanistan to New York: Afghan women calling for action,” a side event of the 69th session of Commission on the Status of Women.
A Greek official said at the meeting that the Islamic Emirate has tried to erase women from the public life by enacting the Propagation of Virtue and Prevention of Vice Law.
He also said that the restrictions on the work of women in the United Nations and NGOs have had a severe repercussion on delivering humanitarian assistance in Afghanistan.
The official asked Islamic Emirate to end the “systematic violation” of women’s rights in Afghanistan.
Isabelle Rome, the Ambassador at Large for Human Rights for France, said that depriving women’s rights is depriving the rights of half of humanity and France will not remain silent about it.
Australian Ambassador for Gender Equality, Stephanie Copus Campbell noted that Australia, Canada, Germany and the Netherlands have initiated proceeds against the Islamic Emirate for women’s rights violations.
In September last year, the four nations had announced that they would take the Islamic Emirate to the International Court of Justice (ICJ) if it does not improve women’s rights in Afghanistan.
The Islamic Emirate has said that the rights of women in Afghanistan are ensured according to Sharia and countries should not interfere in the internal affairs of Afghanistan.
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