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LETTER FROM AFGHANISTAN
Vol. 4. February, 2001

We inform about Afghanistan

This newsletter is about Terre des hommes’ emergency assistance to vulnerable displaced people in northern Afghanistan. With financial assistance of Chaine du Bonheur, Swiss Development Cooperation and ECHO, and supported by MSF and Swedish Committee for Afghanistan, Terre des hommes together with its local partner NPO/RRAA is providing humanitarian aid to the suffering civilian population – focussing on food distribution, blankets and health services.
The economic, social and ecological costs of such a massive influx of internally displaced people are creating an enormous burden for the population in Rustaq who is already suffering from the severe recent drought as well as the devastating effects of the two heavy earthquakes of 1998.
Most of observers and UN officials are describing the present Afghan refugee crisis as one of the worst in the recent history. According to figures of international aid agencies, there are around half a million people displaced inside Afghanistan because of conflict, drought and hunger. The United Nations has estimated about 12 million of Afghanistan’s 22 million people are affected by the drought, up to four million of them seriously. Grain production has fallen in half, people have eaten their seed, sold their livestock and watched their fruit trees and vineyards die. Many households are on the move but there are few places to go that are any better.




Emergency intervention in Rustaq
Rustaq is a very remote district in northern Takhar province with approximately 400,000 people living in about 173 villages – many of them very remote in the mountains and only accessible by donkeys and horses. The district is the biggest one of Takhar and still under the control of former Afghan defense minister and opposition commander Ahmed Shah Masood.

During the past four months more than 1,600 displaced families fled from the advancing frontlines to this town in which approximately 31.000 people are trying to make a living from agriculture and petty trade. The ongoing fighting between the different factions, the severe drought of the recent past, the devastating earthquakes of 1998, the lack of governmental structures and the poor infrastructure (no electricity, no safe drinking water etc.) and now the constant influx of new displaced people – fleeing from the frontlines - are contributing to a deteriorating health situation due to high rates of communicable diseases. In addition the population is urged to share the little food resources they have and the rate of malnutrition is dramatically increasing.

Problems to be solved
It has become increasingly difficult for the emergency team of Terre des hommes and NPO/RRAA to focus only on internally displaced people since the local population is already seriously traumatized by the proximity of the frontlines and the suffering of the past. The war situation allows limited access to food and non-food supply and there are additional logistical problems for purchasing goods and commodities in nearby Tajikistan. The cold weather with heavy snowfall and frost require additional food distribution and proper shelter material and special care has to be taken for children who constitute 60% of the refugees. In addition the absence of women in community life due to cultural and traditional values which prohibit participation of women in decision making creates enormous difficulties to access mother and child health.

Health
The reinforcement and expansion of the existing clinic in Rustaq was one of the first priorities of the emergency team. Strengthening the health infrastructure is also benefiting the host population and equal treatment of both refugee and local people will help avoiding resentments against internally displaced people. Financial and material support has been given to Rustaq clinic, and doctors and nurses have been hired in order to provide equal and efficient treatment. Internally displaced people and poor local people are receiving medicines and health care free of charge.

1.200 internally displaced people and 800 locals received medical care during the past two months.

In average 90 patients per day are seeking medical help and treatment.

Measles
Measles is one of the most severe health problem throughout Afghanistan. Displacement, overcrow-ding, very cold weather conditions, high levels of malnutrition and poor hygiene in Rustaq are all factors that encourage the emergence of very large-scale epidemics.

Measles remains a major cause of childhood mortality throughout the world, especially in countries like Afghanistan. Measles is one of the most serious health problems encountered in refugee situations and has been reported as the leading cause of mortality in children.

Especially in Rustaq town and district the emergency team faced the chronic and complex problem of measles. Measles is endemic, and has been always present, during all the years and in all seasons.

However, the high mortality is preventable and mass immunization against measles is one of the top priorities in the initial phase of a emergency case. Unfortunately the last campaign was done in 1998.  That means that all children under three are not protected.

Due to increasing number of cases and deaths the emergency team started a mass immunization. Without any hesitation 33 staff members of our partner organization NPO/RRAA and of Terre des hommes were assigned and additional 57 qualified persons in Rustaq hired in order to vaccinate more than 7.000 children during the first two days. Simultaneously vitamin A supplementation is given to vaccinated children. Medecins sans Frontieres (MSF) provided training, vaccines, budgets for salaries and fuel and UNICEF assisted in establishing a fixed center for vaccination in Rustaq town and providing additional vaccines.


A mobile team of nurses and doctors is in charge to reach at least one village per day for the campaign. 4x4 vehicles and even donkeys are used. Over the
next three month 125 villages will be covered and approximately 30.000 children will be vaccinated, therefore significantly decreasing the morbidity and mortality of this disease within the district.



“Gender advisor to the UN  in Afghanistan says for the first time in her life she saw children turned navy blue by extreme cold and hunger.
Describing life at Mazar in northern Afghanistan, Maysoon Melek, gender advisor to UN in Afghanistan, who paid a visit to an internally displaced person (IDP) camp, said: “This is Mazar’s IDP camp number 65. A number of men are sitting outside the building in a circle, We get off our UN cars and walk towards them. On the left, a man in his seventies is crying bitterly. I ask our translator to inquire from the men why he is crying. The response is that he has lost his two grand-sons this morning and they (men) are preparing for their funeral near the camp.” 
She said: “We enter the camp. A strong smell fills the place. A smell of bodies and human secretion. The place is so dark one can hardly see. There is no light in the building, no electricity, no fire and no candle. It makes me some time to distinguish between the figures around. We enter the first opening on our right. The room has no door, no window or even a curtain that can give its occupants some privacy or protect them from extreme cold. It is freezing cold despite my warm clothes, heavy coat and the woolen scarf. Two dead children are lying in the middle of the room and a number of women and children are sitting around them. I ask who the mother is. Our translator asks and they point to a woman sitting on the left. Unlike the grandfather, she is not crying. She looks at us blankly as we all start at her. ‘Were the children sick?’”

The UN advisor said after some exchange between the translator and the woman, he responded: “They were not sick. They died of cold. Also because there was no food that keep 
the children and old people warm.”
Melek said: “I moved to the other room. I noticed suddenly that the place is so quiet. I wondered how can it be when there are 150 families living in the building. A voice in me answered that perhaps deep desolation has made the people silent.”
She said: “In the second room, nine people are sitting on the cement floor of the room, a very sick teenager boy is lying on some kind of sheeting with a quilt covering him. He looks at us as we enter. He too, has the same kind of look as the mother who lost her two kids. I am told he is sick. This is why he has the lone quilt the family had. Five children are lying still near the wall with their hands on their chests. They are shivering and look very strange. For seconds, I cannot tell why they look so strange. Then gradually it dawns on me. This is the very first time in my life I see navy blue children. I have seen black children, white children, yellow children, coffee-coloured children, but never navy-blue children. And as we go from one room to another in the camp building, where 150 drought-hit families live, we see more such people.”
“The old man who was crying in the other building approached us while holding a little boy in his lap. He stood in front of me and started speaking in Dari. He was still crying. I found myself crying too.” Our translator informed us that the old man wanted to tell us that this was his only surviving grand-son and that he was afraid of loosing him too.
Masoon Melek said: “This is just one tragedy from Mazar. There may be more tragic scenes in Kabul, Herat, Kandahar, and Bamyan. Nearly half a million internally displaced persons are there, who have no shelter, no food, no clothing. And when they look at their children for the last time before burying them, they may think, that one more kilogram of flour or potatoes, a pair of shoes or a jacket may have saved their children from death.”

Quoted from the newspaper “The News” – 29th January 2001 –  published in Pakistan.

Afghan News
3 January: Afghanistan’s northern-based opposition struck a second blow in as many weeks against the Taliban militia capturing a key district in central Ghor province, an opposition spokesman said Tuesday.
4 January: The Afghan opposition on Monday confirmed it had lost the strategic town of Yakawlang in the central province of Bamyan to the Taliban after heavy fighting.

4 January: Seven Afghan refugee children died at a camp near Peshawar as a cold wave swept the region, camp residents and local authorities said.
9 January: The leader of Afghanistan’s ruling militia issued an edict imposing the death penalty on any Afghan Muslim who converts to Christianity or Judaism, an official radio report said on Monday.

11 January: The mortality rate among children under five in remote villages of south and southeast of Qaiser district in southern Faryab province of Afghanistan is 5,2 per 10.000 per day, says a nutrition and mortality survey just finished by the Medecins sans Frontieres (MSF) Belgium.
12 January: Afghanistan’s relentless drought is rapidly becoming a famine judging by the condition of refugees pouring into Pakistan every day, but still the donor community, especially Europe, seems reluctant to help, UN officials said.
15 January: The frontlines in the northeastern Takhar province of Afghanistan were relatively calm early Sunday, a day after intense fighting between Afghan opposition forces and the ruling Taliban militia, resistance officials said.
15 January: The International Committee of the Red Cross (ICRC) on Sunday decided to cut food distribution to 22.000 widows and their families and disabled Afghans, aggravating problems for Kabul’s impoverished population.

17 January: Pakistan will implement UN sanctions on Taliban on its side of the border, Pakistan Foreign Secretary Inamul Haq said on Tuesday.
18 January: Taliban leader Mullah Mohammad Omar Sunday rejected allegations by UN Secretary General Kofi Annan that his troops killed civilians after recapturing Yakawlang town in the central Afghanistan province of Bamyan.
20 January: Shattered by a devastating drought and a protracted civil war, 18.000 new Afghan refugees fled their homeland and arrived in Pakistan in just the last week.
23 January: Afghanistan’s anti-Taliban groups have recaptured Yakawlang district after fierce fighting overnight combat, opposition and Taliban sources said Monday.
24 January: Afghanistan’s armed resistance and the ruling Taliban militia engaged in intense artillery duels north of Kabul on Tuesday in what one opposition commander said could be the prelude to an attack.
24 January: The fifth explosion in a week, a bomb planted outside the vacant Iranian embassy, has shaken the Afghan capital, residents said on Tuesday.
25 January: Afghanistan’s northern-based opposition overran Taliban troops to capture several villages in two northern provinces on Wednesday, an opposition spokesman said.
27 January: The number of new Afghan refugees who have sought UN assistance in Pakistan has soared through the 150.000 mark with no end in sight despite the closure of the border, a UN official said Friday.
28 January: Heavy fighting erupted north of Kabul on Saturday with anti-Taliban groups claiming to have captured a number of positions from the ruling Islamic militia in a pre-dawn attack.
29 January: Former Afghan defense minister and opposition commander Ahmed Shah Masood has favored elections in Afghanistan, asking the Taliban to test their popularity through democratic process.
1 February: More than 110 Afghans died of cold in displacement camps near the western city of Herat this week, UN said Wednesday.
2 February: Taliban have said opium poppy cultivation will never be allowed in Afghanistan again.

2 February: Three explosions occurred in Kabul on Thursday, shattering windows but causing no casualties, witnesses said.
3 February: Afghanistan’s ruling Taliban have expressed their readiness for holding talks with the opposition Northern Alliance, reports VOA.

3 February: The death toll in makeshift camps for internally displaced Afghans in Herat, western Afghanistan, due to severe cold rose to 504 on Thursday following the death of another 22 persons Wednesday night.
4 February: Both sides in Afghanistan’s bitter civil war rejected a UN appeal on Saturday to call a truce to help their countrymen, who have been driven from their homes and are dying daily in squalid camps.
7 February: The World Bank on Tuesday joined the swell of appeals seeking emergency aid for Afghanistan, warning that war and drought were driving the country towards famine.
15 February: Afghan opposition forces captured the key central city of Bamyan from the Taliban overnight Wednesday in a major blow to the ruling militia, officials said
.

The Swiss Foundation Terre des hommes is working on both sides of the frontlines in Afghanistan and keeping strict neutrality in the conflict.

 

Published by:
Terre des hommes
Liaison Delegation Office
P.O.Box 729 UT
Peshawar
Islamic Republic of Pakistan


All information from: “The News” published in Pakistan

 

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