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Envelope-to: ghani@jack.ngo,
 musawy@jack.ngo,
 nooromari@jack.ngo,
 saqib@jack.ngo,
 takal@jack.ngo
Delivery-date: Sat, 21 Mar 2020 09:52:21 -0400
From: <ahmad@jack.af>
To: <ghani@jack.ngo>,
	<majeedhasan1984@gmail.com>,
	<sultanrasoolzai@gmail.com>,
	<mirzaee@jack.ngo>,
	<saqib@jack.ngo>,
	<musawy@jack.ngo>
Cc: <nooromari@jack.ngo>,
	<takal@jack.ngo>,
	<takal@jack.af>
References: <003901d5fedb$edbf2e40$c93d8ac0$@acbar.org>
In-Reply-To: <003901d5fedb$edbf2e40$c93d8ac0$@acbar.org>
Subject: FW: Afghanistan | COVID-19 | Daily Brief No. 16 | 20 Mar 2020
Date: Sat, 21 Mar 2020 18:20:00 +0430
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FYI,

=20

With best regards,

=20

Dr.Noor Ahmad =E2=80=9CAhmad=E2=80=9D MD,PGD (Leadership) PGD (NMD), PMP

Program Manager=20

Just for Afghan Capacity and Knowledge       =D8=A8=D9=84=D9=86=D8=AF =
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Address: First Street of Karta-e-Chahar, Kabul Afghanistan=20

Behind AWCC Main Office, House # 08

Ph: +93 792410436 - 0783504353

Email: ahmad@jack.ngo =20

Website:www.jack.ngo=20

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From: Hamidullah Ahmadi [mailto:infocoordofficer@acbar.org]=20
Sent: Friday, March 20, 2020 9:47 PM
Cc: 'Jawid Ahmad OMARI'
Subject: FYI: Afghanistan | COVID-19 | Daily Brief No. 16 | 20 Mar 2020

=20

AFGHANISTAN

=20

COVID-19

=20

Daily Brief No.16 | 20 Mar 2020

=20

=09

=20

=
<https://humanitarianresponse.us4.list-manage.com/track/click?u=3Dfe0746c=
970b6af5b85b9a5ef4&id=3Da8d57ebaf9&e=3Dc20e006770>=20

=20

=09

=20

=
<https://humanitarianresponse.us4.list-manage.com/track/click?u=3Dfe0746c=
970b6af5b85b9a5ef4&id=3D37c4efcb0d&e=3Dc20e006770> Download the full =
update =C2=BB=20

=20

Key Messages: UPDATED

*	People confirmed to have COVID-19: 24=20
*	People tested for COVID-19: 420
*	People confirmed negative for COVID-19: 366
*	Pending results: 30
*	Key concern: Border crossing areas in the country=E2=80=99s west

(Source: Ministry of Public Health of Afghanistan)

_____ =20

Situation Overview: UPDATED

According to the  =
<https://humanitarianresponse.us4.list-manage.com/track/click?u=3Dfe0746c=
970b6af5b85b9a5ef4&id=3D1ac4cca341&e=3Dc20e006770> WHO Global Dashboard, =
as of 20 March a total of 209,839 cases of COVID-19 have been confirmed =
and 8,778 fatalities have been reported worldwide across 168 countries. =
For the first time, Italian authorities have reported that the number of =
deaths in the country have exceeded those in China. China has recently =
sent a team of experts to Italy to share their experiences of containing =
the outbreak.
=20
On 11 March, WHO declared the COVID-19 outbreak as a global pandemic. =
Physical distancing measures can help to slow transmission of the virus =
and reduce the burden on the health system. But to suppress and control =
epidemics, countries must isolate, test, treat and trace. As the virus =
moves to low-income countries, WHO is deeply concerned about the impact =
it could have among populations with high HIV prevalence, or among =
malnourished children =E2=80=93 the latter being of particular concern =
in Afghanistan. Travel restrictions by countries are changing rapidly =
and should be monitored on daily basis.
=20
The first person to test positive for COVID-19 in Afghanistan was =
confirmed on 24 February by the Ministry of Public Health (MoPH). A =
total of 24 people are now confirmed to have the virus in 7 provinces =
=E2=80=93 Hirat (15), Samangan (3), Balkh (1), Daikundi (1), Kapisa (1), =
Badghis (1), Logar (2). Contact tracing for the people confirmed with =
COVID-19 is ongoing. The clinical condition of the people both confirmed =
and presumptive for the virus is considered good. One patient in Hirat =
has reportedly recovered and been discharged from the treatment =
facility.
=20
A number of people being held in isolation in hospital in Hirat left the =
facility on 16 March, although some have reportedly since returned to =
the hospital. A range of factors including hospital conditions, distrust =
of the authorities, loss of livelihoods issues, stigma and lack of =
understanding of risk and fear are likely to have contributed to this =
situation and warrant a scale-up of awareness raising among those being =
isolated in hospitals and the wider community. The Protection Cluster =
will endeavour to negotiate access to those being held in medical =
isolation in order to ensure they understand what is happening to them =
and that their well-being is being protected and their specific needs =
addressed. Improved awareness raising at border crossings will also =
support this.  Addressing rumours and community fears of seeking medical =
treatment through community engagement will be critical and there are =
plans to soon establish a COVID-19 Risk Communications Working Group in =
the near future. The Government has also advised its provincial and =
district level counterparts to initiate awareness raising through =
community leaders and using mosques.

Response: UPDATED=20
The focus of activities in Afghanistan is now on preparedness, =
containment and mitigation. The outbreak is likely to spread to other =
provinces, beyond those already affected. WHO is working to provide =
reliable modelling on the evolution of the virus in the specific context =
of Afghanistan with its unique vulnerabilities including its porous =
borders, erratic borders openings/closures, the weak health system, high =
malnutrition rates, poor water and sanitation infrastructure, the =
unequal access of women to health services and high rates of people with =
specific needs including physical disability and mental health issues.
=20
On 14 March, the Government of Afghanistan announced that all schools =
would be closed for an initial period of 4 weeks =E2=80=93 through to 18 =
April 2020. Public gatherings in Hirat have been banned until further =
notice and further advice is being given against public celebration of =
the Nawruz holiday this weekend. MoPH is working closely with UN and =
other partners to rapidly expand in-country preparedness and containment =
capacity. The aim is to strengthen detection and surveillance capacity =
at points-of-entry into Afghanistan including airports and =
border-crossing sites (especially in the west), and to continue the =
training of medical staff on case-management, risk communication and =
community engagement. The level of support and activities in all key =
areas will need to be expanded rapidly to manage the further spread of =
the disease.
MoPH has established six committees for the surveillance of COVID-19 at =
the national and provincial level: Points of Entry Committee; Population =
Surveillance Committee; Data Management Committee; National COVID-19 =
Contact Tracing Committee; the Lab Surveillance Committee and Public =
Relations.
=20
While Afghanistan has recently received 15,000 diagnostic kits from UAE =
and 4000 kits from China are being delivered in the weeks ahead, =
diagnostic testing is still stretched given the increasing demand to =
test suspected cased. Testing capacity is currently only available in =
Kabul but efforts are underway to quickly expand capacity in Hirat so =
that samples can be tested faster locally. The Central Public Health =
Laboratory (CPHL) is currently undertaking diagnostic tests for COVID-19 =
with a maximum of 50 tests a day. Laboratory technicians are being =
trained on COVID-19 testing. Humanitarian partners have provided over =
300 sets of Personal Protective Equipment (PPE) and masks have been =
provided to isolation wards in Hirat. Overall, health partners have =
trained some 360 healthcare workers on case management and infection =
prevention and control.
=20
Currently, a national isolation centre with a capacity of 100 beds, as =
well as regional and provincial isolation centers with total capacity of =
991 beds, are in place. The Hirat Department of Public Health also =
informed that a new hospital with the capacity to hold 100 isolation =
beds is set up at the =E2=80=9CPaediatric Hospital=E2=80=9D. Four major =
airports with international flights and all ground crossings are staffed =
and equipped for screening of travellers with a focus on those arriving =
from global COVID-19 hotspots.
=20
Partners have further installed temporary washing stations for returnees =
at screening facilities and are completing the construction of permanent =
WASH facilities =E2=80=93 19 facilities at the Islam Qala border =
crossing. Some 55 handwashing stations have been installed in all =
transit facilities in border areas in efforts to limit transmission. =
Community awareness activities in internal displacement sites in Hirat =
and COVID-19 trainings for 15 Mobile Health Teams in Ghor and Badghis =
provinces have also been provided.
=20
In February, Awaaz started to collaborate with the World Health =
Organisation (WHO) to raise awareness and inform callers about COVID-19. =
In close coordination with WHO, Awaaz recorded awareness-raising =
messages which had been heard by 1,975 callers from throughout the =
country by the end of the February. Up until 14 March, the message was =
played to an additional 2,695 callers, either while they were on hold or =
when calling outside of Awaaz=E2=80=99s operating hours. In February, =
Awaaz received 144 calls from 22 provinces with callers enquiring about =
COVID-19. From 1-14 March, Awaaz registered 185 enquiries around =
COVID-19 from 28 different provinces. =20

Cross Border Concerns: UPDATED
As of 19 March, WHO reports that there are 17,361 confirmed cases of =
COVID-19 in Iran. IOM reports that the flow of spontaneous returnees =
from Iran had surged over the past two weeks since 8 March. From 15-18 =
March alone over 57,000 Afghans have returned from Iran at the Milak and =
Islam Qala crossings. As of 19 March, the return has subsided with a =
five-day slow-down anticipated for the Nawroz- Persian New Year holidays =
in Iran and Afghanistan. All flights to and from Iran are in total =
suspension.
=20
As of 19 March, there are 241 people confirmed to have COVID-19 in =
Pakistan. On 13 March, Pakistan announced it was sealing its western =
border with Afghanistan and Iran for an initial period of 14 days =
related to protective measures against COVID-19. This closure =
announcement came into effect on 16 March. The humanitarian community is =
concerned about the impact of border interruptions on supplies of =
commercial goods which could drive up domestic prices in Afghanistan, as =
well as the impact on pipelines for humanitarian goods (e.g food) which =
are partially sourced in Pakistan. On 20 March, the Prime Minister of =
Pakistan reportedly announced the country was allowing trucks through =
the Chaman- Spin Boldak border for a three-day period to ensure =
continued supplies of goods in Afghanistan. Media reports can be =
accessed here:  =
<https://humanitarianresponse.us4.list-manage.com/track/click?u=3Dfe0746c=
970b6af5b85b9a5ef4&id=3Dc23b9dbf1d&e=3Dc20e006770> =
https://tribune.com.pk/story/2180007/1/?amp=3D1
=20
Humanitarian partners and the authorities are closely monitoring market =
prices for key food commodities. Price rises in consumer goods as well =
as transportation costs will have a disproportionate effect on the =
finances of impoverished households, as well as the country=E2=80=99s =
economy as a whole. Some 14.3m people are projected to be in crisis and =
emergency levels of food insecurity through until the end of March 2020. =
The current price situation may further threaten food security and the =
health and well-being of individuals, in turn raising the chances of a =
more severe impact if people are exposed to COVID-19.
=20
In early March, Afghanistan=E2=80=99s neighbours =E2=80=93 Tajikistan, =
Turkmenistan and Uzbekistan =E2=80=93 either closed their borders for =
civilian movement or suspended flights to and from Afghanistan- some =
level of commercial transport is continuing.

Operational Response Capacity:
On 16 March, the Government shared revised administrative regulations =
for its staff with focus on temporary alternate work modalities for =
older and pregnant staff. Additionally, some NGOs have already started =
reducing their international footprint in country, while others are =
preparing to scale-up to respond to the COVID-19 risk and ensure =
continuity of existing services in the areas where they operate. =
Already, due to a scale-down of operations among livelihoods partners, =
seasonal livelihood support activities that were planned to start in =
April have temporarily been paused, while existing livelihood support =
such as distribution of seeds is planned to continue. This will affect =
some of the 70,000 people planned to receive livelihoods support each =
month. While the impact of this temporary suspension is viewed to be =
minimal in the immediate term, given the extended lead times ahead of =
delivery of planned activities, the Food Security and Agriculture =
Cluster is concerned about loss of value in value and supply if the =
temporary pause extends over one month.
 =20

_____ =20

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Kabul 0001=20

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<html xmlns:v=3D"urn:schemas-microsoft-com:vml" =
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name=3DGenerator content=3D"Microsoft Word 15 (filtered medium)"><title>Afghanistan | COVID-19 | Daily Brief No. 16 | =
20 Mar 2020</title><style></style></head><body lang=3DEN-US link=3Dblue =
vlink=3Dpurple><div class=3DWordSection1><p class=3DMsoNormal><span =
style=3D'font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497=
D'>FYI,<o:p></o:p></span></p><p class=3DMsoNormal><span =
style=3D'font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497=
D'><o:p>&nbsp;</o:p></span></p><p class=3DMsoNormal><span =
style=3D'font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497=
D'>With best regards,<o:p></o:p></span></p><p class=3DMsoNormal><span =
style=3D'font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497=
D'><o:p>&nbsp;</o:p></span></p><p class=3DMsoNormal><b><span =
style=3D'font-size:11.5pt;font-family:"Calibri =
Light","sans-serif";color:#1F497D'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=C2=
=A0=C2=A0 </span></b><span =
style=3D'font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497=
D'><o:p></o:p></span></p><p class=3DMsoNormal><span =
style=3D'font-family:"Calibri","sans-serif";color:#1F497D'><o:p>&nbsp;</o=
:p></span></p><p class=3DMsoNormal><span =
style=3D'font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497=
D'><o:p>&nbsp;</o:p></span></p><p class=3DMsoNormal><span =
style=3D'font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497=
D'><img width=3D73 height=3D57 id=3D"Picture_x0020_21" =
src=3D"cid:image005.jpg@01D5FFAD.555A8B40" =
alt=3D"cid:image003.jpg@01D4B669.F250F440"></span><b><span =
style=3D'font-size:16.0pt;font-family:"Arial","sans-serif";color:#3615FB'=
><o:p></o:p></span></b></p><p class=3DMsoNormal><b><span =
style=3D'font-size:8.0pt;font-family:"Arial","sans-serif";color:#3615FB'>=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<o:p></o:p></span></b></p><p =
class=3DMsoNormal><b><span style=3D'font-family:"Segoe =
UI","sans-serif";color:#548DD4'>Dr.Noor Ahmad =E2=80=9CAhmad=E2=80=9D =
</span></b><b><span style=3D'font-size:7.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'>MD,PGD (Leadership) PGD (NMD), =
PMP</span></b><b><span style=3D'font-size:9.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'><o:p></o:p></span></b></p><p =
class=3DMsoNormal><b><span style=3D'font-size:8.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'>Program Manager =
<o:p></o:p></span></b></p><p class=3DMsoNormal><b><span =
style=3D'font-size:8.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'>Just for Afghan Capacity and =
Knowledge</span></b><span dir=3DRTL></span><span =
dir=3DRTL></span><b><span lang=3DFA dir=3DRTL =
style=3D'font-size:8.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'><span dir=3DRTL></span><span =
dir=3DRTL></span>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
&nbsp;=D8=A8=D9=84=D9=86=D8=AF =D8=A8=D8=B1=D8=AF=D9=86 =
=D8=B3=D8=B7=D8=AD =D8=AF=D8=A7=D9=86=D8=B4 =D9=88 =
=D8=AA=D9=88=D8=A7=D9=86=D9=85=D9=86=D8=AF=DB=8C =
=D8=A7=D9=81=D8=BA=D8=A7=D9=86=D9=87=D8=A7 (=D8=AC=DA=A9)&nbsp; =
</span></b><b><span style=3D'font-size:8.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'><o:p></o:p></span></b></p><p =
class=3DMsoNormal><b><span style=3D'font-size:9.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'>Address</span></b><b><span =
style=3D'font-size:10.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'>:</span></b><span =
style=3D'font-size:10.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'> First Street of Karta-e-Chahar, Kabul =
Afghanistan <o:p></o:p></span></p><p class=3DMsoNormal><span =
style=3D'font-size:10.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'>Behind AWCC Main Office, House # =
08<o:p></o:p></span></p><p class=3DMsoNormal><b><span =
style=3D'font-size:10.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'>Ph</span></b><span =
style=3D'font-size:10.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'>: +93 792410436 - =
0783504353<o:p></o:p></span></p><p class=3DMsoNormal><b><span =
style=3D'font-size:10.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'>Email</span></b><span =
style=3D'font-size:10.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'>: ahmad</span><span =
style=3D'font-size:9.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'>@jack.ngo&nbsp; <o:p></o:p></span></p><p =
class=3DMsoNormal><b><span style=3D'font-size:9.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'>Website</span></b><span =
style=3D'font-size:9.0pt;font-family:"Segoe =
UI","sans-serif";color:#548DD4'>:<u>www.jack.ngo </u></span><span =
style=3D'font-size:10.0pt;font-family:"Segoe =
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style=3D'font-size:11.0pt;font-family:"Calibri","sans-serif"'>From:</span=
></b><span =
style=3D'font-size:11.0pt;font-family:"Calibri","sans-serif"'> =
Hamidullah Ahmadi [mailto:infocoordofficer@acbar.org] <br><b>Sent:</b> =
Friday, March 20, 2020 9:47 PM<br><b>Cc:</b> 'Jawid Ahmad =
OMARI'<br><b>Subject:</b> FYI: Afghanistan | COVID-19 | Daily Brief No. =
16 | 20 Mar 2020<o:p></o:p></span></p></div></div><p =
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style=3D'width:6.25in;padding:0in 0in 0in 0in;-ms-text-size-adjust: =
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style=3D'width:100.0%;border-collapse:collapse'><tr><td valign=3Dtop =
style=3D'padding:0in 13.5pt 6.75pt 13.5pt'><p class=3DMsoNormal =
align=3Dcenter style=3D'text-align:center'><span =
style=3D'font-size:18.0pt;font-family:"Helvetica","sans-serif";color:#82B=
5E9'>AFGHANISTAN</span><span =
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/span></p></td></tr></table></td></tr></table></td></tr></table><p =
class=3DMsoNormal><o:p>&nbsp;</o:p></p><table class=3DMsoNormalTable =
border=3D0 cellspacing=3D0 cellpadding=3D0 width=3D"100%" =
style=3D'width:100.0%;border-collapse:collapse;min-width: =
100%;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%'><tr><td =
valign=3Dtop style=3D'padding:6.75pt 0in 0in 0in;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><table class=3DMsoNormalTable =
border=3D0 cellspacing=3D0 cellpadding=3D0 align=3Dleft width=3D"100%" =
style=3D'width:100.0%;border-collapse:collapse;margin-left:-2.25pt;margin=
-right:-2.25pt;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: =
100%'><tr><td width=3D600 valign=3Dtop style=3D'width:6.25in;padding:0in =
0in 0in 0in;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: =
100%'><table class=3DMsoNormalTable border=3D0 cellspacing=3D0 =
cellpadding=3D0 align=3Dleft width=3D"100%" =
style=3D'width:100.0%;border-collapse:collapse;max-width: =
100%;min-width: 100%;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><tr><td valign=3Dtop =
style=3D'padding:0in 13.5pt 6.75pt 13.5pt;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%;word-break:break-word'><p =
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style=3D'text-align:center'><strong><span =
style=3D'font-size:19.5pt;font-family:"Helvetica","sans-serif";color:#144=
372'>COVID-19</span></strong><span =
style=3D'font-family:"Helvetica","sans-serif";color:#144372'><o:p></o:p><=
/span></p></td></tr></table></td></tr></table></td></tr></table><p =
class=3DMsoNormal><o:p>&nbsp;</o:p></p><table class=3DMsoNormalTable =
border=3D0 cellspacing=3D0 cellpadding=3D0 width=3D"100%" =
style=3D'width:100.0%;border-collapse:collapse;min-width: =
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valign=3Dtop style=3D'padding:6.75pt 0in 0in 0in;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><table class=3DMsoNormalTable =
border=3D0 cellspacing=3D0 cellpadding=3D0 align=3Dleft width=3D"100%" =
style=3D'width:100.0%;border-collapse:collapse;margin-left:-2.25pt;margin=
-right:-2.25pt;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: =
100%'><tr><td width=3D600 valign=3Dtop style=3D'width:6.25in;padding:0in =
0in 0in 0in;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: =
100%'><table class=3DMsoNormalTable border=3D0 cellspacing=3D0 =
cellpadding=3D0 align=3Dleft width=3D"100%" =
style=3D'width:100.0%;border-collapse:collapse;max-width: =
100%;min-width: 100%;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><tr><td valign=3Dtop =
style=3D'padding:0in 13.5pt 6.75pt 13.5pt;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%;word-break:break-word'><p =
class=3DMsoNormal align=3Dcenter =
style=3D'text-align:center'><strong><span =
style=3D'font-size:10.5pt;font-family:"Helvetica","sans-serif";color:#144=
372'>&nbsp; Daily Brief No.16&nbsp;| 20&nbsp;Mar =
2020</span></strong><span =
style=3D'font-family:"Helvetica","sans-serif";color:#144372'><o:p></o:p><=
/span></p></td></tr></table></td></tr></table></td></tr></table><p =
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style=3D'padding:0in 13.5pt 6.75pt 13.5pt;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%;word-break:break-word'><p =
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href=3D"https://humanitarianresponse.us4.list-manage.com/track/click?u=3D=
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target=3D"_blank"><span =
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<o:p></o:p></span></p></td></tr></table></td></tr></table></td></tr></tab=
le><p class=3DMsoNormal><o:p>&nbsp;</o:p></p><table =
class=3DMsoNormalTable border=3D0 cellspacing=3D0 cellpadding=3D0 =
width=3D"100%" style=3D'width:100.0%;border-collapse:collapse;min-width: =
100%;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%'><tr><td =
valign=3Dtop style=3D'padding:6.75pt 0in 0in 0in;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><table class=3DMsoNormalTable =
border=3D0 cellspacing=3D0 cellpadding=3D0 align=3Dleft width=3D"100%" =
style=3D'width:100.0%;border-collapse:collapse;margin-left:-2.25pt;margin=
-right:-2.25pt;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: =
100%'><tr><td width=3D600 valign=3Dtop style=3D'width:6.25in;padding:0in =
0in 0in 0in;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: =
100%'><table class=3DMsoNormalTable border=3D0 cellspacing=3D0 =
cellpadding=3D0 align=3Dleft width=3D"100%" =
style=3D'width:100.0%;border-collapse:collapse;max-width: =
100%;min-width: 100%;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><tr><td valign=3Dtop =
style=3D'padding:0in 13.5pt 6.75pt 13.5pt;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: =
100%;word-break:break-word'><h2><strong><u><span =
style=3D'font-size:12.0pt;line-height:150%;font-family:"Helvetica","sans-=
serif";color:blue'>Key Messages:&nbsp;</span></u></strong><strong><span =
style=3D'font-size:9.0pt;line-height:150%;font-family:"Helvetica","sans-s=
erif";color:red'>UPDATED</span></strong><o:p></o:p></h2><ul =
type=3Ddisc><li class=3DMsoNormal =
style=3D'color:#5086B9;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto=
;line-height:150%;mso-list:l0 level1 lfo3;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><strong><span =
style=3D'font-family:"Helvetica","sans-serif"'>People confirmed to have =
COVID-19: </span></strong><strong><span =
style=3D'font-family:"Helvetica","sans-serif";color:red'>24 =
</span></strong><span =
style=3D'font-family:"Helvetica","sans-serif"'><o:p></o:p></span></li><li=
 class=3DMsoNormal =
style=3D'color:#5086B9;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto=
;line-height:150%;mso-list:l0 level1 lfo3;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><strong><span =
style=3D'font-family:"Helvetica","sans-serif"'>People tested for =
COVID-19: </span></strong><strong><span =
style=3D'font-family:"Helvetica","sans-serif";color:red'>420</span></stro=
ng><span =
style=3D'font-family:"Helvetica","sans-serif"'><o:p></o:p></span></li><li=
 class=3DMsoNormal =
style=3D'color:#5086B9;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto=
;line-height:150%;mso-list:l0 level1 lfo3;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><strong><span =
style=3D'font-family:"Helvetica","sans-serif"'>People confirmed negative =
for COVID-19: </span></strong><strong><span =
style=3D'font-family:"Helvetica","sans-serif";color:red'>366</span></stro=
ng><span =
style=3D'font-family:"Helvetica","sans-serif"'><o:p></o:p></span></li><li=
 class=3DMsoNormal =
style=3D'color:#5086B9;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto=
;line-height:150%;mso-list:l0 level1 lfo3;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><strong><span =
style=3D'font-family:"Helvetica","sans-serif"'>Pending results: =
</span></strong><strong><span =
style=3D'font-family:"Helvetica","sans-serif";color:red'>30</span></stron=
g><span =
style=3D'font-family:"Helvetica","sans-serif"'><o:p></o:p></span></li><li=
 class=3DMsoNormal =
style=3D'color:#5086B9;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto=
;line-height:150%;mso-list:l0 level1 lfo3;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><strong><span =
style=3D'font-family:"Helvetica","sans-serif"'>Key concern: =
</span></strong><strong><span =
style=3D'font-family:"Helvetica","sans-serif";color:red'>Border crossing =
areas in the country=E2=80=99s west</span></strong><span =
style=3D'font-family:"Helvetica","sans-serif"'><o:p></o:p></span></li></u=
l><p class=3DMsoNormal =
style=3D'margin-bottom:12.0pt;line-height:150%'><span =
style=3D'font-family:"Helvetica","sans-serif";color:black'>(Source: =
Ministry of Public Health of Afghanistan)</span><span =
style=3D'font-family:"Helvetica","sans-serif";color:#5086B9'><br><br><o:p=
></o:p></span></p><div class=3DMsoNormal align=3Dcenter =
style=3D'text-align:center;line-height:150%'><span =
style=3D'font-family:"Helvetica","sans-serif";color:#5086B9'><hr =
size=3D2 width=3D"100%" align=3Dcenter></span></div><h2><strong><u><span =
style=3D'font-size:12.0pt;line-height:150%;font-family:"Helvetica","sans-=
serif";color:blue'>Situation =
Overview:</span></u></strong><strong><u><span =
style=3D'font-size:12.0pt;line-height:150%;font-family:"Helvetica","sans-=
serif"'>&nbsp;</span></u></strong><strong><span =
style=3D'font-size:9.0pt;line-height:150%;font-family:"Helvetica","sans-s=
erif";color:red'>UPDATED</span></strong><o:p></o:p></h2><p =
class=3DMsoNormal style=3D'line-height:150%'><span =
style=3D'font-family:"Helvetica","sans-serif";color:#5086B9'>According =
to the <a =
href=3D"https://humanitarianresponse.us4.list-manage.com/track/click?u=3D=
fe0746c970b6af5b85b9a5ef4&amp;id=3D1ac4cca341&amp;e=3Dc20e006770"><span =
style=3D'color:#418FDE'>WHO Global Dashboard</span></a>, as of 20 March =
a total of 209,839 cases of COVID-19 have been confirmed and 8,778 =
fatalities have been reported worldwide across 168 countries. For the =
first time, Italian authorities have reported that the number of deaths =
in the country have exceeded those in China. China has recently sent a =
team of experts to Italy to share their experiences of containing the =
outbreak.<br>&nbsp;<br>On 11 March, WHO declared the COVID-19 outbreak =
as a global pandemic. Physical distancing measures can help to slow =
transmission of the virus and reduce the burden on the health system. =
But to suppress and control epidemics, countries must isolate, test, =
treat and trace. As the virus moves to low-income countries, WHO is =
deeply concerned about the impact it could have among populations with =
high HIV prevalence, or among malnourished children =E2=80=93 the latter =
being of particular concern in Afghanistan. Travel restrictions by =
countries are changing rapidly and should be monitored on daily =
basis.<br>&nbsp;<br>The first person to test positive for COVID-19 in =
Afghanistan was confirmed on 24 February by the Ministry of Public =
Health (MoPH). A total of 24 people are now confirmed to have the virus =
in 7 provinces =E2=80=93 Hirat (15), Samangan (3), Balkh (1), Daikundi =
(1), Kapisa (1), Badghis (1), Logar (2). Contact tracing for the people =
confirmed with COVID-19 is ongoing. The clinical condition of the people =
both confirmed and presumptive for the virus is considered good. One =
patient in Hirat has reportedly recovered and been discharged from the =
treatment facility.<br>&nbsp;<br>A number of people being held in =
isolation in hospital in Hirat left the facility on 16 March, although =
some have reportedly since returned to the hospital. A range of factors =
including hospital conditions, distrust of the authorities, loss of =
livelihoods issues, stigma and lack of understanding of risk and fear =
are likely to have contributed to this situation and warrant a scale-up =
of awareness raising among those being isolated in hospitals and the =
wider community. The Protection Cluster will endeavour to negotiate =
access to those being held in medical isolation in order to ensure they =
understand what is happening to them and that their well-being is being =
protected and their specific needs addressed. Improved awareness raising =
at border crossings will also support this.&nbsp; Addressing rumours and =
community fears of seeking medical treatment through community =
engagement will be critical and there are plans to soon establish a =
COVID-19 Risk Communications Working Group in the near future. The =
Government has also advised its provincial and district level =
counterparts to initiate awareness raising through community leaders and =
using mosques.<br><br></span><strong><u><span =
style=3D'font-size:13.5pt;line-height:150%;font-family:"Helvetica","sans-=
serif";color:blue'>Response:&nbsp;</span></u></strong><strong><span =
style=3D'font-size:9.0pt;line-height:150%;font-family:"Helvetica","sans-s=
erif";color:red'>UPDATED&nbsp;</span></strong><span =
style=3D'font-family:"Helvetica","sans-serif";color:#5086B9'><br>The =
focus of activities in Afghanistan is now on preparedness, containment =
and mitigation. The outbreak is likely to spread to other provinces, =
beyond those already affected. WHO is working to provide reliable =
modelling on the evolution of the virus in the specific context of =
Afghanistan with its unique vulnerabilities including its porous =
borders, erratic borders openings/closures, the weak health system, high =
malnutrition rates, poor water and sanitation infrastructure, the =
unequal access of women to health services and high rates of people with =
specific needs including physical disability and mental health =
issues.<br>&nbsp;<br>On 14 March, the Government of Afghanistan =
announced that all schools would be closed for an initial period of 4 =
weeks =E2=80=93 through to 18 April 2020. Public gatherings in Hirat =
have been banned until further notice and further advice is being given =
against public celebration of the Nawruz holiday this weekend. MoPH is =
working closely with UN and other partners to rapidly expand in-country =
preparedness and containment capacity. The aim is to strengthen =
detection and surveillance capacity at points-of-entry into Afghanistan =
including airports and border-crossing sites (especially in the west), =
and to continue the training of medical staff on case-management, risk =
communication and community engagement. The level of support and =
activities in all key areas will need to be expanded rapidly to manage =
the further spread of the disease.<br>MoPH has established six =
committees for the surveillance of COVID-19 at the national and =
provincial level: Points of Entry Committee; Population Surveillance =
Committee; Data Management Committee; National COVID-19 Contact Tracing =
Committee; the Lab Surveillance Committee and Public =
Relations.<br>&nbsp;<br>While Afghanistan has recently received 15,000 =
diagnostic kits from UAE and 4000 kits from China are being delivered in =
the weeks ahead, diagnostic testing is still stretched given the =
increasing demand to test suspected cased. Testing capacity is currently =
only available in Kabul but efforts are underway to quickly expand =
capacity in Hirat so that samples can be tested faster locally. The =
Central Public Health Laboratory (CPHL) is currently undertaking =
diagnostic tests for COVID-19 with a maximum of 50 tests a day. =
Laboratory technicians are being trained on COVID-19 testing. =
Humanitarian partners have provided over 300 sets of Personal Protective =
Equipment (PPE) and masks have been provided to isolation wards in =
Hirat. Overall, health partners have trained some 360 healthcare workers =
on case management and infection prevention and =
control.<br>&nbsp;<br>Currently, a national isolation centre with a =
capacity of 100 beds, as well as regional and provincial isolation =
centers with total capacity of 991 beds, are in place. The Hirat =
Department of Public Health also informed that a new hospital with the =
capacity to hold 100 isolation beds is set up at the =E2=80=9CPaediatric =
Hospital=E2=80=9D. Four major airports with international flights and =
all ground crossings are staffed and equipped for screening of =
travellers with a focus on those arriving from global COVID-19 =
hotspots.<br>&nbsp;<br>Partners have further installed temporary washing =
stations for returnees at screening facilities and are completing the =
construction of permanent WASH facilities =E2=80=93 19 facilities at the =
Islam Qala border crossing. Some 55 handwashing stations have been =
installed in all transit facilities in border areas in efforts to limit =
transmission. Community awareness activities in internal displacement =
sites in Hirat and COVID-19 trainings for 15 Mobile Health Teams in Ghor =
and Badghis provinces have also been provided.<br>&nbsp;<br>In February, =
Awaaz started to collaborate with the World Health Organisation (WHO) to =
raise awareness and inform callers about COVID-19. In close coordination =
with WHO, Awaaz recorded&nbsp;awareness-raising&nbsp;messages which had =
been heard by&nbsp;1,975&nbsp;callers from throughout the country by the =
end of the February. Up until 14 March, the message was played to an =
additional 2,695 callers, either while they were on hold or when calling =
outside of Awaaz=E2=80=99s operating hours. In February, Awaaz received =
144 calls from&nbsp;22 provinces with callers enquiring about COVID-19. =
From 1-14 March, Awaaz registered 185 enquiries around&nbsp;COVID-19 =
from 28 different provinces.&nbsp;</span><span =
style=3D'font-family:"Helvetica","sans-serif";color:black'>&nbsp;</span><=
span =
style=3D'font-family:"Helvetica","sans-serif";color:#5086B9'><br><br></sp=
an><strong><u><span =
style=3D'font-family:"Helvetica","sans-serif";color:blue'>Cross Border =
Concerns:</span></u></strong><strong><span =
style=3D'font-family:"Helvetica","sans-serif";color:#5086B9'> =
</span></strong><strong><span =
style=3D'font-size:9.0pt;line-height:150%;font-family:"Helvetica","sans-s=
erif";color:red'>UPDATED</span></strong><span =
style=3D'font-family:"Helvetica","sans-serif";color:#5086B9'><br>As of =
19 March, WHO reports that there are 17,361 confirmed cases of COVID-19 =
in Iran. IOM reports that the flow of spontaneous returnees from Iran =
had surged over the past two weeks since 8 March. From 15-18 March alone =
over 57,000 Afghans have returned from Iran at the Milak and Islam Qala =
crossings. As of 19 March, the return has subsided with a five-day =
slow-down anticipated for the Nawroz- Persian New Year holidays in Iran =
and Afghanistan. All flights to and from Iran are in total =
suspension.<br>&nbsp;<br>As of 19 March, there are 241 people confirmed =
to have COVID-19 in Pakistan. On 13 March, Pakistan announced it was =
sealing its western border with Afghanistan and Iran for an initial =
period of 14 days related to protective measures against COVID-19. This =
closure announcement came into effect on 16 March. The humanitarian =
community is concerned about the impact of border interruptions on =
supplies of commercial goods which could drive up domestic prices in =
Afghanistan, as well as the impact on pipelines for humanitarian goods =
(e.g food) which are partially sourced in Pakistan. On 20 March, the =
Prime Minister of Pakistan reportedly announced the country was allowing =
trucks through the Chaman- Spin Boldak border for a three-day period to =
ensure continued supplies of goods in Afghanistan. Media reports can be =
accessed here: <a =
href=3D"https://humanitarianresponse.us4.list-manage.com/track/click?u=3D=
fe0746c970b6af5b85b9a5ef4&amp;id=3Dc23b9dbf1d&amp;e=3Dc20e006770"><span =
style=3D'color:#418FDE'>https://tribune.com.pk/story/2180007/1/?amp=3D1</=
span></a><br></span><span =
style=3D'font-family:"Helvetica","sans-serif";color:black'>&nbsp;</span><=
span =
style=3D'font-family:"Helvetica","sans-serif";color:#5086B9'><br>Humanita=
rian partners and the authorities are closely monitoring market prices =
for key food commodities. Price rises in consumer goods as well as =
transportation costs will have a disproportionate effect on the finances =
of impoverished households, as well as the country=E2=80=99s economy as =
a whole. Some 14.3m people are projected to be in crisis and emergency =
levels of food insecurity through until the end of March 2020. The =
current price situation may further threaten food security and the =
health and well-being of individuals, in turn raising the chances of a =
more severe impact if people are exposed to COVID-19.<br>&nbsp;<br>In =
early March, Afghanistan=E2=80=99s neighbours =E2=80=93 Tajikistan, =
Turkmenistan and Uzbekistan =E2=80=93 either closed their borders for =
civilian movement or suspended flights to and from Afghanistan- some =
level of commercial transport is continuing.<br><br></span><strong><span =
style=3D'font-family:"Helvetica","sans-serif";color:blue'>Operational =
Response Capacity:</span></strong><span =
style=3D'font-family:"Helvetica","sans-serif";color:#5086B9'><br>On 16 =
March, the Government shared revised administrative regulations for its =
staff with focus on temporary alternate work modalities for older and =
pregnant staff. Additionally, some NGOs have already started reducing =
their international footprint in country, while others are preparing to =
scale-up to respond to the COVID-19 risk and ensure continuity of =
existing services in the areas where they operate. Already, due to a =
scale-down of operations among livelihoods partners, seasonal livelihood =
support activities that were planned to start in April have temporarily =
been paused, while existing livelihood support such as distribution of =
seeds is planned to continue. This will affect some of the 70,000 people =
planned to receive livelihoods support each month. While the impact of =
this temporary suspension is viewed to be minimal in the immediate term, =
given the extended lead times ahead of delivery of planned activities, =
the Food Security and Agriculture Cluster is concerned about loss of =
value in value and supply if the temporary pause extends over one =
month.<br>&nbsp; <o:p></o:p></span></p><div class=3DMsoNormal =
align=3Dcenter style=3D'text-align:center;line-height:150%'><span =
style=3D'font-family:"Helvetica","sans-serif";color:#5086B9'><hr =
size=3D2 width=3D"100%" align=3Dcenter></span></div><p class=3DMsoNormal =
style=3D'line-height:150%'><span =
style=3D'font-family:"Helvetica","sans-serif";color:#5086B9'><a =
href=3D"https://humanitarianresponse.us4.list-manage.com/track/click?u=3D=
fe0746c970b6af5b85b9a5ef4&amp;id=3D9033c164e4&amp;e=3Dc20e006770" =
target=3D"_blank"><span style=3D'color:#418FDE'>Download the full =
update&nbsp;=C2=BB</span></a> =
<o:p></o:p></span></p></td></tr></table></td></tr></table></td></tr></tab=
le><p class=3DMsoNormal><o:p>&nbsp;</o:p></p><table =
class=3DMsoNormalTable border=3D0 cellspacing=3D0 cellpadding=3D0 =
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class=3DMsoNormal><o:p>&nbsp;</o:p></p><table class=3DMsoNormalTable =
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style=3D'width:100.0%;border-collapse:collapse;min-width: =
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style=3D'padding:0in 13.5pt 6.75pt 13.5pt;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%;word-break:break-word'><p =
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style=3D'font-size:9.0pt;line-height:150%;font-family:"Helvetica","sans-s=
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