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Date: Sun, 22 Mar 2020 15:30:18 +0000
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AFGHANISTAN
COVID-19
Daily Brief No.17 | 22 Mar 2020
https://www.humanitarianresponse.info/sites/www.humanitarianresponse.info/=
files/documents/files/20200318-sitrep-covid-19.pdf
Download the full update =C2=BB (https://www.humanitarianresponse.info/sit=
es/www.humanitarianresponse.info/files/documents/files/daily_brief_covid-1=
9_22_march_2020.pdf)

** Key Messages: UPDATED
------------------------------------------------------------
* People confirmed to have COVID-19: 34
* Key concern: Border crossing areas in the country's west=2C social dista=
ncing and other containment measures.

(Source: Ministry of Public Health of Afghanistan)
------------------------------------------------------------

** Situation Overview: UPDATED
------------------------------------------------------------
According to the WHO Global Dashboard (https://experience.arcgis.com/exper=
ience/685d0ace521648f8a5beeeee1b9125cd) =2C as of 22 March a total of 267=
=2C013 cases of COVID-19 have been confirmed and 11=2C201 fatalities have=
 been reported worldwide across 184 countries. On 11 March=2C 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 h=
ealth system. But to suppress and control epidemics=2C countries must isol=
ate=2C test=2C treat and trace. As the virus moves to low-income countries=
=2C WHO is deeply concerned about the impact it could have among populatio=
ns with high HIV prevalence=2C or among malnourished children =E2=80=93 th=
e latter being of particular concern in Afghanistan. Travel restrictions b=
y countries are changing rapidly and should be monitored on daily basis. W=
ide commercial flight suspensions to Kabul are expected to begin over the=
 coming days and the United Nations Humanitarian Air Service (UNHAS) is
investigating options for a possible international air-bridge service=2C a=
lthough this would be dependent on funding and other considerations.

A total of 34 people are now confirmed to have the virus in 11 provinces=
=2C including Kabul for the first time =E2=80=93 Hirat (18)=2C Samangan (3=
)=2C Balkh (2)=2C Daikundi (1)=2C Kapisa (1)=2C Badghis (1)=2C Logar (2)=
=2C Zabul (2)=2C Kandahar (1)=2C Ghazni (1) and Kabul (2). Most people wit=
h the virus have a travel history outside Afghanistan. Contact tracing for=
 the people confirmed with COVID-19 is ongoing. One patient in Hirat has r=
eportedly recovered and been discharged from the treatment facility. To da=
te=2C testing has been small scale with fewer than 400 COVID-19 tests cond=
ucted which may account for the relatively low number of confirmed cases g=
iven the high number of border crossings with Iran where there are thousan=
ds of cases. Social distancing is the best protection against the further=
 spread of the virus however this is not being widely practiced in the cou=
ntry. On 14 March=2C the Government of Afghanistan announced that all scho=
ols would be closed for an initial period of four weeks =E2=80=93 through=
 to 18 April
2020. Public gatherings in Hirat have been banned until further notice.

Response: UPDATED
The focus of activities in Afghanistan is now on preparedness=2C containme=
nt and mitigation. The outbreak is likely to spread to other provinces=2C=
 beyond those already affected. WHO is working to provide reliable modelli=
ng on the evolution of the virus in the specific context of Afghanistan wi=
th its unique vulnerabilities including its porous borders=2C erratic bord=
ers openings/closures=2C the weak health system=2C high malnutrition rates=
=2C poor water and sanitation infrastructure=2C the unequal access of wome=
n to health services and high rates of people with specific needs includin=
g physical disability and mental health issues.

MoPH is working closely with UN and other partners to rapidly expand in-co=
untry preparedness and containment capacity. The aim is to strengthen dete=
ction and surveillance capacity at points-of-entry into Afghanistan includ=
ing airports and border-crossing sites (especially in the west)=2C and to=
 continue the training of medical staff on case-management=2C risk communi=
cation and community engagement. MoPH has established six committees for t=
he surveillance of COVID-19 at the national and provincial level: Points o=
f Entry Committee; Population Surveillance Committee; Data Management Comm=
ittee; National COVID-19 Contact Tracing Committee; the Lab Surveillance C=
ommittee and Public Relations. The level of support and activities in all=
 key areas will need to be expanded rapidly to manage the further spread o=
f the disease.

While Afghanistan has recently received 15=2C000 diagnostic kits from UAE=
 and 4000 kits from China are being delivered in the weeks ahead=2C diagno=
stic testing is still stretched given the increasing demand. Testing capac=
ity has now been expanded and contact diagnostic testing is now available=
 in Hirat=2C as well as Kabul. Laboratory technicians are being trained on=
 COVID-19 testing in both locations. Humanitarian partners have provided o=
ver 300 sets of Personal Protective Equipment (PPE) and masks have been pr=
ovided to isolation wards in Hirat. Overall=2C health partners have traine=
d some 360 healthcare workers on case management and infection prevention=
 and control.Currently=2C a national isolation centre with a capacity of 1=
00 beds=2C as well as regional and provincial isolation centers with total=
 capacity of 991 beds=2C are in place. The Hirat Department of Public Heal=
th also informed that a new hospital with the capacity to hold 100 isolati=
on 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 a=
nd equipped for screening of travellers with a focus on those arriving fro=
m global COVID-19 hotspots.

Partners have further installed temporary washing stations for returnees a=
t screening facilities and are completing the construction of permanent WA=
SH facilities =E2=80=93 19 facilities at the Islam Qala border crossing. S=
ome 55 handwashing stations have been installed in all transit facilities=
 in border areas in efforts to limit transmission. Community awareness act=
ivities in internal displacement sites in Hirat and COVID-19 trainings for=
 15 Mobile Health Teams in Ghor and Badghis provinces have also been provi=
ded.

The Inter-Cluster Coordination Team is establishing a COVID-19 Risk Commun=
ications Working Group to scale-up efforts on awareness raising about the=
 need for social distancing and to combat rumours in the community. This w=
ill be stepped up this week.  Improved awareness raising efforts at border=
 crossings will also support this.  Addressing rumours and community fears=
 of seeking medical treatment through community engagement will be critica=
l. The Government has also advised its provincial and district level count=
erparts to initiate awareness raising through community leaders and using=
 mosques. In February=2C Awaaz started to collaborate with the World Healt=
h Organisation (WHO) to raise awareness and inform callers about COVID-19.
Cross Border Concerns: UPDATED
As of 22 March=2C WHO reports that there are 19=2C644 confirmed cases of C=
OVID-19 in Iran. IOM reports that the flow of spontaneous returnees from I=
ran had surged since 8 March. From 15-18 March alone over 57=2C000 Afghans=
 have returned from Iran at the Milak and Islam Qala crossings. Since 19 M=
arch=2C the return has subsided with a five-day slow-down anticipated for=
 the Nawroz- Persian New Year holidays in Iran and Afghanistan. Only 500 p=
eople crossed yesterday and 400 today. All flights to and from Iran are in=
 total suspension.

As of 22 March=2C there are 495 people confirmed to have COVID-19 in Pakis=
tan. On 13 March=2C Pakistan announced it was sealing its western border w=
ith Afghanistan and Iran for an initial period of 14 days related to prote=
ctive measures against COVID-19. This closure announcement came into effec=
t on 16 March. On 20 March=2C the Prime Minister of Pakistan reportedly an=
nounced the country was allowing trucks through the Chaman- Spin Boldak bo=
rder for a three-day period to ensure continued supplies of goods in Afgha=
nistan. IOM reports that trucks are currently being allowed to cross at th=
e Chaman border point to alleviate a backlog but it is feared that this op=
ening may only last a few days. The humanitarian community is concerned ab=
out the impact of border interruptions on supplies of commercial goods whi=
ch could drive up domestic prices in Afghanistan=2C as well as the impact=
 on pipelines for humanitarian goods (e.g food) which are partially source=
d in Pakistan.

Humanitarian partners and the authorities are closely monitoring market pr=
ices for key food commodities. Price rises in consumer goods as well as tr=
ansportation costs will have a disproportionate effect on the finances of=
 impoverished households=2C as well as the country=E2=80=99s economy as a=
 whole. Some 14.3m people are projected to be in crisis and emergency leve=
ls of food insecurity through until the end of March 2020. The current pri=
ce situation may further threaten food security and the health and well-be=
ing of individuals=2C in turn raising the chances of a more severe impact=
 if people are exposed to COVID-19.

In early March=2C Afghanistan=E2=80=99s neighbours =E2=80=93 Tajikistan=2C=
 Turkmenistan and Uzbekistan =E2=80=93 either closed their borders for civ=
ilian movement or suspended flights to and from Afghanistan- some level of=
 commercial transport is continuing.
Operational Response Capacity:
On 16 March=2C the Government shared revised administrative regulations fo=
r its staff with focus on temporary alternate work modalities for older an=
d pregnant staff. Additionally=2C some NGOs have already started reducing=
 their international footprint in country=2C while others are preparing to=
 scale-up to respond to the COVID-19 risk and ensure continuity of existin=
g services in the areas where they operate. Already=2C due to a scale-down=
 of operations among livelihoods partners=2C seasonal livelihood support a=
ctivities that were planned to start in April have temporarily been paused=
=2C while existing livelihood support such as distribution of seeds is pla=
nned to continue.

------------------------------------------------------------
Download the full update =C2=BB (https://www.humanitarianresponse.info/sit=
es/www.humanitarianresponse.info/files/documents/files/daily_brief_covid-1=
9_22_march_2020.pdf)
Click here to subscribe (http://eepurl.com/ydXVr) to future COVID-19 updat=
es and other OCHA products.
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</table><table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" width=3D"1=
00%" class=3D"mcnDividerBlock" style=3D"min-width: 100%;border-collapse: c=
ollapse;mso-table-lspace: 0pt;mso-table-rspace: 0pt;-ms-text-size-adjust:=
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dding: 10px 18px;mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;=
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g=3D"0" cellspacing=3D"0" width=3D"100%" style=3D"min-width: 100%;border-t=
op: 5px solid #82B5E9;border-collapse: collapse;mso-table-lspace: 0pt;mso-=
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%;">
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t-size-adjust: 100%;-webkit-text-size-adjust: 100%;">
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            </td>
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</table><table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" width=3D"1=
00%" class=3D"mcnImageBlock" style=3D"min-width: 100%;border-collapse: col=
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lass=3D"mcnImageBlockInner">
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padding=3D"0" cellspacing=3D"0" class=3D"mcnImageContentContainer" style=
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ble-rspace: 0pt;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;=
">
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tyle=3D"padding-right: 0px;padding-left: 0px;padding-top: 0;padding-bottom=
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</table><table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" width=3D"1=
00%" class=3D"mcnDividerBlock" style=3D"min-width: 100%;border-collapse: c=
ollapse;mso-table-lspace: 0pt;mso-table-rspace: 0pt;-ms-text-size-adjust:=
 100%;-webkit-text-size-adjust: 100%;table-layout: fixed !important;">
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        <tr>
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-webkit-text-size-adjust: 100%;">
                <table class=3D"mcnDividerContent" border=3D"0" cellpaddin=
g=3D"0" cellspacing=3D"0" width=3D"100%" style=3D"min-width: 100%;border-t=
op: 5px solid #82B5E9;border-collapse: collapse;mso-table-lspace: 0pt;mso-=
table-rspace: 0pt;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100=
%;">
                    <tbody><tr>
                        <td style=3D"mso-line-height-rule: exactly;-ms-tex=
t-size-adjust: 100%;-webkit-text-size-adjust: 100%;">
                            <span></span>
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                    </tr>
                </tbody></table>

            </td>
        </tr>
    </tbody>
</table><table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" width=3D"1=
00%" class=3D"mcnTextBlock" style=3D"min-width: 100%;border-collapse: coll=
apse;mso-table-lspace: 0pt;mso-table-rspace: 0pt;-ms-text-size-adjust: 100=
%;-webkit-text-size-adjust: 100%;">
    <tbody class=3D"mcnTextBlockOuter">
        <tr>
            <td valign=3D"top" class=3D"mcnTextBlockInner" style=3D"paddin=
g-top: 9px;mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webki=
t-text-size-adjust: 100%;">
              =09
=09=09=09
=09=09=09=09
                <table align=3D"left" border=3D"0" cellpadding=3D"0" cells=
pacing=3D"0" style=3D"max-width: 100%;min-width: 100%;border-collapse: col=
lapse;mso-table-lspace: 0pt;mso-table-rspace: 0pt;-ms-text-size-adjust: 10=
0%;-webkit-text-size-adjust: 100%;" width=3D"100%" class=3D"mcnTextContent=
Container">
                    <tbody><tr>

<a href=3D"https://humanitarianresponse.us4.li=
st-manage.com/track/click?u=3Dfe0746c970b6af5b85b9a5ef4&id=3D87282b81a6&e=
=3Dbb560e989d" target=3D"_blank" style=3D"mso-line-height-rule: exactly;-=
ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;color: #418fde;fo=
nt-weight: normal;text-decoration: underline;"><font face=3D"roboto=2C hel=
vetica neue=2C helvetica=2C arial=2C sans-serif"><span style=3D"font-size:=
14px">Download the full update&nbsp;</span></font>=C2=BB</a>
                        </td>
                    </tr>
                </tbody></table>
=09=09=09=09

<h2 style=3D"display: block;margin: 0;padding:=
 0;color: #222222;font-family: Helvetica;font-size: 34px;font-style: norma=
l;font-weight: bold;line-height: 150%;letter-spacing: normal;text-align: l=
eft;"><span style=3D"font-size:14px"><span style=3D"color:#0000FF"><strong=
><u>Key Messages:</u></strong></span></span><span style=3D"font-size:12px"=
><span style=3D"color:#FF0000"><strong><span style=3D"font-size:14px">&nbs=
p;</span></strong></span></span><span style=3D"font-size:11px"><span style=
=3D"color:#FF0000"><strong>UPDATED</strong></span></span></h2>

<ul>
=09<li style=3D"mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-=
webkit-text-size-adjust: 100%;"><span style=3D"font-size:13px"><strong>Peo=
ple confirmed to have COVID-19: <span style=3D"color:#FF0000">34 </span></=
strong></span></li>
=09<li style=3D"mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-=
webkit-text-size-adjust: 100%;"><span style=3D"font-size:13px"><strong>Key=
 concern: <span style=3D"color:#FF0000">Border crossing areas in the count=
ry's west=2C social distancing and other containment measures.</span></str=
ong></span></li>
</ul>
<span style=3D"font-size:13px"><span style=3D"color:#000000">(Source: Mini=
stry of Public Health of Afghanistan)</span></span><br>

<hr>
<h2 style=3D"display: block;margin: 0;padding: 0;color: #222222;font-famil=
y: Helvetica;font-size: 34px;font-style: normal;font-weight: bold;line-hei=
ght: 150%;letter-spacing: normal;text-align: left;"><span style=3D"font-si=
ze:14px"><strong><u><span style=3D"color:#0000FF">Situation Overview:</spa=
n></u></strong></span><span style=3D"font-size:11px"><span style=3D"color:=
#FF0000"><strong>&nbsp;UPDATED</strong></span></span></h2>

<hr><a href=3D"https://humanitarianresponse.us4.list-manage.com/track/clic=
k?u=3Dfe0746c970b6af5b85b9a5ef4&id=3D3afbe2c85b&e=3Dbb560e989d" target=3D=
"_blank" style=3D"mso-line-height-rule: exactly;-ms-text-size-adjust: 100%=
;-webkit-text-size-adjust: 100%;color: #418fde;font-weight: normal;text-de=
coration: underline;">Download the full update&nbsp;=C2=BB</a>
                        </td>
                    </tr>
                </tbody></table>
=09=09=09=09

=09=09=09=09
            </td>
        </tr>
    </tbody>
</table><table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" width=3D"1=
00%" class=3D"mcnDividerBlock" style=3D"min-width: 100%;border-collapse: c=
ollapse;mso-table-lspace: 0pt;mso-table-rspace: 0pt;-ms-text-size-adjust:=
 100%;-webkit-text-size-adjust: 100%;table-layout: fixed !important;">
    <tbody class=3D"mcnDividerBlockOuter">
        <tr>
            <td class=3D"mcnDividerBlockInner" style=3D"min-width: 100%;pa=
dding: 30px 18px;mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;=
-webkit-text-size-adjust: 100%;">
                <table class=3D"mcnDividerContent" border=3D"0" cellpaddin=
g=3D"0" cellspacing=3D"0" width=3D"100%" style=3D"min-width: 100%;border-t=
op: 1px solid #82B5E9;border-collapse: collapse;mso-table-lspace: 0pt;mso-=
table-rspace: 0pt;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100=
%;">
                    <tbody><tr>
                        <td style=3D"mso-line-height-rule: exactly;-ms-tex=
t-size-adjust: 100%;-webkit-text-size-adjust: 100%;">
                            <span></span>
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                </tbody></table>

            </td>
        </tr>
    </tbody>
</table><table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" width=3D"1=
00%" class=3D"mcnTextBlock" style=3D"min-width: 100%;border-collapse: coll=
apse;mso-table-lspace: 0pt;mso-table-rspace: 0pt;-ms-text-size-adjust: 100=
%;-webkit-text-size-adjust: 100%;">
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        <tr>
            <td valign=3D"top" class=3D"mcnTextBlockInner" style=3D"paddin=
g-top: 9px;mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webki=
t-text-size-adjust: 100%;">
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                <table align=3D"left" border=3D"0" cellpadding=3D"0" cells=
pacing=3D"0" style=3D"max-width: 100%;min-width: 100%;border-collapse: col=
lapse;mso-table-lspace: 0pt;mso-table-rspace: 0pt;-ms-text-size-adjust: 10=
0%;-webkit-text-size-adjust: 100%;" width=3D"100%" class=3D"mcnTextContent=
Container">
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    </tbody>
</table><table class=3D"mcnTextBlock" style=3D"min-width: 100%;border-coll=
apse: collapse;mso-table-lspace: 0pt;mso-table-rspace: 0pt;-ms-text-size-a=
djust: 100%;-webkit-text-size-adjust: 100%;" width=3D"100%" cellspacing=3D=
"0" cellpadding=3D"0" border=3D"0">
    <tbody class=3D"mcnTextBlockOuter">
        <tr>
            <td class=3D"mcnTextBlockInner" style=3D"padding-top: 9px;mso-=
line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adj=
ust: 100%;" valign=3D"top">
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lapse: collapse;mso-table-lspace: 0pt;mso-table-rspace: 0pt;-ms-text-size-=
adjust: 100%;-webkit-text-size-adjust: 100%;" class=3D"mcnTextContentConta=
iner" width=3D"100%" cellspacing=3D"0" cellpadding=3D"0" border=3D"0" alig=
n=3D"left">
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</table><table class=3D"mcnFollowBlock" style=3D"min-width: 100%;border-co=
llapse: collapse;mso-table-lspace: 0pt;mso-table-rspace: 0pt;-ms-text-size=
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=3D"0" cellpadding=3D"0" border=3D"0">
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e: 0pt;mso-table-rspace: 0pt;-ms-text-size-adjust: 100%;-webkit-text-size-=
adjust: 100%;">
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                                <td valign=3D"top" align=3D"center" style=
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lign=3D"center" style=3D"mso-line-height-rule: exactly;-ms-text-size-adjus=
t: 100%;-webkit-text-size-adjust: 100%;">
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ck/click?u=3Dfe0746c970b6af5b85b9a5ef4&id=3D0e9c248d5c&e=3Dbb560e989d" ta=
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one;-ms-interpolation-mode: bicubic;" class=3D"" width=3D"24" height=3D"24=
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y></table>
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       <td class=3D"mcnFollowIconContent" width=3D"24" valign=3D"middle" a=
lign=3D"center" style=3D"mso-line-height-rule: exactly;-ms-text-size-adjus=
t: 100%;-webkit-text-size-adjust: 100%;">
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ck/click?u=3Dfe0746c970b6af5b85b9a5ef4&id=3D63835a3f24&e=3Dbb560e989d" ta=
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"24"></a>
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lign=3D"center" style=3D"mso-line-height-rule: exactly;-ms-text-size-adjus=
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lign=3D"center" style=3D"mso-line-height-rule: exactly;-ms-text-size-adjus=
t: 100%;-webkit-text-size-adjust: 100%;">
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t: 100%;-webkit-text-size-adjust: 100%;">
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ck/click?u=3Dfe0746c970b6af5b85b9a5ef4&id=3De63a3f3c89&e=3Dbb560e989d" ta=
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templateFooter" data-template-container=3D"" style=3D"background:#418fde n=
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und-image: none;background-repeat: no-repeat;background-position: center;b=
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e-adjust: 100%;background-color: transparent;background-image: none;backgr=
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              =09
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iner" width=3D"100%" cellspacing=3D"0" cellpadding=3D"0" border=3D"0" alig=
n=3D"left">
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<span style=3D"font-size:12px"><em>Copyright=
 =C2=A9 2020<br>
United Nations Office for the Coordination of Humanitarian Affairs=2C<br>
All rights reserved.</em><br>
 OCHA Afghanistan sends this email to all its partners and stakeholders<br=
>
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