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 ghani@jack.ngo,
 hadi@jack.ngo,
 mirzaee@jack.ngo,
 musawy@jack.ngo,
 nooromari@jack.ngo,
 takal@jack.ngo
Delivery-date: Mon, 23 Mar 2020 05:18:38 -0400
Return-Receipt-To: <saqib@jack.ngo>
From: <saqib@jack.ngo>
To: <ahmad@jack.af>,
	<ghani@jack.ngo>,
	<majeedhasan1984@gmail.com>,
	<mirzaee@jack.ngo>,
	<musawy@jack.ngo>,
	<amin.hanif@jack.ngo>,
	<sultanrasoolzai@gmail.com>
Cc: "'Nooromari'" <nooromari@jack.ngo>,
	<takal@jack.ngo>,
	<takal@jack.af>,
	<hadi@jack.ngo>
References: <002201d60077$d05778b0$71066a10$@acbar.org> <000201d600ba$32758d10$9760a730$@jack.af>
In-Reply-To: <000201d600ba$32758d10$9760a730$@jack.af>
Subject: RE: Afghanistan | COVID-19 | Daily Brief No. 17 | 22 Mar 2020
Date: Mon, 23 Mar 2020 02:18:32 -0700
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Thanks dr sahib for your kindness=20

BW=20

=20

Dr. Said Alam =E2=80=9CSaqib=E2=80=9D MD

BMZ Project Manager               =20

Just for Afghan Capacity and Knowledge       =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) =20

Address: Kunduz,Sari Dawra,4th Region

Beside the Provincial Council building,House # 08

Ph: +93 700 777 122 , +93 748 734 900

Email:  saqib@jack.ngo <mailto:saqib@jack.ngo>  =20

Website:www.jack.ngo=20

=20

From: ahmad@jack.af <ahmad@jack.af>=20
Sent: Sunday, March 22, 2020 7:25 PM
To: ghani@jack.ngo; majeedhasan1984@gmail.com; mirzaee@jack.ngo; =
musawy@jack.ngo; amin.hanif@jack.ngo; saqib@jack.ngo; =
sultanrasoolzai@gmail.com
Cc: 'Nooromari' <nooromari@jack.ngo>; takal@jack.ngo; takal@jack.af; =
hadi@jack.ngo
Subject: FW: Afghanistan | COVID-19 | Daily Brief No. 17 | 22 Mar 2020

=20

FYI,=20

=20

With best regards,=20

Dr. Noor Ahmad=20

=20

From: Hamidullah Ahmadi [mailto:infocoordofficer@acbar.org]=20
Sent: Sunday, March 22, 2020 10:54 PM
Cc: 'Jawid Ahmad OMARI'
Subject: FYI: Afghanistan | COVID-19 | Daily Brief No. 17 | 22 Mar 2020

=20

AFGHANISTAN

=20

COVID-19

=20

Daily Brief No.17 | 22 Mar 2020

=20

=09

=20

=
<https://humanitarianresponse.us4.list-manage.com/track/click?u=3Dfe0746c=
970b6af5b85b9a5ef4&id=3Dbc0ddc5079&e=3Dc20e006770>=20

=20

=09

=20

=
<https://humanitarianresponse.us4.list-manage.com/track/click?u=3Dfe0746c=
970b6af5b85b9a5ef4&id=3D87282b81a6&e=3Dc20e006770> Download the full =
update =C2=BB=20

=20

Key Messages: UPDATED

*	People confirmed to have COVID-19: 34=20
*	Key concern: Border crossing areas in the country's west, social =
distancing and other containment measures.

(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=3D278e06d1dd&e=3Dc20e006770> WHO Global Dashboard, =
as of 22 March a total of 267,013 cases of COVID-19 have been confirmed =
and 11,201 fatalities have been reported worldwide across 184 countries. =
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. Wide 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, although this would be =
dependent on funding and other considerations.
=20
A total of 34 people are now confirmed to have the virus in 11 =
provinces, including Kabul for the first time =E2=80=93 Hirat (18), =
Samangan (3), Balkh (2), Daikundi (1), Kapisa (1), Badghis (1), Logar =
(2), Zabul (2), Kandahar (1), Ghazni (1) and Kabul (2). Most people with =
the virus have a travel history outside Afghanistan. Contact tracing for =
the people confirmed with COVID-19 is ongoing. One patient in Hirat has =
reportedly recovered and been discharged from the treatment facility. To =
date, testing has been small scale with fewer than 400 COVID-19 tests =
conducted which may account for the relatively low number of confirmed =
cases given the high number of border crossings with Iran where there =
are thousands of cases. Social distancing is the best protection against =
the further spread of the virus however this is not being widely =
practiced in the country. On 14 March, the Government of Afghanistan =
announced that all schools 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.
=20

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
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. 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. The level of support and activities in all key areas will =
need to be expanded rapidly to manage the further spread of the disease.
=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. =
Testing capacity has now been expanded and contact diagnostic testing is =
now available in Hirat, as well as Kabul. Laboratory technicians are =
being trained on COVID-19 testing in both locations. 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.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
The Inter-Cluster Coordination Team is establishing a COVID-19 Risk =
Communications Working Group to scale-up efforts on awareness raising =
about the need for social distancing and to combat rumours in the =
community. This will 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 critical. The Government has also advised =
its provincial and district level counterparts to initiate awareness =
raising through community leaders and using mosques. In February, Awaaz =
started to collaborate with the World Health Organisation (WHO) to raise =
awareness and inform callers about COVID-19.

Cross Border Concerns: UPDATED=20

As of 22 March, WHO reports that there are 19,644 confirmed cases of =
COVID-19 in Iran. IOM reports that the flow of spontaneous returnees =
from Iran had surged since 8 March. From 15-18 March alone over 57,000 =
Afghans have returned from Iran at the Milak and Islam Qala crossings. =
Since 19 March, the return has subsided with a five-day slow-down =
anticipated for the Nawroz- Persian New Year holidays in Iran and =
Afghanistan. Only 500 people crossed yesterday and 400 today. All =
flights to and from Iran are in total suspension.
=20
As of 22 March, there are 495 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. 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. IOM reports that =
trucks are currently being allowed to cross at the Chaman border point =
to alleviate a backlog but it is feared that this opening may only last =
a few days. 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.
=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:=20

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.

=20

_____ =20

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970b6af5b85b9a5ef4&id=3D3afbe2c85b&e=3Dc20e006770> Download the full =
update =C2=BB=20

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<mailto:ocha-afghanistan@un.org>=20

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Our mailing address is:=20

OCHA Afghanistan

Palace -7, Street - 15, Wazir Mohammad Akbar Khan, Kabul, Afghanistan.

Kabul 0001=20

Afghanistan

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<html xmlns:v=3D"urn:schemas-microsoft-com:vml" =
xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
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name=3DGenerator content=3D"Microsoft Word 15 (filtered medium)"><title>Afghanistan | COVID-19 | Daily Brief No. 17 | =
22 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'>Thanks dr =
sahib for your kindness <o:p></o:p></span></p><p class=3DMsoNormal><span =
style=3D'font-size:11.0pt;font-family:"Calibri",sans-serif'>BW =
<o:p></o:p></span></p><p class=3DMsoNormal><span =
style=3D'font-size:11.0pt;font-family:"Calibri",sans-serif'><o:p>&nbsp;</=
o:p></span></p><div><p class=3DMsoNormal><span =
style=3D'font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D'=
><img width=3D91 height=3D71 style=3D'width:.9479in;height:.7395in' =
id=3D"Picture_x0020_21" src=3D"cid:image006.jpg@01D600B9.26A0A3E0" =
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'>&n=
bsp;&nbsp;&nbsp;</span></b><b><span =
style=3D'font-size:8.0pt;font-family:"Arial",sans-serif;color:red'><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'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&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. Said Alam =
=E2=80=9CSaqib=E2=80=9D </span></b><b><span =
style=3D'font-size:8.0pt;font-family:"Segoe =
UI",sans-serif;color:#548DD4'>MD<o:p></o:p></span></b></p><p =
class=3DMsoNormal><b><span style=3D'font-size:11.0pt;font-family:"Segoe =
UI",sans-serif;color:#548DD4'>BMZ Project =
Manager&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-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'> Kunduz,Sari Dawra,4<sup>th</sup> =
Region<o:p></o:p></span></p><p class=3DMsoNormal><span =
style=3D'font-size:10.0pt;font-family:"Segoe =
UI",sans-serif;color:#548DD4'>Beside the Provincial Council =
building,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'>: +93 700 777 122 , +93 748 734 =
900<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'>: </span><span =
style=3D'font-size:9.0pt;font-family:"Segoe =
UI",sans-serif;color:#548DD4'>&nbsp;</span><span =
style=3D'font-size:9.0pt;font-family:"Segoe UI",sans-serif'><a =
href=3D"mailto:saqib@jack.ngo">saqib@jack.ngo</a> <span =
style=3D'color:#548DD4'>&nbsp;<o:p></o:p></span></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 =
UI",sans-serif;color:#548DD4'><o:p></o:p></span></p></div><p =
class=3DMsoNormal><span =
style=3D'font-size:11.0pt;font-family:"Calibri",sans-serif'><o:p>&nbsp;</=
o:p></span></p><div><div style=3D'border:none;border-top:solid #E1E1E1 =
1.0pt;padding:3.0pt 0in 0in 0in'><p class=3DMsoNormal><b><span =
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'> =
ahmad@jack.af &lt;ahmad@jack.af&gt; <br><b>Sent:</b> Sunday, March 22, =
2020 7:25 PM<br><b>To:</b> ghani@jack.ngo; majeedhasan1984@gmail.com; =
mirzaee@jack.ngo; musawy@jack.ngo; amin.hanif@jack.ngo; saqib@jack.ngo; =
sultanrasoolzai@gmail.com<br><b>Cc:</b> 'Nooromari' =
&lt;nooromari@jack.ngo&gt;; takal@jack.ngo; takal@jack.af; =
hadi@jack.ngo<br><b>Subject:</b> FW: Afghanistan | COVID-19 | Daily =
Brief No. 17 | 22 Mar 2020<o:p></o:p></span></p></div></div><p =
class=3DMsoNormal><o:p>&nbsp;</o:p></p><p class=3DMsoNormal><span =
style=3D'font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D'=
>FYI, <o:p></o:p></span></p><p class=3DMsoNormal><span =
style=3D'font-size:11.0pt;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:#1F497D'=
>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:#1F497D'=
>Dr. Noor Ahmad <o:p></o:p></span></p><p class=3DMsoNormal><span =
style=3D'font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D'=
><o:p>&nbsp;</o:p></span></p><div><div =
style=3D'border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in =
0in 0in'><p class=3DMsoNormal><b><span =
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 [<a =
href=3D"mailto:infocoordofficer@acbar.org">mailto:infocoordofficer@acbar.=
org</a>] <br><b>Sent:</b> Sunday, March 22, 2020 10:54 PM<br><b>Cc:</b> =
'Jawid Ahmad OMARI'<br><b>Subject:</b> FYI: Afghanistan | COVID-19 | =
Daily Brief No. 17 | 22 Mar 2020<o:p></o:p></span></p></div></div><p =
class=3DMsoNormal><o:p>&nbsp;</o:p></p><div align=3Dcenter><table =
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windowtext 1.0pt;padding:0in'><img border=3D0 width=3D62 height=3D62 =
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sender."></span><o:p></o:p></p></td></tr></table></td></tr></table></td><=
/tr></table></div></td></tr></table></div></td></tr><tr><td valign=3Dtop =
style=3D'background:white;padding:13.5pt 0in 13.5pt =
0in;background:cover;-ms-text-size-adjust: =
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cover;background-position-x:50%;background-position-y:50%' =
id=3DtemplateBody><div align=3Dcenter><table class=3DMsoNormalTable =
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style=3D'width:6.25in;border-collapse:collapse;-ms-text-size-adjust: =
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style=3D'width:6.25in;padding:0in 0in 0in 0in;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><div align=3Dcenter><table =
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width=3D"100%" =
style=3D'width:100.0%;border-collapse:collapse;-ms-text-size-adjust: =
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style=3D'padding:0in 0in 0in 0in;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><table class=3DMsoNormalTable =
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style=3D'width:100.0%;border-collapse:collapse;background:#transparent =
none no-repeat center/cover;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: =
100%;background-color:#transparent;background-size: =
cover;background-position-x:50%;background-position-y:50%'><tr><td =
valign=3Dtop style=3D'padding:6.75pt 0in 0in 0in;min-width: =
100%;-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;max-width:100%;min-width: 100%;-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;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%;word-break:break-word'><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:Roboto;color:#82B5E9'>AFGHANISTAN</=
span><span =
style=3D'font-family:"Helvetica",sans-serif;color:#82B5E9'><o:p></o:p></s=
pan></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;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><tr><td valign=3Dtop =
style=3D'padding:0in 13.5pt 6.75pt 13.5pt;max-width:100%;min-width: =
100%;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%'><p =
class=3DMsoNormal align=3Dcenter =
style=3D'text-align:center'><strong><span =
style=3D'font-size:19.5pt;font-family:Roboto;color:#144372'>COVID-19</spa=
n></strong><span =
style=3D'font-family:"Helvetica",sans-serif;color:#144372'><o:p></o:p></s=
pan></p></td></tr></table></td></tr></table></td></tr></table><p =
class=3DMsoNormal><o:p>&nbsp;</o:p></p><table class=3DMsoNormalTable =
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100%;-webkit-text-size-adjust: 100%'><table class=3DMsoNormalTable =
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-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 =
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style=3D'width:100.0%;border-collapse:collapse;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><tr><td valign=3Dtop =
style=3D'padding:0in 13.5pt 6.75pt 13.5pt;max-width:100%;min-width: =
100%;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%'><p =
class=3DMsoNormal align=3Dcenter =
style=3D'text-align:center'><strong><span =
style=3D'font-size:10.5pt;font-family:Roboto;color:#144372'>&nbsp; Daily =
Brief No.17&nbsp;| 22&nbsp;Mar 2020</span></strong><span =
style=3D'font-family:"Helvetica",sans-serif;color:#144372'><o:p></o:p></s=
pan></p></td></tr></table></td></tr></table></td></tr></table><p =
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style=3D'text-align:center'><a =
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style=3D'padding:0in 13.5pt 6.75pt 13.5pt;max-width:100%;min-width: =
100%;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%'><p =
class=3DMsoNormal><span =
style=3D'font-family:"Helvetica",sans-serif;color:#144372'><a =
href=3D"https://humanitarianresponse.us4.list-manage.com/track/click?u=3D=
fe0746c970b6af5b85b9a5ef4&amp;id=3D87282b81a6&amp;e=3Dc20e006770" =
target=3D"_blank"><span =
style=3D'font-size:10.5pt;font-family:Roboto;color:#418FDE'>Download the =
full update&nbsp;</span><span style=3D'color:#418FDE'>=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 =
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;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><tr><td valign=3Dtop =
style=3D'padding:0in 13.5pt 6.75pt 13.5pt;max-width:100%;min-width: =
100%;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: =
100%'><h2><strong><u><span =
style=3D'font-size:10.5pt;line-height:150%;font-family:"Helvetica",sans-s=
erif;color:blue'>Key Messages:</span></u></strong><strong><span =
style=3D'font-size:10.5pt;line-height:150%;font-family:"Helvetica",sans-s=
erif;color:red'>&nbsp;</span></strong><strong><span =
style=3D'font-size:8.5pt;line-height:150%;font-family:"Helvetica",sans-se=
rif;color:red'>UPDATED</span></strong><o:p></o:p></h2><ul =
type=3Ddisc><li class=3DMsoNormal =
style=3D'color:#222222;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto=
;line-height:125%;mso-list:l1 level1 lfo3;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><strong><span =
style=3D'font-size:10.0pt;line-height:125%;font-family:"Arial",sans-serif=
'>People confirmed to have COVID-19: </span></strong><strong><span =
style=3D'font-size:10.0pt;line-height:125%;font-family:"Arial",sans-serif=
;color:red'>34 </span></strong><span =
style=3D'font-family:"Arial",sans-serif'><o:p></o:p></span></li><li =
class=3DMsoNormal =
style=3D'color:#222222;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto=
;line-height:125%;mso-list:l1 level1 lfo3;-ms-text-size-adjust: =
100%;-webkit-text-size-adjust: 100%'><strong><span =
style=3D'font-size:10.0pt;line-height:125%;font-family:"Arial",sans-serif=
'>Key concern: </span></strong><strong><span =
style=3D'font-size:10.0pt;line-height:125%;font-family:"Arial",sans-serif=
;color:red'>Border crossing areas in the country's west, social =
distancing and other containment measures.</span></strong><span =
style=3D'font-family:"Arial",sans-serif'><o:p></o:p></span></li></ul><p =
class=3DMsoNormal style=3D'margin-bottom:12.0pt;line-height:125%'><span =
style=3D'font-size:10.0pt;line-height:125%;font-family:"Arial",sans-serif=
;color:black'>(Source: Ministry of Public Health of =
Afghanistan)</span><span =
style=3D'font-family:"Arial",sans-serif;color:#222222'><o:p></o:p></span>=
</p><div class=3DMsoNormal align=3Dcenter =
style=3D'text-align:center;line-height:125%'><span =
style=3D'font-family:"Arial",sans-serif;color:#222222'><hr size=3D2 =
width=3D"100%" align=3Dcenter></span></div><h2><strong><u><span =
style=3D'font-size:10.5pt;line-height:150%;font-family:"Helvetica",sans-s=
erif;color:blue'>Situation Overview:</span></u></strong><strong><span =
style=3D'font-size:8.5pt;line-height:150%;font-family:"Helvetica",sans-se=
rif;color:red'>&nbsp;UPDATED</span></strong><o:p></o:p></h2><p =
class=3DMsoNormal style=3D'text-align:justify;line-height:125%'><span =
style=3D'font-size:10.0pt;line-height:125%;font-family:"Arial",sans-serif=
;color:#222222'>According to the <a =
href=3D"https://humanitarianresponse.us4.list-manage.com/track/click?u=3D=
fe0746c970b6af5b85b9a5ef4&amp;id=3D278e06d1dd&amp;e=3Dc20e006770"><span =
style=3D'color:#418FDE'>WHO Global Dashboard</span></a>, as of 22 March =
a total of 267,013 cases of COVID-19 have been confirmed and 11,201 =
fatalities have been reported worldwide across 184 countries. 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. Wide 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, although this would be =
dependent on funding and other considerations.<br>&nbsp;<br>A total of =
34 people are now confirmed to have the virus in 11 provinces, including =
Kabul for the first time =E2=80=93 Hirat (18), Samangan (3), Balkh (2), =
Daikundi (1), Kapisa (1), Badghis (1), Logar (2), Zabul (2), Kandahar =
(1), Ghazni (1) and Kabul (2). Most people with the virus have a travel =
history outside Afghanistan. Contact tracing for the people confirmed =
with COVID-19 is ongoing. One patient in Hirat has reportedly recovered =
and been discharged from the treatment facility. To date, testing has =
been small scale with fewer than 400 COVID-19 tests conducted which may =
account for the relatively low number of confirmed cases given the high =
number of border crossings with Iran where there are thousands of cases. =
Social distancing is the best protection against the further spread of =
the virus however this is not being widely practiced in the country. On =
14 March, the Government of Afghanistan announced that all schools 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.</span><span =
style=3D'font-family:"Arial",sans-serif;color:#222222'><br>&nbsp;<o:p></o=
:p></span></p><p class=3DMsoNormal style=3D'line-height:125%'><span =
style=3D'font-family:"Arial",sans-serif;color:#222222;border:solid =
windowtext 1.0pt;padding:0in'><img border=3D0 width=3D650 height=3D204 =
style=3D'width:6.7708in;height:2.125in' id=3D"_x0000_i1028" =
src=3D"cid:image009.jpg@01D600B9.26A0A3E0" alt=3D"Image removed by =
sender."></span><span =
style=3D'font-family:"Arial",sans-serif;color:#222222'><br><br></span><st=
rong><u><span =
style=3D'font-size:10.5pt;line-height:125%;font-family:"Arial",sans-serif=
;color:blue'>Response:</span></u></strong><strong><span =
style=3D'font-size:8.5pt;line-height:125%;font-family:"Arial",sans-serif;=
color:red'>&nbsp;UPDATED</span></strong><strong><span =
style=3D'font-size:9.0pt;line-height:125%;font-family:"Arial",sans-serif;=
color:red'>&nbsp;</span></strong><span =
style=3D'font-family:"Arial",sans-serif;color:#222222'> =
<o:p></o:p></span></p><p class=3DMsoNormal =
style=3D'text-align:justify;line-height:125%'><span =
style=3D'font-size:10.0pt;line-height:125%;font-family:"Arial",sans-serif=
;color:#222222'>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>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. 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. 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>&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. Testing capacity has now =
been expanded and contact diagnostic testing is now available in Hirat, =
as well as Kabul. Laboratory technicians are being trained on COVID-19 =
testing in both locations. 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.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>The Inter-Cluster =
Coordination Team is establishing a COVID-19 Risk Communications Working =
Group to scale-up efforts on awareness raising about the need for social =
distancing and to combat rumours in the community. This will be stepped =
up this week.&nbsp; Improved awareness raising efforts at border =
crossings will also support this.&nbsp; Addressing rumours and community =
fears of seeking medical treatment through community engagement will be =
critical. The Government has also advised its provincial and district =
level counterparts to initiate awareness raising through community =
leaders and using mosques. In February, Awaaz started to collaborate =
with the World Health Organisation (WHO) to raise awareness and inform =
callers about COVID-19.</span><span =
style=3D'font-family:"Arial",sans-serif;color:#222222'><o:p></o:p></span>=
</p><p class=3DMsoNormal style=3D'line-height:125%'><span =
style=3D'font-family:"Arial",sans-serif;color:#222222'><br></span><strong=
><u><span =
style=3D'font-size:10.5pt;line-height:125%;font-family:"Arial",sans-serif=
;color:blue'>Cross Border Concerns:</span></u></strong><strong><span =
style=3D'font-family:"Arial",sans-serif;color:#222222'> =
</span></strong><strong><span =
style=3D'font-size:8.5pt;line-height:125%;font-family:"Arial",sans-serif;=
color:red'>UPDATED</span></strong><span =
style=3D'font-family:"Arial",sans-serif;color:#222222'> =
<o:p></o:p></span></p><p class=3DMsoNormal =
style=3D'text-align:justify;line-height:125%'><span =
style=3D'font-size:10.0pt;line-height:125%;font-family:"Arial",sans-serif=
;color:#222222'>As of 22 March, WHO reports that there are 19,644 =
confirmed cases of COVID-19 in Iran. IOM reports that the flow of =
spontaneous returnees from Iran had surged since 8 March. From 15-18 =
March alone over 57,000 Afghans have returned from Iran at the Milak and =
Islam Qala crossings. Since 19 March, the return has subsided with a =
five-day slow-down anticipated for the Nawroz- Persian New Year holidays =
in Iran and Afghanistan. Only 500 people crossed yesterday and 400 =
today. All flights to and from Iran are in total =
suspension.<br>&nbsp;<br>As of 22 March, there are 495 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. 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. IOM reports that =
trucks are currently being allowed to cross at the Chaman border point =
to alleviate a backlog but it is feared that this opening may only last =
a few days. 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.<br>&nbsp;<br>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.<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.</span><span =
style=3D'font-family:"Arial",sans-serif;color:#222222'><o:p></o:p></span>=
</p><p class=3DMsoNormal style=3D'line-height:125%'><span =
style=3D'font-family:"Arial",sans-serif;color:#222222'><br></span><strong=
><u><span =
style=3D'font-size:10.5pt;line-height:125%;font-family:"Arial",sans-serif=
;color:blue'>Operational Response Capacity:</span></u></strong><span =
style=3D'font-family:"Arial",sans-serif;color:#222222'> =
<o:p></o:p></span></p><p class=3DMsoNormal =
style=3D'text-align:justify;line-height:125%'><span =
style=3D'font-size:10.0pt;line-height:125%;font-family:"Arial",sans-serif=
;color:#222222'>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.</span><span =
style=3D'font-family:"Arial",sans-serif;color:#222222'><o:p></o:p></span>=
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