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Date: Thu, 22 Apr 2021 15:04:13 +0000
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AFGHANISTAN
COVID-19
Strategic Situation Report No. 95 | 22 April 2021
https://www.humanitarianresponse.info/sites/www.humanitarianresponse.info/=
files/documents/files/strategic_sitrep_covid-19_22_april_2021_final.pdf
The next Strategic Situation Report will be released on 6 May 2021
Download the full update =C2=BB (https://www.humanitarianresponse.info/sit=
es/www.humanitarianresponse.info/files/documents/files/strategic_sitrep_co=
vid-19_22_april_2021_final.pdf)

** Situation Overview: UPDATED
------------------------------------------------------------
Global Update: According to John Hopkins University (https://gisanddata.ma=
ps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ec=
f6) =2C more than 3 million people have now died with COVID-19 across the=
 world. The pandemic is affecting 192 countries with some 143 million conf=
irmed cases globally=2C as of 22 April. WHO report (https://reliefweb.int/=
report/world/who-urges-greater-surveillance-new-covid-19-variants-emerge)=
 s that while the emergence of new virus variants is common=2C those with=
 higher speed of transmission or potentially increased pathogenicity (i.e.=
 the capacity of a microbe to cause damage in a host) are very concerning.=
 Crucial investigations are underway to comprehensively understand the beh=
aviour of the new virus mutation (B117) and steer the response accordingly=
=2E

https://moph-dw.gov.af/dhis-web-commons/security/login.action#/

MOPH Figures: As of 22 April=2C MoPH data (https://moph-dw.gov.af/dhis-web=
-commons/security/login.action#/) shows that 58=2C346 people across all 34=
 provinces in Afghanistan are confirmed to have had COVID-19. Some 52=2C30=
7 people have recovered=2C and 2=2C561 people have died =E2=80=93 at least=
 91 of whom are healthcare workers. Only 388=2C760 people out of a populat=
ion of 40.4 million have been tested. While numbers remain far below those=
 seen during the peak of the first and second waves=2C recent official MOP=
H case numbers indicate a deterioration of the situation=2C potentially si=
gnalling a third wave. According to WHO=2C the eastern region in particula=
r has witnessed a sharp increase in COVID-19 cases and hospitalisations ov=
er the last two weeks. Afghanistan now has a test-positivity-rate =E2=80=
=93 positive tests as a percentage of total tests =E2=80=93 of 15 per cent=
=2C suggesting overall under-testing of potential cases. The majority of r=
ecorded deaths were men between the ages of 50 and 79. Men account for mor=
e than 66 per
cent of the total COVID-19 confirmed cases in the MoPH data=2C although th=
is may be the result of over-representation of men in testing. Due to limi=
ted public health resources=2C lack of people coming forward for testing=
=2C as well as the absence of a national death register=2C confirmed cases=
 of and deaths from COVID-19 are likely to be under-reported overall in Af=
ghanistan. Stigma is considered a major factor in people choosing not to g=
et tests and risk communications work is critical to turning this around.=
 WHO warns that widespread complacency and failure to follow public health=
 advice in Afghanistan is creating grave risks in the community with peopl=
e generally not observing physical distancing or mask wearing protocols. W=
HO Afghanistan remains concerned about mutations of the virus=2C cases of=
 which have been confirmed in Afghanistan. There is a significant increase=
 in cases of the new=2C more infectious variant in Pakistan and Iran. The=
 Ministry of Public Health is preparing contingencies for a
third wave which includes scaling-up surveillance at borders and improving=
 testing.

More than 7 per cent of the total confirmed COVID-19 cases are among healt=
hcare staff and they are currently the highest priority for vaccination. T=
here is an urgent need to ensure continued distribution of medical and pro=
tective equipment to frontline workers all corners of the country. 23 labo=
ratories are now operating in Afghanistan =E2=80=93 with plans to scale-up=
 to at least one laboratory per province by June 2021. National laboratori=
es are testing 7=2C200 samples a day. WHO reports that laboratories have c=
apacity to test up to 8=2C500 samples but low demand means technicians are=
 actually working reduced hours.

Vaccination: The first batch (https://reliefweb.int/report/afghanistan/cov=
id-19-vaccines-shipped-covax-arrive-afghanistan) of 468=2C000 COVID-19 vac=
cination doses through the COVAX facility arrived in Afghanistan on 8 Marc=
h. In total=2C Afghanistan has now received 968=2C000 doses of the vaccine=
 =E2=80=93 468=2C000 from the COVAX facility and 500=2C000 directly from t=
he government of India -- enabling the vaccination for some 484=2C000 peop=
le. COVID-19 vaccination through the Ministry of Public Health has now bee=
n opened to all those above 18 years of age. Vaccination is currently avai=
lable in select health facilities and through mobile vaccination teams. Mo=
re than 240=2C000 people have been vaccinated in Afghanistan to date=2C in=
cluding some 89=2C000 health workers=2C 38=2C000 teachers=2C 13=2C000 peop=
le with co-morbidities and 13=2C000 prisoners. WHO weekly data shows that=
 on average over 10=2C000 vaccinations are being administered every day ac=
ross Afghanistan.

Overall=2C however=2C there remains some concern around low demand among h=
ealthcare workers and the equitable access to vaccines among all Afghans=
=2C especially vulnerable groups such as IDPs=2C returnees and nomadic pop=
ulations and people living in hard-to-reach areas. IOM reports that vaccin=
ation coverage is extremely limited amongst all migrant populations due to=
 negative perceptions and barriers to accessing care. Much more focus is n=
eeded to ensure migrant groups are vaccinated on pace with settled populat=
ions given the impact mobility has as a vector for transmission=2C especia=
lly with the more contagious viral variants now in Afghanistan. Additional=
 efforts are also needed to reach women and people living in non-governmen=
t-controlled areas with vaccines. Vaccine uptake remains slow and continue=
d risk communication and community engagement efforts are needed to ensure=
 high-risk populations and frontline staff understand the benefits of the=
 vaccine and can effectively dispel misinformation.
Countering negative rumours about the vaccine is a priority. As cases incr=
ease=2C humanitarian partners continue to urge the Government to ensure la=
boratories and frontline staff are appropriately equipped and that procure=
d supplies =E2=80=93 including vaccines =E2=80=93 go to under-resourced he=
alth centres across the entire country in a transparent manner=2C so that=
 life-saving support can be delivered to those most in need. WHO reports t=
hat additional deliveries from the COVAX facility will likely be delayed d=
ue to global shortages. However=2C additional vaccines may become availabl=
e through bilateral channels.

The UN has received 5=2C000 doses of the AstraZeneca vaccine for personnel=
 so they can continue to deliver life-saving services to people in Afghani=
stan. Eligible groups include UN and INGO staff. In order to access the UN=
 vaccination scheme=2C eligible individuals must register on the UN COVID-=
19 vaccine portal. In order to access the portal=2C INGOs are requested to=
 develop a sponsorship agreement with their main UN partner. NNGO staff ar=
e able to be vaccinated through the Government=E2=80=99s vaccination schem=
e. Please see the UN COVID-19 Vaccination page (https://www.un.org/en/coro=
navirus/vaccination) for more information. Vaccinations under the UN schem=
e began in Afghanistan on 13 April.

The WHO Global Advisory Committee for Vaccine Safety (GACVS) recently note=
d that a causal relationship between the vaccine and the occurrence of rar=
e blood clots is considered plausible but is yet to be confirmed. More dat=
a from regions outside of Europe and the UK is needed to fully understand=
 the potential relationship between vaccination and possible risk factors.=
 The GACVS emphasised that while concerning=2C the clotting events under a=
ssessment are extremely rare and should be assessed against the risk of de=
aths from COVID-19 and the potential of the vaccines to prevent infections=
 and reduce deaths. Accordingly=2C WHO advises that the benefit of the vac=
cine still far outweighs the risks and WHO=E2=80=99s advice about taking t=
he AstraZeneca vaccine remains unchanged.

Socio-economic impacts: The socio-economic impacts of COVID-19 have transl=
ated into a dramatic deterioration in food insecurity with levels similar=
 to those seen during the 2018 drought. An updated IPC analysis just relea=
sed estimates that 14.1 million people are in crisis or emergency levels o=
f food insecurity through until the end of May 2021. Cumulative precipitat=
ion has been below average over the wet season with reduced precipitation=
 and higher temperatures likely to affect farmers and pastoralists=2C as w=
ell as water availability over the next few months. Food prices are alread=
y at elevated levels due to COVID-19 and are likely to increase given the=
 dry spell=E2=80=99s likely impact on first and second crops in 2021. Thes=
e factors=2C combined with COVID-19 related interruptions to informal empl=
oyment and decreased remittances=2C are driving people into crippling debt=
=2E Data from the 2020 Whole of Afghanistan Assessment showed that the prima=
ry reason for taking on this debt last year was to pay for
food (53 per cent).

Humanitarian Needs and Response Planning: The 2021 edition of the multi-ye=
ar revised Afghanistan HRP (https://www.humanitarianresponse.info/sites/ww=
w.humanitarianresponse.info/files/documents/files/afg_humanitarian_respons=
e_plan_2018_2021_jan_2021.pdf) identifies 18.4 million people in humanitar=
ian need in 2021=2C as a result of COVID-19=2C ongoing conflict and natura=
l disasters. Approximately six times the number of people are in need of h=
umanitarian assistance in 2021 compared to four years ago when the multi-y=
ear HRP was first developed. Recognising the multiple=2C overlapping chall=
enges facing the people of Afghanistan over the spring season =E2=80=93 in=
cluding low rainfall=2C intensifying conflict=2C and ongoing COVID-19 chal=
lenges =E2=80=93 the ICCT conducted a multi-sectoral analysis (https://rel=
iefweb.int/report/afghanistan/afghanistan-spring-disaster-contingency-plan=
-mar-jun-2021) of likely needs across highly-impacted provinces and has pu=
blished a Spring Disaster Contingency Plan identifying the most
urgent needs from March-June=2C with $390 million required for response. S=
ecuring additional funding for this spring plan and the broader HRP is urg=
ent with only 8.5 per cent of HRP requirements received to date.

Cross Border: UPDATED
Border Crossings: The Milak (Nimroz) and Islam Qala-Dogharoon (Hirat) cros=
sings with Iran are officially open to commercial traffic and movement of=
 documented Afghanistan nationals. According to the Border Monitoring Team=
 of the Directorate of Refugees and Repatriation (DoRR)=2C a total of 31=
=2C833 Afghanistan nationals returned from Iran through the Milak and Isla=
m Qala border crossing sites between 9 and 15 April. 13=2C947 people retur=
ned voluntarily and 17=2C886 were deported. Since the start of the year=2C=
 a historically significant influx of 314=2C594 people have returned to Af=
ghanistan=2C sparking new concerns related to the transmission of COVID-19=
 variants and overall absorption capacity of existing health resources.  A=
 sharp drop in remittances to Afghanistan has also been observed as well a=
s negative socio-economic impacts linked to the return.

Afghanistan=E2=80=99s border with Pakistan at Spin Boldak officially opene=
d on 21 August 2020 and at Torkham on 28 September 2020. Torkham gate is o=
pen 6 days a week (Monday-Saturday). Sunday is closed for pedestrians but=
 will remain open for transit (24/7). Between 9 and 15 April 2021=2C a tot=
al of 338 undocumented Afghans returned from Pakistan through the Torkham=
 and Spin Boldak borders. 269 people returned voluntarily and 69 were depo=
rted.
------------------------------------------------------------
Download the full update =C2=BB (https://www.humanitarianresponse.info/sit=
es/www.humanitarianresponse.info/files/documents/files/strategic_sitrep_co=
vid-19_22_april_2021_final.pdf)
Click here to subscribe (http://eepurl.com/ydXVr) to future COVID-19 updat=
es and other OCHA products.
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                    <tbody><tr>

</td>
                    </tr>
                </tbody></table>
=09=09=09=09

</td>
                    </tr>
                </tbody></table>
=09=09=09=09

</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=
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                        </td>
                    </tr>
                </tbody></table>

            </td>
        </tr>
    </tbody>
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00%" class=3D"mcnImageBlock" style=3D"min-width: 100%;border-collapse: col=
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</td>
                        </tr>
                    </tbody></table>
                </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:=
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    <tbody class=3D"mcnDividerBlockOuter">
        <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>
                        </td>
                    </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>

</td>
                    </tr>
                </tbody></table>
=09=09=09=09

<a href=3D"https://humanitarianresponse.us4.li=
st-manage.com/track/click?u=3Dfe0746c970b6af5b85b9a5ef4&id=3Ddbdfc69226&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"text-align: justify;display: bloc=
k;margin: 0;padding: 0;color: #222222;font-family: Helvetica;font-size: 34=
px;font-style: normal;font-weight: bold;line-height: 150%;letter-spacing:=
 normal;"><span style=3D"color:#0066cc"><strong style=3D"font-size:13px"><=
u>Situation Overview:</u></strong><span style=3D"font-size:13px"> </span><=
/span><span style=3D"color:#FF0000"><strong style=3D"font-size:13px">UPDAT=
ED</strong></span></h2>

<hr>
<div style=3D"text-align: justify;"><a href=3D"https://humanitarianrespons=
e.us4.list-manage.com/track/click?u=3Dfe0746c970b6af5b85b9a5ef4&id=3Ddf032=
25d5a&e=3Dbb560e989d" target=3D"_blank" style=3D"mso-line-height-rule: ex=
actly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;color: #41=
8fde;font-weight: normal;text-decoration: underline;"><span style=3D"font-=
size:12px">Download the full update&nbsp;=C2=BB</span></a></div>

</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:=
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    <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>
                        </td>
                    </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=
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        <tr>
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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>

</td>
                    </tr>
                </tbody></table>
=09=09=09=09

=09=09=09=09
            </td>
        </tr>
    </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=
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              =09
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n=3D"left">
                    <tbody><tr>

</td>
                    </tr>
                </tbody></table>
=09=09=09=09

=09=09=09=09
            </td>
        </tr>
    </tbody>
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                                                                         =
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rget=3D"_blank" style=3D"mso-line-height-rule: exactly;-ms-text-size-adjus=
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                                                                         =
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                                                                    </tbod=
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                                                                </td>
                                                            </tr>
                                                        </tbody></table>
                                                    </td>
                                                </tr>
                                            </tbody></table>

=
       <td class=3D"mcnFollowIconContent" width=3D"24" valign=3D"middle" a=
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                                                                         =
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: none;-ms-interpolation-mode: bicubic;" class=3D"" width=3D"24" height=3D=
"24"></a>
                                                                         =
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=
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                                                                         =
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ck/click?u=3Dfe0746c970b6af5b85b9a5ef4&id=3D3b3f3ddfa5&e=3Dbb560e989d" ta=
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=3D"24"></a>
                                                                         =
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=
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                                                                         =
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                                                                         =
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</td>
                            </tr>
                        </tbody></table>
                    </td>
                </tr>
            </tbody></table>
        </td>
    </tr>
</tbody></table>

</td>
        </tr>
    </tbody>
</table></td>
                                        </tr>
                                    </table>
                                    
                                </td>
                            </tr>
                            <tr>
                                <td align=3D"center" valign=3D"top" id=3D"=
templateFooter" data-template-container=3D"" style=3D"background:#418fde n=
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er" style=3D"border-collapse: collapse;mso-table-lspace: 0pt;mso-table-rsp=
ace: 0pt;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;max-wid=
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              =09
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