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Delivery-date: Thu, 03 Jun 2021 10:21:11 -0400
Subject: =?utf-8?Q?Afghanistan=20|=20COVID=2D19=20|=20Strategic=20Situation=20Report=20No.=2098=20|=203=20June=202021?=
From: =?utf-8?Q?OCHA=20Afghanistan?= <ocha-afghanistan@un.org>
Reply-To: =?utf-8?Q?OCHA=20Afghanistan?= <ocha-afghanistan@un.org>
To: =?utf-8?Q?Abdul=20Malik=20wardak?= <dr.malik@jack.ngo>
Date: Thu,  3 Jun 2021 14:20:26 +0000
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AFGHANISTAN
COVID-19
Strategic Situation Report No. 98 | 3 June 2021
The next Strategic Situation Report will be released on 17 June 2021
=C2=AB Download the full update =C2=BB (https://www.humanitarianresponse.i=
nfo/sites/www.humanitarianresponse.info/files/documents/files/strategic_si=
trep_covid-19_3_june_2021_final.pdf)
SITUATION OVERVIEW
Global Update: MoPH Figures: As of 4 June=2C MoPH data (https://moph-dw.go=
v.af/dhis-web-commons/security/login.action#/) shows that 76=2C628 people=
 across all 34 provinces in Afghanistan are confirmed to have had COVID-19=
=2E Some 58=2C070 people have recovered=2C and 3=2C068 people have died =E2=
=80=93 at least 91 of fatalities have been healthcare workers. Since the s=
tart of the pandemic=2C only 484=2C939 tests have been conducted for a pop=
ulation of 40.4 million.

https://moph-dw.gov.af/dhis-web-commons/security/login.action#/
Cases have steadily risen to alarming levels over the post-Eid period. The=
 daily average number of people newly impacted has now surpassed figures s=
een during the peak of the first and second waves. On 1 June alone=2C 1=2C=
509 new cases were reported =E2=80=93 the highest number of new cases reco=
rded in a single day since the onset of the pandemic. Overseas testing has=
 confirmed the presence of the variants in Afghanistan. While Afghanistan=
 lacks in-country facilities to test for the variant that originated in In=
dia=2C concern over the variant=E2=80=99s spread is high as many of the pa=
tients hospitalised over the last two weeks have a history of recently ret=
urning from India or having contact with people who have. Afghanistan now=
 has a test-positivity-rate =E2=80=93 positive tests as a percentage of to=
tal tests =E2=80=93 of 44 per cent=2C suggesting overall under-testing of=
 potential cases. Due to limited 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-reporte=
d overall in Afghanistan. WHO warns that widespread complacency and failur=
e to follow public health advice in Afghanistan is creating grave risks in=
 the community with people generally not observing physical distancing or=
 mask-wearing protocols. In response to the rapid rise in new cases=2C MoP=
H announced a two-week closure of schools=2C universities and training cou=
rses from 29 May in 16 provinces=2C including Kabul. No other nation-wide=
 lockdown measures are currently in place.

28 laboratories are now operating in Afghanistan =E2=80=93 with plans to s=
cale-up to at least one laboratory per province. National laboratories are=
 testing 7=2C500 samples a day. WHO reports that laboratories have capacit=
y to test up to 8=2C500 samples but low demand means technicians are curre=
ntly working reduced hours.

Vaccination: Since 8 March=2C Afghanistan has received 968=2C000 doses of=
 COVID-19 vaccines =E2=80=93 468=2C000 from the COVAX facility and 500=2C0=
00 directly from the government of India -- enabling the vaccination of so=
me 484=2C000 people. COVID-19 vaccination through MoPH has now been opened=
 to all those above 18 years of age. Vaccination is currently available in=
 select health facilities and through mobile vaccination teams. More than=
 632=2C800 have been vaccinated in Afghanistan through the MoPH programme=
 to date=2C including some 120=2C320 health workers=2C 80=2C540 teachers=
=2C 29=2C440 people with co-morbidities and 29=2C440 prisoners. Of those v=
accinated=2C 65 per cent were men and 35 per cent women. Around 11 per cen=
t of those vaccinated have received both doses of the COVID-19 vaccine. Ch=
ina has recently announced its intention to provide a further 700=2C000 do=
ses of the WHO approved Sinopharm vaccine to support the vaccination campa=
ign.

Overall=2C there remains strong concern regarding equitable access to vacc=
ines for Afghans=2C especially vulnerable groups such as IDPs=2C returnees=
 and nomadic populations and people living in hard-to-reach areas. IOM rep=
orts that vaccination coverage is extremely limited among all migrant popu=
lations due to negative perceptions and barriers to accessing care. Much m=
ore focus is needed to ensure migrants are vaccinated on pace with settled=
 populations given the impact mobility has as a vector for transmission=2C=
 especially with the more contagious viral variants present in neighbourin=
g countries. Additional efforts are also needed to reach women and people=
 living in non-government-controlled areas with vaccines. Vaccine uptake r=
emains slow and continued risk communication and community engagement effo=
rts are needed to ensure high-risk populations and frontline staff underst=
and the benefits of the vaccine and can effectively dispel misinformation.=
 Countering negative rumours about the vaccine is a
priority. As cases increase=2C humanitarian partners continue to urge the=
 Government to ensure laboratories and frontline staff are appropriately e=
quipped and that procured supplies =E2=80=93 including vaccines =E2=80=93=
 go to under-resourced health centres across the entire country in a trans=
parent manner=2C so that life-saving support can be delivered to those mos=
t in need.

COVID-19 response update: According to the One UN COVID-19 Response Update=
=2C 950 health workers have received training on ICU care and 1=2C700+ hea=
lth workers have been trained on case management by WHO. Since the start o=
f the pandemic=2C WHO has provided MoPH with over 813=2C000 PCR tests=2C m=
ore than 13.2 million surgical masks=2C in excess of 2=2C340 oxygen concen=
trators=2C 98 ventilators and 2=2C884 hospital beds. Close to 300 laborato=
ry staff have been trained on PCR testing. More than 308=2C000 health work=
ers (including polio workers)=2C NGO and government staff have been traine=
d on COVID-19 surveillance and some 310=2C800 health workers and mobiliser=
s have been oriented on delivering preventative COVID-19 messages. Since t=
he start of March 2020=2C WHO has medically screened more than  11.1 milli=
on people at points-of-entry.

Socio-economic impacts: In addition to pre-existing problems=2C the socio-=
economic impacts of COVID-19 have translated into a dramatic deterioration=
 in food insecurity. The recently released IPC analysis estimates that 12.=
2 million people =E2=80=93 more than one third of the population - are in=
 crisis or emergency levels of food insecurity. Cumulative precipitation h=
as been below average over the wet season with reduced precipitation and h=
igher temperatures likely to affect farmers and pastoralists=2C as well as=
 water availability over the next few months. Food prices are already high=
er than normal due to COVID-19 and are likely to increase further given th=
e dry spell=E2=80=99s likely impact on first and second crops in 2021. Wat=
er scarcity is already being seen in a number of areas.
CROSS-BORDER
Border Crossings: Since 29 April=2C the Iranian Government has imposed an=
 indefinite lockdown with border closures. The border remains open only to=
 commercial traffic and movement of documented nationals returning home to=
 Afghanistan. According to the Border Monitoring Team of the Directorate o=
f Refugees and Repatriation (DoRR)=2C a total of 33=2C812 Afghanistan nati=
onals returned from Iran through the Milak and Islam Qala border crossing=
 sites between 21 and 27 May. Of these=2C 16=2C234 people returned volunta=
rily and 17=2C578 were deported. Since the start of the year=2C a historic=
ally significant influx of 473=2C480 people returned to Afghanistan from I=
ran=2C sparking new concerns about transmission of COVID-19 variants and o=
verall absorption capacity of existing health resources. A sharp drop in r=
emittances to Afghanistan has also been observed.

The border with Pakistan reopened on 20 May after a two-week lockdown by P=
akistan. Between 21 and 27 May 2021=2C a total of 381 undocumented Afghans=
 returned from Pakistan through the Torkham and Spin Boldak borders (368 r=
eturned voluntarily and 13 were deported).
=C2=AB Download the full update =C2=BB (https://www.humanitarianresponse.i=
nfo/sites/www.humanitarianresponse.info/files/documents/files/strategic_si=
trep_covid-19_3_june_2021_final.pdf)
Click here to subscribe (http://eepurl.com/ydXVr) to future COVID-19 updat=
es and other OCHA products.
FOLLOW US:
http://www.unocha.org/afghanistan
https://twitter.com/OCHAAfg
https://www.facebook.com/UNOCHAAfghanistan
mailto:ocha-afghanistan@un.org
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United Nations Office for the Coordination of Humanitarian Affairs=2C
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