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Subject: =?utf-8?Q?Afghanistan=20|=20COVID=2D19=20|=20Strategic=20Situation=20Report=20No.=2099=20|=2017=20June=202021?=
From: =?utf-8?Q?OCHA=20Afghanistan?= <ocha-afghanistan@un.org>
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To: =?utf-8?Q?Abdul=20Malik=20wardak?= <dr.malik@jack.ngo>
Date: Thu, 17 Jun 2021 16:15:52 +0000
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AFGHANISTAN
COVID-19
Strategic Situation Report No. 99 | 17 June 2021
The next Strategic Situation Report will be released on 1 July 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_17_june_2021_final.pdf)
SITUATION OVERVIEW
MoPH Figures: As of 17 June=2C MoPH data (https://moph-dw.gov.af/dhis-web-=
commons/security/login.action#/) shows that 96=2C531 people across all 34=
 provinces in Afghanistan are confirmed to have had COVID-19. An extra 19=
=2C903 people have tested positive since the last update two weeks ago. So=
me 62=2C397 people have recovered=2C and 3=2C842 people have died =E2=80=
=93 at least 92 of fatalities have been healthcare workers. Since the star=
t of the pandemic=2C only 541=2C735 tests have been conducted for a popula=
tion 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 new cases now far surpasses figures seen during t=
he peak of the first and second waves. On 8 June alone=2C 1=2C844 new case=
s were reported =E2=80=93 the highest number of new cases recorded in a si=
ngle day since the onset of the pandemic. Overseas testing has confirmed t=
he presence of the variants in Afghanistan. While Afghanistan lacks in-cou=
ntry facilities to test for the variant that originated in India=2C concer=
n over the variant=E2=80=99s spread is high as many of the patients hospit=
alised over the last four weeks have a history of recently returning from=
 India or having contact with people who have. Afghanistan now has a weekl=
y test-positivity-rate =E2=80=93 positive tests as a percentage of total t=
ests =E2=80=93 of 47 per cent during week 24=2C suggesting overall under-t=
esting of potential cases. 29 laboratories are now operating in Afghanista=
n =E2=80=93 with plans to scale-up to at least one laboratory per province=
=2E 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 an=
d deaths from COVID-19 are likely to be under-reported overall in Afghanis=
tan.

WHO warns that despite the new surge=2C widespread complacency and failure=
 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. Given the rapid rise in cases =2C the Government=
 of Afghanistan has extended a two-week closure for all schools=2C univers=
ities and training courses that started on 29 May=2C for an additional two=
 weeks. The school closure will be in effect across 16 provinces=2C includ=
ing Kabul. Most government offices have moved to essential staff because o=
f the outbreak. The Government has also announced other preventative measu=
res across these 16 provinces=2C including the banning of mass gatherings=
 and weddings. No other nation-wide lockdown measures are currently in pla=
ce.

Vaccination: Since 8 March=2C Afghanistan has received 1=2C668=2C000 doses=
 of COVID-19 vaccines =E2=80=93 468=2C000 from the COVAX facility=2C 500=
=2C000 directly from the Government of India=2C and 700=2C000 from the gov=
ernment of the People's Republic of China. The contribution from China of=
 Sinopharm vaccines arrived in Afghanistan on 10 June. COVID-19 vaccinatio=
ns through MoPH are open to all those above 18 years of age. Vaccination i=
s currently available in select health facilities and through mobile vacci=
nation teams. People are reminded that mixing of vaccines between doses is=
 not recommended. More than 673=2C000 people have been vaccinated in Afgha=
nistan through the MoPH programme to date=2C including some 122=2C000 heal=
th workers=2C 82=2C000 teachers=2C 31=2C000 people with co-morbidities and=
 31=2C000 prisoners. Of those vaccinated=2C 64.5 per cent were men and 35.=
5 per cent women. Around 27 per cent of those vaccinated have received bot=
h doses of the COVID-19 vaccine.

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. Greate=
r focus is needed to ensure migrants are vaccinated on pace with settled p=
opulations given the impact mobility has as a vector for transmission=2C e=
specially with the more contagious viral variants present in neighbouring=
 countries. Additional efforts are also needed to reach women and people l=
iving in non-government-controlled areas with vaccines. Vaccine uptake rem=
ains slow and continued risk communication and community engagement effort=
s are needed to ensure high-risk populations and frontline staff understan=
d the benefits of the vaccine and can effectively dispel misinformation. C=
ountering 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: WHO and UNICEF have provided Afghanistan with 3=
=2C750 oxygenators since the start of the pandemic. On 9 June=2C UNICEF re=
ceived ten oxygen plants and is working closely with MoPH to install them=
 in hospitals across the country. Additional details on the One UN COVID-1=
9 Response can be found here (https://unama.unmissions.org/covid-19) .

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 almost  one third of the population - are in cr=
isis or emergency levels of food insecurity. Food prices are already highe=
r than normal due to COVID-19 may increase further in some places due to c=
onflict and water scarcity.  Water scarcity is already being seen in a num=
ber 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 22=2C950 Afghanistan nati=
onals returned from Iran through the Milak and Islam Qala border crossing=
 sites between 4 and 10 June. Of these=2C 17=2C124 people returned volunta=
rily and 18=2C242 were deported. Since the start of the year=2C a historic=
ally significant influx of 531=2C797 people returned to Afghanistan from I=
ran =E2=80=93 with 54 per cent being deportees =E2=80=93 sparking new conc=
erns about transmission of COVID-19 variants and overall absorption capaci=
ty of existing health resources. This historical influx of people from Ira=
n constitutes 82 per cent of the projected annual return for 2021 and is w=
ell above 2019 (+310=2C000) and 2020 (+200=2C000) return levels compared t=
o the
same period of the last two years. This continues a record level of return=
 with over 1.4 million people returning from Iran since January 2020. A sh=
arp drop in remittances to Afghanistan has also been observed.

The border with Pakistan reopened on 20 May after a two-week lockdown by P=
akistan. Between 4 and 10 June 2021=2C a total of 383 undocumented Afghans=
 returned from Pakistan through the Torkham and Spin Boldak borders (362 r=
eturned voluntarily and 21 were deported). The total humanitarian returns=
 from Pakistan in 2021 remain low with 5=2C959 undocumented returns and 34=
8 refugee returns.

Additionally=2C there have been a total of 8=2C443 deportations from Turke=
y between 1 January and 12 June 2021 including 347 unaccompanied migrant c=
hildren.
=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_17_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
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mailto:ocha-afghanistan@un.org
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United Nations Office for the Coordination of Humanitarian Affairs=2C
All rights reserved.
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