The Consequences Of War In Afghanistan
By Dr. César Chelala
April 17, 2018 "Information Clearing House" - As the war in Afghanistan shows no signs of abating, the health of the people in the country continues to be cause for concern. Afghanistan’s health care system is considered one of the worst in the world, and decades of war and international neglect have contributed to its deterioration. An estimated 6 million people, out of a population of 35 million, have no access or adequate access to health care.
Most doctors, nurses and other medical professionals have left the country, causing a shortage of personnel and medical training programs, thus failing to solve people’s most pressing needs. War has caused not only deaths and injuries; it has also led to increased poverty among many households. At the same time, the physical and psychological effects of war have increased the need for medical care.
The British Red Cross reports that 770 hospitals have been closed because of damage. Health services cover only limited regions and even in the areas where they are available they don’t totally cover people’s needs. In addition, there are inadequate supplies of medicines, vaccines, equipment and fuel. As a result, almost 6 million people have no access or adequate access to health care.
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According to the World Health Organization
(WHO,) diseases controlled in most countries
in the world continue to cause deaths and
disabilities in Afghanistan. For example, it
has been estimated that approximately 60
percent of all childhood deaths and
disabilities in Afghanistan are due to
respiratory and intestinal infections and
vaccine-preventable deaths, particularly
measles, of which there are approximately
35,000 cases every year.
The WHO reports that infant and under-five
mortality rates are estimated at 165 and 257
per 1,000 live births per year,
respectively, which are among the highest in
the world. These rates are only surpassed by
Sierra Leone, Niger and Angola. With regard
to immunization coverage, less than 40
percent of Afghan children receive
life-saving vaccinations.
It is estimated that about half of children
less than five years of age are stunted due
to chronic malnutrition, and up to 10
percent have acute malnutrition. More than
half of Afghan children suffer mental and
physical damage because they are poorly
nourished in the first two years of life.
In addition, although billions of dollars
have been spent on poppy eradication and the
control of the drug problem, it continues to
be unsolved. According to a 2015 U.S. funded
study, one in every nine Afghans (including
women and children) use illegal drugs.
A study conducted by researchers hired by
the U.S. State Department found staggering
levels of opium in Afghan children. Some of
them were only 14 months old, and had been
passively exposed to opium by adult drug
users in their homes. In 25 percent of homes
where adult addicts were living, tested
children showed significant signs of drug
exposure. Those adults who inject drugs face
the additional risk of HIV infection through
sharing of contaminated syringes.
Statistics on women’s health are difficult
to obtain, due to societal restrictions and
gender relations and behavior. Women’s
access to health care is limited, due to a
large extent to lack of female medical
facilities. Seventeen mothers die during
delivery for every 1,000 live births, again
one of the highest rates in the world. One
of the reasons is that 90 percent of
deliveries take place at home, without the
help of skilled midwives.
Afghanistan is one of the most heavily mined
nations in the world. Mines were planted
extensively throughout the country,
particularly during the period of Soviet
occupation (1979-1989). Almost every family
in the country has been affected by
unexploded ordnance and the remaining land
mines, which daily add new victims both
through physical injuries and mental stress.
It is estimated that over 800,000 Afghans
are disabled, many of them children.
British Labour Party leader Jeremy Corbyn
aptly summed up the situation in Afghanistan
today. He told the Mirror, “After 16 years
of bloodshed and destruction, the Taliban
are undefeated and terrorism is no less of a
threat at home. In fact it has spread. The
British Government should make clear to
Donald Trump that his strategy of more
bombing and a new troop surge will continue
this failure.” To continue sending troops to
try to win an unwinnable war will only
increase the suffering of the Afghan people.
Dr. César Chelala is an independent international public health consultant. He has written extensively on public health issues throughout the world.
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