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MSF survivor: 'unspeakable' terror after suspected US air strike on Afghan hospital – latest MSF survivor recounts suspected US air strike on Afghan hospital – latest
(35 minutes later)
9.25pm BST21:25
The air strike is the latest in a long line of bloody misjudgments by foreign forces in Afghanistan, my colleague Emma Graham-Harrison writes.
Deaths from Nato airstrikes, which at their worst point killed hundreds of Afghan civilians a year, were a key factor in turning Afghan sentiment against foreign troops during more than a decade of war.
Men, women and children died in bombings on homes, weddings and once even a raid on more than 100 villagers who had clustered around abandoned tankers to collect free fuel.
The aftermath of such strikes followed a familiar pattern that exacerbated anger, with Nato denying it had hit civilians or disputing the numbers of dead.
The attack and deaths have already prompted anger towards US and Afghan forces, but despite the scale of the tragedy, President Ashraf Ghani would struggle to restore a ban on airstrikes.
Back-up from planes and drones has become one of the clearest military advantages for often ramshackle Afghan forces fighting a hardened insurgency.
The battle for Kunduz provided a blunt reminder of how important such weapons are, as the last line of defence for an airport where thousands of civilians and troops had taken shelter after the Taliban seized most of the city.
Taliban fighters had breached the airport perimeter before airstrikes helped push them back, protecting those inside and allowing ground troops to begin the slow battle to reclaim the city.
Related: Hospital bombing follows pattern of deadly foreign errors in Afghanistan
9.00pm BST21:009.00pm BST21:00
“In the intensive care unit six patients were burning in their beds,” Lajos Zoltan Jecs, an MSF nurse working at the hospital during the air strike said, recounting the harrowing bombing and chaos of the scene in a statement.“In the intensive care unit six patients were burning in their beds,” Lajos Zoltan Jecs, an MSF nurse working at the hospital during the air strike said, recounting the harrowing bombing and chaos of the scene in a statement.
“I was sleeping in our safe room in the hospital. At around 2am I was woken up by the sound of a big explosion nearby. At first I didn’t know what was going on. Over the past week we’d heard bombings and explosions before, but always further away. This one was different - close and loud.“I was sleeping in our safe room in the hospital. At around 2am I was woken up by the sound of a big explosion nearby. At first I didn’t know what was going on. Over the past week we’d heard bombings and explosions before, but always further away. This one was different - close and loud.
At first there was confusion, and dust settling. As we were trying to work out what was happening, there was more bombing.At first there was confusion, and dust settling. As we were trying to work out what was happening, there was more bombing.
After 20 or 30 minutes, I heard someone calling my name. It was one of the Emergency Room nurses. He staggered in with massive trauma to his arm. He was covered in blood, with wounds all over his body.After 20 or 30 minutes, I heard someone calling my name. It was one of the Emergency Room nurses. He staggered in with massive trauma to his arm. He was covered in blood, with wounds all over his body.
At that point my brain just couldn’t understand what was happening. For a second I was just stood still, shocked. In the safe room, we have a limited supply of basic medical essentials, but there was no morphine to stop his pain. We did what we could.At that point my brain just couldn’t understand what was happening. For a second I was just stood still, shocked. In the safe room, we have a limited supply of basic medical essentials, but there was no morphine to stop his pain. We did what we could.
About half an hour later, Jecs continues, the bombing stopped and he and a colleague found the hospital itself burning.About half an hour later, Jecs continues, the bombing stopped and he and a colleague found the hospital itself burning.
We went to look for survivors. A few had already made it to one of the safe rooms. One by one, people started appearing, wounded, including some of our colleagues and caretakers of patients.We went to look for survivors. A few had already made it to one of the safe rooms. One by one, people started appearing, wounded, including some of our colleagues and caretakers of patients.
We tried to take a look into one of the burning buildings. I cannot describe what was inside. There are no words for how terrible it was. In the Intensive Care Unit six patients were burning in their beds.We tried to take a look into one of the burning buildings. I cannot describe what was inside. There are no words for how terrible it was. In the Intensive Care Unit six patients were burning in their beds.
We looked for some staff that were supposed to be in the operating theatre. It was awful. A patient there on the operating table, dead, in the middle of the destruction. We couldn’t find our staff.We looked for some staff that were supposed to be in the operating theatre. It was awful. A patient there on the operating table, dead, in the middle of the destruction. We couldn’t find our staff.
Eventually they found some of the staff – several people are still missing – in another building and in a bunker, where the team eventually organized a plan to save whomever they could, doctors, patients and staffers.Eventually they found some of the staff – several people are still missing – in another building and in a bunker, where the team eventually organized a plan to save whomever they could, doctors, patients and staffers.
We did an urgent surgery for one of our doctors. Unfortunately he died there on the office table. We did our best, but it wasn’t enough.We did an urgent surgery for one of our doctors. Unfortunately he died there on the office table. We did our best, but it wasn’t enough.
The whole situation was very hard. We saw our colleagues dying. Our pharmacist - I was just talking to him last night and planning the stocks, and then he died there in our office.The whole situation was very hard. We saw our colleagues dying. Our pharmacist - I was just talking to him last night and planning the stocks, and then he died there in our office.
The first moments were just chaos. Enough staff had survived, so we could help all the wounded with treatable wounds. But there were too many that we couldn’t help.The first moments were just chaos. Enough staff had survived, so we could help all the wounded with treatable wounds. But there were too many that we couldn’t help.
Finally, Jecs recalls how shock and the emotional toll of the experience set in.Finally, Jecs recalls how shock and the emotional toll of the experience set in.
Some of my colleagues were in too much shock, crying and crying. I tried to encourage some of the staff to help, to give them something to concentrate on, to take their minds off the horror. But some were just too shocked to do anything.Some of my colleagues were in too much shock, crying and crying. I tried to encourage some of the staff to help, to give them something to concentrate on, to take their minds off the horror. But some were just too shocked to do anything.
Seeing adult men, your friends, crying uncontrollably - that is not easy.Seeing adult men, your friends, crying uncontrollably - that is not easy.
These are people who had been working hard for months, non-stop for the past week. They had not gone home, they had not seen their families, they had just been working in the hospital to help people... and now they are dead.These are people who had been working hard for months, non-stop for the past week. They had not gone home, they had not seen their families, they had just been working in the hospital to help people... and now they are dead.
These people are friends, close friends. I have no words to express this. It is unspeakable.These people are friends, close friends. I have no words to express this. It is unspeakable.
You can read Jecs’ entire account here.You can read Jecs’ entire account here.
8.31pm BST20:318.31pm BST20:31
“Thick black smoke could be seen rising from some of the rooms,” Saad Mukhtar, Kunduz’s directory of public health has told Reuters of his visit to the ruined MSF hospital. “The fighting is still going on, so we had to leave.”“Thick black smoke could be seen rising from some of the rooms,” Saad Mukhtar, Kunduz’s directory of public health has told Reuters of his visit to the ruined MSF hospital. “The fighting is still going on, so we had to leave.”
At the charred remains of aid group’s facility, one wall of a building had collapsed, scattering fragments of glass and wooden door frames, and three rooms were still ablaze, Mukhtar said.At the charred remains of aid group’s facility, one wall of a building had collapsed, scattering fragments of glass and wooden door frames, and three rooms were still ablaze, Mukhtar said.
Resident Khodaidad told Reuters the Taliban had been using the hospital buildings for cover during fighting on Friday.Resident Khodaidad told Reuters the Taliban had been using the hospital buildings for cover during fighting on Friday.
“I could hear sounds of heavy gunfire, explosions and airplanes throughout the night,” he said. “There were several huge explosions and it sounded like the roof was falling on me.”“I could hear sounds of heavy gunfire, explosions and airplanes throughout the night,” he said. “There were several huge explosions and it sounded like the roof was falling on me.”
Adil Akbar, a doctor at the center who was on duty at the time, told the AP that the operating room, emergency room and other parts of the hospital compound had been bombed.Adil Akbar, a doctor at the center who was on duty at the time, told the AP that the operating room, emergency room and other parts of the hospital compound had been bombed.
“I managed to escape after the attack but I know that most of the staff and even some of the patients are missing,” he said.“I managed to escape after the attack but I know that most of the staff and even some of the patients are missing,” he said.
Afghan troops backed by US air strikes and special forces have fought to push the Taliban out of Kunduz since the militants captured it last week, and interior ministry spokesperson Seddiq Seddiqi told the AP that soldiers are conducting “meter to meter, house to house operations”.Afghan troops backed by US air strikes and special forces have fought to push the Taliban out of Kunduz since the militants captured it last week, and interior ministry spokesperson Seddiq Seddiqi told the AP that soldiers are conducting “meter to meter, house to house operations”.
The city has gone without electricity and water since Monday, and food and medical supplies have been slow to arrive as the Afghan military clears mines planted around the city.The city has gone without electricity and water since Monday, and food and medical supplies have been slow to arrive as the Afghan military clears mines planted around the city.
Most of the Taliban fighters appear to have fled the city after the troops moved in Thursday, taking looted vehicles, weapons and ammunition with them.Most of the Taliban fighters appear to have fled the city after the troops moved in Thursday, taking looted vehicles, weapons and ammunition with them.
Officials have reported that they have moved east, into Takhar and Badakhshan provinces, where a number of districts fell to the Taliban on Friday. The Defense Ministry said troops had retaken the Baharak district after retreating under fire Friday.Officials have reported that they have moved east, into Takhar and Badakhshan provinces, where a number of districts fell to the Taliban on Friday. The Defense Ministry said troops had retaken the Baharak district after retreating under fire Friday.
8.20pm BST20:208.20pm BST20:20
The executive director for MSF in the US quotes a nurse who survived the air strike.The executive director for MSF in the US quotes a nurse who survived the air strike.
.@MSF nurse in Kunduz rescuing patients/staff: "There are no words for how terrible it was. In ICU 6 patients were burning in their beds.".@MSF nurse in Kunduz rescuing patients/staff: "There are no words for how terrible it was. In ICU 6 patients were burning in their beds."
.@MSF: "We looked for some staff that were supposed to be in the OR. A patient there on the operating table, dead, in middle of destruction".@MSF: "We looked for some staff that were supposed to be in the OR. A patient there on the operating table, dead, in middle of destruction"
8.16pm BST20:168.16pm BST20:16
The Associated Press has started to receive photos of the hospital as it was on Friday and early Saturday morning.The Associated Press has started to receive photos of the hospital as it was on Friday and early Saturday morning.
8.01pm BST20:018.01pm BST20:01
The UN’s high commissioner for human rights has warned that the bombing of the MSF hospital could constitute a war crime.The UN’s high commissioner for human rights has warned that the bombing of the MSF hospital could constitute a war crime.
In a statement, Zeid Ra’ad Al Hussein called the air strike “utterly tragic, inexcusable, and possibly even criminal”.In a statement, Zeid Ra’ad Al Hussein called the air strike “utterly tragic, inexcusable, and possibly even criminal”.
“This deeply shocking event should be promptly, thoroughly and independently investigated and the results should be made public,” he said.“This deeply shocking event should be promptly, thoroughly and independently investigated and the results should be made public,” he said.
“The seriousness of the incident is underlined by the fact that, if established as deliberate in a court of law, an airstrike on a hospital may amount to a war crime.”“The seriousness of the incident is underlined by the fact that, if established as deliberate in a court of law, an airstrike on a hospital may amount to a war crime.”
7.42pm BST19:427.42pm BST19:42
American army general John Campbell has released a statement on the air strike. saying it targeted “against insurgents who were directly firing upon US servicemembers”.American army general John Campbell has released a statement on the air strike. saying it targeted “against insurgents who were directly firing upon US servicemembers”.
US forces conducted an air strike in Kunduz city at 2.15am (local), Oct 3, against insurgents who were directly firing upon US servicemembers advising and assisting Afghan Security Forces in the city of Kunduz. The strike was conducted in the vicinity of a Doctors Without Borders medical facility.US forces conducted an air strike in Kunduz city at 2.15am (local), Oct 3, against insurgents who were directly firing upon US servicemembers advising and assisting Afghan Security Forces in the city of Kunduz. The strike was conducted in the vicinity of a Doctors Without Borders medical facility.
“I am aware of an incident that occured at a Doctors Without Borders hospital in Kunduz city today,” said Gen John F Campbell, commander of US forces in Afghanistan.“I am aware of an incident that occured at a Doctors Without Borders hospital in Kunduz city today,” said Gen John F Campbell, commander of US forces in Afghanistan.
“I have spoken with president Ghani regarding today’s events. While we work to thoroughly examine the incident and determine what happened, my thoughts and prayers are with those affected. We continue to advise and assist our Afghan partners as they clear the city of Kunduz and surrounding areas of insurgents. As always, we will take all reasonable steps to protect civilians from harm.”“I have spoken with president Ghani regarding today’s events. While we work to thoroughly examine the incident and determine what happened, my thoughts and prayers are with those affected. We continue to advise and assist our Afghan partners as they clear the city of Kunduz and surrounding areas of insurgents. As always, we will take all reasonable steps to protect civilians from harm.”
The US military has opened an Army Regulation 15-6 investigation to obtain a complete assessment of the incident.The US military has opened an Army Regulation 15-6 investigation to obtain a complete assessment of the incident.
7.27pm BST19:277.27pm BST19:27
Afghan officials claim that “terrorists” were firing on security forces from inside the hospital compound, contradicting the claims of MSF staffers who say only doctors, patients and staff were inside, AP reports.Afghan officials claim that “terrorists” were firing on security forces from inside the hospital compound, contradicting the claims of MSF staffers who say only doctors, patients and staff were inside, AP reports.
The Ministry of Defense said “terrorists” armed with light and heavy weapons had entered the hospital compound and used “the buildings and the people inside as a shield” while firing on security forces. Brig. Gen. Dawlat Waziri, the ministry’s deputy spokesman, told The Associated Press that helicopter gunships fired on the militants, causing damage to the buildings.The Ministry of Defense said “terrorists” armed with light and heavy weapons had entered the hospital compound and used “the buildings and the people inside as a shield” while firing on security forces. Brig. Gen. Dawlat Waziri, the ministry’s deputy spokesman, told The Associated Press that helicopter gunships fired on the militants, causing damage to the buildings.
Interior Ministry spokesman Sediq Sediqqi said 10 to 15 “terrorists” had been hiding in the hospital at the time of the strike.Interior Ministry spokesman Sediq Sediqqi said 10 to 15 “terrorists” had been hiding in the hospital at the time of the strike.
“All of the terrorists were killed but we also lost doctors,” he said. He said 80 staff members at the hospital, including 15 foreigners, had been taken to safety. He did not say what sort of strike had damaged the compound.“All of the terrorists were killed but we also lost doctors,” he said. He said 80 staff members at the hospital, including 15 foreigners, had been taken to safety. He did not say what sort of strike had damaged the compound.
Around 2pm the Taliban seized the medical compound, according to Sarwar Hussaini, the spokesman for the provincial police chief.Around 2pm the Taliban seized the medical compound, according to Sarwar Hussaini, the spokesman for the provincial police chief.
“Fighting is continuing between Afghan security forces and the Taliban,” he said.“Fighting is continuing between Afghan security forces and the Taliban,” he said.
7.06pm BST19:067.06pm BST19:06
MSF spokesperson Kate Stegeman also says that no one was within hospital premises aside from aid workers, patients and staff.MSF spokesperson Kate Stegeman also says that no one was within hospital premises aside from aid workers, patients and staff.
Gates of .@MSF hospital compound in #Kunduz were closed all night. Only staff, patients & caretakers were inside when bombing occurredGates of .@MSF hospital compound in #Kunduz were closed all night. Only staff, patients & caretakers were inside when bombing occurred
7.02pm BST19:027.02pm BST19:02
Afghan president Ashraf Ghani’s office has retracted its earlier statement that a US army general had apologized for the air strike in Kunduz, Reuters reports.Afghan president Ashraf Ghani’s office has retracted its earlier statement that a US army general had apologized for the air strike in Kunduz, Reuters reports.
Army general John Campbell offered condolences to Ghani but did not apologize, the president’s office said.Army general John Campbell offered condolences to Ghani but did not apologize, the president’s office said.
In the statement, Ghani said that Campbell “provided explanations about the incident and offered condolences to those affected. Both the president and Gen. Campbell agreed to launch a joint and thorough investigation.”In the statement, Ghani said that Campbell “provided explanations about the incident and offered condolences to those affected. Both the president and Gen. Campbell agreed to launch a joint and thorough investigation.”
Ghani also expressed “deep sorrow over the killing and wounding of civilians”.Ghani also expressed “deep sorrow over the killing and wounding of civilians”.
A spokeswoman for the international coalition could not immediately confirm that Campbell phoned Ghani but said she was checking.A spokeswoman for the international coalition could not immediately confirm that Campbell phoned Ghani but said she was checking.
Northeastern University professor Max Abrahms, who studies terrorism, tweets that the Taliban has denied its fighters were present at the hospital, as some reports have said.Northeastern University professor Max Abrahms, who studies terrorism, tweets that the Taliban has denied its fighters were present at the hospital, as some reports have said.
Taliban spokesman Zabihullah Mujahid issued a statement saying there were no Taliban fighters in the hospital at the time of the bombing.Taliban spokesman Zabihullah Mujahid issued a statement saying there were no Taliban fighters in the hospital at the time of the bombing.
6.24pm BST18:246.24pm BST18:24
Human Rights Watch has released a new statement that squarely blames the US for bombing the MSF hospital and suggests that the American military “may have violated the laws of war”.Human Rights Watch has released a new statement that squarely blames the US for bombing the MSF hospital and suggests that the American military “may have violated the laws of war”.
Afghan police in Kunduz have asserted that Taliban fighters were firing from the hospital. If that were in fact the case, it would have been an unlawful use of the hospital by Taliban forces.Afghan police in Kunduz have asserted that Taliban fighters were firing from the hospital. If that were in fact the case, it would have been an unlawful use of the hospital by Taliban forces.
However, given the hospital’s protected status and the large numbers of civilians and medical personnel in the facility, attacking the hospital would still likely have been an unlawfully disproportionate attack, causing greater harm to civilians and civilian structures than any immediate military gain.However, given the hospital’s protected status and the large numbers of civilians and medical personnel in the facility, attacking the hospital would still likely have been an unlawfully disproportionate attack, causing greater harm to civilians and civilian structures than any immediate military gain.
In addition, the laws of war require that even if military forces misuse a hospital to deploy able-bodied combatants or weapons, the attacking force must issue a warning to cease this misuse, setting a reasonable time limit for it to end, and attacking only after such a warning has gone unheeded.In addition, the laws of war require that even if military forces misuse a hospital to deploy able-bodied combatants or weapons, the attacking force must issue a warning to cease this misuse, setting a reasonable time limit for it to end, and attacking only after such a warning has gone unheeded.
The location of the MSF medical facility had been communicated to all parties, including US forces, months before the present fighting in Kunduz began. According to MSF the bombing continued for 30 minutes after US and Afghan military officials in Kabul and Washington had been informed of the first attack’s proximity to the hospital.The location of the MSF medical facility had been communicated to all parties, including US forces, months before the present fighting in Kunduz began. According to MSF the bombing continued for 30 minutes after US and Afghan military officials in Kabul and Washington had been informed of the first attack’s proximity to the hospital.
The failure of US forces to stop an attack striking a hospital strongly suggests the forces may have violated the laws of war in identifying risks to civilians and civilian objects and in the weapons used or conduct of the military operation.The failure of US forces to stop an attack striking a hospital strongly suggests the forces may have violated the laws of war in identifying risks to civilians and civilian objects and in the weapons used or conduct of the military operation.
5.53pm BST17:535.53pm BST17:53
An unnamed US official has told ABC that an attack aircraft was over Kunduz “firing on Taliban” fighters who were engaged in combat with American special forces, the news agency’s Jon Williams tweets.An unnamed US official has told ABC that an attack aircraft was over Kunduz “firing on Taliban” fighters who were engaged in combat with American special forces, the news agency’s Jon Williams tweets.
US official says AC-130 gunship in area at time of hospital attack, firing on Taliban attacking US Special Operations forces in #Kunduz >>US official says AC-130 gunship in area at time of hospital attack, firing on Taliban attacking US Special Operations forces in #Kunduz >>
US official: Hospital was in active combat area. Unclear if gunship caused damage at hospital. US still trying to determine #Afghanistan >>US official: Hospital was in active combat area. Unclear if gunship caused damage at hospital. US still trying to determine #Afghanistan >>
5.46pm BST17:465.46pm BST17:46
Aid workers desperately set up a makeshift clinic in an undamaged hospital room, MSF continues in its statement. The medics drove some of the worst injured patients to a hospital in Puli Khumri, a city two hours away.Aid workers desperately set up a makeshift clinic in an undamaged hospital room, MSF continues in its statement. The medics drove some of the worst injured patients to a hospital in Puli Khumri, a city two hours away.
“Besides resulting in the deaths of our colleagues and patients, this attack has cut off access to urgent trauma care for the population in Kunduz at a time when its services are most needed,” said Nicolai.“Besides resulting in the deaths of our colleagues and patients, this attack has cut off access to urgent trauma care for the population in Kunduz at a time when its services are most needed,” said Nicolai.
“Once again, we call on all warring parties to respect civilians, health facilities, and medical staff, according to International Humanitarian Law.”“Once again, we call on all warring parties to respect civilians, health facilities, and medical staff, according to International Humanitarian Law.”
Since fighting broke out on Monday, MSF had treated 394 wounded. At the time of the aerial attack there were 105 patients and their caretakers in the hospital, alongside more than 80 international and national MSF staff. MSF expresses its sincere condolences to the families and friends of its staff members and patients who have tragically lost their lives in this attack.Since fighting broke out on Monday, MSF had treated 394 wounded. At the time of the aerial attack there were 105 patients and their caretakers in the hospital, alongside more than 80 international and national MSF staff. MSF expresses its sincere condolences to the families and friends of its staff members and patients who have tragically lost their lives in this attack.
5.33pm BST17:335.33pm BST17:33
MSF: 19 dead in 'grave violation of international law'MSF: 19 dead in 'grave violation of international law'
In a statement MSF has said that the death toll has increased to 19, including 12 staff members and seven patients – three of whom were children – were killed in the bombing, and that 37 people were injured.In a statement MSF has said that the death toll has increased to 19, including 12 staff members and seven patients – three of whom were children – were killed in the bombing, and that 37 people were injured.
“This attack is abhorrent and a grave violation of International Humanitarian Law,” said Meinie Nicolai, MSF president. “We demand total transparency from Coalition forces. We cannot accept that this horrific loss of life will simply be dismissed as ‘collateral damage’.”“This attack is abhorrent and a grave violation of International Humanitarian Law,” said Meinie Nicolai, MSF president. “We demand total transparency from Coalition forces. We cannot accept that this horrific loss of life will simply be dismissed as ‘collateral damage’.”
All signs point to international coalition forces being responsible for the bombing, MSF says.All signs point to international coalition forces being responsible for the bombing, MSF says.
MSF demands a full and transparent account from the coalition regarding its aerial bombing activities over Kunduz on Saturday morning. MSF also calls for an independent investigation of the attack to ensure maximum transparency and accountability.MSF demands a full and transparent account from the coalition regarding its aerial bombing activities over Kunduz on Saturday morning. MSF also calls for an independent investigation of the attack to ensure maximum transparency and accountability.
The statement then provides a timeline and account of the bombing.The statement then provides a timeline and account of the bombing.
From 2:08 AM until 3:15 AM local time today, MSF’s trauma hospital in Kunduz was hit by a series of aerial bombing raids at approximately 15 minute intervals. The main central hospital building, housing the intensive care unit, emergency rooms, and physiotherapy ward, was repeatedly hit very precisely during each aerial raid, while surrounding buildings were left mostly untouched.From 2:08 AM until 3:15 AM local time today, MSF’s trauma hospital in Kunduz was hit by a series of aerial bombing raids at approximately 15 minute intervals. The main central hospital building, housing the intensive care unit, emergency rooms, and physiotherapy ward, was repeatedly hit very precisely during each aerial raid, while surrounding buildings were left mostly untouched.
“The bombs hit and then we heard the plane circle round,” said Heman Nagarathnam, MSF Head of Programmes in northern Afghanistan.“The bombs hit and then we heard the plane circle round,” said Heman Nagarathnam, MSF Head of Programmes in northern Afghanistan.
“There was a pause, and then more bombs hit. This happened again and again. When I made it out from the office, the main hospital building was engulfed in flames. Those people that could had moved quickly to the building’s two bunkers to seek safety. But patients who were unable to escape burned to death as they lay in their beds.”“There was a pause, and then more bombs hit. This happened again and again. When I made it out from the office, the main hospital building was engulfed in flames. Those people that could had moved quickly to the building’s two bunkers to seek safety. But patients who were unable to escape burned to death as they lay in their beds.”
The bombing took place despite the fact that MSF had provided the GPS coordinates of the trauma hospital to Coalition and Afghan military and civilian officials as recently as Tuesday 29 September, to avoid that the hospital be hit. As is routine practice for MSF in conflict areas, MSF had communicated the exact location of the hospital to all parties to the conflict.The bombing took place despite the fact that MSF had provided the GPS coordinates of the trauma hospital to Coalition and Afghan military and civilian officials as recently as Tuesday 29 September, to avoid that the hospital be hit. As is routine practice for MSF in conflict areas, MSF had communicated the exact location of the hospital to all parties to the conflict.
Updated at 6.49pm BSTUpdated at 6.49pm BST
4.33pm BST16:334.33pm BST16:33
Pentagon chief: 'investigation underway'Pentagon chief: 'investigation underway'
The US secretary of defence, Ash Carter, has released this statement on the airstrike:The US secretary of defence, Ash Carter, has released this statement on the airstrike:
Overnight I learned of a tragic incident involving a Doctors without Borders hospital in Kunduz, Afghanistan, that came under fire. The area has been the scene of intense fighting the last few days. U.S. forces in support of Afghan Security Forces were operating nearby, as were Taliban fighters.Overnight I learned of a tragic incident involving a Doctors without Borders hospital in Kunduz, Afghanistan, that came under fire. The area has been the scene of intense fighting the last few days. U.S. forces in support of Afghan Security Forces were operating nearby, as were Taliban fighters.
While we are still trying to determine exactly what happened, I want to extend my thoughts and prayers to everyone affected. A full investigation into the tragic incident is underway in coordination with the Afghan government.While we are still trying to determine exactly what happened, I want to extend my thoughts and prayers to everyone affected. A full investigation into the tragic incident is underway in coordination with the Afghan government.
At this difficult moment, we will continue to work with our Afghan partners to try and end the ongoing violence in and around Kunduz.At this difficult moment, we will continue to work with our Afghan partners to try and end the ongoing violence in and around Kunduz.
Updated at 6.37pm BSTUpdated at 6.37pm BST
3.59pm BST15:593.59pm BST15:59
SummarySummary
An airstrike on a hospital in Afghanistan, apparently launched by US forces, has killed at least 16 people including nine medical charity workers and three child patients.An airstrike on a hospital in Afghanistan, apparently launched by US forces, has killed at least 16 people including nine medical charity workers and three child patients.
Here is the Guardian’s latest story and here is what we know so far:Here is the Guardian’s latest story and here is what we know so far:
Updated at 5.45pm BSTUpdated at 5.45pm BST
3.46pm BST15:463.46pm BST15:46
Official death toll in hospital bombing rises - MSFOfficial death toll in hospital bombing rises - MSF
MSF says 16 people have been killed in the MSF hospital bombings in its latest update on official figures for fatalities and casualties. The charity states:MSF says 16 people have been killed in the MSF hospital bombings in its latest update on official figures for fatalities and casualties. The charity states:
LATEST: 16 ppl killed - 9 MSF staff, 7 patients (3 children). 37 injured - 19 staff (5 critical) & 18 patients & caretakers. #AfghanistanLATEST: 16 ppl killed - 9 MSF staff, 7 patients (3 children). 37 injured - 19 staff (5 critical) & 18 patients & caretakers. #Afghanistan
3.30pm BST15:303.30pm BST15:30
Here’s more from Reuters on the apparent apology from US forces to Afghan President Ashraf Ghani on the bombing:Here’s more from Reuters on the apparent apology from US forces to Afghan President Ashraf Ghani on the bombing:
The head of US-led forces in Afghanistan apologised to the country’s president after a hospital run by Medecins Sans Frontieres was bombed, killing at least nine people, the president’s office said.The head of US-led forces in Afghanistan apologised to the country’s president after a hospital run by Medecins Sans Frontieres was bombed, killing at least nine people, the president’s office said.
Army General John Campbell provided details to President Ashraf Ghani and apologised, a statement from Ghani’s office said.Army General John Campbell provided details to President Ashraf Ghani and apologised, a statement from Ghani’s office said.
A spokeswoman for the international coalition could not immediately confirm that Campbell phoned Ghani but said she was checking.A spokeswoman for the international coalition could not immediately confirm that Campbell phoned Ghani but said she was checking.
3.23pm BST15:233.23pm BST15:23
US military apologises for bombing - Afghan President's OfficeUS military apologises for bombing - Afghan President's Office
Afghan President’s Office says the head of US-led forces in Afghanistan has apologised to President Ashraf Ghani after the MSF hospital bombing, according to Reuters.Afghan President’s Office says the head of US-led forces in Afghanistan has apologised to President Ashraf Ghani after the MSF hospital bombing, according to Reuters.
2.51pm BST14:512.51pm BST14:51
At least 20 staff members killed in hospital bombing - MSF doctorAt least 20 staff members killed in hospital bombing - MSF doctor
A doctor with MSF, who asked to remain anonymous , said at least 20 staff members had been killed, Sune Engel Rasmussen reports.A doctor with MSF, who asked to remain anonymous , said at least 20 staff members had been killed, Sune Engel Rasmussen reports.
Eight nurses, three doctors, six security guards, two cleaners and a pharmacist were among the dead listed by a colleague, the doctor told the Guardian.Eight nurses, three doctors, six security guards, two cleaners and a pharmacist were among the dead listed by a colleague, the doctor told the Guardian.
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Amnesty International’s Afghanistan researcher Horia Mosadiq said:Amnesty International’s Afghanistan researcher Horia Mosadiq said:
This bombing of the MSF hospital in Kunduz marks a dark day for humanitarianism.This bombing of the MSF hospital in Kunduz marks a dark day for humanitarianism.
It is sickening to think that doctors and other staff have had to pay with their lives while trying to save others. Hospitals are places of sanctity under international law governing conflict.It is sickening to think that doctors and other staff have had to pay with their lives while trying to save others. Hospitals are places of sanctity under international law governing conflict.
Our deepest condolences go out to MSF staff who have bravely and selflessly continued their work as fighting has raged in Kunduz over the past week.Our deepest condolences go out to MSF staff who have bravely and selflessly continued their work as fighting has raged in Kunduz over the past week.
There must be a full, independent and transparent investigation into how and why this bombing took place. The US military should not be jumping to conclusions without first fully getting to the bottom of how this happened.There must be a full, independent and transparent investigation into how and why this bombing took place. The US military should not be jumping to conclusions without first fully getting to the bottom of how this happened.
We call on all parties to the conflict to respect and protect humanitarian personnel and facilities and take every precaution to protect civilians caught up in the conflict.We call on all parties to the conflict to respect and protect humanitarian personnel and facilities and take every precaution to protect civilians caught up in the conflict.
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The bombing followed the Taliban’s offensive in Kunduz.The bombing followed the Taliban’s offensive in Kunduz.
In a statement reported by Agence France-Presse, the Taliban accused “barbaric American forces” of deliberately carrying out Saturday’s strike, which “killed and wounded tens of doctors, nurses and patients”.In a statement reported by Agence France-Presse, the Taliban accused “barbaric American forces” of deliberately carrying out Saturday’s strike, which “killed and wounded tens of doctors, nurses and patients”.
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Here’s an extract of a report from Agence France-Presse:Here’s an extract of a report from Agence France-Presse:
The blackened building was filled with the smell of burning flesh and some bodies were charred beyond recognition, said Qiamudeen, a 31-year-old shopkeeper whose neighbour was killed in the strike.The blackened building was filled with the smell of burning flesh and some bodies were charred beyond recognition, said Qiamudeen, a 31-year-old shopkeeper whose neighbour was killed in the strike.
“I was shocked, emotional and in tears when I reached the hospital,” Qiamudeen, who goes by one name, told AFP.“I was shocked, emotional and in tears when I reached the hospital,” Qiamudeen, who goes by one name, told AFP.
Another resident said he was anxiously trying to contact six friends, all doctors and nurses at MSF.Another resident said he was anxiously trying to contact six friends, all doctors and nurses at MSF.
“I don’t have any news from them and they may have been killed,” he told AFP.“I don’t have any news from them and they may have been killed,” he told AFP.
He said many people were too afraid to leave their homes to check on wounded relatives because of sporadic firefights between troops and Taliban militants.He said many people were too afraid to leave their homes to check on wounded relatives because of sporadic firefights between troops and Taliban militants.
The Afghan government insists the city is firmly in their control.The Afghan government insists the city is firmly in their control.
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Here’s some more reaction to the airstrikes on Twitter, much of the commentary focusing on the apparent US role in the bombings.Here’s some more reaction to the airstrikes on Twitter, much of the commentary focusing on the apparent US role in the bombings.
The U.S. inability to distinguish an @MSF hospital in #Kunduz from Islamist militants is a tragically apt metaphor for this 14 Years War.The U.S. inability to distinguish an @MSF hospital in #Kunduz from Islamist militants is a tragically apt metaphor for this 14 Years War.
Days of hysteria over Russian strikes, then the US bombs a hospital and suddenly "civilians" become "collateral damage". Disgusting. #KunduzDays of hysteria over Russian strikes, then the US bombs a hospital and suddenly "civilians" become "collateral damage". Disgusting. #Kunduz
It is incredible how resilient and brave the doctors of @MSF_USA are. Their friends were just killed in a US-led air strike. #KunduzIt is incredible how resilient and brave the doctors of @MSF_USA are. Their friends were just killed in a US-led air strike. #Kunduz
Our hearts, thoughts and prayers go to @MSF_uk and @MSF today after staff and patients were killed in the #Kunduz hospital bombingOur hearts, thoughts and prayers go to @MSF_uk and @MSF today after staff and patients were killed in the #Kunduz hospital bombing
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Sune Engel Rasmussen has this statement from Human Rights Watch:Sune Engel Rasmussen has this statement from Human Rights Watch:
Human Rights Watch have “grave concerns about whether US forces took sufficient precautions to identify and avoid striking the facility,” the group said in a statement.Human Rights Watch have “grave concerns about whether US forces took sufficient precautions to identify and avoid striking the facility,” the group said in a statement.
“The bombing of the hospital is a shocking development for Kunduz, where civilians and aid workers are already at grave risk from the fighting,” said Patricia Gossman, senior researcher at Human Rights Watch. “All forces are obligated to do their utmost to avoid causing civilian harm.”“The bombing of the hospital is a shocking development for Kunduz, where civilians and aid workers are already at grave risk from the fighting,” said Patricia Gossman, senior researcher at Human Rights Watch. “All forces are obligated to do their utmost to avoid causing civilian harm.”
The group called for an impartial, thorough and transparent investigation into the incident to establish the circumstances of the attack, and urged the US to review its targeting procedures to ensure such incidents do not reoccur, it said in the statement.The group called for an impartial, thorough and transparent investigation into the incident to establish the circumstances of the attack, and urged the US to review its targeting procedures to ensure such incidents do not reoccur, it said in the statement.
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Updated at 12.49pm BSTUpdated at 12.49pm BST
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Head of Humanitarian Analysis at MSF steps up pressure on US authorities to provide more detail on its airstrike in Kunduz.Head of Humanitarian Analysis at MSF steps up pressure on US authorities to provide more detail on its airstrike in Kunduz.
#MSF demands clarity on exactly what took place at our hospital in #Kunduz #Afghanistan & how this unacceptable event could have happened#MSF demands clarity on exactly what took place at our hospital in #Kunduz #Afghanistan & how this unacceptable event could have happened
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Taliban fighters had entered the hospital and were firing at security forces from inside the compound, Sarwar Husaini, a spokesman for Kunduz police said.Taliban fighters had entered the hospital and were firing at security forces from inside the compound, Sarwar Husaini, a spokesman for Kunduz police said.
Updated at 12.18pm BSTUpdated at 12.18pm BST
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Sune Engel Rasmussen has spoken to 22-year-old Nasratullah from Kunduz about his cousin, Akbar, 25, who had been killed in the bombing.Sune Engel Rasmussen has spoken to 22-year-old Nasratullah from Kunduz about his cousin, Akbar, 25, who had been killed in the bombing.
“He had been working in the hospital for a long time. He was a famous doctor,” Nasratullah said. He expressed frustration with the US forces and said that even if the Taliban had sought refuge inside the hospital, which some Afghan officials have claimed, it should not have been targeted.“He had been working in the hospital for a long time. He was a famous doctor,” Nasratullah said. He expressed frustration with the US forces and said that even if the Taliban had sought refuge inside the hospital, which some Afghan officials have claimed, it should not have been targeted.
“Why did the US blow up the whole hospital?” Nasratullah said. “We know that the Americans are very clever. If they can target a single person in a car from their planes, why did they have to blow up the whole building?”“Why did the US blow up the whole hospital?” Nasratullah said. “We know that the Americans are very clever. If they can target a single person in a car from their planes, why did they have to blow up the whole building?”
Afghan officials, including the spokesman of Kunduz police, Sarwar Husaini, have claimed that the Taliban were firing at security forces from inside the MSF compound at the time of the attack. However, MSF say they can’t confirm the claim.Afghan officials, including the spokesman of Kunduz police, Sarwar Husaini, have claimed that the Taliban were firing at security forces from inside the MSF compound at the time of the attack. However, MSF say they can’t confirm the claim.
“We have absolutely no information about that,” the organisation said.“We have absolutely no information about that,” the organisation said.
11.03am BST11:0311.03am BST11:03
Here’s more reaction and comment on the Kunduz hospital bombing from Twitter:Here’s more reaction and comment on the Kunduz hospital bombing from Twitter:
Solidarity with @MSF. Bombing a hospital is an UNACCEPTABLE act of violence #Kunduz #Afghanistan.Solidarity with @MSF. Bombing a hospital is an UNACCEPTABLE act of violence #Kunduz #Afghanistan.
Latest on the @MSF hospital bombing in Kunduz: 9 dead. And MSF had informed authorities of GPS location of its facility beforehand. DreadfulLatest on the @MSF hospital bombing in Kunduz: 9 dead. And MSF had informed authorities of GPS location of its facility beforehand. Dreadful
Bombing of #MSF hospital in #Kunduz #Afghanistan continued for more than 30mins after alarm was raised to US & Afghan military officialsBombing of #MSF hospital in #Kunduz #Afghanistan continued for more than 30mins after alarm was raised to US & Afghan military officials
Age of majority of #MSF doctors (and staff) is below 30. Finding staff in general for #Kunduz is very difficult (particularly doctors).Age of majority of #MSF doctors (and staff) is below 30. Finding staff in general for #Kunduz is very difficult (particularly doctors).
Kunduz @MSF hospital coordinates know to coalition forces and others - yet still hit https://t.co/DVpvgXqVuvKunduz @MSF hospital coordinates know to coalition forces and others - yet still hit https://t.co/DVpvgXqVuv
10.56am BST10:5610.56am BST10:56
UN Afghanistan chief condemns airstrikeUN Afghanistan chief condemns airstrike
Nicholas Haysom, the UN’s special representative for Afghanistan and chief of United Nations Assistance Mission in Afghanistan (UNAMA), issued this statement:Nicholas Haysom, the UN’s special representative for Afghanistan and chief of United Nations Assistance Mission in Afghanistan (UNAMA), issued this statement:
I condemn in the strongest terms the tragic and devastating air strike on the Médecins sans Frontières hospital in Kunduz early this morning, which resulted in the deaths and injury of medical personnel, patients and other civilians.I condemn in the strongest terms the tragic and devastating air strike on the Médecins sans Frontières hospital in Kunduz early this morning, which resulted in the deaths and injury of medical personnel, patients and other civilians.
Hospitals accommodating patients and medical personnel may never be the object of attack, and international humanitarian law also prohibits the use of medical facilities for military purposes.Hospitals accommodating patients and medical personnel may never be the object of attack, and international humanitarian law also prohibits the use of medical facilities for military purposes.
I commend Médecins sans Frontières for their work. Our condolences are with them, their patients, family and friends.I commend Médecins sans Frontières for their work. Our condolences are with them, their patients, family and friends.
I reiterate my call on all parties to the conflict to respect and protect medical and humanitarian personnel and facilities.I reiterate my call on all parties to the conflict to respect and protect medical and humanitarian personnel and facilities.
Updated at 10.56am BSTUpdated at 10.56am BST
10.37am BST10:3710.37am BST10:37
Shocking: @MSF says the bombing of their Kunduz hospital continued 30 minutes after US and Afghan officials were first informed #afghanistanShocking: @MSF says the bombing of their Kunduz hospital continued 30 minutes after US and Afghan officials were first informed #afghanistan
10.32am BST10:3210.32am BST10:32
Bombing continued for 30 minutes after US forces made aware - MSFBombing continued for 30 minutes after US forces made aware - MSF
Here’s an update from Sune Engel Rasmussen, reporting for the Guardian in Afghanistan.Here’s an update from Sune Engel Rasmussen, reporting for the Guardian in Afghanistan.
MSF said nine of its staff members were killed during the bombing on Saturday morning and another 37 were wounded, including 19 staff. The group emphasised that those numbers were likely to rise.MSF said nine of its staff members were killed during the bombing on Saturday morning and another 37 were wounded, including 19 staff. The group emphasised that those numbers were likely to rise.
“There are many patients and staff who remain unaccounted for. The numbers keep growing as we develop a clearer picture of the aftermath of this horrific bombing,” MSF said in a statement.“There are many patients and staff who remain unaccounted for. The numbers keep growing as we develop a clearer picture of the aftermath of this horrific bombing,” MSF said in a statement.
MSF also confirmed the Guardian’s previous reporting that the organisation had shared GPS coordinates of its medical facilities on Kunduz with Nato and the US military. MSF also said the bombing of their hospital continued for 30 minutes after American and Afghan officials had been made aware that it was under attack.MSF also confirmed the Guardian’s previous reporting that the organisation had shared GPS coordinates of its medical facilities on Kunduz with Nato and the US military. MSF also said the bombing of their hospital continued for 30 minutes after American and Afghan officials had been made aware that it was under attack.
“MSF condemns in the strongest possible terms the horrific bombing of its hospital in Kunduz full of staff and patients. MSF wishes to clarify that all parties to the conflict, including in Kabul and Washington, were clearly informed of the precise location (GPS Coordinates) of the MSF facilities - hospital, guesthouse, office and an outreach stabilization unit in Chardara (to the north-west of Kunduz). As MSF does in all conflict contexts, these precise locations were communicated to all parties on multiple occasions over the past months, including most recently on 29 September,” the statement said.“MSF condemns in the strongest possible terms the horrific bombing of its hospital in Kunduz full of staff and patients. MSF wishes to clarify that all parties to the conflict, including in Kabul and Washington, were clearly informed of the precise location (GPS Coordinates) of the MSF facilities - hospital, guesthouse, office and an outreach stabilization unit in Chardara (to the north-west of Kunduz). As MSF does in all conflict contexts, these precise locations were communicated to all parties on multiple occasions over the past months, including most recently on 29 September,” the statement said.
“The bombing continued for more than 30 minutes after American and Afghan military officials in Kabul and Washington were first informed. MSF urgently seeks clarity on exactly what took place and how this terrible event could have happened.”“The bombing continued for more than 30 minutes after American and Afghan military officials in Kabul and Washington were first informed. MSF urgently seeks clarity on exactly what took place and how this terrible event could have happened.”
MSF said some of the most critically wounded by the bombing had been transferred for stabilisation in a hospital in Pul-e Khumri two hours’ drive away.MSF said some of the most critically wounded by the bombing had been transferred for stabilisation in a hospital in Pul-e Khumri two hours’ drive away.
Updated at 10.43am BSTUpdated at 10.43am BST
10.25am BST10:2510.25am BST10:25
MSF have released the following update:MSF have released the following update:
It is with deep sadness that we confirm so far the death of nine MSF staff during the bombing last night of MSF’s hospital in Kunduz.It is with deep sadness that we confirm so far the death of nine MSF staff during the bombing last night of MSF’s hospital in Kunduz.
Latest update is that 37 people were seriously wounded during the bombing, of whom 19 are MSF staff.Latest update is that 37 people were seriously wounded during the bombing, of whom 19 are MSF staff.
Some of the most critically injured are being transferred for stabilisation to a hospital in Puli Khumri, two hours’ drive away. There are many patients and staff who remain unaccounted for. The numbers keep growing as we develop a clearer picture of the aftermath of this horrific bombing.Some of the most critically injured are being transferred for stabilisation to a hospital in Puli Khumri, two hours’ drive away. There are many patients and staff who remain unaccounted for. The numbers keep growing as we develop a clearer picture of the aftermath of this horrific bombing.
10.23am BST10:2310.23am BST10:23
Hospital bombing death toll risesHospital bombing death toll rises
MSF says nine staff confirmed as dead so far following the bombing at its hospital in KunduzMSF says nine staff confirmed as dead so far following the bombing at its hospital in Kunduz
It is with deep sadness that we confirm so far the death of nine MSF staff during the bombing last night of MSF’s hospital in #Kunduz.It is with deep sadness that we confirm so far the death of nine MSF staff during the bombing last night of MSF’s hospital in #Kunduz.
10.19am BST10:1910.19am BST10:19
Related: Aftermath of MSF hospital bombing in Afghanistan - in picturesRelated: Aftermath of MSF hospital bombing in Afghanistan - in pictures
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More from reporter Sune Engel Rasmussen in Afghanistan:More from reporter Sune Engel Rasmussen in Afghanistan:
If it is confirmed that a US airstrike was responsible for the deaths, it will be at least the third time in the past few months such airstrikes have accidentally killed scores of non-insurgents.If it is confirmed that a US airstrike was responsible for the deaths, it will be at least the third time in the past few months such airstrikes have accidentally killed scores of non-insurgents.
In July, two helicopters struck an Afghan National Army outpost on a hill in Logar province, killing eight soldiers and wounding five, seemingly mistaking them for armed rebels. The police chief of Logar said the helicopters were American. The US military confirmed that its troops had been involved in an incident in the area.In July, two helicopters struck an Afghan National Army outpost on a hill in Logar province, killing eight soldiers and wounding five, seemingly mistaking them for armed rebels. The police chief of Logar said the helicopters were American. The US military confirmed that its troops had been involved in an incident in the area.
In September, Afghan officials claimed a US airstrike killed 11 anti-narcotics police officers working undercover in a desert area of Helmand’s Garmsir district. The US military denied having conducted an airstrike in that area, but confirmed that an attack had taken place in Kandahar’s Maiwand district, which encompasses the same borderless desert area.In September, Afghan officials claimed a US airstrike killed 11 anti-narcotics police officers working undercover in a desert area of Helmand’s Garmsir district. The US military denied having conducted an airstrike in that area, but confirmed that an attack had taken place in Kandahar’s Maiwand district, which encompasses the same borderless desert area.
A US military spokesperson said the US had conducted 12 airstrikes in Kunduz since Monday when the Taliban seized the city. Through 31 August, the US had conducted 143 airstrikes in Afghanistan, according to military statistics, including a series of strikes to aid Afghan forces push back insurgents from Helmand’s Musa Qala and Kajaki districts.A US military spokesperson said the US had conducted 12 airstrikes in Kunduz since Monday when the Taliban seized the city. Through 31 August, the US had conducted 143 airstrikes in Afghanistan, according to military statistics, including a series of strikes to aid Afghan forces push back insurgents from Helmand’s Musa Qala and Kajaki districts.
Updated at 10.10am BSTUpdated at 10.10am BST
9.50am BST09:509.50am BST09:50
Here’s some reaction from commentariat on Twitter, many focusing on the alleged US role in the tragedy:Here’s some reaction from commentariat on Twitter, many focusing on the alleged US role in the tragedy:
True heroes MT @MSF_Press: Surgery underway in the aftermath of bombing of #MSF's #Kunduz hospital #Afghanistan pic.twitter.com/TzloWZ5P0ITrue heroes MT @MSF_Press: Surgery underway in the aftermath of bombing of #MSF's #Kunduz hospital #Afghanistan pic.twitter.com/TzloWZ5P0I
Kunduz tragedy…even more inexcusable: https://t.co/rLrf7lZ3a6Kunduz tragedy…even more inexcusable: https://t.co/rLrf7lZ3a6
After blasting #Putin for bombing civilians in #Syria, US hits last functioning hospital in #Kunduz #Afghanistan http://t.co/r1Z2hSaEOUAfter blasting #Putin for bombing civilians in #Syria, US hits last functioning hospital in #Kunduz #Afghanistan http://t.co/r1Z2hSaEOU
Once more, against all rules, a hospital is attacked. 3 #humanitarians killed. My condolences to @JoanneLiu_MSF & all @MSF staff. #KunduzOnce more, against all rules, a hospital is attacked. 3 #humanitarians killed. My condolences to @JoanneLiu_MSF & all @MSF staff. #Kunduz
Awful news from #Kunduz - US bombs land on @MSF clinic. And these are "precision" weapons and airstrikes... http://t.co/j0v5HVoa3bAwful news from #Kunduz - US bombs land on @MSF clinic. And these are "precision" weapons and airstrikes... http://t.co/j0v5HVoa3b
9.41am BST09:419.41am BST09:41
All international staff survived airstrike - MSFAll international staff survived airstrike - MSF
All 10 international staff at MSF hospital in Kunduz survived the airstrike, @MSF says. #AfghanistanAll 10 international staff at MSF hospital in Kunduz survived the airstrike, @MSF says. #Afghanistan
9.24am BST09:249.24am BST09:24
More from my colleague Sune Engel Rasmussen:More from my colleague Sune Engel Rasmussen:
The International Committee of the Red Cross has condemned the airstrike, saying it is “deeply shocked by the bombing of the MSF hospital in Kunduz, and strongly condemns such violence against patients, medical workers and facilities.”The International Committee of the Red Cross has condemned the airstrike, saying it is “deeply shocked by the bombing of the MSF hospital in Kunduz, and strongly condemns such violence against patients, medical workers and facilities.”
Jean-Nicolas Marti, Head of the ICRC delegation in Afghanistan, said: “This is an appalling tragedy. Such attacks against health workers and facilities undermine the capacity of humanitarian organizations to assist the Afghan people at a time when they most urgently need it.”Jean-Nicolas Marti, Head of the ICRC delegation in Afghanistan, said: “This is an appalling tragedy. Such attacks against health workers and facilities undermine the capacity of humanitarian organizations to assist the Afghan people at a time when they most urgently need it.”
The US Embassy in Kabul also issued a statement, expressing grief for the families affected by “the tragic incident”:The US Embassy in Kabul also issued a statement, expressing grief for the families affected by “the tragic incident”:
“The U.S. Embassy mourns for the individuals and families affected by the tragic incident at the Doctors without Borders hospital, and for all those suffering from the violence in Kunduz. Doctors without Borders performs heroic work throughout the world, including in Afghanistan, and our thoughts and prayers are with their team at this difficult moment. We remain deeply concerned about the ongoing violence in Kunduz and the difficult humanitarian situation faced by its residents,” the statement read.“The U.S. Embassy mourns for the individuals and families affected by the tragic incident at the Doctors without Borders hospital, and for all those suffering from the violence in Kunduz. Doctors without Borders performs heroic work throughout the world, including in Afghanistan, and our thoughts and prayers are with their team at this difficult moment. We remain deeply concerned about the ongoing violence in Kunduz and the difficult humanitarian situation faced by its residents,” the statement read.
9.19am BST09:199.19am BST09:19
Location of MSF hospital 'known' to US forces and partnersLocation of MSF hospital 'known' to US forces and partners
Sune Engel Rasmussen, reporting for the Guardian in Afghanistan, has this update:Sune Engel Rasmussen, reporting for the Guardian in Afghanistan, has this update:
It seems the US forces and their Afghan partners should have been fully aware of the location of the MSF hospital. During the past week’s fighting, MSF sent out press releases, describing how their hospital staff found themselves on the frontline.It seems the US forces and their Afghan partners should have been fully aware of the location of the MSF hospital. During the past week’s fighting, MSF sent out press releases, describing how their hospital staff found themselves on the frontline.
In addition, MSF also distributed an email to a range of recipients, including Nato, the US military, and the Afghan ministry of defence with the the exact coordinates of their hospital, the group’s country representative, Guilhem Molinie, told the Guardian.In addition, MSF also distributed an email to a range of recipients, including Nato, the US military, and the Afghan ministry of defence with the the exact coordinates of their hospital, the group’s country representative, Guilhem Molinie, told the Guardian.
9.00am BST09:009.00am BST09:00
Sune Engel Rasmussen, reporting for the Guardian from Afghanistan, has this update:Sune Engel Rasmussen, reporting for the Guardian from Afghanistan, has this update:
Police spokesman Sarwar Husaini said the area surrounding the MSF facilities was under Taliban control, and that there was heavy fighting going on throughout Friday night. He confirmed that the aircraft, which launched the airstrike around 2am belonged to “the foreigners”.Police spokesman Sarwar Husaini said the area surrounding the MSF facilities was under Taliban control, and that there was heavy fighting going on throughout Friday night. He confirmed that the aircraft, which launched the airstrike around 2am belonged to “the foreigners”.
The US military said they had conducted 12 airstrikes in and around Kunduz since Sept 29th, assisting the Afghan forces in recapturing the city from the Taliban.The US military said they had conducted 12 airstrikes in and around Kunduz since Sept 29th, assisting the Afghan forces in recapturing the city from the Taliban.
“The majority of the airstrikes have taken place on the outskirts of the city and in the vicinity of the airport. This is the second airstrike that has been against individuals threatening the force within Kunduz city,” said Susan Harrington, a spokesperson.“The majority of the airstrikes have taken place on the outskirts of the city and in the vicinity of the airport. This is the second airstrike that has been against individuals threatening the force within Kunduz city,” said Susan Harrington, a spokesperson.
8.43am BST08:438.43am BST08:43
Surgery is continuing in the undamaged section of the hospital in Kunduz, MSF said.Surgery is continuing in the undamaged section of the hospital in Kunduz, MSF said.
Since fighting broke out on Monday, MSF had treated 394 wounded in Kunduz. When the aerial attack occurred Saturday morning, there were 105 patients with relatives, as well as over 80 MSF international and national staff present, the group said in its statement.Since fighting broke out on Monday, MSF had treated 394 wounded in Kunduz. When the aerial attack occurred Saturday morning, there were 105 patients with relatives, as well as over 80 MSF international and national staff present, the group said in its statement.
Surgery this morning in undamaged section of #Kunduz hospital #Afghanistan in aftermath of bombing; OTs destroyed pic.twitter.com/IQIzN7SDXiSurgery this morning in undamaged section of #Kunduz hospital #Afghanistan in aftermath of bombing; OTs destroyed pic.twitter.com/IQIzN7SDXi
8.41am BST08:418.41am BST08:41
The bombing comes after the Afghan government on Thursday claimed they had regained control of Kunduz, after the Taliban seized the key city in northern Afghanistan on Monday.The bombing comes after the Afghan government on Thursday claimed they had regained control of Kunduz, after the Taliban seized the key city in northern Afghanistan on Monday.
However, fighting has since endured in pockets around the city, and in surrounding districts, with both sides claiming to be in control.However, fighting has since endured in pockets around the city, and in surrounding districts, with both sides claiming to be in control.
#AFG Residents Kundoz,a number of buildings&homes taken by groups of TB with suicide vests.Civilians inside those homes inclu women&children#AFG Residents Kundoz,a number of buildings&homes taken by groups of TB with suicide vests.Civilians inside those homes inclu women&children
The capture of Kunduz marked the first time since 2001 the Taliban breach an urban area.The capture of Kunduz marked the first time since 2001 the Taliban breach an urban area.
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Dr Bart Janssens, director of operations at MSF, told the Today programme on Radio 4:Dr Bart Janssens, director of operations at MSF, told the Today programme on Radio 4:
We only know that there was a horrific bombing that started around 2am and continued for a long time. We are still debriefing our teams to get more information. The hospital was extremely badly damaged and burned. Three people have died but we are very fearful for the fate of more than 30 people still missing.We only know that there was a horrific bombing that started around 2am and continued for a long time. We are still debriefing our teams to get more information. The hospital was extremely badly damaged and burned. Three people have died but we are very fearful for the fate of more than 30 people still missing.
Our main concern is to get the survivors, alive, out of the very complicated area. It is clear that the hospital has been hit several times by large explosions and we still have no full confirmation on whether it was an aerial or ground attack.Our main concern is to get the survivors, alive, out of the very complicated area. It is clear that the hospital has been hit several times by large explosions and we still have no full confirmation on whether it was an aerial or ground attack.
This hospital was very well known. It was the only functional hospital in Kunduz since the fighting had begun and we have shared extensively the locations of this hospital with all warring parties in Afghanistan. There is no doubt this place was known as a hospital.This hospital was very well known. It was the only functional hospital in Kunduz since the fighting had begun and we have shared extensively the locations of this hospital with all warring parties in Afghanistan. There is no doubt this place was known as a hospital.
8.22am BST08:228.22am BST08:22
MSF, which has operated in the Afghan city since fighting broke out between government and Taliban forces, has tweeted the following:MSF, which has operated in the Afghan city since fighting broke out between government and Taliban forces, has tweeted the following:
1/2: #MSF shocked by bombing of MSF hospital in #Kunduz. Staff, patients killed. http://t.co/5nAAocsEBT1/2: #MSF shocked by bombing of MSF hospital in #Kunduz. Staff, patients killed. http://t.co/5nAAocsEBT
2/2: All fighting parties must respect healthcare facilities. #MSF trauma center in Kunduz only facility of its kind in northern Afghanistan2/2: All fighting parties must respect healthcare facilities. #MSF trauma center in Kunduz only facility of its kind in northern Afghanistan
#MSF #Kunduz trauma center aflame after aerial attack this morn. Staff tending to patients, each other, in aftermath pic.twitter.com/o6toDwivym#MSF #Kunduz trauma center aflame after aerial attack this morn. Staff tending to patients, each other, in aftermath pic.twitter.com/o6toDwivym
8.20am BST08:208.20am BST08:20
US military: 'collateral damage possible'US military: 'collateral damage possible'
A spokesman for the US military admitted they might be responsible for the air strike, which killed at least three people at a Médecins Sans Frontières hospital in Afghanistan.A spokesman for the US military admitted they might be responsible for the air strike, which killed at least three people at a Médecins Sans Frontières hospital in Afghanistan.
Colonel Brian Tribus, spokesman for international forces in Afghanistan, said: “US forces conducted an airstrike in Kunduz city at 2:15am (local), 3 October, against individuals threatening the force.Colonel Brian Tribus, spokesman for international forces in Afghanistan, said: “US forces conducted an airstrike in Kunduz city at 2:15am (local), 3 October, against individuals threatening the force.
“The strike may have resulted in collateral damage to a nearby medical facility. This incident is under investigation.”“The strike may have resulted in collateral damage to a nearby medical facility. This incident is under investigation.”
The bombardment apparently followed heavy fighting around the hospital. An MSF staff member, who was on duty at the time, told the Guardian: “I was inside my office. Around 2am, the plane started bombing the main building of MSF. It lasted one-and-a-half hours. After 3.30am, I came out from my office and saw all of the hospital was on fire,” the staff member said.The bombardment apparently followed heavy fighting around the hospital. An MSF staff member, who was on duty at the time, told the Guardian: “I was inside my office. Around 2am, the plane started bombing the main building of MSF. It lasted one-and-a-half hours. After 3.30am, I came out from my office and saw all of the hospital was on fire,” the staff member said.
“We couldn’t save our doctors, our nurses, our cleaners, our friends. They burned inside the hospital. We couldn’t save our brothers and friends,” the staff member said, asking to remain anonymous.“We couldn’t save our doctors, our nurses, our cleaners, our friends. They burned inside the hospital. We couldn’t save our brothers and friends,” the staff member said, asking to remain anonymous.
Updated at 6.24pm BSTUpdated at 6.24pm BST
8.08am BST08:088.08am BST08:08
News is breaking that a US airstrike appears to have hit a hospital run by Médecins Sans Frontières in the Afghan city of Kunduz.News is breaking that a US airstrike appears to have hit a hospital run by Médecins Sans Frontières in the Afghan city of Kunduz.
The charity said its hospital in the war-torn northern city was bombed and badly damaged by an aerial attack that killed at least three staff members.The charity said its hospital in the war-torn northern city was bombed and badly damaged by an aerial attack that killed at least three staff members.
At the time of the bombing, 105 patients and their carers, and more than 80 MSF international and national staff were in the hospital, the charity said.At the time of the bombing, 105 patients and their carers, and more than 80 MSF international and national staff were in the hospital, the charity said.
Thirty staff were still unaccounted for and officials have said the death toll could climb. We will keep you up to date with all the latest developments here throughout the day.Thirty staff were still unaccounted for and officials have said the death toll could climb. We will keep you up to date with all the latest developments here throughout the day.
Updated at 5.45pm BSTUpdated at 5.45pm BST