“The war in Afghanistan continues destroying lives, due to the direct consequences of violence and the war-induced breakdown of public health, security, and infrastructure. Civilians have been killed by crossfire, improvised explosive devices (IEDs), assassinations, bombings, and night raids into houses of suspected insurgents.
“The United States military in 2017 relaxed its rules of engagement for airstrikes in Afghanistan, which resulted in a massive increase in civilian casualties. From the last year of the Obama administration to the last full year of recorded data during the Trump administration, the number of civilians killed by U.S.-led airstrikes in Afghanistan increased by 330 percent.
“The CIA has armed Afghan militia groups to fight Islamist militants and these militias are responsible for serious human rights abuses, including extrajudicial killings of civilians.
“Even in the absence of fighting, unexploded ordnance from this war and landmines from previous wars continue to kill, injure, and maim civilians. Fields, roads, and school buildings are contaminated by ordnance, which often harms children as they go about chores like gathering wood.
“The war has also inflicted invisible wounds. In 2009, the Afghan Ministry of Public Health reported that fully two-thirds of Afghans suffer from mental health problems.
“Prior wars and civil conflict in the country have made Afghan society extremely vulnerable to the reverberating effects of the current war. Those war effects include elevated rates of disease due to lack of clean drinking water, malnutrition, and reduced access to health care. Nearly every factor associated with premature death — poverty, malnutrition, poor sanitation, lack of access to health care, environmental degradation — is exacerbated by the current war.”