Characteristics of COVID-19 patients and risk factors of mortality in the early times of pandemic, Herat-Afghanistan

Objective: Coronaviruses are a large family of viruses that cause different types of diseases. This study aims to evaluate the risk factors for mortality based on comorbidity and sociodemographic characteristics among COVID-19 patients. Methods: This cross-sectional study conducted in Herat, Afghanistan, from February 24 to July 5, 2020, used data provided by the public health department, including sociodemographics, symptoms, comorbidities, hospitalization, contact history, and COVID-19 test type. The Chi-square test was used to observe differences between categorical variables. In bivariate analysis, all independent variables with a significant p-value were put into the model. Odds ratios and 95% confidence intervals were calculated, and a p-value less than 0.05 was considered statistically significant. Results: The study analyzed 11,183 COVID-19 cases, with a 53.5% positivity rate. Recovery rates in the city and Herat province districts were 96.2% and 94.7%, respectively. Case-fatality rates varied with age, with 0.4% for those aged 1-29 and 33% for those aged 80-105. Mortality rates were highest for those with COPD and cancer, at 12.5% and 18.2%, respectively. In the logistic regression results, age, gender, and COPD were significant variables for COVID-19 mortality. Conclusion: By providing more health service facilities to people in risk groups, especially in rural areas, the mortality rate of COVID-19 and other diseases can be decreased.

Attitude and acceptance toward COVID-19 vaccines among Kabul city's residents: a cross sectional study

Objective: The present study aimed to assess the attitude and perception of Kabul city's residents toward COVID-19 vaccines hesitancy and acceptance. Methods: Applying a cross-sectional study design, the data was collected from 665 participants in Kabul city using a predesigned validated questionnaire. For statistical analysis, Spearman correlation, chi-square, and logistic regression techniques were used. Results: Although the vaccine availability was limited for the public during the survey period, 70.5% of the participants were willing to receive COVID-19 vaccines. Meanwhile, 49.2% participants were concerned about the COVID-19 vaccines side effects. The presence of positive COVID-19 cases among family members and friends (OR: 2.7), presence of fears during COVID-19 pandemic (OR: 4.4) and beliefs that vaccine has important and vital role in people's protection against COVID-19 (OR: 5.3), increase the likelihood of vaccine acceptance among the participants. On the other hand, participant's mistrust of the safety of COVID-19 vaccines (OR: 0.21) and disbelief on ministry of public health "MoPH" advice about COVID-19 vaccine safety and efficiency (OR: 0.27) decrease the odds of COVID-19 vaccine acceptance among the respondents. In addition, a strong correlation was found between vaccine attitude and vaccine acceptance scales (Spearman p=0.52, p<0.001). Conclusion: Although majority of the participants were willing to receive the COVID-19 vaccines, due to high level of participant's concerns about COVID-19 vaccines-related side effects, a great proportion of the respondents were hesitate to receive the COVID-19 vaccines. Accordingly, public awareness about COVID-19 vaccines must be increased to counteract incorrect and misleading propaganda about vaccination and immunization.

Social Contacts and Compliance with SARS-CoV-2 Distancing Measures in the First Lockdown 2020 among Refugees from Syria and Afghanistan in Vienna

The article deals with the impact of the SARS-CoV-2 pandemic and related measures on the social interactions of refugees from Afghanistan and Syria in Vienna during the first lockdown in March/April 2020. The focus is on the challenges for these vulnerable groups in the field of tension between the contact minimisation prescribed in the Corona regulations of the federal government on the one hand and cramped housing conditions, precarious labour market positions, homeschooling and the "digital divide” on the other. Further focal points are how refugees deal with the measures of "social/physical distancing”, its consequences in view of the colliding cultural norms, the extent of contact reduction and its causal factors. The empirical basis was provided by a quantitative online survey and qualitative interviews with refugees as well as experts from refugee support NGOs and organisations from both groups of origin, who were involved in the underlying project within the framework of a community-based participatory approach. Contrasting with the criticism sometimes voiced in the media that primarily certain groups with a migration background have been less compliant with the measures to contain the pandemic, a more differentiated picture is drawn. Above all, the factors of family status, age and housing conditions have had a strong influence on compliance with the distancing measures. The inaccessibility of public space, which is a particularly important resource for the refugees, as well as the discontinuation of social services offered by NGOs have particularly affected these vulnerable groups. © 2022 Austrian Geographical Society. All rights reserved.

A reflection on the NHS, health security, and refugees

In 2021 a sudden influx of refugees arrived in the UK from Afghanistan, at a time when the British public were being encouraged to access healthcare services to obtain COVID-19 vaccinations. This report examines the successes and failures of care provision in the NHS across the country, in particular Wolverhampton, whereby refugees accessed healthcare provision in a local Primary Care Network. The report considers the author's personal experiences while working within the local Primary Care Network, in addition to published research, in the context of health security. Furthermore, it highlights recommended improvements within the NHS to provide aid to the vulnerable, while preserving the system set out to create health security.

Outbreaks of different viral etiologies amidst COVID-19 pandemic

The COVID-19 pandemic has severely affected public health system and surveillance of other communicable diseases across the globe. The lockdown, travel constraints and COVID phobia turned down the number of people with illness visiting to the clinics or hospitals. Besides this, the heavy workload of SARS-CoV-2 diagnosis has led to the reduction in differential diagnosis of other diseases. Consequently, it added to the underlying burden of many diseases which remained under-diagnosed. Amidst the pandemic, the rise of emerging and re-emerging infectious diseases was observed worldwide and reported to the World Health Organization i.e., Crimean Congo Hemorrhagic Fever (2022, Iraq;2021 India), Nipah virus (2021, India), Zika virus (2021, India), and H5N1 influenza (2021, India), Monkeypox (2022, multicountry outbreak), Ebola virus disease (2022, DRC, Uganda;2021, DRC, Guinea;2020, DRC), Marburg (2022, Ghana;2021, Guinea), Yellow fever (2022, Uganda, Kenya, West and Central Africa;2021, Ghana, Venezuela, Nigeria;2020, Senegal, Guinea, Nigeria, Gabon;2020, Ethiopia, Sudan, Uganda), Dengue (2022, Nepal, Pakistan, Sao Tome, Temor-Leste;2021, Pakistan), Middle east respiratory syndrome coronavirus (2022, Oman, Qatar;2021, Saudi Arabia, UAE;2020, Saudi Arabia, UAE), Rift valley fever (2021, Kenya;2020, Mauritania), wild poliovirus type 1 (2022, Mozambique), Lassa fever (2022, Guinea, Togo, Nigeria;2020, Nigeria), Avian Influenza (H3N8) (2022, China), Avian Influenza (H5N1) (2022, USA), H10N3 influenza (2021, China), Hepatitis E virus (2022, Sudan), Measles (2022, Malawi, Afghanistan;2020, Burundi, Mexico), Mayaro virus disease (2020, French Guiana), Oropouche virus disease (2020, French Guiana). All these diseases were associated with high morbidity and burdened the public health system during the COVID-19 pandemic. During this critical public health menace, majority of the laboratory workforce was mobilized to the SARS-CoV-2 diagnosis. This has limited the surveillance efforts that likely led to under diagnosis and under-detection of many infectious pathogens. Lockdowns and travel limitations also put a hold on human and animal surveillance studies to assess the prevalence of these zoonotic viruses. In addition, lack of supplies and laboratory personnel and an overburdened workforce negatively impacted differential diagnosis of the diseases. This is especially critical given the common symptoms between COVID-19 and other pathogens causing respiratory illnesses. Additionally, the vaccination programs against various vaccine preventable diseases were also hampered which might have added to the disease burden. Despite these challenges, the world is better prepared to detect and respond to emerging/re-emerging pathogens. India now has more than 3000 COVID-19 diagnostic laboratories and an enhanced hospital infrastructure. In addition, mobile BSL-3 facilities are being validated for onsite sampling and testing in remote areas during outbreak situations and surveillance activities. This will undoubtedly be valuable as the COVID-19 pandemic evolves as well as during future outbreaks and epidemics. In conclusion, an increase in the emergence and re-emergence of viruses demonstrates that other infectious diseases have been neglected during the COVID-19 pandemic. Lessons learned from the infrastructure strengthening, collaborations with multiple stakeholders, increased laboratory and manufacturing capacity, large-scale COVID-19 surveillance, extensive network for laboratory diagnosis, and intervention strategies can be implemented to provide quick, concerted responses against the future threats associated with other zoonotic pathogens.

PHILOSOPHY, RELIGION, AND SCIENCE-Salafism and Biological Evolution: Online Salafi Reflections on the Theory of Evolution by Natural Selection

Gunter reviews Salafism and Biological Evolution: Online Salafi Reflections on the Theory of Evolution by Natural Selection, by Jean-Francois Letourneau.

Countering violent extremism in central Asia and South Asia: Islamophobia and cyber-radicalization in the digital era

Widespread political and economic uncertainty following the COVID-19 pandemic, paired with increased access to digital messaging and online social media platforms, has rendered vulnerable populations in Central Asia and South Asia (CASA) even more susceptible to misinformation, radical propaganda, and population targeting by violent extremists. More, studies show that violent extremism is inextricably linked with Islamophobia. Violent extremist recruiters frequently capitalize on publicized Islamophobic events to spread digital misinformation and lure disenfranchised recruits, particularly among youth populations. A debilitated Afghanistan only compounds these issues in CASA. The growing humanitarian crisis in the wake of U.S. military withdrawal, leaves this impoverished nation ripe for the proliferation of violent extremist activity that will reach far beyond its borders. Weaponized cyber-misinformation is a moving target that threatens even rural populations. Effective deterrence calls for novel multilateral efforts between great and local powers, both on and offline, to dispel skewed narratives and reinforce positive counter-narratives. While expanding access to digital communications in CASA presents obvious challenges for countering violent extremism, it likewise affords vital new opportunities for cooperation between global and regional powers to reach previously unreachable, vulnerable populations. © The Author(s), 2022. All rights reserved.

Psychological Inflexibility, Ruminative Thinking, Worry and Self- Compassion in Relation to College Adjustment

Üniversitenin ilk yıllarından itibaren artan psikolojik zorluklardan dolayı üniversite öǧrencilerinin ruh saǧlıǧı daha fazla ilgi görmeye başlamıştır. Üçüncü dalga bilişsel davranışçı yaklaşımlardan birisi olan Kabul ve Kararlılık Terapisi (KKT), temel kavramı olan psikolojik esneklik ile davranış deǧişimine kabul ve farkmdalık boyutuyla odaklanmaktadır. Bu çalışma psikolojik esneklik/katılık, ruminatif düşünme, endişe ve öz-şefkatin üniversiteye uyum üzerindeki rolünü yapısal eşitlik modellemesi ile araştırmayı amaçlamıştır. Bu araştırmaya bir devlet üniversitesinde birinci sınıfta öǧrenim görmekte olan 657 (486 kadın, 171 erkek) öǧrenci katılmıştır. Araştırmada veri toplama araçları olarak, Üniversite Yaşam Ölçeǧi, Kabul ve Eylem Formu-II, Ruminatif Düşünme Stili Ölçeǧi, Perin Eyalet Endişe Ölçeǧi, Öz-Şefkat Ölçeǧi kullanılmıştır. Araştırmanın bulguları psikolojik esneklik/katılıǧm öǧrencilerin öz-şefkat, ruminatif düşünme, endişe ve üniversiteye uyum düzeylerini anlamlı bir şekilde yordadıǧmı ortaya koymuştur. Diǧer taraftan, bulgular ayrıca öz- şefkatin üniversiteye uyumu anlamlı bir şekilde yordadıǧmı ancak ruminatif düşünme ve endişenin üniversiteye uyumu anlamlı olarak yordamadıǧmı ortaya koymuştur. Son olarak, öz şefkatin psikolojik esneklik ile üniversiteye uyum arasında kısmi bir aracı etkiye sahip olduǧu fakat ruminatif düşünme ve endişenin bu ilişkide anlamlı bir aracı rolünün olmadıǧı sonucuna ulaşılmıştır. Bu araştırmaya dair tartışma, sonuç ve gelecek çalışmalara dair öneriler sunulmuştur.Alternate :The mental health of college students has received more attention due to increase of psychological distress starting from the beginning of university life. Acceptance and Commitment Therapy (ACT) is one of the third wave Cognitive Behavioral approaches, focuses on behavior change by emphasizing acceptance and awareness with its core concept of psychological inflexibility. This study aimed to investigate the role of psychological inflexibility, rumination, worry and self-compassion on college adjustment by implementing structural equation modeling. 657 (486 female, 171 male) freshman students at a state university participated in the study. In terms of data collection tools, The University Life Scale, Acceptance an Action Questionnaire-II, the Ruminative Thought Style Questionnaire, The Penn State Worry Questionnaire and The Self-Compassion Scale were used. The results indicated that psychological inflexibility significantly predicted students' self-compassion, rumination, worry and college adjustment levels. On the other hand, the results also revealed that while self-compassion significantly predicted the college adjustment, rumination and worry levels did not significantly predicted the college adjustment of freshman students. Finally, while self compassion was a partial mediator in the relationship between psychological inflexibility and college adjustment, ruminative thinking and worry were not significant mediators. The discussions and implications of the study were presented, as well as suggestions for further studies.

Application of GIS-Based AHP Model for the Impact Assessment of COVID-19 Lockdown on Environment Quality: The Case of Kabul City, Afghanistan

The COVID-19 pandemic has negatively impacted the industrial, financial, and social aspects of our daily life due to the implementation of lockdown to protect against the spread of the virus. In addition, the lockdown deduced by COVID-19 has promising positive impacts on air quality and environmental pollution. This study aims to monitor the effects of lockdown on environmental degradation during the pandemic in Kabul city, the capital of Afghanistan, using geospatial data and a statistical model of the Analytical Hierarchy Process (AHP). To achieve the purpose of the study, the most essential influencing factors on air quality were generated from different sources using Google Earth Engine (GEE) and GIS environment;Normalized Difference Vegetation Index (NDVI), Normalized Difference Water Index (NDWI), Normalized Difference Moisture Index NDMI) were calculated using Sentinel-2MSI, Carbon Monoxide (CO) was obtained from Sentinel-5P TROPOMI, and land surface temperature was retrieved from MODIS data. The generated thematic layers (before COVID-19, and during a lockdown of COVID-19) were weighted and rated using the AHP analysis. The weighted layers were spatially overlayed to obtain the final output. Consequently, the environmental quality degradation maps before and during COVID-19 were generated to assess the differences over the 22 districts of Kabul city. The findings of the study show that Kabul city is covered by the very low, low, moderate, high, and very high degradation of the environment by 3.17%, 5.33%, 20.54%, 26.63%, 44.32% before COVID-19 in 201,9 respectively, while the percentages are changed to 4.37%, 8.99%. 16.55%, 37.47%, and 32.62% during the lockdown caused by COVID-19 in 2020. The changes in the percentage of environmental degradation in Kabul city particularly in high and very high zones confirm the positive impact of the lockdown of COVID-19.

CHANGES TO INDIAS CITIZENSHIP L AWS *

In December 2019, India's Parliament passed, and its President signed into law, the Citizenship Amendment Act (CAA), 2019, altering the country's 1955 Citizenship Act. For the first time in independent India's history, a religious criterion was added to the country's naturalization process. The changes sparked significant controversy, including large-scale and sometimes violent protests. Opponents of the CAA warn that Prime Minister Narendra Modi and his Hindu nationalist Bharatiya Janata Party (BJP) are pursuing a Hindu majoritarian, anti-Muslim agenda that threatens India's status as an officially secular republic and violates international human rights norms and obligations. In tandem with a National Register of Citizens (NRC) planned by the federal government, the as-yet unimplemented CAA may threaten the citizenship rights of India's large Muslim minority of roughly 200 million. India's Supreme Court is set to resume its review more than 250 petitions on the law's constitutionality in December 2022.

From the Great Power Competition to Great Power Cooperation: Strategic Lessons from a Pandemic

A swiftly changing geopolitical and geoeconomic landscape in Central Asia-Southeast Asia (CASA) resulting from the COVID-19 pandemic coupled with the modern Great Power Competition (GPC)-calls for a timely shift in U.S. foreign diplomacy to "soft power” facilitation and cooperation in this fragile region. The COVID-19 pandemic has revealed that isolationism and/or the over-reliance on militaristic might are ineffective strategies for maintaining long-term U.S. national interests. As China rapidly expands its "soft power” influence in the Central Region through its Belt and Road Initiative (BRI), the U.S. must enact similar strategic undertakings to remain competitive. To that end, the New Silk Road Initiative (NSRI) is the United States' best option to compete and/or cooperate with China's BRI. Strategic implementation of the NSRI is critical, not only for gaining traction in the modern GPC, but ultimately for expediting a successful recovery from the pandemic, through increased regional trade and economic development. The NSRI can facilitate the commercialization of Afghanistan's vast wealth of natural resources, especially its rare earth and critical minerals, ensuring continued U.S. strategic influence in the CASA region. The NSRI can also be instrumental in affording new opportunities for interstate cooperation within the scientific and technological communities during this crucial time of global recovery. The COVID-19 pandemic has highlighted not only our global interconnectedness and interdependence, but also the prospect of great power cooperation in the service of global healing. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Introduction: Domestication of War

This Special Section broadens and qualifies the terms through which the relationship between home and militarization has been understood. We do this by joining a vibrant and growing field of transdisciplinary scholars who address the militarization of everyday life by attending to domesticity and practices of domestication. We grapple with how the home naturalizes and becomes a catalyst for militarism: How do ordinary and domestic objects, technologies, spaces, and infrastructures make violence feel at home in the world? We are concerned with the domestic life of militarization as oikos: the household, habitat, and milieu of violent material relationships that are both ongoing and latent. The domestic is not just a discrete, private space;it also extends into public spaces like neighborhoods, local businesses, waste disposal infrastructures, hospices, and crop fields. Developed within an editorial process rooted in a feminist ethos, the articles collected here provide critical and alternative methodologies and disciplinary forms for considering militarism's aesthetics, affects, and modes of appearance. This collection resists conventional spatialities, temporalities, and incarnations of war while calling attention to the obscuring of violence through practices of care and marketing operations.

Evacuation of Refugees from Afghanistan: Health Control at the Spanish Border in the Context of the COVID-19 Pandemic.

Following the announcement of the retreat of troops from Afghanistan, the Spanish Government organised the so-called "Antigone Operation" for the evacuation of Afghan collaborators. The most relevant ministries were involved in the response. The Ministry of Health, through the Foreign Health Department, performed the health control on arrival. The whole operation was conducted at an air base. It included the health control of refugees composed of temperature measurement, a basic visual control and a coronavirus disease (COVID-19) rapid antigen test for those over 12 years of age; the assessment of their basic needs (food and hygiene); identification and security procedures; and the initial administrative processing. The refugees were accommodated in a temporary facility at the base, where they waited to be transferred to their final destinations. Between 19 and 27 August 2021, 2168 refugees arrived on 17 flights; 680 of them were children under 12 years of age. One thousand four hundred and ninety-nine rapid antigen tests were performed, with one positive result. "Antigone Operation" is unprecedented in Spain and is one of the most complex operations carried out in recent years. The COVID-19 pandemic required the establishment of a health control system on arrival, performed by Foreign Health, which contributed significantly to the overall success of the operation.

Modeling undetected live type 1 wild poliovirus circulation after apparent interruption of transmission: Pakistan and Afghanistan.

Since 2013, wild poliovirus (WPV) transmission occurred only for type 1 (WPV1). Following several years of increasing reported incidence (2017-2019) and programmatic disruptions caused by COVID-19 (early 2020), Pakistan and Afghanistan performed a large number of supplementary immunization activities (late 2020-2021). This increased intensity of immunization, following widespread transmission, substantially decreased WPV1 cases and positive environmental samples during 2021. Modeling the potential for undetected circulation of WPV1 after apparent interruption can support regional and global decisions about certification of the eradication of indigenous WPV1 transmission. We apply a stochastic model to estimate the confidence about no circulation (CNC) of WPV1 in Pakistan and Afghanistan as a function of time since the last reported case and/or positive environmental sample. Exploration of different assumptions about surveillance quality suggests a range for CNC for WPV1 as a function of time since the last positive surveillance signal, and supports the potential use of a time with no evidence of transmission of less than 3 years as sufficient to assume die out in the context of good acute flaccid paralysis (AFP) surveillance. We show high expected CNC based on AFP surveillance data alone, even with imperfect surveillance and some use of inactivated poliovirus vaccine masking the ability of AFP surveillance to detect transmission. Ensuring high quality AFP and environmental surveillance may substantially shorten the time required to reach high CNC. The time required for high CNC depends on whether immunization activities maintain high population immunity and the quality of surveillance data.

Prevalence and predictors of depression among women in Afghanistan: a cross-sectional study

Depression is a very common mental health illness characterized by a cluster of signs and symptoms ranging from mood disturbances and sleep or appetite disorders to physical manifestations of the body. The purpose of the present study was to estimate the prevalence of depression and its related factors among Afghan women. A cross-sectional study was conducted among women between July 14, 2021, to August 15, 2021, in Kabul, Mazar-e-Sharif and Samangan provinces (Afghanistan). A total of 664 Afghan women participated in the study (mean age = 28.85 years;SD ± 11.57). In order to assess depression among participants, the 19-item validated Dari version of the Center for Epidemiological Studies–Depression Scale was used. Approximately four-fifths of the sample had depression symptoms (79.1%). Participants with depression symptoms were significantly more likely to (i) be aged over 30 years, (ii) live in rural areas, (iii) have a low-income level, (iv) not have an occupation, (v) have any disease/illness, and (vi) have experienced an event that had mentally affected them in the past month. Considering the high prevalence of depression symptoms among Afghan women, there is a need to integrate mental health services for women in Afghanistan. The use of interventions including regular screening for depression symptoms, and educating women and girls concerning the symptoms of depression for early self-diagnosis are essential.

Pharmacovigilance practices in South Asian Association for Regional Cooperation countries: the need for collaboration

Objectives: One-fifth of the world's population lives in eight countries that constitute the South Asian Association for Regional Cooperation (SAARC). There is very little coordination among SAARC countries regarding the harmonization of pharmaceutical regulations and medicines safety. Pakistan, India and Bangladesh have experienced medicine-related tragedies where many patients have died. This study aims to examine current pharmacovigilance activity in the SAARC region to improve pharmacovigilance practices and to make recommendations for building a platform for collaboration to improve the safety monitoring of medicines in the region. The current review utilized secondary data. We reviewed the official websites of all SAARC countries' national regulatory authorities for pharmacovigilance-related information. A data set with eleven pharmacovigilance indicators were gathered and synthesized. Key Findings: All eight SAARC member countries have pharmacovigilance systems with full membership in the WHO Program for International Drug Monitoring. Out of eleven pharmacovigilance indicators, India met ten;Pakistan, Bangladesh and Bhutan nine;Maldives and Afghanistan seven;Nepal and Sri Lanka five. The SAARC countries do not have a harmonized pharmacovigilance system or centralized database. Due to positioning in different WHO regions, it is proposed to create a consortium on medicine safety among SAARC countries like other regional organizations of the world to strengthen the pharmacovigilance systems and harmonize the pharmacovigilance practices among member countries. Summary: To improve the quality of medicines and to strengthen regional medicine safety, the SAARC secretariat should consider forming a technical group of all member countries' regulatory authorities.Copyright © 2022 The Author(s). Published by Oxford University Press on behalf of the Royal Pharmaceutical Society. All rights reserved.

Implications of the UN Common Agenda for Australia: Renewing Multilateralism

In flagrant violation of international law, Russia has invaded Ukraine. It invokes a right to intervene on humanitarian and security grounds despite the necessary pre-conditions, including UN Security Council endorsement, being absent. In Myanmar, the February Citation2021 military coup has ushered in a new era of serious repression of citizens, violent conflict and human rights violations. ASEAN's 2021 five-point consensus to end the violence and promote conciliation has been largely ignored. These are but two of a number of current global threats which defy unilateral resolution and demand multilateral responses. Others are the looming disasters provoked by climate change;the ongoing Covid pandemic;conflict and the threat of conflict from Syria and Yemen to the South China Sea;the return of repressive Taliban rule in Afghanistan;ferocious civil war in Ethiopia;historically high refugee displacement;and mass migratory movements.At a time when ‘the only certainty is more uncertainty', countries must unite to forge a new, more hopeful and equal path, UN Secretary-General António Guterres (SG) told the General Assembly on 21 January 2022. In laying out his priorities for 2022, he observed, "We face a five-alarm global fire that requires the full mobilisation of all countries”, – the raging COVID-19 pandemic, a morally bankrupt global financial system, the climate crisis, lawlessness in cyberspace, and diminished peace and security. He stressed that countries must go into emergency mode.