In this undated photograph released by Medecins Sans Frontieres (MSF) on October 3, 2015, Afghan MSF medical personnel treat civilians injured following an offensive against Taliban militants by Afghan and coalition forces at the MSF hospital in Kunduz. An air strike on the hospital in the Afghan city of Kunduz on October 3 left three Doctors Without Borders staff dead and dozens more unaccounted for, the medical charity said, with NATO conceding US forces may have been behind the bombing. The MSF facility is seen as a key medical lifeline in the region and has been running "beyond capacity" during recent fighting that saw the Taliban seize control of the provincial capital for several days. AFP PHOTO / MSF ----EDITORS NOTE---- RESTRICTED TO EDITORIAL USE - MANDATORY CREDIT "AFP PHOTO/MSF" - NO MARKETING NO ADVERTISING CAMPAIGNS - DISTRIBUTED AS A SERVICE TO CLIENTS -----

KABUL: A suspected US air strike on a hospital killed 19 people yesterday in the Afghan city of Kunduz, medical charity MSF said, a bombardment that the UN condemned as “inexcusable, and possibly even criminal”. Dozens more were seriously wounded at the facility, a key lifeline that has been running “beyond capacity” during fighting that saw the Taleban seize control of the northern provincial capital for several days.

The strike early yesterday left the building engulfed in flames, with photos posted by Doctors Without Borders showing their staff shocked and dazed. “At 2:10 am (2040 GMT) local time… the MSF trauma centre in Kunduz was hit several times during sustained bombing and was very badly damaged,” the organisation, known by its French initials, said. “Twelve staff members and at least seven patients, including three children, were killed; 37 people were injured. This attack constitutes a grave violation of international humanitarian law.”

The charity said the bombing continued for more than 30 minutes after American and Afghan military officials were first alerted they were being hit. “All parties to the conflict, including in Kabul and Washington, were clearly informed of the precise location (GPS coordinates) of the MSF facilities,” the statement added. NATO conceded US forces may have been behind the strike but has not so far commented on the specific claims of MSF, which has long treated the war-wounded from all sides of the conflict.

“The strike may have resulted in collateral damage to a nearby medical facility. This incident is under investigation.” The incident has renewed concerns about the use of US air strikes in Afghanistan, a deeply contentious issue in the 14-year campaign against Taleban insurgents. UN rights chief Zeid Ra’ad Al Hussein called for a full and transparent probe, noting that, “if established as deliberate in a court of law, an air strike on a hospital may amount to a war crime.” “This event is utterly tragic, inexcusable and possibly even criminal,” he said.

US Defense Secretary Ashton Carter said a “full investigation” is being carried out. The bombing came after Taleban insurgents overran the northern Afghan city on Monday. It was the first major city to be captured by militants since 2001. The Afghan defence ministry expressed sadness but in a statement said “a group of terrorists armed with light and heavy weapon… were using the hospital building as a position to target Afghan forces and civilians”. MSF said some 105 patients and their caregivers, as well as more than 80 international and local MSF staff, were in the hospital at the time of the bombing.

‘Shocked, emotional, in tears’
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. 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. He said many people were too afraid to leave their homes to check on wounded relatives because of sporadic firefights between troops and Taleban militants. The Afghan government insists the city is firmly in their control.

‘Appalling tragedy’
The MSF trauma centre in Kunduz is the only medical facility in the whole northeastern region of Afghanistan that can deal with major injuries. “We are deeply shocked by the attack, the killing of our staff… and the heavy toll it has inflicted on healthcare in Kunduz,” MSF director of operations Bart Janssens said. “We urge all parties to respect the safety of health facilities and staff.” The International Committee of the Red Cross said the strike was “an appalling tragedy”. “Such attacks against health workers and facilities undermine the capacity of humanitarian organisations to assist the Afghan people at a time when they most urgently need it.”

Kunduz is facing a humanitarian crisis, with thousands of civilians caught in the crossfire between government forces and insurgents. At least 60 people are known to have died and 400 wounded in recent fighting. The Taleban’s offensive in Kunduz, their biggest tactical success since 2001, marks a major blow for Afghanistan’s Western-trained forces. In a statement, the Taleban accused “barbaric American forces” of deliberately carrying out Saturday’s strike, which “killed and wounded tens of doctors, nurses and patients”. US-led NATO forces ended their combat mission in Afghanistan last December, though a 13,000-strong force remains for training and counter-terrorism operations. – AFP