1. Home
  2. Asia
  3. Afghanistan

Contaminated water supplies likely cause of increased diarrhoea

A diarrhoea patient in Heart city hospital.
(Adela Kabiri/IRIN)

Recent flooding in many parts of Afghanistan which has contaminated drinking water sources is seen as the most likely cause of the reported increase in diarrhoea cases countrywide.

[This story is also available as a radio report in the Dari language.]

Over 10,000 people with acute diarrhoea, mainly children, have sought treatment at hospitals in four Afghan provinces, including Kabul, over the past three weeks.

“For the last six weeks 200-300 diarrhoea patients a day, almost all of them children, have been visiting our hospital,” the head of a hospital in the northern province of Balkh, Abdula Rawof Ferogh, said on 10 July.

At least 20 deaths have been reported in several districts of Daykundi (central Afghanistan) and Balkh provinces in the past five weeks, provincial health workers said.

The outbreak has also affected other parts of the country.

In the western province of Herat over 3,800 patients have sought treatment for gastrointestinal disorders over the last three weeks, according to officials from the Ministry of Public Health (MoPH).

In the southern province of Helmand, where aid and development activities have been widely affected by insecurity, up to 80 diarrhoea patients are visiting a hospital in the provincial capital, Laskargah, every day, a local medical worker said.

Provincial health officials in the provinces of Khost, Kandahar and Nangarhar have also confirmed hundreds of diarrhoea cases. IRIN was unable to obtain comparative figures for previous years in all the above regions.

MoPH spokesman Abdullah Fahim said women and children were particularly vulnerable to the disease. “Most of the patients admitted to hospitals are children under five,” he told IRIN in Kabul.


Recent torrential rain and flooding have caused extensive destruction across many provinces and contaminated water sources.

People in flood-affected provinces say their sources of potable water - already affected by a long drought - such as open wells, tarns and lagoons, have been either damaged or contaminated by muddy and polluted water.

Apart from a lack of clean water, seasonal fruits and vegetables consumed without proper washing in clean water are also considered a major source of the problem.

“Food is another cause of diarrhoea when it is prepared or stored in unhygienic conditions,” Fahim said.

Diarrhoea can also spread from person to person, aggravated by poor personal hygiene, the World Health Organization (WHO) says.

Diarrhoea is mostly caused by gastrointestinal infections which globally kill more than two million people each year, mostly children in underdeveloped and developing countries, WHO says.

Severe diarrhoea can also threaten life due to fluid loss in the body, particularly in infants and young children, the malnourished and people with weak immunity.


This article was produced by IRIN News while it was part of the United Nations Office for the Coordination of Humanitarian Affairs. Please send queries on copyright or liability to the UN. For more information: https://shop.un.org/rights-permissions

Share this article
Join the discussion

It was The New Humanitarian’s investigation with the Thomson Reuters Foundation that uncovered sexual abuse by aid workers during the Ebola response in the Democratic Republic of Congo and led the World Health Organization to launch an independent review and reform its practices.

This demonstrates the important impact that our journalism can have. 

But this won’t be the last case of aid worker sex abuse. This also won’t be the last time the aid sector has to ask itself difficult questions about why justice for victims of sexual abuse and exploitation has been sorely lacking. 

We’re already working on our next investigation, but reporting like this takes months, sometimes years, and can’t be done alone.

The support of our readers and donors helps keep our journalism free and accessible for all. Donations mean we can keep holding power in the aid sector accountable, and shine a light on similar abuses. 

Become a member today and support independent journalism

Become a member of The New Humanitarian

Support our journalism and become more involved in our community. Help us deliver informative, accessible, independent journalism that you can trust and provides accountability to the millions of people affected by crises worldwide.