Over 11,000 Yemeni Children Have Been Killed or Injured Since 2015, Reports UNICEF

Hasina Hajukhan never imagined that returning to her maternal house would turn into a near-death experience. In April, the 28-year-old was seven months pregnant, and her medical parameters were normal. “I was taking extra care to ensure no complications during childbirth,” she told Toward Freedom.

As is customary in many parts of India, pregnant women return to their parents’ homes to give birth. When Hajukhan first reached her mother’s house in Ganeshwadi village of the western Indian state of Maharashtra, she felt nauseated. “It was April’s final week, and I couldn’t even breathe properly,” she recounted. A heat wave had taken hold. “The climate was the stark opposite of what it was in my husband’s village.” In Ganeshwadi, things kept getting complicated with the rising heat. “Every day, I was breathless and would feel dizzy.”

Using a desk fan at the highest speed didn’t help, as it just circulated more hot air. An air conditioning system was something her family could not afford. The tin sheet roof would get extremely hot. During this crucial time, Hajukhan needed rest. However, she spent most of her day stepping out to gasp for cold air. In May’s final week, things got worse. “I felt as if I was going to die,” she recalled, teary-eyed.

Immediately, her mother dialed Ranjana Gavade, an accredited social health activist (ASHA worker), part of a community of 1 million women healthcare workers appointed for every 1,000 people in India’s villages. ASHAs are responsible for more than 70 healthcare tasks, with a particular focus on maternal and child health.

“I was worried looking at her rapidly deteriorating health and informed my colleagues.” Upon their instructions, Gavade called a government ambulance and swiftly took her to the district hospital, 33 kilometers (20.5 miles) away. Hajukhan gave birth to underweight twins. Her troubles still hadn’t ended when she was discharged after three days. For a month since then, Hajukhan has been trying to ensure her twins gain weight, but all efforts have failed. As a result, they weren’t administered the necessary Bacillus Calmette–Guérin (BCG vaccine used against tuberculosis), Hepatitis B, and Polio vaccines.

The Kolhapur district, where Hajukhan lives, has been reporting recurring floods, heat waves, incessant rainfall, and hailstorms triggered by climate change. She said everything would have been normal had she not returned to her parents’ home to give birth in the heat waves. “My children wouldn’t have had to live such a dangerous life,” she said.

Like in the village of Ganeshwadi, climate change impacts have been delaying children’s immunization schedules throughout India, making them vulnerable to diseases. Research has found that if a child belonged to a district highly vulnerable to climate change, the odds of stunting rose by 32 percent, low weight by 45 percent, anemia by 63 percent and acute malnutrition by 42 percent. An analysis by global nonprofit Save the Children found that, globally, 774 million children are living in poverty and at a high risk of climate-related disasters. Weather disasters ranging from floods to droughts prevent children from obtaining nourishment, causing low weight, and these disasters put a break on children receiving vaccinations on time. Their weakened immune systems, as a result of a lack of proper nourishment in crisis times, make them vulnerable to other diseases. Being sick can halt the necessary immunizations, and these delays have led to a rise in epidemics and diseases.

How Floods Impact Universal Immunization

Snehal Kamble, 24, a resident of Maharashtra’s flood-prone Arjunwad village, remembers the year 2019 in meticulous detail. “A day before the floods, I was preparing to go to my parent’s house.” Five months pregnant, she was looking for iron folic acid tablets. “Instead, all of us went to a flood relief camp,” she recounted. From there, she moved to another relief camp within a few days, as the water rose further. “During this time, I was worried about my house and belongings,” she said. She fell sick and was away from home for 15 days. “Those were the most difficult days of my life,” she shared. Then in January 2020, she gave birth to a boy named Sangarsh, who has often fallen sick. “When I went to my maternal house, he just couldn’t bear the heat there,” she said. The dehydration and spells of fever he experienced affected his immunization schedule. “His Pentavalent vaccine was delayed by several months because of health ailments,” said ASHA worker Shubhangi Kamble (no relation to Snehal), who has been monitoring this child since birth.

Further, his Measles-Rubella vaccine and Vitamin A dose were also delayed, making him vulnerable to diseases. “Vaccines need to be administered on time,” said Sachin Kamble, a nursing officer at the district women’s hospital in Maharashtra’s Osmanabad district. “Otherwise, it affects a child’s immunity, making them more vulnerable to diseases.”

He pointed out how the lack of vaccinations led to 2,692 cases in 2022 in Maharashtra, which reported the highest measles count in India. That was an eight-fold increase from the previous year. During this time, India reported 12,773 cases. India’s National Family Health Survey (NFHS) said only 31.9 percent of children ages 24 months to 35 months had received a second dose of measles-containing vaccine in 2019-21.

Another healthcare worker, Kavita Magdum, from flood-affected Ganeshwadi village, said that children in her surveying area never fell ill so frequently. She started noticing such stark changes only in the past five years. Upon inspecting this, she found, “Stress caused by the changing climate is leading to this.” For instance, Magdum sees that many children aren’t drinking breast milk, which has impacted their medical parameters. These drastic changes reflect in Indian government statistics, as well. During 2015-16, 58.6 percent of children ages 6 months to 59 months (just under 5 years old) were anemic in India. By 2019-20, this number rose to 67.1 percent. In addition, 32 percent of children nationally remain underweight.

After a year-and-a-half, Snehal’s son started getting better, thanks to Shubhangi’s consistent visits, when she monitored every parameter and ensured the best possible treatment by working hours beyond her duty. “Once the vaccination schedule started falling in place, his health, too, began improving,” Shubhangi shared.

Untimely Administration of Vaccines

While climate change is making it difficult for these healthcare workers to complete universal immunization, another challenge is the untimely vaccine administration.

“There are many instances, where vaccines in several villages are just not available,” said Netradipa Patil, leader of more than 3,000 ASHA workers and co-founder of Deep-Maya Foundation, a non-profit that works for women and children. “During such times, it becomes extremely challenging for us healthcare workers to manage everyone.”

Patil has observed that the workload has increased tremendously for all the ASHA workers because of the delay in vaccination. This is because ASHA workers are responsible for immunization, and in case of any discrepancy or error, they are held accountable. Research published in 2016 concluded, “Lack of timely administration of key childhood vaccines, especially DPT3 (the three doses of the Diphtheria, Tetanus and Pertussis vaccine) and MCV (measles-containing vaccine), remains a major challenge in India and likely contributes to the significant burden of vaccine-preventable disease-related morbidity and mortality in children.” Another paper published in 2019 inferred, “The proportion of children with delayed vaccination is high in India.”

In 2021, the World Health Organization found that 25 million children around the world under the age of 1 didn’t receive vaccines, a figure not seen since 2009. “Many children never get the Vitamin A doses on time. These doses are just not available when required,” Patil said, suggesting the Indian government should consult local healthcare workers to arrange vaccination. “We need to reach more and more people, and, currently, looking at the changing climate, we aren’t prepared to do this,” she shared. Patil made simple suggestions like identifying vulnerable children and their locality and monitoring them from the earlier stages, even before the disaster strikes. “Just by proper identification, we can save so many children,” she said.

Rising Undernourishment

Fed up with feeding medications and tonics that didn’t seem to help increase his weight and prevent him from continually falling ill due to the changing weather conditions, Rashi Patil, 23, quit taking her son to the doctor every month after 18 months. “My son just wouldn’t eat anything,” Patil said.

Moreover, the changes in local climatic patterns affected her son’s health, and he often fell sick. Last year, he was hospitalized for a week as his platelets fell and a fever intensified. What followed next were recurring illnesses that delayed his immunization schedule. Because of the fever in March, he wasn’t administered the Pentavalent 1 vaccine (it protects from five life-threatening diseases: Diphtheria, Pertussis, Tetanus, Hepatitis B and Hib [Haemophilus Influenzae Type b]). Her son soon became weak and began recovering only after the vaccine’s administration. All this while, her son struggled with good eating habits. After several trials and errors, Rashi and her husband, Rajkumar, discovered the climate affected their son’s health and eating habits.

“Now, their son makes it a point to eat only outside the house, where he gets some cold air,” says Rashi. “Contrastingly, this was never the case with my elder daughter.”

Toward Freedom reached out to Ganeshwadi’s community health officer, Dr. Prajakta Gurav, regarding what steps her team was taking to deal with delayed immunization. Gurav hasn’t replied as of press time.

The impact of poor diets is more obvious at the national level. For instance, just 11.3 percent of children between the ages of 6 months and 23 months receive an adequate diet. Plus, in 2022, India ranked 107 out of 121 countries on the global hunger index. These numbers further reveal how climate change is exacerbating the existing faultlines.

The problem is not restricted to India. Of the countries at severe risk of being adversely affected by climate change, the report by Save the Children says, “Burundi has the highest rate of stunted children (54 percent), followed by Niger (47 percent), Yemen (46 percent), Papua New Guinea (43 percent), Mozambique (42 percent) and Madagascar (42 percent).”

Research published in PLOS Medicine found that in 22 sub-saharan African countries, drought led to lower chances of completion of BCG (Bacillus Calmette-Guérin), Polio and DPT (diphtheria, tetanus, and pertussis) vaccines. “We took vaccines to the last mile. Now, climate change is eroding progress.”

For Komal Kamble, 30, vaccinating her 2-year-old daughter remains challenging. Her remote mountainous village of Kerle, in Maharashtra’s Kolhapur district, remains inaccessible most of the year.

For the village population of less than 1,100 people, the nearest healthcare facility is 15 kilometers away. Last year, within a week of October rains, the road that connects her village to the nearest hospital was completely under floodwater.

Komal’s daughter couldn’t get proper medical care for two days, worsening her health. Her chest was full of cough, and the fever rose, making things difficult for the agrarian Kamble family. This wasn’t restricted to heavy rainfall, though. Since her birth in 2021, Komal has taken her daughter to a private doctor at least 20 times, spending over Rs 15,000 ($182). Last year, she was feverish and wasn’t given the crucial Japanese encephalitis vaccine, a Vitamin A dose and the Measles-Rubella vaccine. This made her vulnerable to more diseases, challenging the Kamble family.

Healthcare worker Shubhangi Kamble from Arjunwad says that instances of children missing their vaccination are rising rapidly. When she went to find out why this was happening in her village, Arjunwad, she saw that children fell sick during floods and heat waves. “This was the time that coincided with their vaccination schedule, and so many couldn’t get the vaccines,” she shared.

However, a delay in vaccination has caused more problems than she had anticipated.

“Almost every day, at least one parent dials me asking where they should get their children hospitalized,” she said.

Now, every rainfall brings a health issue for Komal’s daughter. “I am tired of going to the healthcare center to hear that my daughter is underweight or sick and can’t be given the vaccine,” Komal said, with frustration in her voice.

Meanwhile, with every climate disaster, it will become increasingly difficult for many families to complete the immunization in time. “I’ve been vaccinating children for over a decade, but things never got this difficult. We took vaccines to the last mile. Now, climate change is eroding progress,” said healthcare worker Kavita Magdum.

Sanket Jain is an independent journalist based in the Kolhapur district of the western Indian state of Maharashtra. He was a 2019 People’s Archive of Rural India fellow, for which he documented vanishing art forms in the Indian countryside. He has written for Baffler, Progressive Magazine, Counterpunch, Byline Times, The National, Popula, Media Co-op, Indian Express and several other publications.

Editor’s Note: The following is the writer’s analysis and was originally published by CovertAction Magazine.

Over the past few months, U.S. lawmakers, the Afghan government, and the international community have called on Washington to stop strangling the Afghan economy as its people continue to suffer from a U.S.-created humanitarian crisis. On December 22, the Biden administration effectively rejected those calls, opting instead for half-measures that will do little to counter the effects of stringent economic sanctions imposed on the Taliban or to improve the material well-being of the Afghan people.

Sanctions in Context

Contrary to the narrative of U.S. politicians and journalists, the August withdrawal of U.S. and NATO forces from Afghanistan did not mark the end of the United States’ so-called “forever war” but rather a shift in U.S. policy—from direct military intervention and occupation to one based on economic sanctions and indirect political subversion. Although the tactics changed, the goal is the same: The accumulation of wealth and power through class warfare against the Afghan people.

Just days after Kabul fell to the Taliban on August 15, Washington took measures to turn off the flow of funds to the new government and paralyze the Afghan banking system. The Treasury Department quickly issued a freeze order on nearly $9.5 billion of the Afghan Central Bank’s assets held in U.S. financial institutions, including the New York Federal Reserve Bank. 

Although the Taliban was entitled to receive more than $460 million from the International Monetary Fund (IMF) in currency reserves known as Special Drawing Rights, or SDRs, the U.S. directed the IMF to block those funds as well.

President Biden has also ensured that $1.3 billion of Afghan funds held in international accounts remain frozen, including funds denominated in euros and British pounds and those held by the Swiss-based Bank for International Sanctions.

Notably, these punitive measures are in addition to the pre-existing economic sanctions that the U.S. has imposed on the Taliban, which began in 1999 under President Bill Clinton and which President George W. Bush ramped up following the 9/11 attack as part of the U.S.’s newly created counterterrorism sanctions program, known as the Specially Designated Global Terrorist list. The Obama and Trump administrations followed suit by imposing over 100 and 23 sanction orders, respectively, against Taliban-related targets.

Despite purported exemptions for humanitarian aid, the lack of clarity under U.S. law deters financial institutions from processing such transactions out of fear of violating U.S. sanctions—which not only freeze all assets associated with the Taliban; they subject any individual or entity that conducts a transaction involving the Taliban to criminal liability. The ubiquity of U.S. dollars and financial institutions in international commerce provides the U.S. with virtually global jurisdiction.

Horrific Consequences of Sanctions

Decades of U.S. occupation and war have left Afghanistan a poor country dependent on external sources to fund public spending. No longer able to rely on brute military and political force to protect the interests of Western capital in Afghanistan, U.S. strategists understand that seizing the central bank’s money and cutting all international aid gives Washington powerful leverage against the Taliban, all while inflicting maximum pain on the Afghan people, who continue to be relegated to “starving pawns in big power games.”

The horrific and totally foreseeable consequences of these sanctions have, so far, been well documented by international humanitarian organizations, even if they are reluctant to depict the United States as culpable. 

On October 25, the UN’s Food and Agriculture Organization and World Food Program published a report urging humanitarian assistance, warning that Afghanistan is on a “countdown to catastrophe.” According to the report, more than 50% of Afghans will face “crisis” or “emergency” levels of acute food insecurity, including over 3 million children under the age of five.

On November 22, the United Nations Development Program (UNDP) published a report warning that Afghanistan’s financial and bank payment systems are “in disarray” and on the verge of collapse. The UNDP report, citing the IMF, predicts the Afghan economy could contract by 30% for 2021-2022.  

On December 6, the International Crisis Group issued a more scathing report, warning that the “hunger and destitution” caused by “economic strangulation,” imposed by the West in response to the Taliban takeover, could “kill more Afghans than all the bombs and bullets of the past two decades.”

In other words, U.S. policy of intentionally starving the Afghan people through economic sanctions on Afghanistan is going as planned. As many predicted, blocking funds from the Taliban and curtailing foreign aid and assistance would lead to a rapid financial meltdown and exacerbate the ongoing famine plaguing Afghanistan.

U.S. Retaliates for Taliban’s Military Success

Despite the Taliban’s success in forcing the U.S. government to the negotiating table in Doha and then ousting the U.S. military from Afghanistan, or rather, because of that success, Washington has made it clear that it has no plans to respect Afghanistan’s sovereignty. Indeed, the Biden administration’s response to pleas that the asset freeze be lifted demonstrates the hypocrisy and callousness of U.S. foreign policy.

On November 17, as reported by Tolo News, Mawlawi Amir Khan Muttaqi, Acting Minister of Foreign Affairs of the Islamic Emirate of Afghanistan, sent a letter to the U.S. Congress calling for the return of Afghan assets, correctly noting that “the fundamental challenge of our people is financial security, and the roots of this concern lead back to the freezing of assets of our people by the American government.”

The U.S. Special Representative for Afghanistan, Thomas West, rejected the Taliban’s request in a series of revealing tweets. West’s remarks effectively admitted that the dire situation pre-dates the Taliban takeover and confirmed that the United States was preventing “critical” international aid from reaching Afghanistan as retribution for the Taliban’s military success, while recognizing that Afghanistan’s “economy [is] enormously dependent on aid, including for basic services.” 

Further, in a fashion typical of bourgeois idealism, which values words and appearances over substance and material reality, West condescendingly lectured the Taliban that “[l]egitmacy and support must be earned” and confirmed that the United States would consider lifting the murderous sanctions if the Taliban only learned to “respect the rights of minorities, women and girls.” 

The irony of Washington’s position of respecting humanitarian rights by denying humanitarian aid was not lost on Muttaqi, who, in response to West’s tweets, questioned the tortured logic: “The U.S. froze our assets and then told us that it will provide us humanitarian aid. What does it mean?” Muttaqi reiterated the demand to release Afghanistan’s assets: “The assets should be freed immediately. The Americans don’t have any military front with us now. What is the reason for freezing the assets? The assets don’t belong to the Mujahideen (Islamic Emirate) but to the people of Afghanistan.”

In tacit acknowledgment that the state needs legitimacy to stabilize its rule, the U.S.-driven humanitarian crisis has prompted members of Congress to ask the Biden administration to reconsider certain aspects of its sanctions policy in light of the dire warnings issued by the UNDP and World Food Program.

On December 15, a bipartisan group of 39 lawmakers wrote a letter to the State and Treasury departments calling on the Biden administration to “allow international financial institutions to inject the necessary economic capital into Afghanistan while avoiding the transfer of money to the Taliban-led government” and designate a “private Afghan or third-country bank” as a central bank. The lawmakers also recommended, among other things, the release of the $9.5 billion of Afghan assets—but only if sent “to an appropriate United Nations agency” and only if used “to pay teacher salaries and provide meals to children in schools, so long as girls can continue to attend.”

On December 20, a group of 46 lawmakers led by House progressives wrote a similar letter to President Biden, explicitly linking the “U.S. confiscation of $9.4 billion” of Afghan assets to “contributing to soaring inflation” and “plunging the country…deeper into economic and humanitarian crisis.” Although the House progressives struck a harsher tone, they made the same requests as the December 19 letter, urging President Biden to allow Afghanistan’s central bank to access its reserves, consistent with proposals by “[c]urrent and former Afghan central bank officials appointed by the U.S.-supported government” and supported by “private sector associations such as the Afghan Chamber of Commerce and Investment and the Afghanistan Banks Association.”

This congressional pushback, tepid as it is, also reflects an inherent tension in the U.S. use of sanctions: While economic warfare is a necessary tool of U.S. foreign policy, sanctions are not always good for business in the short term. Afghanistan had been a source of wealth for the imperialist bourgeoise for the past two decades, and now certain sectors of the capitalist class apparently want back in.

Still, the Biden administration has shown no sign of easing the sanctions. In fact, the Biden administration is considering permanently depriving the Afghan people of the funds needed to combat the current humanitarian crisis, by transferring those funds instead to U.S. plaintiffs with outstanding default judgments against the Taliban. That is what two groups of judgment creditors have argued to U.S. federal judges. (Those cases are captioned Havlish et al. v. Bin-Laden et al., No. 03 Civ. 9848, and Doe v. The Taliban et al., No. 20 Misc. 740, and are pending in the Southern District of New York before Judges Daniels and Failla, respectively.)

Although its formal statement is not due until January 18, the Biden administration seems willing to go along with the plan—the only apparent obstacle is how to seize the Afghan funds without recognizing the Taliban as the legitimate Afghan government. Press Secretary Jen Psaki has twice cited that ongoing litigation as the primary reason for maintaining the asset freeze.

Following its imperial playbook, the U.S. sanctions imposed on Afghanistan are aimed at destabilizing Afghan civil society, making daily life so unbearable that the Afghan people eventually blame the Taliban for their misery, providing the United States and its proxies an opening to enact regime change.

Similar to sanctions imposed on Venezuela, Cuba, Iran, Zimbabwe, Eritrea, Nicaragua, and many others, the sanctions on Afghanistan are having their intended effect, which is to deprive the masses of essential goods and services as punishment whenever a government refuses to surrender its nation’s resources and sovereignty to the demands of U.S. and European capital. 

Now more than ever, those in the imperial core must demand the end of U.S.-imposed sanctions against the Afghan people and oppressed people all over the world.