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‘I’ve already sold my daughters; now, my kidney’: winter in Afghanistan’s slums | Global development

The temperature is dropping to below zero in western Afghanistan and Delaram Rahmati is struggling to find food for her eight children.

Since leaving the family home in the country’s Badghis province four years ago, the Rahmatis have been living in a mud hut with a plastic roof in one of Herat city’s slums. Drought made their village unliveable and the land unworkable. Like an estimated 3.5 million Afghans who have been forced to leave their homes, the Rahmatis now live in a neighbourhood for internally displaced people (IDP).

There are no jobs. But the 50-year-old has hospital fees to pay for two of her sons, one of whom is paralysed and the other who has mental illness, as well as medicine for her husband.

“I was forced to sell two of my daughters, an eight- and six-year-old,” she says. Rahmati says she sold her daughters a few months ago for 100,000 afghani each (roughly £700), to families she doesn’t know. Her daughters will stay with her until they reach puberty and then be handed over to strangers.

It is not uncommon in Afghanistan to arrange the sale of a daughter into a future marriage but raise her at home until it is time for her to leave. However, as the country’s economic crisis deepens, families are reporting that they are handing children over at an increasingly young age because they cannot afford to feed them.

Delaram Rahmati
Delaram Rahmati, who sold a kidney to support her family. Photograph: Rukhshana Media

Yet, selling her daughters’ future was not the only agonising decision Rahmati was forced to make. “Because of debt and hunger I was forced to sell my kidney,” she tells Rukhshana Media from outside her home in the Herat slum.

Afghanistan is on the brink of “a humanitarian crisis and economic collapse”, according to the UN. The agency’s ambassador to Afghanistan has said it is “experiencing the worst humanitarian crisis of its contemporary history”. Drought, Covid-19 and the economic sanctions imposed after the Taliban seized power in August 2021 have had catastrophic consequences on the economy. Dramatic rises in inflation have resulted in soaring food prices.

The kidney trade has been growing in Afghanistan for some time. But since the Taliban took power, the price and conditions under which the illegal organ trade takes place has changed. The price of a kidney, which once ranged from $3,500 to $4,000 (£2,600 to £3,000), has dropped to less than $1,500 (£1,100). But the number of volunteers keeps rising.

Rahmati sold her right kidney for 150,000 afghani (£1,000). But her recovery from the operation has not been good and now, like her husband, she is also sick, with no money left to visit a doctor.

More than half of the country’s estimated 40 million population face “extreme levels of hunger, and nearly 9 million of them are at risk of famine”, according to the UN refugee agency, UNHCR. For a growing number of Afghans, selling a kidney is their only way to get money to eat.

Herat city’s slums
Since leaving the family home in Badghis province four years ago, the Rahmatis have been living in a mud hut with a plastic roof in a camp in Herat city. Photograph: Rukhshana Media

“It has been months since we last ate rice. We hardly find bread and tea. Three nights a week, we can’t afford to eat dinner,” says Salahuddin Taheri, who lives in the same slum as the Rahmati family.

Taheri, a 27-year-old father of four, who scrapes together enough money for five loaves of bread each day by collecting and selling recycled rubbish, is looking for a buyer for his kidney. “I have been asking private hospitals in Herat for many days if they need any kidney. I even told them if they need it urgently, I can sell it below the market price, but I haven’t heard back,” Taheri says. “I need to feed my children, I have no other choice.”

In the past five years about 250 official kidney transplants have taken place in the hospitals in Herat province, with a very limited number being a family member donating their organ, says Asif Kabir, a public health official in the province. The cost of a kidney transplant is 400,000 afghani, plus the price of the kidney, according to Kabir.

But the true number of kidney operations may be far higher. A doctor working in one of the hospitals where most of the transplants take place, who spoke on the condition of anonymity, says: “Recently the number of people who want to sell their kidney has increased in Herat and most of them live in the displaced camps, in Herat’s slums. The customers also go to the displaced camps to find a cheap kidney.”

Sayed Ashraf Sadat, a civil society activist in Herat, was a member of a delegation assigned by president Ashraf Ghani to investigate the illegal kidney trade in May 2021.

Chinar’s scar from kidney surgery.  Her husband is sick and she had to sell her kidney to feed their children
A nurse looks at Chinar’s scar from kidney removal surgery. Chinar, who lives in the Herat camp, said her husband is sick and she had to sell the organ to feed their four children. Photograph: Mstyslav Chernov/AP

“We found that the hospitals were not working according to the law. People are working inside and outside the country to encourage people to sell their kidneys. These people get them visas and send them to the other side of the border. There is more demand for kidney transplants outside Afghanistan. Countries like Iran need kidneys, and poor Afghans are forced to sell them.”

Sadat says the investigation he was part of identified two hospitals in Herat where kidney transplant operations take place; one of them said it had completed 194 operations and the other said 32, but more than 500 people were claiming to have sold their kidney, 100 from a single village in Herat. “This shows the kidneys were taken outside Afghanistan,” says Sadat.

“For example, a kidney is purchased for 300,000 afghani (£2,100) inside Afghanistan, and it is sold for more than £7,500 to £11,000 outside the country,” says Sadat.

“We found evidence that some are encouraged to sell their kidneys, taken outside the borders, and their kidneys are sold for 200,000 to 400,000 afghanis ,” says Sadat. “It seems that the doctors are involved in the illegal trade. But unfortunately, our investigation was stopped due to a worsening security situation.”

Sardar Muhammad, who sold his kidney, shows the scar
Another Herat camp resident, Sardar Muhammad, who sold his kidney, shows the scar from the surgery. Photograph: Mstyslav Chernov/AP

Two months have passed since Rahmati’s kidney operation, and the money has already gone to pay off medical debt. Her recovery from the operation continues to go badly.

“I am so sick. I couldn’t even walk because the wound has been infected. It is very painful,” she says, adding that the recipient of her kidney only paid for the operation fee, two nights in hospital and her first medicine bill.

On the day of the transplant, Rahmati was sick and the doctors refused to operate. “I couldn’t breathe properly, so the doctors took me down from the hospital bed, but I returned. I told them ‘I am happy with my own death, but I can’t tolerate seeing my children hungry and ill’,” she says.

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Bukele places personal secretary as interim president as he runs for reelection in El Salvador | International

President Nayib Bukele will focus in the coming months on a reelection campaign, despite the fact that a consecutive term is expressly prohibited by the Constitution of El Salvador. Last Thursday, El Salvador’s Congress granted the controversial and popular president leave for six months so that he could begin his race for the presidency. The request was approved by 67 of the 84 deputies in Congress.

Bukele’s reelection bid was given the green light in September 2021, when the Constitutional Chamber of the Supreme Court elaborated an interpretation of the text that allows a sitting president to participate in the elections if he is on leave from office at least six months before the vote. Honduran leader Juan Orlando Hernández and Nicaraguan President Daniel Ortega used similar moves to remain in power. The Salvadoran Supreme Court — whose members were handpicked by Bukele — made the decision even though at least five articles of the country’s Constitution ban consecutive terms.

Bukele has ignored the calls to respect the Constitution and launched a reelection campaign amid soaring approval ratings. Under the president’s controversial state of exception, gang violence has fallen to widespread approval. This is despite the multiple reports of human rights violations in prisons, arbitrary detentions and short-term forced disappearances.

The six-month leave granted to Bukele was the last requirement the president needed in order to begin campaigning for the February 4 elections. The president has the justice system and the polls on his side, and is also facing an opposition that is weighed down by corruption cases and has little popular support. “The infamous event that took place yesterday [on Thursday, November 30] constitute a triple constitutional fraud. The perpetrators have simulated formal compliance with constitutional norms while violating others that prohibit re-election, leaving presidential office and those that regulate the appointment and function of presidential appointees,” said the Salvadoran civil movement SUMAR in a statement.

“There is no president in El Salvador”

Bukele will be joined on the campaign trail by his vice president Félix Ulloa, who is also seeking re-election. According to the Constitution, Bukele had to present a shortlist of candidates to replace him during his six-month leave, but he only proposed one person: Claudia Juana Rodríguez de Guevara, his private secretary who overseees his financial activities.

“She is not a politician, she is the custodian of the president’s businesses,” Ricardo Vaquerano, one of the most prominent investigative journalists in El Salvador, told EL PAÍS. “Claudia Juana worked first in the accounting area, and then in the financial area, of Obermet, the Bukele family’s advertising company. Once Nayib launched her political career, she was in charge of finances for the mayor’s office of Nuevo Cuscatlán, where Nayib was first mayor in 2015. She then assumed the mayor’s office of San Salvador, the capital, where she became treasurer… and when Nayib became president, she became the financial director of the presidency.”

Vaquerano points out that Rodríguez Guevara was finance secretary of Bukele’s Nuevas Ideas (New Ideas) party. “It is the president’s party and this is a party that has not been transparent about absolutely anything, despite the fact that the law mandates that the origin of financing be transparent,” the journalist added. The interim president of El Salvador holds multiple positions, including the presidency of the Board of Directors of the National Directorate of Municipal Works (DOM).

Félix Ulloa, vice president of El Salvador under Bukele, in July 2022
Félix Ulloa, vice president of El Salvador under Bukele, in July 2022Álvaro García

“The DOM is an institution that was created two years ago to direct to Rodríguez de Guevara all the money that was previously delivered to the municipalities from the general budget of the nation. This year, the DOM should have at least around $680 million to do its work, but it is also closed to public scrutiny,” said Vaquero, who argued that Bukele appointed Rodríguez de Guevara to that body as she is in charge of the president’s finances. The journalist points out that in 2020 the Attorney General’s Office received 12 reports from the Anti-Corruption Commission on the irregular use of more than $150 million of funds under the umbrella of the funds to address the Covid-19 pandemic.

Despite the criticism, the deputies approved the interim term of Rodríguez de Guevara, who is the first woman to occupy the presidency of El Salvador. “Claudia Juana Rodríguez de Guevara is elected as designated by the President of the Republic, for the current presidential period, which ends on May 31, 2024,” stated the approved decree.

Vaquerano argues that the appointment of Bukele’s secretary does not comply with the Constitution. “Every person who is going to act as president must go through Congress, and this lady did not even run for Congress. So there is no president in El Salvador at this moment,” he said.

Bukele maintains presidential immunity

Vaquerano also argues that Bukele has an “unfair” advantage in the election, as he will retain presidential immunity during the six-month leave. The journalist explains that Bukele controls the justice system and the prosecutor’s office, so it is unlikely that he will be punished if he slanders other presidential hopefuls.

“The state media will reproduce everything he says during the campaign. This is also a huge advantage for Nayib,” added Vaquero. “Bukele made it clear on a national network about three days ago that, although it is true that he will leave the presidency, he will ‘be watching them.’ Bukele is not leaving, he is pretending to leave, but he will continue to maintain control and remain close with key officials.”

Vaquerano adds that the State Intelligence Agency and police intelligence warned that the Bukele government has used the Israeli software Pegasus to spy on opponents, its own deputies, academics and critical journalists in El Salvador. “He can find out what his opponents are up to, what they are doing, what the political parties that are going to compete in 2024 are planning,” said the journalist. “If we add to that the fact that he has iron control over the prosecutor’s office, police and judicial body, he has everything he needs to intimidate them.”

Bukele during the 78th session of the United Nations General Assembly, in New York, USA, in September 2023.
Bukele during the 78th session of the United Nations General Assembly, in New York, USA, in September 2023.JUSTIN LANE (EFE)

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Kyiv investigates allegations Russian forces shot surrendering Ukrainian soldiers | International

Ukrainian officials on Sunday launched an investigation into allegations that Russian forces killed surrendering Ukrainian soldiers — a war crime if confirmed — after grainy footage on social media appeared to show two uniformed men being shot at close range after emerging from a dugout.

The video shows the servicemen, one of them with his hands up, walking out at gunpoint and lying down on the ground before a group of Russian troops appears to open fire. It was not immediately possible to verify the video’s authenticity or the circumstances in which it was filmed, and it was unclear when the incident took place.

The Ukrainian General Prosecutor’s office on Sunday launched a criminal investigation, hours after the Ukrainian military’s press office said in an online statement that the footage is genuine.

“The video shows a group in Russian uniforms shooting, at point-blank range, two unarmed servicemen in the uniform of the Armed Forces of Ukraine who were surrendering,” the prosecutor’s office said in a Telegram update on Sunday.

The Russian defense ministry did not immediately respond to an emailed request for comment. As of Sunday evening, there were no public statements from the Russian government or military on the video.

Kyiv, its Western allies and international human rights organizations have repeatedly accused Moscow of breaching international humanitarian law since it launched its full-scale invasion of Ukraine in February 2022. The Kremlin denies these allegations.

The video first appeared Saturday on DeepState, a popular Ukrainian Telegram channel covering the war. The post claimed the footage came from the front lines near Avdiivka, a Ukrainian holdout in the country’s part-occupied east, where there has been fierce fighting in recent weeks.

The General Prosecutor’s Office on Sunday said that the alleged killing took place in the Pokrovsk district, which includes Avdiivka and surrounding areas.

“It’s clear from the video that the Ukrainian servicemen are taking the necessary steps that show they are surrendering,” Ukraine’s human rights chief, Dmytro Lubinets, said hours after the footage emerged on Saturday.

In a statement posted to Telegram, Lubinets described the incident as “yet another glaring example of Russia’s violations of international humanitarian law.”

Oleksandr Shtupun, a spokesperson for the Ukrainian military grouping that is fighting near Avdiivka, was cited by Ukrainian media as saying the video was “glaring confirmation” of Moscow’s disrespect for the laws of war.

In March, footage of a man exclaiming “Glory to Ukraine” before being gunned down in a wooded area sparked national outcry in Ukraine, as senior officials alleged that he was an unarmed prisoner of war killed by Russian soldiers.

Last summer, Kyiv and Moscow also traded blame for a shelling attack on a prison in occupied eastern Ukraine that killed dozens of Ukrainian POWs. Both sides claimed the assault on the facility in Olenivka was aimed at covering up atrocities, with Ukrainian officials charging captive soldiers had been tortured and executed there.

The U.N.’s human rights chief in July rejected Moscow’s claim that a rocket strike had caused the blast.

Also on Sunday, Ukraine’s energy ministry reported that close to 1,000 towns and villages suffered power outages that day, with hundreds of settlements in the west battered by wintry weather and others affected by ongoing fighting.

The Institute for the Study of War, a Washington-based think tank, late on Saturday assessed that military operations have slowed down all along the frontline in Ukraine due to poor weather, with mud bogging down tracked vehicles and making it hard for lighter equipment and infantry to advance.

Even so, Shtupun, of Ukraine’s Tavria military command that oversees the stretch of frontline near Avdiivka, said in a separate statement Sunday that Russian infantry attacks had intensified in the area over the past day. In a Telegram post, he insisted Ukrainian troops were “holding firm” in Avdiivka and another nearby town.

In the southern Ukrainian city of Kherson, at least two people died and seven more were wounded after Russian forces on Sunday shelled a high-rise apartment block and other civilian buildings, the head of the city’s military administration said in a series of Telegram posts.

One of the updates by Roman Mrochko featured a blurred photo of what he said was the body of a deceased civilian, apparently lying on a dirt road or in a yard outside the high-rise. The photo’s authenticity could not be independently verified.

Regional Gov. Oleksandr Prokudin separately reported on Sunday that Russian shelling that day damaged two of Kherson’s hospitals. He did not immediately reference any casualties.

Earlier in the day, a 78-year-old civilian died in a village northeast of Kherson after Russian shells slammed into his garage, according to a Telegram update by the regional Ukrainian military administration.

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Open Source Software (OSS) Supply Chain, Security Risks And Countermeasures

OSS Security Risks And Countermeasures

The software development landscape increasingly hinges on open source components, significantly aiding continuous integration, DevOps practices, and daily updates. Last year, Synopsys discovered that 97% of codebases in 2022 incorporated open source, with specific sectors like computer hardware, cybersecurity, energy, and the Internet of Things (IoT) reaching 100% OSS integration.

While leveraging open source enhances efficiency, cost-effectiveness, and developer productivity, it inadvertently paves a path for threat actors seeking to exploit the software supply chain. Enterprises often lack visibility into their software contents due to complex involvement from multiple sources, raising concerns highlighted in VMware’s report last year. Issues include reliance on communities to patch vulnerabilities and associated security risks.

Raza Qadri, founder of Vibertron Technologies, emphasizes OSS’s pivotal role in critical infrastructure but underscores the shock experienced by developers and executives regarding their applications’ OSS contribution. Notably, Qadri cites that 95% of vulnerabilities surface in “transitive main dependencies,” indirectly added open source packages.

Qadri also acknowledges developers’ long-standing use of open source. However, recent years have witnessed heightened awareness, not just among developers but also among attackers. Malware attacks targeting the software supply chain have surged, as demonstrated in significant breaches like SolarWinds, Kaseya, and the Log4j exploit.

Log4j’s widespread use exemplifies the consolidation of risk linked to extensively employed components. This popular Java-based logging tool’s vulnerabilities showcase the systemic dependency on widely used software components, posing significant threats if exploited by attackers.

Moreover, injection of malware into repositories like GitHub, PyPI, and NPM has emerged as a growing threat. Cybercriminals generate malicious versions of popular code to deceive developers, exploiting vulnerabilities when components are downloaded, often without the developers’ knowledge.

Despite OSS’s security risks, its transparency and visibility compared to commercial software offer certain advantages. Qadri points out the swift response to Log4j vulnerabilities as an example, highlighting OSS’s collaborative nature.

Efforts to fortify software supply chain security are underway, buoyed by multi-vendor frameworks, vulnerability tracking tools, and cybersecurity products. However, additional steps, such as enforcing recalls for defective OSS components and implementing component-level firewalls akin to packet-level firewalls, are necessary to fortify defenses and mitigate malicious attacks.

Qadri underscores the need for a holistic approach involving software bills of materials (SBOMs) coupled with firewall-like capabilities to ensure a comprehensive understanding of software contents and preemptive measures against malicious threats.

As the software supply chain faces ongoing vulnerabilities and attacks, concerted efforts are imperative to bolster security measures, safeguard against threats, and fortify the foundational aspects of open source components.


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