A further 250 people have been reported as injured in the wake of the blast
Afghanistan has accused Pakistan of killing at least 400 people in an airstrike on a hospital in Kabul.
The strike, which Afghan officials say happened late on Monday evening (March 16), marks a dramatic escalation in conflict that began late last month and has already seen repeated cross-border clashes and airstrikes, as well as air strikes inside Afghanistan.
Pakistan has strongly rejected the allegations it hit the hospital, insisting its military targeted only military infrastructure and did not civilian sites or facilities.
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Afghanistan’s deputy government spokesperson Hamdullah Fitrat said the strike hit the hospital in the capital at around 9pm local time. In a post on X, he said large sections of the 2,000-bed facility were destroyed.
Fitrat said the death toll had so far reached 400 people, while around 250 others were reported injured.
Footage shared by local television stations on social media appeared to show security forces using flashlights as they carried casualties away from the scene while firefighters worked to extinguish flames among the ruins of the building.
Fitrat said rescue teams were still working to control the fire and recover bodies from the site.
The strike came just hours after Afghan officials said forces from both countries exchanged fire along their shared border, leaving four people dead in Afghanistan.
The latest clashes mark the third week of what has become the most serious fighting between the two neighbouring countries in years.
Afghan government spokesperson Zabihullah Mujahid condemned the reported strike, accusing Pakistan of targeting hospitals and other civilian sites.
“We strongly condemn this crime and consider such an act to be against all accepted principles and a crime against humanity,” he said in a post on X.
Pakistan has dismissed the accusations.
A spokesperson for Pakistani Prime Minister Shehbaz Sharif described the claims that a hospital had been targeted as baseless.
Pakistan’s Information Minister Attaullah Tarar said the military had carried out “precision airstrikes” on what he described as military installations in Kabul and the eastern province of Nangarhar.
He said the strikes destroyed technical support infrastructure and ammunition storage facilities used by the Afghan Taliban government.
“All targeting has been done with precision only at those infrastructures which are being used by Afghan Taliban regime to support its multiple terror proxies,” Tarar wrote on X.
Pakistan’s Ministry of Information earlier said Afghan claims were “false and misleading” and accused Kabul of attempting to stir public sentiment while concealing what it described as support for cross-border militant groups.
The strike came as the United Nations Security Council called on Afghanistan’s Taliban leadership to step up efforts to combat terrorism.
Pakistan has repeatedly accused Afghanistan of allowing militant groups — including the Pakistani Taliban — to operate from its territory and carry out attacks inside Pakistan. Kabul denies those claims.
The conflict intensified in late February after Afghanistan launched cross-border attacks in response to earlier Pakistani airstrikes that Afghan officials said had killed civilians.
The clashes disrupted a ceasefire brokered by Qatar last October following earlier fighting that left dozens dead.
Pakistan has since declared it is in what it described as an “open war” with Afghanistan, raising concerns among the international community.
Officials have warned that the instability could allow militant organisations such as al-Qaida and the Islamic State group to strengthen their presence in the region.
Pakistan claims its forces have killed hundreds of Afghan Taliban fighters during the fighting, while Afghan officials say Pakistani casualties have also been significant.
Both sides have rejected each other’s casualty figures.


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