Aid worker tells of suffering and hunger as winter sets in

The drought-ridden western Afghan province of Badghis has a single, war-shattered hospital and no ambulance - that was used as a getaway car by fleeing Taleban fighters.

Food and water are scarce and winter is bearing down quickly, a senior aid worker said.

World Vision relief manager Doris Knoechel, speaking yesterday from the organisation's base in the Iranian capital Teheran, said she had rarely witnessed such conditions.

'The hospital reminded me of the worst African scenarios that I am familiar with,' Dr Knoechel said. 'Everything was smashed. Patients were lying on iron beds without any linen and there was hardly any medication for them. One child, a boy of about 10, had had a leg amputated and just seeing the bloodstained stump made me break out in tears.'

Another child, being cradled by his father, was suffering from severe malaria. Two young men had bullet wounds in their lower bodies. Although doctors were on hand, they did not have the medicine or supplies to be of much help. Gloves and needles are not even available.

'They do not know how well they will survive,' Dr Knoechel said. 'They cannot help them properly.'

Dr Knoechel returned from the western provinces of Badghis, Ghor and Herat four days ago after a two-week visit to assess needs and logistics. She hopes to return with an eight-strong team tomorrow to begin distributing food, medical supplies and clothing.