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Over 370 Afghan civilians were killed and 397 injured during the first quarter of 2026 as cross‑border clashes between Taliban forces and the Pakistani military intensified, according to a new UN report. UN Report Details Spike in Cross‑Border Violence and Airstrikes The United Nations Assistance Mission in Afghanistan (UNAMA) released its quarterly casualty assessment on 12 May 2026. It attributes the majority of deaths to air raids, including a devastating strike on a drug‑rehabilitation facility in Kabul that alone killed more than 260 people. Casualty Numbers Reveal Grim Demographics 372 civilians killed 397 civilians injured Gender breakdown: 13 women, 46 children (31 boys, 16 girls), 313 men Cause distribution: 64% air strikes, remainder from indirect cross‑border fire and one targeted NGO worker killing Notable incidents: 269 deaths in the March 16 Kabul hospital attack; a female NGO worker killed on 19 March during Eid al‑Fitr Escalation Threatens Regional Stability and Humanitarian Access Since the Taliban’s return to power in 2021, cross‑border attacks have risen sharply, culminating in what Pakistan’s defence minister described as an “open war” at the end of February 2026. Islamabad blames the Kabul government for sheltering the Tehrik‑e‑Taliban Pakistan (TTP), while Afghan officials accuse Pakistan of harboring hostile groups and violating sovereignty. UNAMA urged both sides to respect international law, especially the protection of health facilities. Pakistan, however, maintains its actions target only “terrorist and military infrastructure.” Prospects for Ceasefire and International Intervention Recent ceasefire talks in China in early April yielded a temporary pause, but incidents persist—most recently a shelling on 27 April that killed seven civilians at a university in Asadabad. Analysts warn that without a robust, verifiable ceasefire, civilian casualties are likely to climb, prompting renewed calls for UN‑mediated negotiations and possible humanitarian corridors.