Residents and Taliban police gather the remains of a projectile at the site of a strike in Kabul, Afghanistan, Friday, March 13, 2026. (AP Photo/Barackatullah Popal)

By The Canadian Press

Afghanistan says 400 people killed in Pakistan strike on Kabul hospital treating drug users

Mar 16, 2026 | 12:26 PM

KABUL, Afghanistan (AP) — Afghanistan accused Pakistan of targeting a hospital for drug users in the Afghan capital late Monday, saying the airstrike had killed at least 400 people. It marked a dramatic escalation of a conflict that began late last month and has seen repeated cross-border clashes as well as airstrikes inside Afghanistan. International calls for a ceasefire have gone unheeded.

Pakistan dismissed the accusation that it had hit a hospital, saying its strikes, which were also conducted in eastern Afghanistan, did not hit any civilian sites.

Afghanistan’s deputy government spokesman Hamdullah Fitrat, in a post on X, said the airstrike had hit the hospital at about 9 p.m. local time, destroying large sections of the 2,000-bed facility. He said the death toll had “so far” reached 400 people, while about 250 people had been reported injured.

Local television stations posted footage on X showing security forces using flashlights as they carried out casualties while firefighters struggled to extinguish flames among the ruins of a building. Fitrat said rescue teams were working to control the fire and recover the bodies.

The strike came hours after Afghan officials said the two sides exchanged fire along their common border, killing four people in Afghanistan, as the deadliest fighting between the neighbors in years entered a third week.

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Afghan government spokesman Zabihullah Mujahid condemned the strike on X, accusing Pakistan of “targeting hospitals and civilian sites to perpetrate horrors.” In a post before the death toll rose into the hundreds, he said those killed and injured were patients at the hospital.

“We strongly condemn this crime and consider such an act to be against all accepted principles and a crime against humanity,” he posted.

Pakistan dismisses the allegations

Pakistani Prime Minister Shehbaz Sharif’s spokesman, Mosharraf Zaidi, dismissed the allegations as baseless, saying no hospital was targeted in Kabul.

In a post on X before Afghan officials gave a death toll, Pakistan’s Ministry of Information said the strikes “precisely targeted military installations and terrorist support infrastructure including technical equipment storage and ammunition storage of Afghan Taliban” and Afghanistan-based Pakistani militants in Kabul and Nangarhar, saying the facilities were being used against innocent Pakistani civilians.

It said Pakistan’s targeting was “precise and carefully undertaken to ensure no collateral damage is inflicted.” The ministry said Mujahid’s claim was “false and misleading” and aimed at stirring sentiment and cover what it described as ”illegitimate support for cross-border terrorism.”

UN calls on Afghanistan to combat militants

The strike came hours after the U.N. Security Council called on Afghanistan’s Taliban rulers to immediately step up efforts to combat terrorism. Pakistan accuses Kabul of harboring militant groups, particularly the Pakistani Taliban, which it says carry out attacks inside Pakistan.

The Security Council resolution, adopted unanimously, didn’t name Pakistan but condemns “in the strongest terms all terrorist activity including terrorist attacks.” The resolution also extends the U.N. political mission in Afghanistan, UNAMA, for three months.

Pakistan’s government accuses Afghanistan of providing safe haven to the Pakistani Taliban, which is designated as a terrorist organization by the United States, as well as to outlawed Baloch separatist groups and other militants who frequently target Pakistani security forces and civilians across the country. Kabul denies the charge.

The latest conflict

The fighting — the most severe between the two neighbors — began in late February after Afghanistan launched cross-border attacks in response to Pakistani airstrikes inside Afghanistan that Kabul said killed civilians. The clashes disrupted a ceasefire brokered by Qatar in October after earlier fighting killed dozens of soldiers, civilians and suspected militants.

Pakistan has declared it is in “open war” with Afghanistan. The conflict has alarmed the international community, particularly as the area is one where other militant organizations, including al-Qaida and the Islamic State group, still have a presence and have been trying to resurface.

On Sunday, Pakistani Information Minister Attaullah Tarar said the military has killed 684 Afghan Taliban forces, a claim rejected by Afghanistan, which says casualties are far lower. Afghanistan’s Defense Ministry and other officials have said Afghanistan has killed more than 100 Pakistani soldiers.

Pakistani President Asif Ali Zardari said Afghanistan’s Taliban administration crossed a “red line” by deploying drones that injured several civilians in Pakistan last week.

Responding to those attacks, Pakistan’s air force over the weekend struck equipment storage sites and “technical support infrastructure” in Afghanistan’s southern Kandahar Province, saying it was being used for attacks inside Pakistan. Kabul said Pakistan hit two locations, including an empty security site and a drug rehabilitation center that sustained minor damage.

In Kabul, Afghanistan’s administrative Deputy Prime Minister Abdul Salam Hanafi said defending sovereignty is the duty of all citizens. Speaking during a meeting with political analysts and media figures, Hanafi expressed regret over civilian casualties in recent Pakistani attacks, saying the war was imposed on Afghanistan.

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Ahmed reported from Islamabad and Becatoros reported from Athens, Greece. Associated Press writers Edith M. Lederer at the United Nations and Riaz Khan in Peshawar, Pakistan, contributed.

Abdul Qahar Afghan, Munir Ahmed And Elena Becatoros, The Associated Press