UNAMA Documents 372 Afghan Civilians Killed, 397 Injured in Pakistan Conflict's First Quarter — Highest Toll Since 2011

May 13, 2026 (Day 77 of Operation Ghazab lil-Haq): The United Nations Assistance Mission in Afghanistan (UNAMA) published its first comprehensive quarterly civilian casualty report for the 2026 Af-Pak conflict, documenting 372 Afghan civilians killed and 397 injured between January 1 and March 31, 2026 — the highest quarterly casualty toll UNAMA has recorded since 2011 at the height of the original NATO campaign. According to the UNAMA report, 64% of civilian casualties were caused by Pakistani airstrikes and 34% by cross-border artillery and mortar fire. The single deadliest incident of the quarter was the March 16, 2026 Pakistani airstrike on the Omid Drug Rehabilitation Center in Kabul, which UNAMA documented as killing 269 civilians and injuring 122 — representing roughly 43% of the quarter's total death toll in a single strike. The Afghan Islamic Emirate's own figures placed the Omid Center death toll at 411. The UNAMA report's breakdown by demographic category: 72 women, 554 men (total 626 males listed against 769 injured — suggesting the proportions split roughly 48 women/girls and 324 men/boys across the casualties), with children comprising a significant portion of the injured totals. The report was published on May 12 and reported widely on May 13. It provides the first systematic third-party accounting of the 2026 conflict's human cost from a UN monitoring body with established credibility in Afghanistan. Pakistan has consistently denied targeting civilian infrastructure; the Taliban has characterized Pakistani strikes as deliberate war crimes. UNAMA's figures, which do not rely on either party's claims, are likely to add diplomatic pressure on Pakistan from international partners, including European donors who provide substantial humanitarian aid to Afghanistan. The publication of UNAMA's Q1 report on Day 77 of the conflict significantly deepens the international human rights record at a moment when the conflict remains in a fragile non-escalation phase. No ceasefire is in effect. Pakistan has stated it reserves the right to respond decisively to TTP attacks staged from Afghan soil. The Taliban has denied responsibility for those attacks.