Abstract
In  this  presentation,  we  provide  an  overview  of  the  evolution  of  the  COVID-19  pandemic  in  Yemen  and  Afghanistan  and  describe  the  characteristics of patients seen selected MSF health facilities.
YEMEN
The  true  burden  of  the  COVID-19  pandemic  in  Yemen  is  largely  underestimated. The official surveillance data is limited to the southern governorates only.  The  country  has  experienced  two  waves  so  far  and  until May 31 2021, the total number of confirmed cases reported was 6 746 with 1 322 associated deaths. With limited testing capacity, PCR tests  are  spared  for  suspect  cases  presenting  with  severe  symptoms only.  MSF  has  been  operating  several  COVID-19  projects  in  the  southern  and  northern  parts  since  the  beginning  of  the  pandemic.  To  date,  MSF  France  has  treated  2  138  COVID-19  patients.  The  in-hospital    mortality    was    30%.    This    presentation    provides    an    overview  of  the  evolution  of  the  pandemic  in  Yemen  and  a  description  of patients seen at MSF health facilities. 
AFGHANISTAN
Afghanistan   is   currently   experiencing   a   third   wave   of   COVID-19.   To  date  (31  May  2021)  a  total  of  nearly  73 000  confirmed  cases  and 3  000  deaths  have  been  reported.  The  PCR  testing  capacity  remains  limited,  particularly  outside  the  national  capital,  and  the  characteristics  of suspected patients are poorly described. MSF has bee supporting the pandemic    response    in    Herat,    the    regional    capital    of    Western Afghanistan,  by  running  a  COVID-19  triage  at  the  Herat  Regional  Hospital  and  through  case  management.  To  date,  over  31  000  patients  have  been  received  at  the  triage,  and,  if  required,  oriented  towards  appropriate  care.  In  addition,  patient  data  collected  at  the  triage  facility  are a valuable surveillance tool since they allow to follow epidemic trends and  to  describe  patient  characteristics.  Here  we  give  an  update  about  the   current   situation   in   Afghanistan   and   Herat   and   describe   the   characteristics of patients through the three epidemic waves.