Refugees told MSF teams they are delaying or foregoing medical care out of fear of arrest and to avoid documentation checks at health facilities. Nearly 90 percent of malnourished patients were Afghan refugees, most of them women and children. “Pakistan has hosted Afghan refugees for over 45 years despite limited international support,” says den Hartogh. “Yet Afghan refugees live under constant fear of arrest, detention, eviction, loss of livelihood, and deportation. MSF urges countries hosting Afghan refugees to halt all involuntary returns to Afghanistan and ensure return processes do not undermine the protection and safety of refugees.