• Nato says US air strike "may have been" responsible
• MSF says 16 people killed as hospital hit
• UN human rights chief says bombing may be "war crime"
• "The West must hold its nerve in Afghanistan"
• City has seen intense fighting for past week
Here's the latest news from Kunduz where an air strike has hit a hospital operated by MSF, the medical charity.
• MSF says 19 people - including 12 local staffers - died in the attack. Among the dead were seven patients from the intensive care unit, three of whom were children.
• Witnesses said that for more than an hour, beginning at 2:08am, the hospital was hit by a series of aerial bombing raids every 15 minutes. The main central hospital building, housing the intensive care unit, emergency rooms, and physiotherapy ward, was repeatedly hit very precisely.
• MSF's president Meinie Nicolai,said: "This attack is abhorrent and a grave violation of international humanitarian law. We demand total transparency from Coalition forces. We cannot accept that this horrific loss of life will simply be dismissed as ‘collateral damage."
• Nato has confirmed that US air strikes were targeting Taliban fighters in the area and is investigating whether its aircraft were responsible. Ash Carter, US secretary of defence, said: A full investigation into the tragic incident is underway in coordination with the Afghan government. At this difficult moment, we will continue to work with our Afghan partners to try and end the ongoing violence in and around Kunduz.
• The UN head of human rights has said the attack may amount to a war crime. "The seriousness of the incident is underlined by the fact that, if established as deliberate in a court of law, an airstrike on a hospital may amount to a war crime," said Zeid Ra'ad al-Hussein.
19.11 Death toll reaches 19
MSF has given a further breakdown of the casualties. The medical chairty says 19 people - including 12 local staffers - died in the attack. Among them were seven patients from the intensive care unit, three of whom were children. A total of 37 people were also injured, including 19 staff members, and 18 patients and caretakers. Five of the injured staff members were in critical condition, it said.
18.43 "It felt like the sky was falling down"
AFP has spoken to Musadeq, an Afghan doctor who survived the devastating strike.
I can't believe all the faithful doctors who worked night and day to save people's live are now gone.
17.52 "Collateral damage"
More from the MSF statement. Meinie Nicolai, MSF president, said...
17.43 "Patients burned to death in their beds"
MSF has issued a fresh statement describing the attack as "an abhorrent and a grave violation of international humanitarian law".
It said that for more than an hour, beginning at 2:08am, their hospital was hit by a series of aerial bombing raids every 15 minutes. The main central hospital building, housing the intensive care unit, emergency rooms, and physiotherapy ward, was repeatedly hit very precisely during each aerial raid. Heman Nagarathnam, MSF head of programmes in northern Afghanistan, offered a vivid account of what happened:
When I made it out from the office, the main hospital building was engulfed in flames. Those people that could had moved quickly to the building’s two bunkers to seek safety. But patients who were unable to escape burned to death as they lay in their beds.
17.04 Strike "may be war crime"
An airstrike that killed at least 16 people in hospital run by Medecins Sans Frontieres in the Afghan city of Kunduz on Saturday was "utterly tragic, inexcusable, and possibly even criminal," according to the UN human rights chief. Zeid Ra'ad al-Hussein said:
16.56 Pentagon investigation
Ashton Carter, US defence secretary, says a "full investigation" is being carried out into the deadly bombing. Mr Carter said that "US forces in support of Afghan Security Forces were operating nearby, as were Taliban fighters," and that a "full investigation into the tragic incident is under way." So far 16 people, including nine MSF staff, are confirmed dead although witnesses had told The Telegraph they have seen many more bodies
This burnt shell used to be MSF's hospital - the only one in the region that can deal with major injuries. It opened in 2011 with an emergency room, two operating theatres, an intensive care ward, and X-ray, and laboratory facilities.
Amnesty International is calling for an urgent investigation. Horia Mosadiq, Afghanistan researcher, said:
Our deepest condolences go out to MSF staff who have bravely and selflessly continued their work as fighting has raged in Kunduz over the past week. There must be a full, independent and transparent investigation into how and why this bombing took place. The US military should not be jumping to conclusions without first fully getting to the bottom of how this happened.
ICRC condemns bombing of MSF in Afghanistan. Under international law, medical facilities must be protected. https://t.co/pTV6FbRcmp— IRIN News (@irinnews) October 3, 2015
MSF have just provided updated casualty figures, saying that nine staff have died during the bombing last night, but many more remain unaccounted for.
"37 people were seriously wounded during the bombing, of whom 19 are MSF staff. Some of the most critically injured are being transferred for stabilisation to a hospital in Puli Khumri, 2 hours’ drive away. There are many patients and staff who remain unaccounted for. The numbers keep growing as we develop a clearer picture of the aftermath of this horrific bombing,” MSF said in a statement.
It appears that Afghan security forces and their international allies in Kunduz, should have been aware of the location of the MSF hospital.
MSF distributed an email to the US military, Nato, the Afghan ministry US military forces informing them of their GPS co-ordinates earlier in the week when fighting broke out, an MSF spokesperson told Danielle Moylan in Kabul. It has now emerged that bombing continued even after MSF told officials in Kabul and Washington that their hospital had been hit.
MSF confirmed that the bombings continued for more than 30 minutes after they first contacted American and Afghanistan military officials in Kabul and Washington to inform them their hospital had been hit.
In addition, MSF confirmed that all 10 of their international staff that had been working in Kunduz had survived the attack. This statement has been released:
MSF wishes to clarify that all parties to the conflict, including in Kabul and Washington, were clearly informed of the precise location (GPS Coordinates) of the MSF facilities - hospital, guesthouse, office and an outreach stabilization unit in Chardara (to the north-west of Kunduz). As MSF does in all conflict contexts, these precise locations were communicated to all parties on multiple occasions over the past months, including most recently on 29 September.
The bombing continued for more than 30 minutes after American and Afghan military officials in Kabul and Washington were first informed. MSF urgently seeks clarity on exactly what took place and how this terrible event could have happened.
An MSF worker, speaking on the condition of anonymity, told the Telegraph's Danielle Moylan in Kabul that he saw at least 50 bodies.
One resident of Kunduz, who only gave his name as Safiullah, told the Telegraph's correspondent in Kabul, Danielle Moylan, that he had just managed to escape intense fighting inside the city.
“There’s fighting everywhere right now,” he said. “The area around the MSF hospital is still under the control of the Taliban."
He said heavy fighting between Afghan security forces at the Taliban in the districts surrounding Kunduz city continues.
Medical staff from MSF continue to work on patients after the hospital was hit:
Shocked MSF staff at the hospital, from Kate Stegeman, MSF Afghanistan field communications officer.
Here's what we know about the bombing of an MSF hospital in Kunduz, northern Afghanistan, where the Taliban has been engaged fighting local and international forces:
• At 2.10am local time on Saturday 3 October, the Médecins Sans Frontières trauma centre in Kunduz was hit several times during sustained bombing and was very badly damaged, according to the charity.
• Three MSF staff are confirmed dead and more than 30 are unaccounted for. The medical team said it was is working around the clock to do everything possible to ensure the safety of patients and hospital staff.
• The Nato-led coalition says a US air strike was carried out in the area and may have been responsible for "collateral damage". An investigation has been launched.
06.59 Afghan official blames US
Sawar Hosseini, the Kunduz police spokesman, told Danielle Moylan that the airstrike that hit the MSF building was carried out by “Americans".
The US military have admitted that an airstrike they carried out may have caused collateral damage to the hospital, but say they are still investigating.
Mr Hosseini added that Taliban forces were still holed up in a building directly adjacent to the hospital, firing on Afghan forces.
06.51 Fighting close to hospital
Sediq Seddiqi, spokesman for the Interior Ministry, told the Danielle Moylan that the loss of MSF and civilians was “terrible, unfortunate news”.
“Last night a number of Taliban were hiding in positions around the hospital and they were attacking government buildings close by. We were fortunately able to evacuate 80 MSF staff members to a safe place.”
Mr Seddiqi added that a local, 200 bed hospital and a number of small clinics in Kunduz were still functioning.
He further said that operations to flush out remaining Taliban in the city continued.
06.50 Reporters in Afghanistan
If you want updates direct from the ground you can follow my Twitter list of Afghan-based journalists which I drew up during my time as Afghan correspondent.
06.47 Afghan casualties
06.45 A tragic week
It has been a difficult week - in a long and difficult war - for US forces. On Thursday night a C-130 Hercules crashed at Jalalabad airport, killing the plane's six crew, five passengers and Afghan civilians on the ground.
The Associated Press has spoken to Adil Akbar, a doctor at the trauma center who was on duty at the time. He said the operating theatre, emergency room and other parts of the hospital complex had been hit in the bombing.
06.35 Damage report
Danielle Moylan has an update on damage from an an MSF employee on the scene in Kunduz, who said the bombing destroyed the hospital’s pharmacy, obliterating the main source of medical supplies for the city. “ Scores of victims with burns injuries had been transferred to other nearby medical facilities," he said.
06.25 Fighting was fierce last night
Hadn't Afghan forces said they had retaken the northern city of Kunduz? Not so fast. Danielle Moylan, in Kabul for The Telegraph, has this recap of the past week:
The Afghan government claimed to have retaken back the city on early Thursday morning, after launching a fierce counteroffensive with the assistance of US military airstrikes and coalition forces, including British troops, said to be acting in an advisory role.
But Taliban fighters reemerged within hours, and with gun battles taking place across the city ever since. Last night’s fighting was apparently fierce, according to local residents.
06.22 Taliban's propaganda coup
This will be a propaganda pay-day for the Taliban. The movement's spokesman, Zabihullah Mujahid, said US air strikes targeted the hospital, killing patients, doctors and nurses, according to Reuters. None of its fighters was a patient in the hospital at the time of the attack, the militant group said.
@robcrilly Alleged US terrorists bombed the hospital!— Carol Anne Grayson (@Quickieleaks) October 3, 2015
06.12 Fighting continues
An MSF administrator in Kunduz, Wahidullah, who was not on duty at the time, told The Telegraph's Danielle Moylan in Kabul that he had been unable to return to the hospital this morning due to ongoing fighting between the Taliban and Afghan security forces in the streets surrounding the hospital. “I tried to go so I could help,” he said, “But as soon as I got close someone fired three bullets in my direction.”
Journalists who know the area say the hospital should have been well known and easy to spot from the air.
06.07 A crucial lifeline
The MSF trauma centre in Kunduz is the only medical facility in the region that can deal with major injuries. Only a couple of days earlier the charity publicised the extraordinary work of their staff. Dr Masood Nasim, who leads the medical team, described how they coped as fighting rocked the city:
The hospital has been completely full of patients. We normally have a capacity of 92 beds, but we expanded immediately and increased the number of beds to 150. There have been patients in the offices, in the examination rooms, and being stabilised on mattresses on the floor.
06.00 Nato investigates
Nato is investigating whether its aircraft could have been responsible. They were in the area offering aerial support to forces trying to retake the city from Taliban fighters. Col Brian Tribus, a US military spokesman said:
MSF says three of its staff are dead and dozens are missing after what it described as an "aerial bombardment" hit its Kunduz hospital in the early hours. Bart Janssens, MSF director of operations, said: