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In recent months, MSF had reduced its presence and activities in Afghanistan due to insecurity, withdrawing its expatriate staff from areas deemed too dangerous, continuing its work in regions that "seemed" less exposed. In total, for the entire MSF movement, 70 international volunteers were still present in the country at the beginning of June. Since the assassination of our colleagues, activities have been suspended and teams have been greatly reduced. Only international representation is maintained in Kabul, the Afghan capital. The rates of hospital care days per 1,000 person-years for men were 7. 78 95 CI CI, 7. 71 to 7. 84 with low physical stress, 9. 68 95 CI 9. 50 to 9. 74 for the intermediate and 12. 56 95 CI 12. 47 - 12. 66 for the high. The rates for women were 6. 63 95 CI 6. 57 to 6. 68, 7. 91 95 CI 7. 87 to 7.
95, and 10. 35 95 CI 10. 25 to 10. 42, respectively. The rates were similar, but somewhat lower, for mental work stress. Reporting high physical work pressure in middle age increased the hazard of hospital care in old age compared with those reporting low work stress, incidence rate 1. 17 95 CI 1. 00 to 1. 38 for men and 1. 42 95 CI 1. 25 to 1. 61 for women. These associations were robust in analyzes limited to hospital care, after employees turned 65 years of age.