By Amie Ferris-Rotman
KABUL, April 12 (Reuters) - Gently massaging the soft flesh under his knees, 20-year-old Abdul Ahmat recalls the suicide bomb six months ago that destroyed his legs.
The former construction worker, in a wheelchair after his legs were amputated, is among a growing number of Afghans severely wounded by bombs that have grown grimly more powerful than ever before in three decades of conflict.
"I stepped onto the street to head to work, when suddenly I became helpless. I knew I had lost my legs," the father of one said of the attack that killed 13 foreign troops and four Afghans in the capital, Kabul, in October 2011.
Ahmat, who had come to Kabul from relatively peaceful Bamiyan province in search of work, spoke in a Red Cross orthopaedic centre, one of the largest in the world and one of seven the humanitarian organisation operates in Afghanistan.
The free-of-charge centres log some 6,000 new patients every year, all of them Afghans. Of those, 1,000 are direct victims of war, many grievously wounded by the heightened potency of bombs.
"I can't say that the number of Afghan bomb victims is increasing, but the power of the blasts certainly is," said Alberto Cairo, an Italian physiotherapist in charge of the orthopaedic centres. He started his work in Kabul in 1990.
Bombs have changed over the course of the war, experts say, evolving from crude affairs using cheap explosives packed with nails and other bits of metal into relatively more sophisticated devices using fertilisers imported from Pakistan.
Military officials, who did not wish to be identified, said the Taliban are now increasing the chance of infection among victims by covering bombs with urine, faeces or blood, leading to an increased likelihood of amputation.
No statistics exist for Afghan amputees, but the victims of more powerful bombs are yet another example of civilians who have borne the brunt of a war becoming even more dangerous as foreign combat troops prepare to withdraw by the end of 2014.
Civilian deaths in Afghanistan were up for a fifth straight year in 2011, according to the United Nations, with more than 3,000 killed last year alone.
The vast majority were killed by insurgents.
In its report, the United Nations said bombs - also known as improvised explosive devices, or IEDs - planted on roads and increasingly deadly suicide attacks that targeted civilians killed more people than any other form of attack.
"It is really devastating what bombs can now do. In the past we had a few double amputee patients, now we see quite a lot," Cairo told Reuters as he tended to a middle-aged IED victim trying out a new pair of prosthetic legs.
The difference between old and new bombs in the orthopaedic centre is stark: most of the one-legged men are grey-haired and wearing turbans, many victims of Soviet mines during the war with Moscow in the 1980s.
T-shirt clad younger patients, such as one man in his twenties who lost both legs above the knees in December's suicide attack, appear to have suffered graver injuries.
Almost all of the Kabul centre's 323 members of staff are themselves disabled from war or disease, something which the Red Cross says helps boost patient morale. Other patients include children suffering from congenital diseases.
The Kabul centre also has an on-site factory, where disabled workers turn out custom-made artificial legs and arms from individual moulds.
TALIBAN'S DEADLIEST WEAPON
Civilians are not the only victims of increasingly powerful bombs that are also believed responsible for more amputations among U.S. troops.
NATO forces fighting the Taliban say IEDs are the insurgents' deadliest weapon. Those who disarm the bombs are considered to have the most dangerous jobs in the increasingly unpopular war, which has dragged into its eleventh year.
Last year a record number of American soldiers needed amputations, with the number reaching 20 a month, outpacing even the most violent years of the war in Iraq, U.S. reports say.
Smaller IEDs are also being made, again usually from fertiliser smuggled from Pakistan, aimed at passers-by.
For 11-year-old Norzia, the fear of IEDs is very real. The daughter of a shepherd was hit by a Soviet-era landmine when tending to her family's sheep in eastern Wardak province.
Her pretty face framed by a colourful hijab, she gingerly walked on artificial legs towards her physiotherapist, who guided her with a slight limp.
"I want our government to stop the war in our country, I want the Taliban to stop planting roadside bombs. This is what can happen," she said. (Reporting by Amie Ferris-Rotman; Editing by Paul Tait)
05/07/2012 12:34 PM EDT
Police Take Position
Police take their position alongside a giant picture of Afghan national hero Ahmad Shah Massoud, on the roof of police headquarters in Kabul on May 7, 2012. The United States has freed up to 20 detainees from a military prison in Afghanistan over the past two years in an effort to promote reconciliation with insurgent groups, the US embassy said. (BAY ISMOYO/AFP/GettyImages)
05/07/2012 11:32 AM EDT
A Mining Future On Hold
@ AbasDaiyar :
Dreams Of A Mining Future On Hold In #Afghanistan : NPR http://t.co/uN1C2TP3?
05/07/2012 10:48 AM EDT
An Afghan youth looks out from an intricately carved truck window at a police checkpoint in Kabul on May 7, 2012. Afghan forces are ready to take responsibility for security in 2013, the defence ministry said on May 7, reacting to a pledge to withdraw French troops early by president-elect Francois Hollande. Hollande made a campaign promise to pull French soldiers out of Afghanistan this year, ending his country's combat role two years earlier than NATO's carefully crafted plan to hand security control to Afghans by 2014. (SHAH MARAI/AFP/GettyImages)
05/07/2012 10:08 AM EDT
@ ISAFmedia :
AP reports: Afghan Govt forces will thwart any attacks mounted by Taliban. http://t.co/qDEtWRsI #ANSFCanDo
05/06/2012 6:14 PM EDT
What French Election Means For Afghanistan
@ headlinenews :
Fox: What French presidential vote means for European debt crisis, Afghan war, global diplomacy: French voters c... http://t.co/E6fcgbiH
05/06/2012 5:21 PM EDT
Afghanistan At NATO Summit
@ AfghanNews24 :
Afghanistan a major focus of NATO summit - Chicago Sun-Times http://t.co/a7lk2KGT
05/06/2012 5:20 PM EDT
Inside A Plane
U.S. servicemen inside of a plane before their departure to Afghanistan from the U.S. transit center Manas, 30 km outside the Kyrgyzstan's capital Bishkek, on March 27, 2012. A planned withdrawal of US and coalition forces by the end of 2014 hinges on building up Afghan army and police, but the surge in 'fratricidal' attacks threatens to undermine that strategy, with strained relations between NATO troops and Afghan forces marked by distrust and cultural clashes. (VYACHESLAV OSELEDKO/AFP/GettyImages)
05/03/2012 3:51 PM EDT
An Afghan boy walks with his cow at sunset in Mazar-i Sharif, capital of the Balkh province on April 9, 2012. Agriculture has traditionally driven the Central Asian nation's economy, with wheat and cereal production being mainstays and quality fruits, especially pomegranates, apricots, grapes, melons, and mullberries being exported to many countries. (QAIS USYAN/AFP/GettyImages)
05/03/2012 2:25 PM EDT
The Next Decade Of War
@ JoeNBC :
Looking Ahead to the Afghan War's Next Decade - Global - The Atlantic Wire: http://t.co/CWSrDjih