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The United States needs to give written encouragement to banks to transfer money to Afghanistan for the United Nations and aid groups as they race to save millions of lives, the head of a top international aid group told Reuters on Thursday.

Norwegian Refugee Council Secretary General Jan Egeland, who was UN aid chief from 2003-06, was blunt in his assessment: “It is now, paradoxically, the Western sanctions that is our main problem in saving lives in Afghanistan.”

The United Nations and aid groups are struggling to get enough money into Afghanistan to fund operations in a country where millions are suffering extreme hunger and the economy, education and social services are on the brink of collapse. “The US Treasury needs to be proactive here,” said Egeland, who was part of a meeting of aid groups with US Deputy Secretary of the Treasury Wally Adeyemo last week.

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