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Edition: U.S. Article Comments (0) Full Focus Photos of the week Our top photos from the past week. Full Article Follow Reuters Facebook Twitter RSS YouTube Read New York governor signs law approving gay marriage | 2:23am EDT Loss of Libya oil bigger disruption than Katrina: IEA 24 Jun 2011 Obama takes flak for tapping emergency oil reserves 23 Jun 2011 Afghan MPs hit back over court ruling 8:51am EDT Sarkozy says Europeans "doing the work" in Libya | 24 Jun 2011 Discussed 214 Biden deficit-cut talks hit impasse: Rep. Cantor 137 CBO sees government benefits swamping U.S. economy 73 Fragile economy pushed Obama to tap oil reserves Watched A Tokyo-Paris flight in under three hours on the horizon Fri, Jun 24 2011 Hefner's revenge; Ryan Reynolds stops traffic Fri, Jun 17 2011 Train and truck in fatal smash Fri, Jun 24 2011 At least 20 killed in suicide bombing in east Afghanistan Tweet Share this Email Print Related News Afghan court overturns 25 percent of parliament poll Thu, Jun 23 2011 Afghans wary of U.S., but for many better the devil you know Thu, Jun 23 2011 Analysis: U.S. troop cut may also bring risky cuts in Afghan aid Thu, Jun 23 2011 Obama moves toward exit from Afghanistan Wed, Jun 22 2011 Bombs kill 25 at local Iraqi governor's house Tue, Jun 21 2011 Analysis & Opinion Economy revival? Bond barons say spending is the answer Embedded in Afghanistan Related Topics World » Afghanistan » United Nations » By Obaid Ormur PULE ALAM, Afghanistan | Sat Jun 25, 2011 11:02am EDT PULE ALAM, Afghanistan (Reuters) - A suicide car bomber killed at least 20 people, and possibly as many as 35, in an attack at a hospital in a remote district of eastern Afghanistan on Saturday that damaged its maternity ward, officials said. Estimates of the casualties, which included patients and medical staff, varied widely in chaotic scenes outside the hospital in the remote Azra district of eastern Logar province, which is just south of Kabul. Dozens more were wounded in one of the worst attacks this year. Deen Mohammad Darwish, a spokesman for the Logar provincial government, said as many as 35 people were killed, although Afghanistan's Interior Ministry put the death toll at 20. "The exact target is still not clear," Interior minister deputy spokesman Najib Nikzad said. Taliban spokesman Zabihullah Mujahid denied responsibility and said the Islamist insurgents never attack hospitals. President Hamid Karzai condemned the attack in which he said "tens of civilians" were killed. The United Nations said the maternity ward was hit in the bombing. "This is a despicable attack against civilians who were seeking medical care, as well as visiting family members and health workers," Staffan de Mistura, the U.N. chief in Afghanistan, said in a statement. Tensions have flared over civilian casualties, with insurgents and the Afghan government alike criticizing NATO-led forces for killing innocent Afghans while hunting for militants. United Nations figures however show that insurgents are responsible for three-quarters of civilian deaths. Military and civilian casualties hit record levels in 2010, the most violent year of the war since U.S.-backed Afghan forces toppled the Taliban in late 2001. This year is following a similar trend, with violence growing across Afghanistan since the Taliban announced a spring offensive at the beginning of May. U.S. commanders had already said they expected a rise in attacks as insurgents hit back after U.S. and NATO forces made gains during operations in the Taliban heartland in the south over the past 18 months. The United Nations said two weeks ago that May had been the deadliest month for civilians since it began compiling statistics four years ago. It said it had documented 368 "conflict-related" civilian deaths, 82 percent of them caused by insurgents. The latest violence comes as seven areas across the country prepare to take over security responsibilities from the NATO-led International Security Assistance Force (ISAF) fighting an increasingly unpopular war that has dragged on for 10 years. That will coincide with the start in July of a gradual drawdown of U.S. troops. U.S. and NATO troops plan to hand over security responsibility for all of Afghanistan by the end of 2014, although critics warn the handover date is premature. While most of the ISAF gains have been in Taliban strongholds in the south, the insurgency in eastern provinces like Logar and Kunar near the border with Pakistan is much more fragmented. Taliban fighters often slip across the border from safe havens in Pakistan's largely lawless northwest but other groups like the al Qaeda-linked Haqqani network also operate extensively in the area. (Additional reporting by Hamid Shalizi; Writing by Alistair Scrutton; Editing by Sugita Katyal) World Afghanistan United Nations Tweet this Link this Share this Digg this Email Reprints We welcome comments that advance the story through relevant opinion, anecdotes, links and data. If you see a comment that you believe is irrelevant or inappropriate, you can flag it to our editors by using the report abuse links. Views expressed in the comments do not represent those of Reuters. For more information on our comment policy, see http://blogs.reuters.com/fulldisclosure/2010/09/27/toward-a-more-thoughtful-conversation-on-stories/ Comments (0) Be the first to comment on reuters.com. Add yours using the box above. 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