High Quality Content by WIKIPEDIA articles! The decade-long War in Afghanistan (2001-present) has caused the deaths of thousands of Afghan civilians directly from insurgent and foreign military action, as well as the deaths of possibly tens of thousands of Afghan civilians indirectly as a consequence of displacement, starvation, disease, exposure, lack of medical treatment, crime and lawlessness resulting from the war. The war, launched by the United States as "Operation Enduring Freedom" in 2001, began with an initial air campaign that almost immediately prompted concerns over the number of Afghan civilians being killed as well as international protests. With civilian deaths from airstrikes rising again in recent years, the number of Afghan civilians being killed by foreign military operations has led to mounting tension between the foreign countries and the government of Afghanistan. In May 2007, President Hamid Karzai summoned foreign military commanders to warn them of the consequences of further Afghan civilian deaths.