A man takes a moment beside a bloody stretcher outside the emergency department of the Republican Medical Center in Stepanakert. In Nagorno-Karabakh, People Grapple With War’s Aftermath and COVID-19. January 2020. In September 2020 war erupted in the Central Caucasus region of Nagorno-Karabakh following twenty years of stalemate. The fighting led to increased cases of COVID-19 which compounded the effects of conflict for vulnerable populations in the region.