This handout photo taken on June 27, 2009 and received from US Coalition Forces on July 2, 2009 shows Afghan commandos distributing humanitarian assistance items to villagers during a combined humanitarian aid mission with coalition forces in Gardez district, Paktia province. The Taliban-led insurgency has intensified this year as Afghan and international troops launch operations to clear militants out of hotspots ahead of the August 20 presidential and provincial council elections.