LONDON: Pakistani schoolgirl Malala Yousafzai has stood up with help for the first time since she was shot in the head by the Taliban activist but remains seriously ill, doctors treating her at a British hospital said on Friday.

Malala is unable to talk due to the breathing tube inserted into her windpipe but she can communicate by writing, said Dave Rosser, the medical director at the Queen Elizabeth Hospital in Birmingham, central England.

The teenager escaped certain death by a matter of centimeters, with the bullet grazing just the edge of her brain, he said.

The hospital released a first picture of Malala, in her hospital bed, clutching a teddy bear.

“Malala is still showing some signs of infection . . . in the bullet track which is our key source of concern,” Rosser told reporters outside the hospital.

“Having said that, she is doing very well. In fact, she was standing with some help for the first time this morning when I went in to see her,” he added.

Rosser explained that Malala’s airway became swollen after the bullet passed through it, so doctors inserted a tracheotomy tube to protect it.

The tube means that she cannot speak but there is no reason to believe that she would be unable to talk once it is removed, which may happen in the coming days.

She has movement in her arms and legs and is “communicating very freely—she is writing,” Rosser said.

“Malala is keen that I thank people for their support,” he added, after thousands of people left messages for her on the hospital’s website.

With the schoolgirl’s permission, the hospital gave a full breakdown of her injuries, condition and the slow path to her possible recovery.

Rosser explained how the bullet passed through the face of the girl. “The bullet grazed the edge of her brain. Certainly if you’re talking a couple of inches more central, then it’s almost certainly an unsurvivable injury,” he said.

Shot at point blank range, the bullet hit her left brow, but instead of penetrating her skull it traveled beneath the skin down the left side of her head.

The shock wave shattered the thinnest bone of her skull and fragments were driven into her brain. The bullet damaged soft tissues at the base of her jaw and in her neck, which the bullet traveled through before lodging in the tissues above her left shoulder blade.

The bullet was removed in Pakistan soon after the shooting, but specialists have found her left jawbone is injured at its joint, while a bone behind the ear and the base of her skull have been fractured.

Her brain is still swollen, meaning doctors have not been able to do a full brain injury evaluation.

Malala regained consciousness on Tuesday. She is aware of her surroundings but that gets tired very easily.

Rosser said that it will take weeks to months for Malala to defeat the infection and recover her strength enough to face surgery.