South Sudan interview: 'I have never seen anything like this before'
Helen Ottens-Patterson, from the
“I go walking into different parts of the camp to try to understand the challenges for the people living here. Yesterday we went to a particularly isolated place; I looked around, talked to some of the refugees there, looked in the tents and saw very little food. Then I caught a glimpse of a small boy who stood out from a distance. He was so thin that he looked almost like a tiny ink drawing. His skin all crinkled and falling in folds, he had absolutely no flesh on his arms or legs or his bottom, and had the big belly that’s an indication of worms. He was in a very, very bad condition.
Mohammed was the youngest of ten children. His mother had died during pregnancy whilst fleeing
If I hadn’t by chance come across this child yesterday, he would have likely died within a matter of days. It’s so important that we go out into the camp to reach people. Without that, the other children and families that are out there are not going to get the support they need in order to survive.
Families have lost and are losing mothers, fathers and children. The coping mechanisms of this population have been destroyed. People who could normally manage, just simply can’t. Their reserves have been eroded piece by piece during the long and grueling journey that has brought them to Batil camp. You see their faces, and it’s not that there is no emotion, they are feeling something inside, but they are just shutting down. It’s something that I can’t really describe. We have to actively seek out and support these vulnerable families and help them with each step.
The scale of this emergency is huge, we are talking about a camp of some 35,000 people, not just a small group of families. Out of this population, around 9,000 are children younger than five years old. More than 1,500 of these children are registered in our feeding program in the most severe stage of malnutrition. According to our latest mortality survey, every day three or four children are dying in the camp of preventable diseases.
Despite this grave situation, people still come to us, which shows that they do have some kind of hope. They wouldn’t if they didn’t think there wasn’t a chance for MSF to make a difference. And you see people smiling, welcoming you into their shelter, showing small gestures of kindness despite the adversity that they face. Where that comes from, I don’t know. It’s a lesson for all of us, it motivates me and gives me courage to continue my work.
The gravity of this emergency is different. I have never really seen this anywhere before and I have been working for MSF since 1999. I am a nurse, this is my job, you have to cope with death and dying, you have to cope with disease, but normally it is more balanced. It’s tough for me as a human being and as a medical professional. It has really touched me and I sometimes feel very helpless, even with the resources and expertise of MSF behind me.
This is what we’re good at and what we’re here for: responding to the most urgent and immediate medical needs. It is incredible what we have been able to achieve, but it’s not enough. There is always something more that can be done, and we have to fight to make sure these people have what they need, not just to survive, but to give them dignity, give them quality of life, make sure that they can maintain the spirit that they have.”
In Batil camp, MSF rapidly set up a 130-bed emergency field hospital, with outpatient and inpatient services, maternity, and a therapeutic feeding centre. MSF currently has more than 1,600 children suffering from severe acute malnutrition in its therapeutic feeding program. Every week about 30 of these children need to be admitted into intensive care with life-threatening medical complications such as diarrhoea or respiratory diseases. Since Batil camp was set up in May, MSF has conducted more than 14,500 medical consultations. The team also assisted in the distribution of basic survival essentials when the refugees first arrived and has been involved in the essential, and still ongoing, task of setting up and running a water distribution network.
Across the four camps in Maban county,