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Wounded patients at the hospital Communautaire. Many of them require traction devices as they were shot in the leg. The healing period is 45 days minimum. Many of the patients, then, were injured during initial combats in Bangui between Anti-Balaka militias and ex-Séléka forces. MSF has treated around 800 patients of bullet, grenade or machete wounds since the beginning of December. Hospital capacity was increased by setting up several tents in the premises. Although the number of patients has decreased recently, until last week (1/2 January) the hospital admitted an average of between 10-20 wounded per day.
© Juan Carlos Tomasi/MSF

MSF treats wounded following violent clashes in Bangui

© Juan Carlos Tomasi/MSF
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Bangui, 5 December 2013 - Since early this morning there have been violent clashes, shooting and explosions in a number of areas of Bangui, capital of the Central African Republic. Armed groups have launched an offensive on the city. The ex-Seleka forces have retaliated. There are dead bodies in the streets, according to Thomas Curbillon, Médecins Sans Frontières (MSF) head of mission in Bangui.

MSF staff have arrived at the city’s Hôpital Communautaire and the Hôpital de l’Amitié to reinforce the medical teams there and help them deal with an influx of wounded people.

A team of 16 MSF medical personnel is now working in the facility’s emergency rooms, operating theatre and wards. The teams here have treated 90 wounded people in the emergency room. About 70 have serious injuries – seven have gone straight into the operating theatre, reports Curbillon. Most have wounds caused by gunshots, or weapons like machetes and knives. Fifty corpses were taken directly to the hospital morgue.

And yet another wave of displacement in the town of Bouca, (Ouham region) northeastern Central African Republic (CAR), after clashes between reported anti-balaka elements and ex-Séléka forces took place last week. For the second time in over two months, people had to flee to the bush running away from the fighting. Bouca was the center of attacks in September in which the civilian population, both Christians and Muslims, were targeted by the armed groups. Around 80 people were killed. The video shows, through interviews with direct an indirect victims of violence, the consequences of the fighting, forcing thousands of people to hide in the bush or to look for protection in churches, schools or airstrips.
Last week, fighting in the town of Bouca caused mass displacement. MSF teams treated wounded and called for increased response from the international community.
Juan Carlos Tomasi/MSF

This morning, another MSF team of three was working at the Bangui’s Hôpital de l’Amitié, triaging the wounded and sending those with the most grave wounds to a Hôpital Communautaire.

"At mid-day, the fighting with heavy artillery seemed to have trailed off, but we are still hearing gunshots every so often. For the time being, the hospitals are operational and there is electricity and running water", says Curbillon. "But we’re watching how the situation develops and we’ll adapt our activities if necessary". MSF is also prepared to donate surgical materials, medicines, fuel or water, if needed, to a other health centres and hospitals in the city.

MSF has been working in Central African Republic since 1997, and now runs seven regular projects in Batangafo, Boguila, Carnot, Kabo, Ndéle, Paoua and Zémio and three emergency projects in Bossangoa, Bouca et Bria. A mobile emergency team provides care to Bouar, Mbaiki and Yaloké zones, and we plan to begin activities in Bangassou and Ouango. In total, MSF is providing free medical care to about 400,000 people in the country, and more than 100 international and 1,100 local staff work in seven hospitals, two health centres and 40 health posts across the country.