From Latin America to Africa and from Asia to Europe, the pandemic has cost millions of lives. At the same time, it has affected people’s ability to access essential health services. In many places, the devastating knock-on effects of the pandemic have left people without lifesaving assistance. MSF teams working in more than 70 countries around the world have often struggled to respond both to the direct consequences of COVID-19 and to other medical emergencies, while dealing with restrictions on travel and impacts on essential medical supplies.