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Nsanje, Malawi: Chrissy Kamanga, 37 years, a mother of three daughters was referred to Nsanje district hospital with late stage AIDS. He has advanced HIV with opportunistic infections TB and cryptococcal meningitis. She couldn’t talk or walk but is feeling better now. She has been on antiretrovirals for five years. Chrissy is an expert client at Tengani health center under Partners in Hope, a local nongovernmental organization. She helps in tracing patients who drop out of treatment.

Chrissy’s husband Wisted Simbi, 44 years is caring for Chrissy. He says: “here I support my wife’s sister to shift, feed, wash or take her to the bath room. We relieve each other of these daily duties. My wife complained of backache and headache. We went to Tengani health centre and they referred us here. By this time, she couldn’t walk or talk. They welcomed us well and all the tests were done.”

In 2016, an MSF survey of 1183 admissions in hospital over six months revealed that HIV inpatients accounted for 26 % of all admissions in male and female wards, and HIV deaths made up 54 % of all deaths.  Over 80% of HIV admissions arrived in advanced stages of the disease (defined as a CD4 count
Access to medicines

Gilead fails to keep promise on access to lifesaving drug for people living with HIV

Inaction by US pharmaceutical corporation Gilead to follow through on its so-called ‘access initiative’ leaves people unable to access a vital drug to treat a deadly co-infection for HIV. Press Release - 27 Jun 2019
 
Most people in the shelters, where they wait to cross into the US, do not take to the streets due to the risk of imminent kidnapping. Migrants and refugees are exposed to risks of violence at the northern Mexican border.
Mexico

Mass arrests drive migrants underground and cut them off from medical care

MSF teams have witnessed an increase in mass arrests and raids on groups of migrants on Mexico’s southern border, with alarming consequences. Press Release - 19 Jun 2019
 
Community Care Giver Nonhlanhla Ngema delivers anti-retrovirals (ARVs) to Busisiwe  and Sibongile, both members of her Community ART Group (CAG) in Sunnydale, Eshowe, KwaZulu-Natal. Medecins Sans Frontieres (MSF) has been piloting CAGs as a model of care for stable HIV+ patients in rural districts of southern Africa, where HIV prevalence is at its highest. CAG members meet once every two months to review their health and arrange for collection of their ARVs without having to sit in long queues at clinics.
HIV/AIDS

HIV project in South Africa reaches 90-90-90 target one year ahead of deadline

A year before the UNAIDS 90-90-90 HIV testing and treatment deadline, an MSF survey has found that, in working with the community, the targets have been achieved in one MSF project with a high HIV prevalence. Press Release - 12 Jun 2019
 
After an extremely busy night on the Central Mediterranean, starting late on June 9 and into the early hours of June 10, the Aquarius has 630 people on board from six different operations. The rescue of two rubber boats turned critical when one boat broke apart in the darkness, leaving over 40 people in the water. After rescuing 230 people from these boats, the Aquarius then took 400 more people on board at the request of the Italian Maritime Rescue Coordination Centre (IMRCC), who had been rescued by Italian navy and coastguard ships on 9 June. 

Over the next days, the Aquarius was embroiled in a political stand-off at sea over the fate of the people rescued in the Mediterranean. Although the rescue and transfers of the 630 people were initiated and coordinated by IMRCC, the Italian authorities denied Aquarius authorisation to bring them ashore in the closest port of safety in Italy. Malta, which had the nearest safe port, also refused to allow the Aquarius to disembark, citing Italy’s coordination role and responsibility.  Eventually, on 11 June, the Spanish government intervened and offered to let the Aquarius disembark in Valencia, 1,300 kilometres away. Despite MSF’s concerns about the humanitarian and medical impact of the sea journey to Valencia, the Italian authorities instructed Aquarius on 12 June to transfer 524 people back to Italian ships and embark with the remaining 106 rescued on a four-day journey to Spain. On June 17, one week after they had been rescued, all 630 people were disembarked in Valencia, Spain.
Mediterranean migration

European policies continue to claim lives on the Mediterranean Sea

A year on from Italy's decision to close its ports to search and rescue in the Mediterranean, people still attempt the crossing, with thousands dying, stranded at sea or illegally returned to Libya, exposing heartless European migration policies. Press Release - 12 Jun 2019
 
A mother looks after her child hospitalized at the MSF measles treatment center in Mayi-Munene, Kamwesha (Kasai).
Democratic Republic of Congo

Massive mobilisation urgently needed to curb fast-spreading measles outbreak

The Democratic Republic of Congo is currently tackling a measles outbreak which is likely to be the country's deadliest since 2012. MSF teams are responding, but more resources are urgently needed from national and international partners to curb the spread of the contagious disease. Press Release - 11 Jun 2019
 
Arnal Lual, 13, and her brother-in- law, Paulino Deng, are from Majbong. Arnal was bitten on the leg when she stepped on a Puff Adder while playing outside her neighbour’s house in the evening. They came to the hospital in a vehicle , but it got stuck in the mud on the road for an hour and a half. Arnal was in pain and her leg continued to swell. They ended up walking for two hours to reach the Agok hospital. There, she received antivenom and had several operations.
Snakebite

WHO launches strategy to cut snakebite deaths and disabilities in half

Médecins Sans Frontières welcomes the release of the long-anticipated World Health Organization (WHO) strategy on the prevention and control of snakebite envenoming, aiming to cut in half the number of snakebite deaths and cases of disability by 2030. Press Release - 23 May 2019
 
In March 12, the MSF healthcare center was fully functional and already receiving patients. Al Hol camp, Al Hassakeh Governorate
Syria

Women and children continue to suffer in northeast Syria’s Al Hol camp

Vulnerable people, mostly women and children, are living in overcrowded and substandard conditions in Al Hol camp, northeastern Syria, where a humanitarian crisis has unfolded and the needs of people in the camp remain unmet. Press Release - 16 May 2019
 
General view of detention centre

On September 2nd, 276 people were brought by the Libyan coast guard to Khoms (120 km east of Tripoli). They were then transferred to detention center where MSF works. Reportedly, they were in two rubber coats, one stopped due to engine failure, while the other boat continued to navigate for several hours before deflating and sinking. Survivors told MSF teams that over a hundred people died in the shipwreck.
Libya

Time running out for evacuations of trapped refugees in Tripoli amid shooting

On 23 April, reports surfaced of a violent incident in a Tripoli detention centre, where trapped migrants are being held. MSF has found evidence that multiple people were shot, and urges for all migrants' immediate evacuation. Press Release - 26 Apr 2019
 
Caretaker with a patient coming from Taiz city to the mother and child hospital in Taiz houban.
Yemen

Mothers and children left to die in Yemen without access to medical care

A new MSF report describes how pregnant women and children are particularly vulnerable to high rates of mortality due to a lack of easy access to hospitals in Yemen's war-torn healthcare system. Press Release - 24 Apr 2019
 
Chechele IDP camp, one of the largest sites near the small town of Banko Gotiti, in the Gedeo area of south Ethiopia. Thousands of people live in the camp, in huts made of leaves from the common ‘false banana’ tree. These huts will not withstand the heavy downpours of the approaching rainy season, and will not provide protection when the nights become bitterly cold.
Ethiopia

Alarming rates of malnutrition among displaced people in southern Ethiopia

Alarming rates of malnutrition among children and pregnant women in displaced people’s camps in southern Ethiopia have forced MSF to launch an emergency response. Press Release - 17 Apr 2019
Four mothers posing in a corridor of the Hospital in Bili. All four of them are staying in the hospital with their child, that's suffering from a severe case of malaria. Since the beginning of the project in 2016, the pediatric ward already treated more than 4.000 cases of complicated/severe form of malaria.
Médecins Sans Frontières (MSF)

Independent medical humanitarian assistance

We provide medical assistance to people affected by conflict, epidemics, disasters, or exclusion from healthcare. Our teams are made up of tens of thousands of health professionals, logistic and administrative staff - most of them hired locally. Our actions are guided by medical ethics and the principles of independence and impartiality. We are a non-profit, self-governed, member-based organisation.

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