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In the daytime it gets stifling hot inside these shelters, but the camp is so packed with thousands of tents and temporary shelters there is very little communal space. In the most
crowded section of the camp, there is less than 4.5 square meters of space per person, less than one seventh of the space required by minimum humanitarian standards. Only about half a square kilometre has been designated by the United Nations for the displaced population to live in, comprising a population the size of a small city.
South Sudan

Malakal, An Inadequate Refuge

The number of patients treated by MSF on a weekly basis in the UN Protection of Civilians Camp (PoC) in Malakal has tripled since June, as the health of the population sheltering in the camp is being jeopardized by overcrowding and substandard living conditions. Presently, almost 48,000 people are living in the Malakal PoC following an influx of more than 16,000 people in July and August. Many came from areas where humanitarian access was cut off by insecurity for months, forcing thousands to flee from conflict and hunger. Most people arrived with nothing. Photo Story - 18 Nov 2015
 
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Burundi

MSF treats 60 people wounded in grenade explosions

60 injured people were treated by MSF at its trauma centre after grenades exploded in several Bujumbura neighbourhoods. Project Update - 18 Nov 2015
 
Women supplement the family’s diet with nutrient-poor greens know as Lum, a food source of last resort that is foraged by hand from outside the camp. Others, like this woman, sell their Lum at the market. This amount of greens fetches about six South Sudanese pounds.
South Sudan

"The root cause of these illnesses is overcrowding and sub-standard living conditions"

Each time the three-month-old exhales, it makes a rasping sound as her breath forces its way through her tiny, infected lungs. When the infant cries, her body contorts with the effort of breathing. Until recently, she’s been connected to an oxygen machine to support her breathing. Voices from the Field - 18 Nov 2015
 
Haydan streets and buildings destroyed by the recent airstrikes.

The small hospital, in the Haydan district in Saada Province, was also hit by several airstrikes. With the hospital destroyed, at least 200,000 people now have no access to lifesaving medical care.
Yemen

“The air raids continued with 10 to 15 almost every day”

A Saudi-led coalition airstrike destroyed the hospital in Haydan that MSF supports. Programme coordinator Miriam Czech told us what she saw in the town in the days following the bombing. She added that the whole region is being targeted by the coalition airstrikes. Voices from the Field - 13 Nov 2015
 
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Yemen

Living beneath the bombs in Haydan

The MSF-supported hospital in Haydan was struck and destroyed by airstrikes carried out by the Saudi-led coalition during the night of the 26-27 October. "Before the destruction of the hospital it was a very busy place with delivery – you know, a lot of kids were born in this hospital, " says Yann Geay. Project Update - 13 Nov 2015
 
Violence victims in Hôpital Général week 44. More than a month after the violence peak that shook Bangui, Central African capital, tensions and clashes between communities remain. MSF has received many wounded in Bangui’s General Hospital throughout the week. On 19 October, our teams took in charge 24 gunshots or stab victims.

Beginning of November, 19 other wounded (gunfire or grenade, including 4 women) have been treated in Hôpital Général. Our ambulances went to pick up the wounded from the different neighborhoods of Bangui, either Muslim or Christian areas.
Central African Republic

MSF reinforces medical activities in Bangui following more than a month of renewed violence

MSF runs mobile clinics in five sites for internally displaced people, and offers more than 1,000 consultations per week Project Update - 12 Nov 2015
 
Agnes, 30, and her husband escaped Eritrea with the aim of reaching Europe. Unable to raise enough money for both their journeys, her husband was forced to stay in Sudan, and Agnes and her two-year-old daughter continued alone.

“I left Eritrea four years ago with my husband. My husband was made to serve in the army, and he couldn’t provide for us. If he left the army, he’d be put in jail. Many people go to jail for no reason in Eritrea. 

When we left we went to Sudan. We spent three years going from place to place, looking for work and trying to make enough money to come to Europe. Finally we made a bit of money, but it wasn’t enough for all of us, so I left with my daughter. My husband couldn’t come with us. 

Crossing the desert between Sudan and Libya was very difficult. It took seven days, non-stop, in an overcrowded car. 

After crossing the border, we moved from one town to the next until we arrived in Tripoli. We travelled in containers, like animals or objects. It was very dark and hot in the containers. Many people fainted because of the heat and some died. 

Libya is a very dangerous place. There are a lot of armed people. Some of them are Da’esh [Islamic State]. They kill a lot of people and carry out a lot of kidnappings. 

When we arrived in Tripoli they put us in a house with 600 to 700 other people and locked us in. We had no water to wash ourselves, we had very little food and we were forced to sleep one upon the other. It was very difficult for my daughter – she fell sick many times. 

There was a lot of violence. I was beaten with bare hands, with sticks, with guns. If you move, they beat you. If you talk, they beat you. We spent two months like that, being beaten every day. 

They asked us to pay to go to Europe, so I paid US$1,700 for me and my daughter. We were lucky because women and children were put on the deck of the boat. The people below were in the dark and it was really hot down there. I could hear some of them saying they couldn’t breathe.

I knew that the journey would be very dangerous and difficult, especially for my daughter. But what was the alternative? We could not survive in Eritrea or Sudan. Our government does not allow people to leave. With our documents in Eritrea, there was no other way for us to get to Europe.”

ENDS
Mediterranean migration

"The only way you can leave is by sea"

Testimonies collected during search and rescue operations in the Mediterranean. Voices from the Field - 11 Nov 2015
 
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Iraq

Crisis Update – October 2015

Humanitarian response has so far been insufficient, concentrated in safer areas and short term. Recent cuts in funding have been increasingly affecting the level of assistance offered to Syrian refugees, displaced populations and host communities. Crisis Update - 11 Nov 2015
 
OCA Emergency Manager - Liberia
Speaks Dutch and English
Dutch Nationality
Yemen

"The children have a game called airstrike in which they fall to the ground"

The situation in Taiz city is devastating. It’s a large city of 600,000 people. There is active fighting and daily airstrikes. The sense of fear is big. People are terrified that their children will get wounded or killed. And they have a good reason to be frightened. Voices from the Field - 11 Nov 2015
 
A view of part of the MSF Trauma Centre in Kunduz, 14 October 2015, damaged and burnt-out following the 03 October 2015 airstrike on the facility. Photo: Victor J Blue.
Attacks on medical care

Kunduz, Afghanistan, 36°43’4.91’’N, 68°51’43.96’’

"We say: if there's no room for humanity in times of war, human civilisation as a whole will lose out in the long run. So, it's up to all of us to mobilise and urge politicians, governments and non-state armed groups to respect medical facilities. Together we shout loudly and clearly:“Stop bombing hospitals!” Opinion - 10 Nov 2015
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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