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MSF surgeon Dr. Martin John Jarmin III (right) operates on a 20-year-old man at the MSF hospital in Kunduz, Afghanistan, December 1, 2011.  The man had suffered a gunshot wound to the lower chest and upper abdomen and required extensive exploratory surgery, during which a large section of his bowel was removed.  The 55-bed MSF hospital opened in August, 2011 and provides urgent surgical care and follow-up treatment for people who have suffered injuries, some life-threatening. It is the only trauma center of its kind in the region.
Afghanistan

MSF condemns violent armed intrusion in hospital in Kunduz

"We are shocked by this incident," says Dr Bart Janssens, MSF’s Director of Operations. "This serious event puts at risk the lives of thousands of people who rely on the centre for urgent care." Press Release - 3 Jul 2015
 
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South Sudan

Distressing humanitarian situation in Upper Nile as civilians come under fire in Malakal shooting attack

Following a shooting incident in Malakal, Upper Nile state on 01 July 2015, directed at the Protection of Civilians (PoC) site Médecins Sans Frontières (MSF) received 9 wounded patients, including women and the elderly at its hospital in the PoC. This adds to an already deteriorating humanitarian situation in the state over the last few weeks, which has left the civilian population constantly exposed to episodes of violence, increased numbers of wounded, further displacements, heightening rates of malnutrition and the risk of outbreaks. Statement - 2 Jul 2015
 
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Libya

The challenge of medical aid

“We had a lot of problems delivering all these drugs and medical supplies,” says Dr. Anne-Marie Pegg, MSF’s head of mission in Libya. “It was a challenge to find an airplane that transports freight to Libya. And then road transport is very dangerous because of the insecurity in both the east and the west.” Voices from the Field - 1 Jul 2015
 
Operating theatre.
Yemen

The crisis in Yemen

First published in the International Activity Report 2015 Report - 1 Jul 2015
 
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Bosnia-Herzegovina

MSF releases case study that reveals the organisation’s dilemmas to position itself in the face of the Srebrenica events

Twenty years after the events that followed the fall of Srebrenica’s Muslim enclave, Médecins Sans Frontières (MSF) is publishing for the first time the case study ‘MSF and Srebrenica 1993–2003’. Report - 1 Jul 2015
 
Thousands of people have fled their villages on islands in Lake Chad, in south-eastern Niger, after Nigerien authorities urged them to leave the area following the deadly attack of Boko Haram on the island of Karamga on 25 April. About 1,500 additional people are now in a transit site in Diffa, the capital of the region.
Lake Chad Crisis

Around Lake Chad: People living in fear

First published in the International Activity Report 2015 Photo Story - 1 Jul 2015
 
Women queue for safe drinking water once the water system was repaired.
South Sudan

Staff return to Melut to find water system blocked and main water tanks riddled with bullets

Paul Jawor, MSF’s water and sanitation technical adviser shares his findings Voices from the Field - 29 Jun 2015
 
Second testimony: 
We believe that the violence will continue during Ramadan:  a ceasefire won’t be implemented unless the two warring parties respect it.
Jasmin Mohammed Ali (26) is a teacher in the primary school in Qatabah and her sisterAsia Mohammed Ali ( 25)  talk about their daily life in Qatabah since the conflict erupted. 

Because of the ongoing crisis, the school I work in is closed; it has been closed for 3 months. We only   finished the 1st term and had to stop during the 2nd term. I haven’t been paid for the last month.  Recently, the school (which was luckily empty at the time) was affected by the airstrikes as it is close to the central security office which was targeted; all the windows of the school were shattered into pieces. 
Since the new crisis in Yemen started things have become much harder. It is harder to get food and water. It is hard to get food as many shops have closed. On the other hand, some Yemeni families depend completely on the work in the khat (qat) market. If there is bombing or shelling close by, everyone runs away from the khat market and business is lost.  Our father and brother work in the khat market. If they cannot work in the khat market, they won’t have enough money to buy food for the family.  Prices of food, especially basic food, have increased dramatically. For an example, twenty liters of cooking oil used to be 5,000 Yemeni Rial (YER), now they have to pay 9,500 YER.  15 kg of sugar used to be 12,000 YER, now they have to pay 18,000 YER. 
Lack of water is our biggest challenge
Water represents everything and without water there is no life. There isn’t any running water anymore in Qataba as the main water facility for the town and the surrounding villages stopped working due to a fuel shortage. We have no water in our house and cannot fill up the tanks either. There is only one water well in Qataba town that has good water for drinking and is for free. If this well is not working we would walk to another well where there is the main water facility. This trip usually takes between three to four hours round trip by foot and if we go there, we cannot bring that many containers as we can only carry one container, it’s very heavy. Unfortunately, this borehole isn’t working for the moment due to the fuel issue as well.  
Meanwhile, the main well in Qataba is becoming very crowded and women in town fill their containers with a multitude of personal hoses. That would take a long time to fill up all the containers. 
We couldn’t go to the well, today, as it was too crowded. Water trucks are still available but it is only used by rich people, one water truck costs 30,000 YER for 6,000 liters and it only lasts for about 1-2 weeks depending on the size of the family. 
The impact of airstrikes 
 Airstrikes and shelling is making us terrified and we can’t sleep well. Last night, the kids were too afraid as the shelling and fighting was very close by. 
We have been thinking about fleeing Qataba, but the problem is that we are 26 family members living in one house. We don’t know where to go.
It might be better to stay in Qataba since we have a home here. We don’t own a house in any of the surrounding villages where it would be quieter. We have relatives in Damt district in Al-Dhale, which could be an option. If the situation deteriorates, half of the family might go to Damt with the other half staying in Qataba.  If the bombing and shelling continues and if the frontline moves closer, we might decide to leave. 
The holy month in Qatabah 
We never imagined that this could happen. Qataba was very peaceful and didn’t have any problems. People would come to Qataba from different districts of different governorates during the holy month of Ramadan but this year nobody will come. Qataba is perceived to be better than other districts for Ramadan because of its culture during Ramadan. The streets will be filled with markets and people.
Yemen

Testimonies from Al-Dhale

"We believe that the violence will continue during Ramadan: a ceasefire won’t be implemented unless the two warring parties respect it... We never imagined that this could happen." Voices from the Field - 29 Jun 2015
 
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South Sudan

Activity Update April & May 2015

MSF teams are currently running medical projects in six of South Sudan’s ten states and the Abyei Administrative Area Project Update - 29 Jun 2015
 
Open packages of ‘Plumpy Sup’ supplementary food found strewn all over the ground.  MSF had more than seven tons of stock in its warehouse in Melut, Upper Nile state for patients who suffer from malnutrition.
South Sudan

MSF resumes activities in Melut amid challenges to access the population in parts of Upper Nile state

MSF has resumed activities in Melut, Upper Nile state, 16 days after renewed fighting in mid-May forced the organisation to suspend medical activities and evacuate staff. The ongoing conflict and recurrent periods of shelling in Malakal and Melut are still making it difficult both for MSF teams to access the population to provide medical assistance and for populations to access healthcare facilities. Project Update - 29 Jun 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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