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XDR-TB patient Nischaya, at home in the Ambedkar Nagar area of Mumbai, with her TB medication.

Nischaya (not real name) is 18 years old, lives in Mumbai, and is one of only a handful of extensively drug-resistant TB (XDR-TB) patients in India lucky enough to be able to have acesss to the new drugs. After having been on treatment unsuccessfully for several years, Nischaya was referred to the clinic of Medecins Sans Frontieres (MSF) / Doctors Without Borders, an international medical humanitarian organisation who since 2006 provides free diagnosis, treatment and support to patients with drug-resistant TB in Mumbai.
Access to medicines

People still being denied improved treatment for multidrug-resistant TB

“Delamanid gave me a second chance at life and I wish that these tablets could be made available to the many people who are struggling with drug-resistant TB.” Press Release - 13 Oct 2017
 
Once a week MSF mobile medical teams serve the small settlement south of the town of Tuz Kurmato in  Salaheddin governorate where 4000 displaced people have been living for the last year and a half after their village, a few miles away, became engulfed in violent fighting. Female and male medical staff provide general health care with special focus on chronic diseases, mother and child care as well as mental health support. The community is afraid to travel around in this highly militarized area, particularly men, and are reluctant to see medical care in close by urban settlement such as Tuz Kurmato or Kirkuk.
Iraq

Hawijah offensive pushes nearly 14,000 people to neighbouring districts

“Fleeing Hawijah was so dangerous that people call it the road of death.” Project Update - 12 Oct 2017
 
Portrait of Nouri, 40 Years old from Syria
 
Nouri and his wife decided to flee Syria to save their 4 children from the war. After a few months in Turkey they took the trip 9 times to reach Greece.

“On the 22nd of July we arrived in Greece. Since I arrived in Greece, I felt as if I was born again, all the suffering I forgot, but unfortunately again, not as we expected…I don't know until this moment if we are staying, if we are going… we are like in a prison.”
Greece

EU border policies fuel mental health crisis for asylum seekers

“These people have survived bombing, extreme violence and traumatic events in their home countries or on the road to Europe.” Report - 10 Oct 2017
 
The MSF team prepares to move from one location to the other, Thaker, Leer County, South Sudan, March 21, 2017.
South Sudan

Continuing displacement is the new reality for many along northern frontier

“An older man came and dropped to the ground on his knees... he did not know what to do anymore. He just wept, in the middle of the group, like he had run out of hope.”
Project Update - 6 Oct 2017
 
A man looks at the view of Kutupalong Makeshift Settlement,  one of the main pre-existing settlements where some of the 507,000 new arrivals have sought shelter. Kutupalong and Balukhali, the largest two settlements, have effectively merged into one densely populated mega-settlement of nearly 500,000 people, making it one of the largest refugee concentrations in the world. The situation in the camps is so incredibly fragile, especially with regard to shelter, food and water, and sanitation, that one small event could lead to an outbreak that may be the tipping point between a crisis and a catastrophe, MSF says. There is an acute need for a massive humanitarian intervention focusing on food, clean water, shelter, and sanitation, and a solution is needed to reduce the size of these massive, congested camps.
Rohingya refugee crisis

“If this is the better option, the other must have been a living hell”

"I’ve heard the most horrific stories from women who have lost their husbands just trying to get here...you start to understand how harrowing this situation is." Voices from the Field - 6 Oct 2017
 
People in a wooden boat are rescued by Vos Prudence, in the Mediterranean Sea off the coast of Libya, on June 9, 2017. MSF vessel Vos Prudence rescued a total of 726 people from the Mediterranean Sea over 2 days on June 8th and 9th, including 52 children.
Mediterranean migration

MSF ends mission of search and rescue boat Prudence

We remain fully engaged to respond to the humanitarian needs of people fleeing violence and will continue to regularly reassess the situation in this volatile and uncertain context. Statement - 5 Oct 2017
 
Savien Robert Zoulemati, 25, father of a week-old baby, from Yakidi village, near by Ippy. “Because me don’t have money, we went hunting. We were a group of five. After the hunt, we came back to the camp, fixed dinner and get some rest. I was lying down when heavily armed Peuhls (Fulanis) attacked us. They came by the river to not be noticed and started shooting at us. My four companions escaped and I got the bullets, one broke my arm, the second went through my hip, the third wounded my right leg. They took us by surprise, hence it was difficult to know how many they were. My companions had abandoned me and I was left with no help. I held my broken arm to my chest. It took me a lot of energy to get head back to the village, I vomited and bled, I was tired, worn out. My hunting companions had alerted the village and by the evening, my parents came to look for me and bring me back home on their bicycle. Peuhls attack us because they see us as FPRC and anti-balaka.”
Central African Republic

Crisis update - September 2017

Violence has led to over 600,000 people being internally displaced within CAR; MSF is providing medical assistance in several areas throughout the country. Crisis Update - 3 Oct 2017
 
At least 164,000 people have now crossed into Bangladesh, fleeing violence in Rakhine state, Myanmar that started on 25 August. This massive influx, coming on top of 75,000 people who have arrived since violence began in October 2016, represents one of the largest influxes ever of Rohingyas into Bangladesh.
Rohingya refugee crisis

Rapid influx of Rohingya refugees from Myanmar into Bangladesh

Rohingya arriving in Bangladesh have shared stories with Médecins Sans Frontières about their villages being systematically raided and burnt by Myanmar military and by mob groups targeting Rohingya. Report - 1 Oct 2017
 
MSF conducts drawing and play sessions with kids at five informal evacuation sites in Iligan City as part of its mental health and psychosocial support (MHPSS) program. 

According to Nur Jannah Barandia, MSF psychosocial worker, it’s important for kids to play and have a sense of normalcy especially in difficult situations.
Philippines

Helping people cope amid conflict in Mindanao

Counselling and water will only get these communities so far, and while Marawi has dropped from international news, the needs of people will last and expand. Voices from the Field - 29 Sep 2017
 
Damage to one of the hospital’s ambulances. Hama Central/Sham hospital in southern Idlib governorate, Syria, was a major referral facility for the region.
Syria

Healthcare is being annihilated amid intensified bombings in Syria’s north-west

“It is evident that hospitals are not safe from bombings in Idlib at the moment, and this is outrageous.” Press Release - 28 Sep 2017
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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