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Sudanese refugees began streaming across the border into South Sudan in June 2011 when conflict erupted between the Khartoum government and the rebels of the Sudan People’s Liberation Movement-North (SPLM-N) in Sudan’s South Kordofan State. At the height of the crisis in Yida camp last summer, high mortality rates were reported among young children admitted to MSF’s hospital with respiratory tract infections, such as pneumonia, one of the leading causes of death. MSF determined that vaccinating with the pneumococcal conjugate vaccine (PCV) could result in a substantial mortality reduction in Yida. MSF has been working since September 2012 to procure PCV but faced significant delays due to lengthy negotiations and international legal procurement constraints. MSF was eventually able to obtain the vaccine from GSK at a reduced price, but delays have now pushed the planned vaccination into the logistically challenging rainy season.

The objective is to immunize approximately 5,000 children under the age of 2 against several pathogens, including haemophilus influenza type B and pneumococcus. This is the first time that PCV is being used in South Sudan and one of the first vaccines to be implemented in compliance with the new WHO emergency vaccination recommendations.
Access to medicines

Global alliance for vaccinations meets to examine progress, MSF points to needed policy changes

Key policy changes are urgently needed at GAVI Alliance to help reduce the number of children not benefitting from vaccination globally (22.6 million in 2012), MSF said ahead of meeting in Stockholm. Press Release - 28 Oct 2013
 
This IDP camp in Al Safira district (Aleppo province) is empty. After the October attack, IDPs  had fled north .
MSF had distributed some tents to IDPs. A medical student was running an OPD set up with MSF support
Syria

Civilians forced to flee Al Safira under heavy bombardment

More than 130,000 people have fled the district of Al Safira, in Aleppo province Press Release - 25 Oct 2013
 
MSF expatriates Caroline Voûte and Frankin Frias Diaz visit an improvised health post managed by IDPs nurses supported by Medair.
Democratic Republic of Congo

“People have simply been abandoned" in South Irumu

Violent clashes in South Irumu, in eastern Democratic Republic of Congo, have forced more than 100,000 people to flee their homes. MSF calls on all parties to the conflict to respect civilians and healthcare facilities. Press Release - 24 Oct 2013
 
In Honduras, there are four different types of dengue, the population are in high risks of infection particularly during the rainy season, from May to November, when the mosquito responsible for spreading the disease proliferates.
Honduras

MSF fights deadly outbreak of dengue fever

MSF teams are responding to an epidemic of haemorrhagic dengue fever that is spreading through San Pedro Sula, Honduras’ second city. Project Update - 23 Oct 2013
 
Dr Franziska Goettle (right) examines a malnourished child in the inpatient therapeutic feeding centre in the Dera Murad Jamali District Headquarter Hospital in eastern Balochistan, Pakistan.

MSF supports the Dera Murad Jamali District Headquarter Hospital by providing emergency obstetric care, neonatal and paediatric inpatient care, as well as therapeutic feeding programme, to local and displaced population.
Pakistan

Access Denied

We remain committed to providing impartial medical humanitarian assistance elsewhere in Balochistan and in other parts of Pakistan. Op-Ed - 21 Oct 2013
 
Makeshift IDP camp in Bossangoa.
Central African Republic

Fighting reaches unprecedented levels of violence

Press Release - 16 Oct 2013
 
A transit camp in Aleppo province, next to the Turkish border. Around November 2012, 4,000 displaced people were staying in this temporary settlement – in April 2013, there were around 10,000.
Syria

Political will shown to work for chemical weapons access in Syria – same now needed urgently for humanitarian aid

The political will shown for chemical weapons work in Syria must be applied to humanitarian access. Press Release - 15 Oct 2013
 
Some 2,500 Sudanese from the troubled South Kordofan State continue to arrive to Kodok and Lelo towns, in Fashoda and Malakal counties  in South Sudan’s Upper Nile State in dire need of humanitarian assistance The biggest concern is nutrition, children are very weak when they arrive and their condition can worsen even further if they don´t get proper care. In Kodok, more than 200 children under five are now receiving treatment in the ambulatory therapeutic feeding program. MSF medical teams are running a nutrition program through mobile clinics within the communities focusing on children under five years and women.
South Sudan

New refugees from Sudan in need of assistance

Some 2,500 Sudanese from the troubled South Kordofan State have arrived South Sudan’s Upper Nile state, in need of humanitarian assistance. Project Update - 11 Oct 2013
 
On April 19th 2011, 760 migrants have arrived from Libya after travelling for three days on an old fishing boat. Among the passengers, MSF counted seven children, 63 women; one of them pregnant. The majority of the migrants are originally from sub-Saharan Africa. This is the biggest boat landing ever occuring in Lampedusa. An MSF team consisting of a medical doctor, a nurse, two cultural mediators, a logistician and a field coordinator performs medical triage in the harbour and distributes non food items and water to the newly arrived migrants.
Project Update

EU member states must recognise human cost of repressive migration policies

As a delegation of European and Italian leaders visits the Sicilian island of Lampedusa to honour all those who tragically lost their lives trying to reach the European coast, the international medical organisation Médecins Sans Frontières (MSF) calls on members of the European Union to recognise the human cost of their repressive migration policies. Press Release - 9 Oct 2013
 
Dr Henrike Zellmann is the supervising psychologist for MSF in Domeez refugee camp in northern Iraq. She is pictured here with some of the Syrian refugees who MSF has been assisting.
Iraq

As soon as the door is closed, we spend time with them, and we listen

An insight into mental healthcare for Syrian refugees in Domeez camp, Iraq Project Update - 8 Oct 2013
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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