Photo: Destroyed medical supplies litter the ground outside the MSF hospital in Pibor. South Sudan 2013 © Vikki Stienen/MSF
South Sudan: MSF Hospital Severely Damaged in Intentional Attack
MSF strongly condemns the deliberate damage and looting of its hospital in Pibor town, in South Sudan’s Jonglei State, which has left tens of thousands of people without access to essential medical care.
The hospital’s infrastructure was systematically damaged May 11–12 in order to render it unusable without major repairs. Therapeutic medical food and hospital beds were looted. The MSF structure is the only hospital facility for Pibor County, with the nearest alternative more than 90 miles away. The hospital’s closure leaves roughly 100,000 people cut off from health care. Many of them have fled to the bush amid conflict between the South Sudan Army (SPLA) and the David YauYau armed militia group.
“A special effort was made to destroy drug supplies by strewing them on the ground, to cut and slash the warehouse tents, to ransack the hospital wards, and even to cut electricity cables and rip them from the walls,” said Richard Veerman, MSF operations coordinator for South Sudan.
South Sudan: Preparing for the Rainy Season
At the Yida refugee camp in South Sudan, where the population has increased five-fold in the past year, Doctors Without Borders/Médecins Sans Frontières (MSF) is treating growing numbers of patients and preparing for the additional hardships that will come with the approaching rainy season.
Photo: MSF is providing humanitarian assistance to Syrian refugees in Domeez camp through general health and mental health care and immunization. Iraq 2013 © Pierre-Yves Bernard/MSF
Iraq: Syrian Refugees’ Health Deteriorates at Domeez Camp
Overcrowding and poor living conditions in Iraq’s Domeez camp have led to a recent deterioration in the health of Syrian refugees. Stéphane Reynier, emergency coordinator for MSF, describes the current situation in the camp:
The health system in Syria has collapsed, and the war has left a section of the population with no access to health care. For the past two years, because of the conflict, children have not received their routine vaccinations.
Photo: Many migrants pass through Haradh town on their way to Saudi Arabia, whose border is just a few kilometers away. Yemen 2013 © Anna Surinyach
Yemen: Migrants Abused, Tortured by Smugglers
Authorities in Yemen have freed more than one thousand migrants from Somalia and Ethiopia, many suffering from torture and sexual abuse while forcibly held by human smugglers.
“Many of the migrants are physically and mentally exhausted and are suffering from severe mental trauma due to the horrific conditions and treatment they experienced during their detention,” said Angels Mairal, an MSF psychologist in Haradh.
Photo: Members of a refugee family in a makeshift tent at the Mbera camp for Malian refugees. Mauritania © Nyani Quarmyne
Since the start of the conflict in Mali in January 2012, hundreds of thousands of people have fled to other locations inside the country or to neighboring countries. More than 270,000 people have been displaced within Mali, according to the United Nations, while more than 170,000 refugees have fled to neighboringBurkina Faso, Mauritania, and Niger. Mauritania hosts the highest number of refugees, with some 68,000 people registered by the Office of the UN High Commissioner for Refugees (UNHCR) in camps in Mauritania.
The camps in Mauritania are located in a remote, arid region close to the border with Mali. The refugees rely completely on outside assistance and humanitarian aid for their survival, including such basic needs as food, water, shelter, and medical care.
Photo: Refugees displaced by violence in Darfur have settled in Tissi. Chad 2013 © MSF.
Chad: More than 10,000 Refugees Arrive in Tissi Within a Few Days
Roughly 25,000 refugees and returnees had already been living in and around five villages in southeastern Chad for nearly three months. But starting on April 4, 2013, an additional 10,000 began to arrive, having fled violent clashes in Um Dukhun, Sudan, 10 kilometers [about 6 miles] away from the border. And there’s every indication that more are on their way.
They tell similar stories, of villages attacked and set on fire by armed men on horseback, of neighbors and family members killed, of women and children abandoning all their belongings and taking flight. Fighting resumed between several Arab tribes of North and Central Darfur States a few months ago, but the situation has deteriorated dramatically in recent days.
Photo: Houmou Ag Amamili arrived in the Mbera camp on November 14, 2013. As of March 11 he still had not received a tent in which to live. Mauritania 2013 © Nyani Quarmyne
Conflict in Mali has driven nearly 70,000 refugees to Mbera camp in the Mauritanian desert, where appalling conditions and inadequate assistance are leading to severe malnutrition and deaths from preventable diseases.
“These statistics show that the refugees have grown weaker while in the camp, the very place where they should have been receiving assistance, including correctly formulated food rations from aid organizations,” said Henry Gray, MSF emergency coordinator.
Photo: An MSF staff member tends to a patient in northern Mali. Mali 2013 © Gonzalo Wancha/Filmalia.
Fear and Need Still Pervasive in Northern Mali
Despite some appearances of relative calm in Mali in recent weeks, the emergency is not yet over for the vast majority of the population in the country’s northern reaches. MSF has been supporting medical facilities in two of three regions in northern Mali since April 2012 to ensure access to free medical care for the vulnerable, but ongoing insecurity is still limiting the teams’ ability to carry out activities in rural areas. Meanwhile, hundreds of refugees continue to cross the border into Mauritania every day.
“Due to the insecurity,” says Rosa Crestani, MSF emergency program coordinator, “we cannot assess the needs of those living outside the urban areas in which we are working.” “We fear that some patients remain trapped at home,” she continues. “It is difficult for these people to access food, and the risk of malnutrition is significant. The people must not be the target of violence and must be able to safely access the vital medical and humanitarian aid they need.”
After a while they started bombing the towns and villages. The army sent tanks to demolish my house. They broke down the walls and entered with the tanks through the columns. Nothing was left of our house. We fled to another village, but there we were caught by heavy shelling, so I took the children who were terrified of the bombs and brought them to Aarsal in Lebanon.
[In Syria] 400 bombs were falling per hour. We could not cope with the situation anymore, we have children. We had to sleep under trees, in a cave (grotto), in a valley to hide from the bombs. Finally we had no other choice than to flee to Lebanon to protect our children and our lives.
Photo: A boy emerges from his home outside the town of Kitchanga in North Kivu Province. DRC 2009 © Michael Goldfarb
Thousands Flee as Violence Continues in Kitchanga, North Kivu
Arson and fighting that began last week is still ongoing in the town of Kitchanga in eastern Democratic Republic of Congo (DRC)’s North Kivu Province. Thousands of the town’s inhabitants—mostly women, children, and the elderly—have fled in fear, taking only their few belongings and their cattle. People who are unable to flee are seeking refuge in makeshift camps.
“The situation in the region is extremely volatile and dire as tension between communities escalates, with more shooting taking place this week in Kitchanga,” says Hugues Robert, head of mission for MSF in North Kivu Province.
Medical aid is being targeted, hospitals destroyed, and medical personnel captured.
MSF President Dr. Marie-Pierre Allié on the humanitarian assistance deadlock in Syria.
According to the United Nations, 2.5 million Syrians have been displaced in the country, while 57 percent of hospitals have been damaged and 36 percent are non-functional. These statistics do not include private clinics or makeshift hospitals that are destroyed or damaged.
Photo: Malian refugees fleeing conflict in Mali arrive at the border in Fassala, Mauritania. Mauritania 2012 © Lynsey Addario/VII
Desperate Conditions in Camps Causing Disease Among Malian Refugees
Conflict in northern Mali is still forcing large numbers of people to flee their homeland and seek sanctuary elsewhere in the countries of the Sahel region, but the conditions in the camps where they are living are themselves leading to disease and suffering.
According to UNHCR, approximately 150,000 Malian refugees are living in camps in Burkina Faso (Ferrerio, Dibissi, Ngatourou-niénié, and Gandafabou camps), Mauritania (Mbera camp), and Niger (Abala, Mangaize, and Ayorou camps). Doctors Without Borders/Médecins Sans Frontières (MSF) has been working in these eight camps since March 2012, providing primary and maternal health care and treating malnutrition. MSF is also vaccinating children between six months and fifteen years old for measles. Nearly 12,000 consultations and 5,000 vaccinations have been carried out since the beginning of the year.
Nearly 67,000 refugees—mainly women and children—have arrived in the border town of Fassala, Mauritania, since January 2012. “At the border crossing at Fassala, Mauritania, people are arriving thirsty and showing signs of fatigue,” explains Karl Nawezi, MSF project manager in Mauritania. After being registered by the authorities, refugees wait in a transit camp before being transferred to Mbera, a small, isolated village in the Mauritanian desert, just 30 kilometers [about 19 miles] from the Mali border.
Photo: Sudanese refugees wait in line in the outpatient department at the MSF field hospital in Jamam refugee camp. South Sudan 2012 © Paula Bronstein/Getty Images
Fear and Hope in South Sudan as Refugees Start to Cross Border Again
More than 170,000 people who fled violence in Sudan are living in refugee camps in South Sudan. Doctors Without Borders/Médecins Sans Frontières (MSF) has been assisting the refugees since November 2011, running field hospitals and providing supplies of clean drinking water and oral rehydration fluids.
Now that the floods caused by the rainy season are subsiding refugees are starting to cross the border again. In December 2012, around 370 refugees arrived at the border village of El Fuj, traveling in two groups and arriving a few days apart. This is a small number compared to last year, when 35,000 people crossed the border in the space of just three weeks. Time will tell if the numbers will increase.
While the camps in South Sudan provide relative safety, refugees living there face dire conditions. There are still shortages of clean water—at times, 40 percent of medical consultations carried out by MSF were related to diarrhea—and there are ongoing occurrences of Hepatitis E. In Batil Camp (which hosts around 35,000 refugees), mortality rates were more than double emergency thresholds in summer 2012, and more than a quarter of the children under the age of five weremalnourished. Since September 2012, conditions have improved in many areas and mortality rates have dropped, but nutrition and food security are still serious concerns.
MSF Monitors the Situation in Yida Camp, South Sudan
The end of the rainy season and continued conflict have pushed a new wave of people to Yida refugee camp in South Sudan. The high mortality rate in July has stabilized, but levels of malnutrition among displaced children remain high.
Photo: Sudanese refugees wait in line in the outpatient department at the MSF field hospital in Jamam refugee camp. South Sudan 2012 © Paula Bronstein/Getty Images
Fear and Hope in South Sudan as Refugees Start to Cross Border Again
More than 170,000 people who fled violence in Sudan are living in refugee camps in South Sudan. Doctors Without Borders/Médecins Sans Frontières (MSF) has been assisting the refugees since November 2011, running field hospitals and providing supplies of clean drinking water and oral rehydration fluids. Now that the floods caused by the rainy season are subsiding refugees are starting to cross the border again. In December 2012, around 370 refugees arrived at the border village of El Fuj, traveling in two groups and arriving a few days apart. This is a small number compared to last year, when 35,000 people crossed the border in the space of just three weeks. Time will tell if the numbers will increase. While the camps in South Sudan provide relative safety, refugees living there face dire conditions. There are still shortages of clean water—at times, 40 percent of medical consultations carried out by MSF were related to diarrhea—and there are ongoing occurrences of Hepatitis E. In Batil Camp (which hosts around 35,000 refugees), mortality rates were more than double emergency thresholds in summer 2012, and more than a quarter of the children under the age of five were malnourished. Since September 2012, conditions have improved in many areas and mortality rates have dropped, but nutrition and food security are still serious concerns.