24620 Without Borders OCT NOV ON2_laser

Without BordersMédecins Sans Frontières/Doctors Without Borders | msf.org.uk

The outbreak of Ebola that began in March this year is wreaking havoc across a swathe of west Africa as the number of cases surges. Here fi ve MSF volunteers talk about their experiences of the arduous and dangerous battle to halt the virus – and the euphoria that the teams feel when a patient recovers and returns home.

HANNAH SPENCERA DOCTOR FROM SURREY“When I heard about the Ebola outbreak in west Africa, I contacted MSF and asked if I could help. When I told my mum, she said, ‘As if I could stop you from going!’ Naturally my family were concerned. Ebola is highly infectious, and while you can never say there’s no risk, if you follow all the procedures, the risk of catching it is low.”

TIM JAGATIC A DOCTOR FROM CANADA“When I’m dressed up in my full personal protective equipment, I know I’m not exposed to the virus. Before we go back to our compound, we go through multiple decontaminations – there are all these checkpoints to make sure we’re washing our hands. There is a very strong sense of safety.”

BENJAMIN BLACKAN OBSTETRICIAN FROM SUSSEX“Trying to work in the heat is unbearable. Coupled with the stress of the environment, the high stakes of getting it right and of not exposing oneself to the disease make the work incredibly intense.

Once inside the isolation ward, you have to rely on yourself and your ‘buddy’ – you never go inside alone.”

COKIE VAN DER VELDEA SANITATION SPECIALIST FROM YORKSHIRE“This morning I woke with a sore throat – it’s almost certainly due to inhaling chlorine, but paranoia has set in and I take my temperature for the tenth time this morning. Not sure this

is a healthy obsession.”

ANE BJØRU FJELDSÆTERA PSYCHOLOGIST FROM NORWAY“Dealing with the dead bodies is disturbing. The hygienists experience feelings of sadness and fear, and also disgust. With Ebola, patients can die in a disgraceful manner – there’s bleeding, vomiting and diarrhoea. The cleaners tell me they experience fl ashbacks

Fighting Ebola Moments of joy amid the outbreak

MSF staff at our Ebola treatment centres give their all to treat hundreds of patients each month. But they can’t operate without donations. Please support our medical teams working around the world today.

Phone: 0800 408 3894 Visit: www.msf.org.uk/supportOr use the form on page 3

INSIDE: 4-6 SYRIA – THE REACH OF WAR7 SOUTH SUDAN 8 THROUGH THE LENS

Sida Bentou says goodbye to staff at MSF’s treatment centre in Guéckédou, Guinea, having survived Ebola. Credit: Sylvain Cherkaoui/Cosmos

Médecins Sans Frontières/Doctors Without Borders (MSF) is the world’s leading emergency medical humanitarian aid organisation. We help people aff ected by armed conflict, epidemics and natural or man-made disasters, without discrimination and irrespective of race, religion, creed or political affi liation. We work in over 70 countries and go to places where others cannot or choose not to go. We can do this because we are independently funded, with 90 percent of our funding coming from individual or private donors, like you.

continued on page 2

Sierra Leone

Guinea

MaliSenegal

Côte d’Ivoire

Liberia

Guinea BissauBurkinaFaso

Ghana

EBOLA CRISIS

2

/msf.English @msf_uk

SUPPORT MAKES OUR WORK POSSIBLE + WE CAN’T OPERATE WITHOUT YOU + YOUR SUPPORT SAVES LIVES + YOUR

22


– of things they have seen and of things they have smelt. Even wearing a mask, you can’t shut out all the smells.

The stigma also makes it hard for the hygienists and cleaners – who are all locals – to maintain their image of what they are doing. We tell them, ‘You are heroes, you’re doing a very important service for your community – it’s absolutely vital that someone is doing this job.’ But although we see them as heroes, this isn’t always how they are perceived by their families, their friends or their villages.”

TIM JAGATIC“The isolation unit is in a tent and the barriers are made of plastic fencing, so family members can sit on chairs outside and talk normally with the patients, who sit inside. I’d say there are a good 10 to 15 patients in there who will survive. Social bonds form among many of the patients. There’s a group of women sitting there over lunchtime, and because it’s kind of boring in these isolation units, they become friends, they’re gossiping.”

COKIE VAN DER VELDE“I’ve been working ridiculous hours. At night we go back to the house for a team meeting to discuss what’s happened during the day. At the end of our meetings, we always say, has anybody got any good news? That’s my cue to tell a really rude joke.”

BENJAMIN BLACK“An expert in Ebola recently told me, ‘This disease kills those you love the most, the people closest to you and those that you are most likely to care for’. Wise and poignant words, true to the cruel nature of transmission in this disease.”

ANE BJØRU FJELDSÆTER“Last week a very little girl came out of the isolation ward. Her name was Bintu, and she was 21 months old. Both her parents had tested positive for Ebola, but she had tested negative, so we had to take her out of the ward because the risk of contamination was too high. That was a horrible day. The nurses told me she didn’t know how to speak. For the two days she’d been in the ward, she’d been so shocked that she hadn’t uttered a word. This can happen to children – it’s called elective mutism. When she came out, she didn’t make eye contact, she didn’t speak to anyone. We put her in a chair and she turned around, with her back to the world. It must have been a terribly disturbing experience for a child: to see someone come into the ward in a spacesuit; to hear them speaking to your mother in words you don’t understand; to see your mother start crying; and then to be handed over to the stranger in the spacesuit and carried off . I sat with her for four hours, trying to talk to her in a calm voice and singing her songs, to see if the shock would pass. By the end, she had turned around and was facing me. She made eye contact, she put

her hand out for me to touch her, she started a conversation. You could see that she was warming up to me, and that she wasn’t in the same condition. Both of Bintu’s parents died that day. Now she is in the care of a child protection organisation which is trying to locate other family members who can take care of her. I just hope she’ll be ok.”

BENJAMIN BLACK“Occasionally everyone stops what they are doing – doctors, nurses, cleaners, everyone. All attention is directed at the exit from the high-risk zone. A patient is being discharged. Like a celebrity, the survivor is surrounded by an excitable crowd, whooping and clapping. The beaming faces of the crowd are refl ected in the broad smile and shining eyes of the survivor. It is an intensely emotional moment.”

ANE BJØRU FJELDSÆTER“When we discharge a patient who has survived Ebola, it makes an enormous diff erence. Yesterday, three people who had been cured were discharged from the isolation ward, and all the cleaners were dancing around the ward, deliriously happy and taking photographs.”

HANNAH SPENCER“One 15-year-old girl was inside the isolation ward for over a week, along with her seven-year old sister and her mother, who was very unwell at fi rst – I really thought she was going to die. But then they all started to get better. When, fi nally, the girl’s test came back negative, she had a shower in chlorine, changed into new clothes and was discharged from the ward. Her family were all there to meet her at the gate and she was crying because she was so happy. That was a wonderful moment – to see that and to know that her mother and sister would soon be well enough to join her.”

BENJAMIN BLACK“Everyone feels a huge sense of achievement

when a cured patient leaves the centre. But MSF doesn’t cure Ebola – only an individual’s own body can win the fight. But I sense that the emotional and psychological impact of seeing that you are not alone, and of witnessing the euphoric moment when others are discharged, has an important restorative effect.”

TIM JAGATIC“My family are not the happiest, but they understand why I’m here. There’s a need, plain and simple. I have the training to help bring an end to this problem, so I’ll give everything I can.”

COKIE VAN DER VELDE“Tomorrow’s my last day in Liberia. Once us tired ones have left, new people will come in. I’m going home to Yorkshire, to see my grandchildren and to have a jolly nice cup of English tea. But in a month’s time, I’ll be ready to come back with MSF to west Africa, to wherever I’m needed.”

HANNAH SPENCER“I’m back in the UK now, and a bit tired. Working in an Ebola epidemic isn’t easy, but it’s exactly the kind of work MSF should be doing.”

MSF staff in protective clothing bring a girl with suspected Ebola into the treatment centre in Kailahun, Sierra Leone. Credit: Sylvain Cherkaoui/Cosmos

continued from front page

Hannah Spencer Tim Jagatic Benjamin Black Cokie van der Velde Ane Bjøru Fjeldsæter

WHAT IS MSF DOING?iThe outbreak of Ebola in West Africa is the largest Ebola epidemic ever recorded. The virus has already infected more than 8,000 people and the outbreak is far from over. MSF has been combatting the outbreak since the fi rst cases were reported and have admitted 5,065 patients, among whom 3,264 were confi rmed cases of Ebola. 1,173 have recovered.

We are operating six treatment centres in aff ected areas, but more needs to be done. We are stretched to the limit of our capacity.

MSF has 3,408 staff on the ground and has brought in more than 807 tonnes of equipment and supplies to help fi ght the epidemic. It’s the fi nancial support of individuals like you that enables us to do this. Thank you.

For the latest news and information, visit msf.org.uk/ebola

SUPPORTING MSF

3

89%on humanitarian work

8%on fundraising

3%on offi ce management

✁

✁

Your support makes our work possible – thank you!£10 a month – or 33p a day – can help provide an MSF team with an emergency dressing kit containing sterile equipment, dressings and bandages to help people caught up in confl ict.

£20 a month can buy medicine to treat 200 people for malaria: a treatable disease that kills one child every 30 seconds.

Credit: Seb Geo Credit: Marcell Nimfuehr/MSF

The one thing we can’t do without is your support. Regular support — such as a monthly donation — means we can plan ahead, confi dent that the funds we need will be there when we need them. It means we don’t have to waste money on administration that could be spent on saving lives.

Giving monthly is easy for you too. No hassle. No time wasting. Just your money getting to where it’s needed, fast.

We can’t do it without you

Charity Registration Number 1026588

CODE

OUR GUARANTEE TO YOUWe respect and value every one of our supporters. We won’t allow any other organisations to have access to your name and address. Neither will we send you constant appeals. We do want to share the reality of our work with you. When you give us your details, you agree to receiving information about our work. and your support. If you would prefer not hear about us please email Anne Farragher at [email protected], call 020 7404 6600 or write to: Anne Farragher, Médecins Sans Frontières, 67-74 Saffron Hill, London, EC1N 8QX.

(For every £1 we spent on

fundraising in 2013, we raised £13)

We’re proud of how we spend your contributionsMSF UK Annual Report 2012

There are three ways you can start supporting MSF’s lifesaving work today.

Make a regular monthly gift online at www.msf.org.uk/support

You can also call us free on 0800 408 3894 24 hours. Please have your bank details to hand.

Alternatively, you can complete the Direct Debit form below, place it in an envelope and post it to: Médecins Sans Frontières, FREEPOST RTGZ-KUHJ-XHKU, MSFUK, 2A Halifax Road, Melksham, Wiltshire, SN12 6YY.

123

I would like to make a monthly contribution of £10 £20 or my own choice of £__________starting on 1st 15th 28th of M M / Y Y Y Y alternatively MSF will claim on the next available datePlease allow four weeks for the Direct Debit to be set up.

PLEASE COMPLETE IN BLOCK CAPITALS (We will not pass your details to anyone else)

Title Forename

Surname

Address

Town Postcode Please provide the following information if you would like to be contacted in any of these ways: (We will not pass your details to anyone else)

Telephone

Mobile

Email address

Instruction to your Bank or Building Society to pay by Direct Debit

Name(s) of Account Holders

Bank/Building Society Account Number

Sort Code – –

Name and full postal address of your Bank or Building Society: To the Manager Bank/Building Society

Address

PostcodeInstruction to your Bank or Building Society Please pay MSF UK Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with MSF UK and if so, details will be passed electronically to my Bank/Building society.

Signature(s)

Today’s Date / / Banks and Building Societies may not accept Direct Debit Instructions for some types of account. MSF’s Direct Debits will show as MSF UK on your bank statements.

Please return to: Médecins Sans Frontières, FREEPOST RTGZ-KUHJ-XHKU, MSFUK, 2A Halifax Road, Melksham, Wiltshire, SN12 6YY. Alternatively phone 0800 408 3894 (open 24 hours a day 7 days a week) or make your donation online at www.msf.org.uk/support

Are you a UK taxpayer? If so, you can make your gift worth more at no extra cost. Please tick the box below.

I wish Médecins Sans Frontières to treat all gifts in the last 4 years, this gift and all future gifts that I make, as Gift Aid donations. I confi rm I have paid or will pay an amount of Income tax and/or Capital gains tax for each tax year, that is at least equal to the amount of tax that all the charities and CASCs that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council tax do not qualify; and that the charity will reclaim 25p of tax on every £1 that I give on or after 6 April 2008. Date: _______ /_______ /_______

Yes, I will support MSF’s volunteer medical teams

Originator’s ID Number

5 0 3 4 4 2

Originator’s Reference No. For offi ce use only

SYRIA

4

SS SUPPORT MAKES OUR WORK POSSIBLE + WE CAN’T OPERATE WITHOUT YOU + YOUR SUPPORT SAVES LIVES + YOUR

444


Syria: The reachNow into its fourth year, the war in Syria has killed more than 150,000 people and driven upwards of nine million people from their homes, nearly a third of whom have fl ed the country.

MSF has been working in Syria and in the surrounding countries since the start of the confl ict, providing emergency medical care and support to many thousands of people.

These photographs — all taken on one day in MSF projects in Iraq, Jordan and Lebanon — reveal the very personal dimensions of the confl ict, as lived by Syrian patients and the MSF staff members treating them.

“The war is so overwhelming that it’s easy to lose sight of what it means for individual Syrians,” said Dr Joanne Liu, MSF’s international president.

“Working in Syria late last year, I saw children suff ering from blast wounds, families without proper shelter and women who had nowhere safe to give birth to their babies. These photographs bear witness to the personal toll of a brutal, relentless confl ict.”

“We are trying to help as many Syrians as we can in neighbouring countries as well as people inside Syria itself.”

We can’t do it without your support. Fourteen-year-old Malik plays chess with British anaesthetist Ben Gupta in Ramtha hospital, Jordan. Malikparty at his family’s home in Syria. Credit: Ton Koene

A Syrian child is checked for malnutrition at MSF’s clinic in Arsal, in Lebanon’s Bekaa valley. The refugees’ poor living conditions can be particularly hard on the young, many of whom arrive in Lebanon already traumatised by their experience of the war in Syria. Credit: Moises Saman/Magnum

Eight-year-old Maria, from Sana in Syria, was badly burned when her bed caught on fi re. She is being treated by MSF doctors at Ramtha hospital in Jordan, which provides surgical and post-operative care that is unavailable in much of Syria. Credit: Kate Brooks

SYRIA

5


555

SUPPORT MAKES OUR WORK POSSIBLE + WE CAN’T OPERATE WITHOUT YOU + YOUR SUPPORT SAVES LIVES + YOURR R

h of war

Malik lost one leg and sustained severe injuries to his arm and other leg when a bomb fell on a wedding

Syrians who have crossed into Iraq for safety wait to see a doctor at MSF’s clinic in Domiz refugee camp. “People have suffered a lot,” says MSF psychologist Henrike Zellman. “If somebody could tell them, ‘You have to stay here for another two months, and then you can go back home,’ people would cope easily. But nobody can tell them when they’ll actually be able to leave.” Credit: Yuri Kozyrev/Noor

Dr Haydar Alwash, an Iraqi surgeon who was once a refugee himself and now works for MSF, operates on a young man in Ramtha, Jordan. “All our patients are newly injured in this confl ict, usually by bombs or gunshots,” he says. “We concentrate on surgical procedures that can save lives or save limbs. You can really see the vital importance of the services you are providing.” Credit: Ton Koene

Fourteen-year-old Rukaya lost both her legs when her hometown in Syria was bombed. “My mother and I were going to another neighbourhood,” says Rukaya. “As we were about to leave, we were hit by a rocket. My mother died, and I was wounded. I felt that I had no legs. Then I fell unconscious.” Brought to hospital in Ramtha, Jordan, Rukaya has been operated on seven times by MSF surgeons, and will soon be fi tted with prosthetic legs. Credit: Ton Koene

SYRIA

6


6666

SUPPORT MAKES OUR WORK POSSIBLE + WE CAN’T OPERATE WITHOUT YOU + YOUR SUPPORT SAVES LIVES + YOUR SS

YOUR SUPPORT

£10.76 pays for a box of 300 surgical gloves

£17.26 pays for a surgical gown

£30.20 pays for a box of 300 surgical masks

£161.41 pays for a basic surgery set of 27 instruments

£

Syria: The reach of war

*UN statistics July 2014

Community healthcare worker Falak Saadoun demonstrates handwashing techniques to Syrian refugee children in their family’s tent in Domiz camp in northeast Iraq. At the camp’s clinic, MSF teams provide healthcare to some 60,000 refugees who have fl ed the war in neighbouring Syria. Credit: Yuri Kozyrev/Noo

SYRIA 6.4M people displaced in Syria* 10,151 surgical acts by MSF teams63,440 Emergency Room consultations109,214 out-patient and mobile clinicconsultations90,214 children vaccinated against measles2,373 babies delivered100+ MSF clinics

IRAQ 217,192 refugees*4 MSF clinics285,082 medical consultations6,963 mental health consultations

JORDAN 607,878 refugees*6 MSF clinics30,205 medical consultations2,123 surgical acts by MSF teams1,008 babies delivered813 mental health consultations

TURKEY 808,600 refugees*

LEBANON 1,138,043 refugees*9 MSF clinics272,564 medical consultations3,846 mental health consultations

Amman

Damascus

Beirut

“I am a surgeon but I am also a human being. I feel pain when I am face-to-face with innocent children and older men and women whose lives have been forever changed by confl ict. But as a surgeon, I am in a position to treat these vulnerable people, to make them smile and enjoy a sense of independence again.” Dr Ali Al-Ani, surgeon at MSF’s reconstructive surgery project in Amman, Jordan

WHAT IS MSF DOING?iMSF is running 25 health clinics and hospitals in Lebanon, Jordan, Iraq and Syria, and is providing remote support to other clinics within Syria.

Is MSF taking sides in this confl ict?

No, MSF never takes sides. We off er medical assistance to anyone who needs it, irrespective of their race, religion or politics.

Thank you.

It’s the fi nancial support of individuals like you that has enabled us to perform 760,505 medical consultations and 12,274 surgeries in and around Syria since the crisis began. We couldn’t do it without you.

For more information, visit msf.org.uk/syria and reachofwar.msf.org

During morning rounds, MSF’s Dr Haydar Alwash and his team in Ramtha, Jordan, visit patient Mohammed Jamus, who was wounded in the arm, chest and leg in the war in Syria. “Most of our patients have a story other than their actual injury – they come with two or three tragedies,” says Dr Alwash. “What we are trying to do is to give hope for these patients by trying to alleviate their pain.” Credit: Ton Koene

When I arrived in early July, there were about 40,000 people living

in this camp, situated in one of the largest swamps in the world. At fi rst glance, it looked like your average refugee camp, with ramshackle dwellings made out of plastic sheeting and twigs, and a lot of grass, mud and people. It looked bad, but not too terrible.

But as soon as you looked beneath the surface and examined what was happening to the people here, the results were absolutely shocking. The crude mortality rate – the number of deaths per 10,000 people per day – was 1.5. The emergency threshold is one per 10,000 per day. What does that mean in human terms? If you can picture an average school with 1,000 students, that’s one student dying every 10 days. That’s a staggering level of death.

Three children dying every dayIt was even worse for the under-fi ves, who were dying at the rate of three children a day. You’d go into a tent and see emaciated children with protruding bellies as if they were in a famine, and this was happening in a camp with enough food.

Why were people caught in this cycle of death? It was because of water. Each person had just four to fi ve litres of water every day – for cooking, drinking and washing. And when you’ve got such a small amount of water, you’re basically not washing. And if you are washing, it’s in muddy water contaminated with sewage, because in the camp there is only one latrine per 300 people. There is faeces everywhere, and even if you want to keep clean, you can’t. As a result, people are constantly exposed to parasites and bacteria and viruses, which means that people are constantly suff ering from diarrhoea, vomiting and fever. Having diarrhoea means that you’re not gaining weight, and that’s a big problem if you’re a child under fi ve. It means your immune system is suppressed, and you’re more vulnerable to infections. Before you know it, you’ve got dozens

of kids with severe acute malnutrition in a camp with plenty of food, alongside adults dying from diarrhoea.

We know what to doSo what do we do? This is where it’s an absolute pleasure and privilege to be part of MSF, because we know what to do in these situations. On the front end, you start providing more water. You dig more wells, and you encourage other organisations working there to dig more wells. We have water and sanitation experts who can take muddy, contaminated water, pump it into a tank, treat it, and turn it into clear drinking water. Within a short amount of time, we’ve boosted water availability to 10.6 litres per person per day. Not enough, but better than before.

We also start building latrines – it goes from one latrine for every 300 people to one for every 70 people. Then we set up nutritional care teams and go out into the camp. Twenty percent of the children are malnourished; seven percent of the children – around 700 kids – have severe acute malnutrition. We bring these children into our inpatient centre and start treating them with medicalised food and therapeutic milks.

Anchoring all this is our hospital. Nobody is going to come to your clinic if they think the traditional healer is going to do just as good a job. But if people see that emaciated children and people close to death go into your hospital, and a week or two later come out looking fat and sassy, then they know you’re off ering something real. Word spreads fast.

So we implement this package of water and sanitation and feeding and medical care, and within a decent period of time, we’ve pushed the crude mortality rate down from 1.5 to 0.6, and from 3 to 1 for the under-fi ves. That means that, every single day, there are two more children walking and talking and looking at the possibility of a lifespan because of what we are doing.

Then the rains come...But then the rains come. Initially, there is 50 cm of water in the camp, and then suddenly there is more, and then the latrines have fl ooded. We are in a situation where most of the inhabitants of the camp are unable to lie down and sleep

MSF.ORG.UK/SOUTH-SUDAN

7


7777


YOUR SUPPORTConfl ict, hunger, disease, disaster. MSF tries to go where we are needed most. But our staff can only help if they have training and resources. We can only provide these if people give to us. Please support us today.Phone 0800 408 3894Visit: www.msf.org.uk/support Or use the form on page 3

£

Living in fi lthy conditions, children can quickly become caught in a cycle of sickness and malnutrition. Credit: Jean-Pierre Amigo/MSF

People wade through fl oodwater to their shelters in Bentiu camp, South Sudan, situated in one of the world’s largest swamps. Credit: MSF

‘because of the water. Women are standing in water at night with their children in their arms trying to keep them dry. These are conditions not compatible with human dignity, and barely compatible with life.

People in the camp have been given dry rations to eat, but these can’t be eaten unless they’re cooked, and there’s no dry fi rewood in the camp. There’s still a civil war going on, and if men leave the camp, there’s a risk they’ll be shot, while for the women, there’s a risk they’ll be raped. But what choice do they have? Women start to leave the camp to collect fi rewood, and before long, we are treating victims of rape.

People are alive because MSF is thereWhat do we do in a situation like this? We speak out on behalf of our patients. The United Nations is responsible for this camp and for protecting these people, so we called on them to improve conditions, to start assisting with drainage and to provide protection for people leaving the camp to collect fi rewood. We got them to act, and things have improved in the camp, although there’s still room for improvement.

It was hard for me to leave at the beginning of August, because you feel there’s still so much to be done. But at MSF, we have three aims: to save lives, alleviate suff ering, and restore dignity. I think we have gone some way to achieving those aims at Bentiu. It is a small drop in a large ocean, but it is something, and people are alive because we are there.

In South Sudan, 40,000 people have taken refuge from the civil war in an overcrowded camp

in Bentiu. MSF’s emergency coordinator, Ivan Gayton, talks about the practical steps MSF takes to save lives in such desperate environments. ‘

Saving lives in a swamp

Médecins Sans Frontières/Doctors Without Borders (MSF) Charity Registration Number 102658867-74 Saff ron Hill London EC1N 8QX Tel: 44 (0)207 404 6600 Web: www.msf.org.uk 24620_ON2

8

THROUGH THE LENS


Médecins Sans Frontières/Doctors Without Borders (MSF) Charity Registration Number 10265888 Médecins Sans Frontières/Doctors Without Borders (MSF) Charity Registration Number 1026588888


Mexico, May 2014 – Young men ride a cargo train known as ‘the Beast’ as they head for the US. MSF teams provide medical care to the migrants, many of whom are fl eeing violent gang culture in El Salvador and Honduras. Credit: MSF

Burundi, May 2014 – Nurse Annalisa Baldi, from Italy, helps a woman give birth in a fi eld after she went into premature labour. Credit: Matteo Bianchi Fasani

Iraq, August 2014 – Following their escape from the Sinjar mountains, after days under siege by Islamic State militants, Iraqi families receive bottled water and biscuits from MSF teams. Credit: Favila Escobio/MSF

Around the world with MSF

South Sudan, July 2014 – MSF’s team in Agok bandage the leg of a two-year-old girl hit by a bullet during fi ghting between rival forces.Credit: Valérie Batselaere/MSF

Gaza, July 2014 – MSF anaesthetist Kelly Dilworth cares for one of two brothers injured when a missile fell on their house during the Israeli offensive on the Gaza Strip. Credit: Samantha Maurin/MSF

South Sudan, June 2014 – Two-year-old Gatluok is treated for malnutrition at MSF’s hospital in Leer, after his home was looted and burnt and his family was forced to hide in the bush. Credit: Nick Owen/MSF

Ukraine, September 2014 – MSF teams deliver urgently needed medical supplies to a hospital in Donetsk. Credit: MSF

Documents

24620 Without Borders OCT NOV ON2_laser