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		<title>Doctors Without Borders</title> 
		<link>http://www.doctorswithoutborders.org</link> 
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			Latest headlines from Doctors Without Borders/Medecins Sans Frontieres </description>
		<copyright>Copyright 2013 Doctors Without Borders, USA</copyright> 
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		<title>[Press Release] South Sudan: MSF Hospital Severely Damaged in Intentional Attack</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/Uk3aid4Oa68/release.cfm</link> 
		<description>&lt;div class="imgFull"&gt;
	&lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/MSF135916-South-Sudan.jpg" width="550" /&gt;
	&lt;p class="credit"&gt;
		South Sudan 2013 &amp;copy; Vikki Stienen/MSF&lt;/p&gt;
	&lt;p class="caption"&gt;
		Destroyed medical supplies litter the ground outside the MSF hospital in Pibor.&lt;/p&gt;
&lt;/div&gt;
&lt;p&gt;
	&lt;strong&gt;BRUSSELS/NEW YORK, May 16, 2013&lt;/strong&gt;&amp;mdash;The international medical humanitarian organization Doctors Without Borders/M&amp;eacute;decins Sans Fronti&amp;egrave;res (MSF) today strongly condemned the deliberate damage and looting of its hospital in Pibor town, in South Sudan&amp;#39;s Jonglei State, which has left tens of thousands of people without access to essential medical care.&lt;/p&gt;
&lt;p&gt;
	The hospital&amp;#39;s infrastructure was systematically damaged May 11&amp;ndash;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&amp;#39;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.&lt;/p&gt;
&lt;p&gt;
	&amp;quot;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,&amp;quot; said Richard Veerman, MSF operations coordinator for South Sudan.&lt;/p&gt;
&lt;p&gt;
	From January to March, the Pibor hospital treated 3,000 people and provided surgical care to more than 100 people suffering war-related injuries, including SPLA soldiers. Prior to the attack, MSF was forced to suspend activities in Pibor on April 19 because of threats and intimidation of staff and patients.&lt;/p&gt;
&lt;p&gt;
	&amp;quot;The rainy season has just started and we know from previous years that malaria and respiratory diseases such as pneumonia will start to claim lives if there is no health care available,&amp;quot; Veerman said. In a report issued in November last year, &lt;em&gt;South Sudan&amp;#39;s Hidden Crisis&lt;/em&gt;, MSF documented the devastating health consequences when people are forced to flee to the bush.&lt;/p&gt;
&lt;p&gt;
	An MSF team was preparing to return and restart medical activities when the looting and destruction took place. It was the sixth time an MSF medical facility has been looted or damaged in Jonglei State in the past two years.&lt;/p&gt;
&lt;p&gt;
	&amp;quot;It is unthinkable that there will be no health care whatsoever for the next six months for some 100,000 frightened and vulnerable people hiding in the swamps,&amp;quot; Veerman said. &amp;quot;Unless we can return to resume medical activities and have the freedom to move to wherever people need assistance, this unthinkable scenario may become the horrific reality.&amp;quot;&lt;/p&gt;
&lt;p&gt;
	MSF urges the Government of South Sudan to meet its responsibilities to ensure full respect of medical humanitarian facilities and activities. MSF also calls urgently for assurances from all parties in the Jonglei State conflict that its medical teams have unhindered freedom to return to Pibor and the ability to reach out impartially to people in need of medical assistance, on either side of the conflict. Humanitarian and medical assistance is urgently needed in Pibor County and must be resumed in the coming days or weeks.&lt;/p&gt;
&lt;p&gt;
	MSF works in Akobo, Nyirol, Pibor, and Uror counties in Jonglei State. The activities in all locations, including Gumuruk Clinic in Pibor County, continue to function, with the exception of the hospital in Pibor town and the MSF clinic in the village of Lekwongole in Pibor County, which was targeted and damaged in August 2012 and where insecurity and fighting have made access impossible for MSF.&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/Uk3aid4Oa68" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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		<title>[Press Release] DRC: MSF Treats Survivors of Attack on Village in North Kivu</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/xl1Ee7a18FQ/release.cfm</link> 
		<description>&lt;div class="imgFull"&gt;
	&lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/MSF30296-DRC.jpg" width="550" /&gt;
	&lt;p class="credit"&gt;
		DRC 2008 &amp;copy; MSF&lt;/p&gt;
	&lt;p class="caption"&gt;
		Patients recover from surgery in an MSF facility in Rutshuru, North Kivu Province.&lt;/p&gt;
&lt;/div&gt;
&lt;p&gt;
	&lt;strong&gt;GOMA, DEMOCRATIC REPUBLIC OF CONGO/NEW YORK, MAY 16, 2013&lt;/strong&gt;&amp;mdash;Men armed with bayonets, machetes, and wooden clubs attacked the village of Mpeti in North Kivu Province in the Democratic Republic of Congo on the morning of May 14, killing and seriously injuring civilians, the international medical humanitarian organization Doctors Without Borders/M&amp;eacute;decins Sans Fronti&amp;egrave;res (MSF), which is treating survivors of the attack, said today.&lt;/p&gt;
&lt;p&gt;
	Among the wounded under treatment at Mweso Hospital, some 25 miles from Mpeti, are two young children, one of whom was orphaned in the attack. The mother and 18-month-old baby brother of the other child under treatment were also killed.&lt;/p&gt;
&lt;p&gt;
	&amp;quot;This was a deplorable and brutal attack in which young children were targeted and their parents killed,&amp;quot; said Hugues Robert, MSF&amp;rsquo;s head of mission in Goma. &amp;quot;MSF condemns in the strongest terms attacks of this kind against civilians.&amp;quot;&lt;/p&gt;
&lt;p&gt;
	Two young children with multiple stab injuries in the chest, back, and head and one adult male with multiple stab injuries in the back and neck were admitted to the MSF facility, according to MSF Surgeon Martin Jarmin. &amp;quot;Currently all patients are stable and we hope they will make a good recovery,&amp;quot; he said.&lt;/p&gt;
&lt;p&gt;
	Survivors described indiscriminate violence aimed at civilians, resulting in many deaths. Corpses were apparently thrown in a river.&lt;/p&gt;
&lt;p&gt;
	&amp;quot;I suspect that many more died in Mpeti during this attack, either directly from their injuries or because they were unable to get immediate medical attention in the hours that followed,&amp;quot; said Robert. &amp;quot;I fear that the patients we have been able to treat are just the tip of the iceberg.&amp;quot;&lt;/p&gt;
&lt;p&gt;
	MSF supports a health center in Mpeti that treats roughly 300 patients per week, mostly for malaria and other common diseases. Since the beginning of the year, insecurity and fighting between armed militias in control of different parts of the area have repeatedly forced Mpeti&amp;#39;s roughly 1,000 residents to flee their homes and at times prevented the MSF medical team from accessing patients in need. The village is fully deserted at the moment.&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/xl1Ee7a18FQ" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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		<title>[Slideshow] A Critical Situation for Sudanese Refugees in Yida</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/ETYyB6v47tg/articlefull.cfm</link> 
		<description>&lt;p&gt;
	Civilians have been fleeing the conflict between Sudanese government forces and rebels from the North Sudanese People Liberation Movement (SPLM-North) in Sudan&amp;#39;s South Kordofan region since June 2011. The only option for many displaced people is to seek refuge in the camp of Yida, just on the other side of the border in South Sudan. As Yida&amp;#39;s population continues to grow, the camp&amp;#39;s location has become a source of complex political tensions that increasingly threaten the condition of the refugees.&lt;/p&gt;
&lt;div id="bigPictureSlideshow"&gt;
	&lt;p class="imageControls"&gt;
		&lt;a href="#photo-2"&gt;next&lt;/a&gt;&lt;/p&gt;
	&lt;div class="imgFull"&gt;
		&lt;img alt="" src="/photogallery/2013/Yida/1.jpg" width="715" /&gt;
		&lt;p class="credit"&gt;
			South Sudan 2013 &amp;copy; Yann Libessart&lt;/p&gt;
		&lt;p class="caption"&gt;
			Yida is today the largest refugee camp South Sudan, with a population of nearly 75,000 people. It covers 3,000 acres in South Sudan&amp;#39;s Northern Unity State. &lt;a href="#photo-1"&gt;#&lt;/a&gt;&lt;/p&gt;
	&lt;/div&gt;
	&lt;a name="photo-2"&gt;&lt;/a&gt;
	&lt;p class="imageControls"&gt;
		&lt;a href="#photo-1"&gt;prev&lt;/a&gt; | &lt;a href="#photo-3"&gt;next&lt;/a&gt;&lt;/p&gt;
	&lt;div class="imgFull"&gt;
		&lt;img alt="" src="/photogallery/2013/Yida/2.jpg" width="715" /&gt;
		&lt;p class="credit"&gt;
			South Sudan 2013 &amp;copy; Yann Libessart&lt;/p&gt;
		&lt;p class="caption"&gt;
			Civilians are leaving Sudan&amp;#39;s South Kordofan state due to a lack of food and supplies and because of the ongoing conflict.&amp;nbsp;&lt;a href="#photo-2"&gt;#&lt;/a&gt;&lt;/p&gt;
	&lt;/div&gt;
	&lt;a name="photo-3"&gt;&lt;/a&gt;
	&lt;p class="imageControls"&gt;
		&lt;a href="#photo-2"&gt;prev&lt;/a&gt; | &lt;a href="#photo-4"&gt;next&lt;/a&gt;&lt;/p&gt;
	&lt;div class="imgFull"&gt;
		&lt;img alt="" src="/photogallery/2013/Yida/3.jpg" width="715" /&gt;
		&lt;p class="credit"&gt;
			South Sudan 2013 &amp;copy; Yann Libessart&lt;/p&gt;
		&lt;p class="caption"&gt;
			Yida&amp;rsquo;s population increased five-fold from March 2012 to May 2013, and continues to grow. Humanitarian services&amp;mdash;especially water supplies and sanitation&amp;mdash;are insufficient. &lt;a href="#photo-3"&gt;#&lt;/a&gt;&lt;/p&gt;
	&lt;/div&gt;
	&lt;a name="photo-4"&gt;&lt;/a&gt;
	&lt;p class="imageControls"&gt;
		&lt;a href="#photo-3"&gt;prev&lt;/a&gt; | &lt;a href="#photo-5"&gt;next&lt;/a&gt;&lt;/p&gt;
	&lt;div class="imgFull"&gt;
		&lt;img alt="" src="/photogallery/2013/Yida/4.jpg" width="715" /&gt;
		&lt;p class="credit"&gt;
			South Sudan 2013 &amp;copy; Yann Libessart&lt;/p&gt;
		&lt;p class="caption"&gt;
			Refugees also lack essential supplies like soap, jerry cans, latrines, mosquito nets, and plastic sheeting to maintain acceptable hygiene conditions. Infectious diseases such as malaria, diarrhea, and pulmonary infections are expected to spread during the rainy season, which lasts from May to November.&amp;nbsp; &lt;a href="#photo-4"&gt;#&lt;/a&gt;&lt;/p&gt;
	&lt;/div&gt;
	&lt;a name="photo-5"&gt;&lt;/a&gt;
	&lt;p class="imageControls"&gt;
		&lt;a href="#photo-4"&gt;prev&lt;/a&gt; | &lt;a href="#photo-6"&gt;next&lt;/a&gt;&lt;/p&gt;
	&lt;div class="imgFull"&gt;
		&lt;img alt="" src="/photogallery/2013/Yida/5.jpg" width="715" /&gt;
		&lt;p class="credit"&gt;
			South Sudan 2013 &amp;copy; Yann Libessart&lt;/p&gt;
		&lt;p class="caption"&gt;
			Doctors Without Borders/M&amp;eacute;decins Sans Fronti&amp;egrave;res (MSF) teams are a constant presence throughout the camp. MSF provides primary health care and screens for severe signs and cases of malnutrition. Around 75 percent of Yida&amp;#39;s population are women and children. &lt;a href="#photo-5"&gt;#&lt;/a&gt;&lt;/p&gt;
	&lt;/div&gt;
	&lt;a name="photo-6"&gt;&lt;/a&gt;
	&lt;p class="imageControls"&gt;
		&lt;a href="#photo-5"&gt;prev&lt;/a&gt; | &lt;a href="#photo-7"&gt;next&lt;/a&gt;&lt;/p&gt;
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		&lt;img alt="" src="/photogallery/2013/Yida/6.jpg" width="715" /&gt;
		&lt;p class="credit"&gt;
			South Sudan 2013 &amp;copy; Yann Libessart&lt;/p&gt;
		&lt;p class="caption"&gt;
			MSF also checks for signs of acute jaundice syndrome brought on by an outbreak of hepatitis E in Yida, a product of poor sanitation.&amp;nbsp; &lt;a href="#photo-6"&gt;#&lt;/a&gt;&lt;/p&gt;
	&lt;/div&gt;
	&lt;a name="photo-7"&gt;&lt;/a&gt;
	&lt;p class="imageControls"&gt;
		&lt;a href="#photo-6"&gt;prev&lt;/a&gt; | &lt;a href="#photo-8"&gt;next&lt;/a&gt;&lt;/p&gt;
	&lt;div class="imgFull"&gt;
		&lt;img alt="" src="/photogallery/2013/Yida/7.jpg" width="715" /&gt;
		&lt;p class="credit"&gt;
			South Sudan 2013 &amp;copy; Yann Libessart&lt;/p&gt;
		&lt;p class="caption"&gt;
			In order to reduce Yida&amp;#39;s sprawling size and move refugees further away from the conflict zone, UNCHR opened a new site in Ajuong Thok, 40 miles east of Yida. This new camp is big enough to host some 20,000 people.&amp;nbsp; &lt;a href="#photo-7"&gt;#&lt;/a&gt;&lt;/p&gt;
	&lt;/div&gt;
	&lt;a name="photo-8"&gt;&lt;/a&gt;
	&lt;p class="imageControls"&gt;
		&lt;a href="#photo-7"&gt;prev&lt;/a&gt; | &lt;a href="#photo-9"&gt;next&lt;/a&gt;&lt;/p&gt;
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		&lt;img alt="" src="/photogallery/2013/Yida/8.jpg" width="715" /&gt;
		&lt;p class="credit"&gt;
			South Sudan 2013 &amp;copy; Yann Libessart&lt;/p&gt;
		&lt;p class="caption"&gt;
			However, refugees in Yida have settled in communities organized by tribe. Many of them have built&amp;nbsp; brick houses and do not want to start over in another location where they don&amp;rsquo;t know anyone.&amp;nbsp; &lt;a href="#photo-8"&gt;#&lt;/a&gt;&lt;/p&gt;
	&lt;/div&gt;
	&lt;a name="photo-9"&gt;&lt;/a&gt;
	&lt;p class="imageControls"&gt;
		&lt;a href="#photo-8"&gt;prev&lt;/a&gt; | &lt;a href="#photo-10"&gt;next&lt;/a&gt;&lt;/p&gt;
	&lt;div class="imgFull"&gt;
		&lt;img alt="" src="/photogallery/2013/Yida/9.jpg" width="715" /&gt;
		&lt;p class="credit"&gt;
			South Sudan 2013 &amp;copy; Yann Libessart&lt;/p&gt;
		&lt;p class="caption"&gt;
			Despite a massive communication campaign to promote the new location, very few refugees have agreed to move to Ajuong Thok camp, which they also consider to be too close to areas controlled by the Sudanese military they fled from in the first place. &lt;a href="#photo-9"&gt;#&lt;/a&gt;&lt;/p&gt;
	&lt;/div&gt;
	&lt;a name="photo-10"&gt;&lt;/a&gt;
	&lt;p class="imageControls"&gt;
		&lt;a href="#photo-9"&gt;prev&lt;/a&gt; | &lt;a href="#photo-11"&gt;next&lt;/a&gt;&lt;/p&gt;
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		&lt;img alt="" src="/photogallery/2013/Yida/10.jpg" width="715" /&gt;
		&lt;p class="credit"&gt;
			South Sudan 2013 &amp;copy; Yann Libessart&lt;/p&gt;
		&lt;p class="caption"&gt;
			In an attempt to stop Yida&amp;#39;s growth, since early April UNHCR has been denying assistance to newly arrived refugees who refuse to move to Ajuong Thok. Most of them still prefer to stay in Yida but have to share food with tribe members, thus increasing the risk of malnutrition amongst children.&amp;nbsp; &lt;a href="#photo-9"&gt;#&lt;/a&gt;&lt;/p&gt;
	&lt;/div&gt;
&lt;/div&gt;
&lt;p&gt;
	&lt;em&gt;MSF has been providing assistance in Yida since October 2011. The organization currently runs a primary health care center (providing an average of 10,000 consultations per month) and a 60-bed hospital with a malnutrition unit, and sends mobile teams throughout the camp. MSF is also involved in water supply and latrine construction. From May 2012 to May 2013, MSF treated nearly 3,000 severely malnourished children in Yida.&lt;/em&gt;&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/ETYyB6v47tg" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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		<title>[Video] Jordan: Shattered Lives in the Middle East</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/CDHj75j-mnc/article.cfm</link> 
		<description>&lt;p&gt;
	&lt;iframe allowfullscreen="" frameborder="0" height="309" src="http://www.youtube.com/embed/0OaCFdK1D8U" width="550"&gt;&lt;/iframe&gt;&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/CDHj75j-mnc" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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		<title>[Video] Kala Azar: Forgotten Patients</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/5_OvDJhrPhc/article.cfm</link> 
		<description>&lt;p&gt;
	&lt;iframe allowfullscreen="" frameborder="0" height="309" src="http://www.youtube.com/embed/DdQWjdLHkuY" width="550"&gt;&lt;/iframe&gt;&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/5_OvDJhrPhc" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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		<title>[Video] Malawi: A Clearer Picture of the AIDS Epidemic</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/nQW9sQAJh44/article.cfm</link> 
		<description>&lt;p&gt;
	&lt;iframe allowfullscreen="" frameborder="0" height="309" src="http://www.youtube.com/embed/R_CBBAe26xY" width="550"&gt;&lt;/iframe&gt;&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/nQW9sQAJh44" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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		<title>[Video] South Sudan: Preparing for the Rainy Season</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/u-ije9DEHSI/article.cfm</link> 
		<description>&lt;p&gt;
	&lt;iframe allowfullscreen="" frameborder="0" height="309" src="http://www.youtube.com/embed/HSxsHOVBuQs" width="550"&gt;&lt;/iframe&gt;&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/u-ije9DEHSI" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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		<title>[Voice from the Field] Iraq: Syrian Refugees' Health Deteriorates at Domeez Camp</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/czpC_haXl6E/article.cfm</link> 
		<description>&lt;div class="imgFull"&gt;
	&lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/MSF132615-Iraq.jpg" width="550" /&gt;
	&lt;p class="credit"&gt;
		Iraq 2013 &amp;copy; Pierre-Yves Bernard/MSF&lt;/p&gt;
	&lt;p class="caption"&gt;
		MSF is providing humanitarian assistance to Syrian refugees in Domeez camp through general health and mental health care and immunization.&lt;/p&gt;
&lt;/div&gt;
&lt;p&gt;
	&lt;em&gt;Overcrowding and poor living conditions in Iraq&amp;rsquo;s Domeez camp have led to a recent deterioration in the health of Syrian refugees. St&amp;eacute;phane Reynier, emergency coordinator for the international medical humanitarian organization Doctors Without Borders/M&amp;eacute;decins Sans Fronti&amp;egrave;res (MSF), describes the current situation in the camp: &lt;/em&gt;&lt;/p&gt;
&lt;p&gt;
	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.&lt;/p&gt;
&lt;p&gt;
	Newcomers are arriving at Domeez camp every day, cramming themselves into already overcrowded tents. The overcrowding increases the risk of communicable diseases spreading easily and quickly.&lt;/p&gt;
&lt;p&gt;
	Following a number of reported measles cases in the camp, in April our teams vaccinated over 19,500 people aged between six months and 29 years against measles, working with the Iraqi department of health. Measles remains one of the main childhood killer diseases, so vaccination campaigns can be lifesaving.&lt;/p&gt;
&lt;p&gt;
	We also made the most of this mass gathering of people at our clinics to vaccinate against meningitis, which is another disease that can spread easily in a camp like this where large numbers of people live in very close quarters.&lt;/p&gt;
&lt;p&gt;
	The refugees are not living in decent conditions. An assessment conducted in April showed clear inequalities in water distributions, with some areas receiving only four liters per person per day &amp;ndash; as opposed to the minimum of 15 to -20 liters per person recommended in humanitarian emergencies. In some instances, people simply do not have access to water or sanitation. This is simply not acceptable.&lt;/p&gt;
&lt;p&gt;
	In the past eight weeks, the number of diarrhea cases has tripled, &amp;ndash; a situation commonly related to a lack of access to clean drinking water and to poor sanitation and hygiene conditions.&lt;/p&gt;
&lt;p&gt;
	MSF has stepped up water and sanitation activities in the camp to prevent refugees&amp;rsquo; health from deteriorating. Our teams have been filling trucks with clean drinking water from identified sources and distributing it from tent to tent in some areas of the camp.&lt;/p&gt;
&lt;p&gt;
	In our consultations, most of the problems we see are related to people&amp;rsquo;s poor living conditions, aggravated by the bitter winter that hit the region earlier this year. Now, with summer coming on, we&amp;rsquo;re expecting temperatures to rise to over 40 degrees Celsius, a situation which can lead to severe dehydration, in particular amongst young and old patients suffering from diarrhea.&lt;/p&gt;
&lt;p&gt;
	&lt;em&gt;MSF is the main health provider in Domeez camp, where it has been working since May 2012. As the camp swells with new arrivals, MSF has doubled its staff and is currently providing 3,500 consultations per week, running emergency vaccination campaigns, and supplying clean drinking water. MSF teams are also building 140 new latrines in the most neglected areas of the camp and plan to rehabilitate latrines and pump away stagnant water to prevent outbreaks of disease. &lt;/em&gt;&lt;/p&gt;
&lt;p&gt;
	&lt;em&gt;More than one million people have fled the civil war in Syria to neighboring countries, many of them crossing the border into Iraq.&lt;/em&gt;&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/czpC_haXl6E" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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		<title>[Press Release] Pakistan: More than 110 Treated for Blast Wounds Ahead of Elections</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/e93h4fn-RLw/release.cfm</link> 
		<description>&lt;div class="imgFull"&gt;
	&lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/MSF109902-Pakistan.jpg" width="550" /&gt;
	&lt;p class="credit"&gt;
		Pakistan 2012 &amp;copy; Haroon Khan/MSF&lt;/p&gt;
	&lt;p class="caption"&gt;
		MSF medical staff examines patient in surgical ward in Hangu Tehsil Headquarters (THQ) Hospital. MSF supports the Hangu THQ Hospital by running emergency room and providing surgical care.&lt;/p&gt;
&lt;/div&gt;
&lt;p&gt;
	&lt;strong&gt;ISLAMABAD/NEW YORK, MAY 10 2013&lt;/strong&gt;&amp;mdash;Teams from the international medical humanitarian organization Doctors Without Borders/M&amp;eacute;decins Sans Fronti&amp;egrave;res (MSF), together with Ministry of Health staff, have treated more than 110 people for blast injuries from election-related violence in Khyber Pakhtunkhwa Province and the Federally Administered Tribal Areas over the past four days, MSF said today.&lt;/p&gt;
&lt;p&gt;
	Pakistan is experiencing an increase in violence related to the general and provincial elections taking place on May 11, in the country&amp;#39;s first democratic transition of power. MSF staff treated patients for blast injuries at facilities in Hangu and Lower Dir, Khyber Pakhtunkhwa, and Kurram Agency in the Federally Administered Tribal Areas.&lt;/p&gt;
&lt;p&gt;
	&amp;quot;The escalation in violence has caused massive devastation over a short period of time,&amp;quot; said Jean Guy Vataux, MSF country representative in Pakistan. &amp;quot;This is exacerbating an already very difficult situation for the Pakistani people who continue to bear the brunt of these violent acts on every level.&amp;quot;&lt;/p&gt;
&lt;p&gt;
	Noncombatants have been the primary victims of the recent violence, which follows several months of armed conflict in Pakistan that mainly injured members of the security forces and armed militants, according to Pakistani media reports.&lt;/p&gt;
&lt;p&gt;
	&lt;em&gt;MSF has been present in Pakistan since 1986, working with Pakistani communities and Afghan refugees. MSF teams have been providing primary and secondary health care in several locations across the country, where people are greatly affected by armed conflict and natural disasters or lack of access to medical care.&lt;/em&gt;&lt;/p&gt;
&lt;p&gt;
	&lt;em&gt;MSF teams are currently providing free emergency medical care in Kurram Agency, Bajaur Agency, Khyber Pakhtunkhwa, Balochistan, and Sindh provinces.&lt;/em&gt;&lt;/p&gt;
&lt;p&gt;
	&lt;em&gt;MSF relies solely on private financial contributions from individuals around the world and does not accept funding from any government, donor agency, military or politically-affiliated group, for its activities in Pakistan.&lt;/em&gt;&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/e93h4fn-RLw" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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		<title>Crisis Update: Syria</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/lxEXRg8gIt8/article.cfm</link> 
		<description>&lt;p&gt;
	&lt;iframe frameborder="0" height="340" scrolling="no" src="http://cdn.livestream.com/embed/doctorswithoutborders?layout=4&amp;amp;clip=pla_14622b22-eb9d-4f1f-a5ac-adf9e48e37df&amp;amp;height=340&amp;amp;width=560&amp;amp;autoplay=false" style="border:0;outline:0" width="560"&gt;&lt;/iframe&gt;&lt;/p&gt;
&lt;div style="font-size: 11px;padding-top:10px;text-align:center;width:560px"&gt;
	&amp;nbsp;&lt;/div&gt;
&lt;p style="font-family: Arial,Helvetica,sans-serif; font-size: 12px; line-height: 1.5em; color: rgb(77, 77, 77); margin: 0pt 0pt 1em;"&gt;
	As the devastating conflict continues unabated in Syria, Doctors Without Borders/M&amp;eacute;decins Sans Fronti&amp;egrave;res (MSF) is tracking and responding to the emergency medical needs of the thousands of people injured and displaced.&lt;/p&gt;
&lt;p style="font-family: Arial,Helvetica,sans-serif; font-size: 12px; line-height: 1.5em; color: rgb(77, 77, 77); margin: 0pt 0pt 1em;"&gt;
	By setting up primary health care and surgical facilities in several regions of the country, MSF has been able to provide emergency care to thousands of people affected by the violence. Complicating this already high-risk response is the deliberate targeting of medical facilities and personnel in a clear violation of international humanitarian law.&lt;/p&gt;
&lt;p style="font-family: Arial,Helvetica,sans-serif; font-size: 12px; line-height: 1.5em; color: rgb(77, 77, 77); margin: 0pt 0pt 1em;"&gt;
	Beyond Syria&amp;#39;s borders, refugee camps have filled with hundreds of thousands of people &amp;ndash; Syrians who have fled the violence that has engulfed their homeland, and who are now in desperate need of medical and other basic assistance. MSF teams are providing essential medical care and other humanitarian aid in camps in Iraq and Jordan, and in makeshift settlements and communities in Lebanon.&lt;/p&gt;
&lt;p style="font-family: Arial,Helvetica,sans-serif; font-size: 12px; line-height: 1.5em; color: rgb(77, 77, 77); margin: 0pt 0pt 1em;"&gt;
	Featuring:&lt;/p&gt;
&lt;p style="font-family: Arial,Helvetica,sans-serif; font-size: 12px; line-height: 1.5em; color: rgb(77, 77, 77); margin: 0pt 0pt 1em;"&gt;
	&lt;strong&gt;Stephen Cornish, Executive Director, MSF-Canada,&lt;/strong&gt; who recently returned from a fact-finding assignment that took him to nearly all MSF programs in and around Syria.&lt;/p&gt;
&lt;p style="font-family: Arial,Helvetica,sans-serif; font-size: 12px; line-height: 1.5em; color: rgb(77, 77, 77); margin: 0pt 0pt 1em;"&gt;
	&lt;strong&gt;Deane Marchbein, MD, President of the Board of MSF-USA, and MSF Anesthesiologist,&lt;/strong&gt; who spent a month earlier this spring providing surgical care within Syria.&lt;/p&gt;
&lt;p style="font-family: Arial,Helvetica,sans-serif; font-size: 12px; line-height: 1.5em; color: rgb(77, 77, 77); margin: 0pt 0pt 1em;"&gt;
	&lt;strong&gt;Michael Goldfarb, Media Relations Manager, MSF-USA,&lt;/strong&gt; who recently documented living conditions and the humanitarian situation facing Syrian refugees in Lebanon and northern Iraq.&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/lxEXRg8gIt8" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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		<title>Lifesaving Mother and Child Care in the Ethiopian Mountains</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/yESbsCPn5a4/article.cfm</link> 
		<description>&lt;p&gt;
	&lt;iframe allowfullscreen="" frameborder="0" height="309" src="http://www.youtube.com/embed/x13GLZ1uRak" width="550"&gt;&lt;/iframe&gt;&lt;/p&gt;
&lt;p&gt;
	Aroressa, located in southern &lt;a href="http://www.doctorswithoutborders.org/news/allcontent.cfm?id=26"&gt;Ethiopia&lt;/a&gt;&amp;rsquo;s Sidama zone, is a beautiful, verdant, and mountainous area dotted with small coffee plantations that are irrigated by natural waterfalls and meandering streams. In the valleys, cattle graze and children play outside the onion-shaped huts typical of the area.&lt;/p&gt;
&lt;p&gt;
	But Aroressa&amp;rsquo;s beauty obscures the very serious medical issues with which its population must contend. Health centers are scarce, as are qualified medical personnel. Maternal and child mortality rates are high. The mountainous terrain makes it difficult for pregnant women to trek to their nearest health center, which could be 20 kilometers [12 miles] away, if not further. Many lives have been lost on these treacherous journeys.&lt;/p&gt;
&lt;p&gt;
	Doctors Without Borders/M&amp;eacute;decins Sans Fronti&amp;egrave;res (MSF) runs two &amp;ldquo;waiting houses&amp;rdquo; for expectant mothers in a bid to reduce maternal and child mortality rates. These houses, Chire and Mejo, are designed to allow women from remote villages who experience complications during their pregnancy to live near caregivers and to receive regular medical attention. Instead of trying to make the long trek to a medical facility after labor has already begun, or when it&amp;rsquo;s already too late to get the attention they need, the women in the waiting houses are examined by MSF&amp;rsquo;s medical staff and remain under regular observation in case urgent treatment is needed.&lt;/p&gt;
&lt;p&gt;
	&amp;ldquo;I came to the waiting house because I had pains and bleeding during my pregnancy and knew that MSF is offering help to expectant women,&amp;rdquo; says Birtu Kawato, a 25- year-old woman from Baya Faficho Kebele division who is staying at MSF&amp;#39;s Mejo waiting house. Each waiting house has a capacity of 20 beds.Uncomplicated births are assisted by an MSF midwife in the health centers. Women with complications are referred to nearby hospitals. MSF also cooperates with the Ethiopian Ministry of Health to provide antenatal and postnatal services, family planning, and medical and psychological assistance to victims of sexual violence.&lt;/p&gt;
&lt;p&gt;
	Two-hundred fifty-one women have successfully delivered in Mejo since the waiting house&amp;#39;s establishment in the final quarter of 2012. As word continues to spread, that number could rise, even if the journey though the surrounding hills to reach the waiting houses remains challenging. &amp;ldquo;Most of these women trek for as long as eight hours from their villages to the waiting houses just because they know MSF is here and they will get quality medical care,&amp;rdquo; says MSF nurse-midwife Eva Dominguez.&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/yESbsCPn5a4" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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		<title>[Press Release] Countries Must Fix Critical Access to Medicines Flaws in Trans-Pacific Trade Pact</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/ScCgSW7lUM4/release.cfm</link> 
		<description>&lt;div class="imgFull"&gt;
	&lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/MSF127804-India.jpg" width="550" /&gt;
	&lt;p class="credit"&gt;
		India 2013 &amp;copy; Sami Siva&lt;/p&gt;
	&lt;p class="caption"&gt;
		A multi-drug resistant tuberculosis patient&amp;#39;s drug regimen.&lt;/p&gt;
&lt;/div&gt;
&lt;h2&gt;
	&lt;u&gt;&lt;a href="http://www.doctorswithoutborders.org/take-action/tpp/"&gt;TAKE ACTION: Tell Members of Congress to Protect Access to Lifesaving Medicins&lt;/a&gt;&lt;/u&gt;&lt;a href="http://www.doctorswithoutborders.org/take-action/tpp/"&gt;&lt;br /&gt;
	&lt;/a&gt;&lt;/h2&gt;
&lt;div class="articleSidebar"&gt;
	&lt;h3&gt;
		Click to Enlarge Infographics&lt;/h3&gt;
	&lt;p&gt;
		&lt;a href="/images/2013/TPP/1-TPP.jpg" target="_blank"&gt; &lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/TPP/1-thumb.jpg" width="220" /&gt; &lt;/a&gt;&lt;/p&gt;
	&lt;p&gt;
		&lt;a href="/images/2013/TPP/2-TPPevergreening.jpg" target="_blank"&gt; &lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/TPP/2-thumb.jpg" width="220" /&gt; &lt;/a&gt;&lt;/p&gt;
	&lt;p&gt;
		&lt;a href="/images/2013/TPP/3-TPPpatent-oppositions.jpg" target="_blank"&gt; &lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/TPP/3-thumb.jpg" width="220" /&gt; &lt;/a&gt;&lt;/p&gt;
	&lt;p&gt;
		&lt;a href="/images/2013/TPP/4-TPPdata-exclusivity.jpg" target="_blank"&gt; &lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/TPP/4-thumb.jpg" width="220" /&gt; &lt;/a&gt;&lt;/p&gt;
	&lt;p&gt;
		&lt;a href="/images/2013/TPP/5-TPPchoice.jpg" target="_blank"&gt; &lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/TPP/5-thumb.jpg" width="220" /&gt; &lt;/a&gt;&lt;/p&gt;
&lt;/div&gt;
&lt;p&gt;
	&lt;strong&gt;LIMA/NEW YORK, MAY 14, 2013&lt;/strong&gt;&amp;mdash;As negotiations for the Trans-Pacific Partnership (TPP) restart in Lima, Peru, tomorrow, countries must prioritize fixing critical flaws in the agreement that could leave millions of people in developing countries with limited access to affordable generic medicines, international medical humanitarian organization Doctors Without Borders/M&amp;eacute;decins Sans Fronti&amp;egrave;res (MSF) said today.&lt;/p&gt;
&lt;p&gt;
	&amp;ldquo;Substantive discussions on access to medicines have languished for more than a year, with negotiating countries and many other groups, including MSF, voicing concerns about the damaging impacts of the proposed rules,&amp;rdquo; said Judit Rius Sanjuan, U.S. Manager of the MSF Access Campaign. &amp;ldquo;The Lima round offers a key opportunity for TPP negotiators to remove harmful provisions from this trade agreement before it&amp;rsquo;s too late.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;
	Negotiations on the TPP&amp;mdash;a far-reaching trade agreement between 11 Pacific Rim countries&amp;mdash;continue to be shrouded in secrecy, but leaked copies of the agreement reveal that the United States is demanding the most harmful package of intellectual property protections ever proposed for a trade agreement with developing countries.&lt;/p&gt;
&lt;p&gt;
	These rules would make it extremely difficult for generic competitors to enter the market, keeping prices unaffordably high, with devastating public health consequences. The proposed provisions would, for example, lower patentability standards, making it much easier for pharmaceutical companies to obtain secondary patents and extend product monopolies for existing drugs; prohibit challenges to weak or invalid patents until after they have been granted; and grant backdoor monopolies by locking up clinical data needed to approve generic drugs.&lt;/p&gt;
&lt;h2&gt;
	For more information, please refer to MSF&amp;rsquo;s 2013 TPP Briefing Note, available in English and Spanish at &lt;a href="http://msfaccess.org/spotlight-on/trans-pacific-partnership-agreement"&gt;msfaccess.org/tpp&lt;/a&gt;.&lt;/h2&gt;
&lt;p&gt;
	&amp;ldquo;The TPP threatens to constrain countries&amp;rsquo; ability to limit abusive patenting and to ensure timely access to the affordable generic medicines that are so critically important to treatment providers like MSF,&amp;rdquo; said Dr. Jonathan Novoa Cain, president of MSF Latin America. &amp;ldquo;Alarmingly, the TPP is slated to become the &amp;lsquo;gold standard&amp;rsquo; for future trade agreements across the globe, which means that unless these provisions are rejected now, they will be replicated and imposed on many more developing countries in the coming years.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;
	International rules require governments to grant 20-year patents on pharmaceuticals, but they also allow critical flexibilities in controlling the quality of patents, and in determining under what conditions companies can obtain additional patents on existing drugs. Companies have developed a variety of tactics to extend monopoly protection on their drugs beyond the initial 20-year period, a practice commonly referred to as &amp;lsquo;evergreening.&amp;rsquo; It is up to governments to prevent evergreening by putting safeguards in place which balance commercial interests with public health needs.&lt;/p&gt;
&lt;p&gt;
	One example is India&amp;rsquo;s Section 3(d) law, which aims to achieve this balance, and curb evergreening, by prohibiting the granting of secondary patents on existing drugs unless they are substantially more effective than the original drug. Pharmaceutical company Novartis recently lost a seven-year legal battle&amp;mdash;which was taken all the way to the Indian Supreme Court&amp;mdash;in an attempt to challenge the application of this law. If accepted in its current form, the TPP would take away governments&amp;rsquo; ability to implement similar safeguards.&lt;/p&gt;
&lt;p&gt;
	MSF urges governments involved in the TPP negotiations to reject provisions that will harm access to medicines.&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/ScCgSW7lUM4" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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		<title>[Voice from the Field] Syria: &#xfffd;I Feel Better, But I Can&#xfffd;t Walk&#xfffd;</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/3gtJVIqqAHE/article.cfm</link> 
		<description>&lt;div class="imgFull"&gt;
	&lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/MSF135264-Syria.jpg" width="550" /&gt;
	&lt;p class="credit"&gt;
		Turkey 2013 &amp;copy; Anna Surinyach&lt;/p&gt;
	&lt;p class="caption"&gt;
		Salwah Mekrsh was shot by a sniper in Aleppo. In this photo, taken in April 2013, she is about to start a mental health consultation with MSF staff in Kilis.&lt;/p&gt;
&lt;/div&gt;
&lt;p&gt;
	Eighteen-year-old Salwah Mekrsh is unable to walk. Her mother and her sister push Salwah&amp;rsquo;s wheelchair through the streets of Kilis, a Turkish city near the border with Syria, then enter a small courtyard and stop under the shade of a lemon tree. While Salwah waits for her mental health consultation with Doctors Without Borders/M&amp;eacute;decins Sans Fronti&amp;egrave;res (MSF) to begin, they talk about how their lives have changed.&lt;/p&gt;
&lt;p&gt;
	&amp;ldquo;Before the war, we used to have everything,&amp;rdquo; says Salwah, &amp;ldquo;but since it started we have suffered too much.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;
	Salwah was pushed into marriage shortly before the first wave of protests in Syria, in March 2011, when she was 15. Soon she became pregnant; her daughter was born just as the country&amp;rsquo;s strife was becoming an all-out civil war. After her husband tried to assault her, their marriage disintegrated, and he left, taking the baby. &amp;ldquo;He took my daughter and doesn&amp;rsquo;t let me see her,&amp;rdquo; says Salwah. &amp;ldquo;I have no way to contact them. I haven&amp;rsquo;t seen my daughter for a year.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;
	Salwah returned to live with her family in the old city of Aleppo, the industrial and economic capital of Syria. On November 25, 2012, Salwah was returning home with a neighbor. One of the streets leading to her house was closed, so they took another route. As they set off across a square, a sniper shot Salwah in the back.&lt;/p&gt;
&lt;p&gt;
	She was rushed to a hospital in Aleppo, where the bullets in her body were removed. She was in critical condition, however. Her family tried to send her to Turkey for medical care, but she was not allowed to cross the border. Then her family heard of a hospital in the area run by MSF and took her there. MSF&amp;rsquo;s medical team was able to organize her referral first to Kilis hospital, just across the border in Turkey, and later to a hospital in the nearby Turkish city of Gaziantep, where she spent 12 days in the intensive care unit.&lt;/p&gt;
&lt;p&gt;
	&amp;ldquo;Now I feel better, but I can&amp;rsquo;t walk,&amp;rdquo; says Salwah. As she tries to adjust to her circumstances, she is receiving support from an MSF community health worker named Lina. &amp;ldquo;Miss Lina told me the story of someone in her family with a similar problem, not related to the war,&amp;rdquo; Salwah recounts. &amp;ldquo;She gave him psychological support, and now he is doing okay. Knowing this made me feel better.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;
	The psychologist is ready and the consultation can start. Salwah&amp;rsquo;s mother and sister wait for her outside, smoking beneath the lemon tree. When the sun goes down, they will return to the apartment they have rented in Kilis. They won&amp;rsquo;t hear the shelling and the bombs of Syria. They won&amp;rsquo;t be afraid of losing their lives. Even so, they all long for the moment when they go back home. Asked where she hopes they&amp;rsquo;ll be in the days ahead, Salwah&amp;rsquo;s mother says, &amp;ldquo;in Aleppo, inshallah.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;
	&lt;br /&gt;
	&amp;nbsp;&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/3gtJVIqqAHE" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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		<title>Mobile TB Surgery Brings Hope to Armenian Patients</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/J_LDHclSiik/article.cfm</link> 
		<description>&lt;div class="imgFull"&gt;
	&lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/MSF134810-Armenia.jpg" width="550" /&gt;
	&lt;p class="credit"&gt;
		Armenia 2013 &amp;copy; MSF&lt;/p&gt;
	&lt;p class="caption"&gt;
		The MSF TB surgery team has successfully completed surgery on six DR-TB patients in Yeravan, Armenia&lt;/p&gt;
&lt;/div&gt;
&lt;p&gt;
	A mobile Doctors Without Borders/M&amp;eacute;decins Sans Fronti&amp;egrave;res (MSF) tuberculosis (TB) surgery mission has successfully completed surgery on six drug-resistant (DR) TB patients in Yeravan, Armenia&amp;mdash;the first mobile TB surgery ever carried out by the organization.&lt;/p&gt;
&lt;p&gt;
	Surgery to remove part or all of a lung affected by TB used to be a key intervention for the disease in the pre-chemotherapy era. In the 1960s, the development of new anti-TB drugs improved medical treatment outcomes and consequently reduced the use of surgery.&lt;/p&gt;
&lt;p&gt;
	However, the emergence of multi-drug resistant (MDR) and extensively drug-resistant (XDR) TB in recent years has left some patients with minimal chances of recovery through medication alone. TB surgery has therefore risen again as an additional tool in the fight against the deadly disease.&lt;/p&gt;
&lt;h2&gt;
	Constraints and Challenges&lt;/h2&gt;
&lt;p&gt;
	In addition to treating patients who acutely needed operations, the objective of the MSF surgery mission was to improve the overall surgical capacity of Armenia&amp;rsquo;s national TB hospital, including introducing the latest surgical procedures and techniques to local staff and improving post-operative and nursing care.&lt;/p&gt;
&lt;p&gt;
	The key constraints preventing Armenian health authorities&amp;mdash;and those in many other countries around the world&amp;mdash;from effectively conducting this kind of surgery include a lack of modern operating theater equipment and infection control measures and surgical staff experienced in the latest protocols and procedures.&lt;/p&gt;
&lt;p&gt;
	MSF successfully advocated with other actors like the German Development Bank (KfW) and GOPA (a German development consultancy that was involved in capacity building of TB services in South Caucasus countries) to support the local Ministry of Health (MoH) in upgrading the TB surgery department, and provided the medical expertise, some equipment, and staff to conduct the surgery.&lt;/p&gt;
&lt;p&gt;
	&amp;ldquo;TB surgeries are complex procedures requiring highly specialized teams with years of practice in the latest procedures and techniques,&amp;rdquo; said MSF Head of Mission in Armenia Annabelle Djeribi. &amp;ldquo;By performing the surgeries together with a multi-national and multi-disciplinary team comprising specialized thoracic surgeons, anesthesiologists, operating theater nurses, and a chest physiotherapist, local staff benefit from the experience of countries that developed strong competencies in thoracic surgery. This was an invaluable opportunity for them to build on their current skills and protocols by working closely with a team equipped with the most up-to-date techniques and expertise.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;
	Preparation was key to the success of the surgery mission. Well ahead of the arrival of the mobile surgery team, a multi-disciplinary committee comprising MSF and MoH staff meticulously planned the entire process, including the careful selection of patients for operations and what would be needed in the weeks following the surgery.&lt;/p&gt;
&lt;h2&gt;
	Reclaiming Lives&lt;/h2&gt;
&lt;p&gt;
	While surgery alone cannot cure patients of TB or reduce the need for years of toxic treatment with the drugs currently available, in specific cases it can significantly improve the chances of treatment working&amp;mdash;particularly for patients who have run out of all other options.&lt;/p&gt;
&lt;p&gt;
	One of the patients to benefit from the team&amp;rsquo;s visit was diagnosed with MDR-TB in 2010. After three years of hospitalization with daily treatment his condition did not improve and he remained contagious.&lt;/p&gt;
&lt;p&gt;
	In addition to having no chance of being cured of the disease, being contagious kept him away from his family and relatives.&lt;/p&gt;
&lt;p&gt;
	&amp;ldquo;It was so difficult for him not being able to see any light at the end of the tunnel&amp;mdash;he complained that he could not even hug his grandchildren,&amp;rdquo; said Djeribi. &amp;ldquo;The surgery mission has been an amazing relief for him and he can now contemplate the possibility of finally being able to return home.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;
	Another patient was in her early 20s when she contracted XDR-TB, meaning that she was resistant to all major TB drugs and her chances of surviving the disease were slim.&lt;/p&gt;
&lt;p&gt;
	&amp;ldquo;The drugs did not have enough effect on the disease to stop her from being contagious, which drastically restricted her activities and any interactions with family or friends,&amp;rdquo; said Djeribi. &amp;ldquo;She now has some reason to hope for a normal life again.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;
	Following the success of the initiative, the MSF mobile surgery team aims to conduct other visits to Armenia to continue to improve the skills and capacity of the local staff while providing patients with a chance to reclaim their lives from this devastating disease.&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/J_LDHclSiik" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
		<guid isPermaLink="false">http://www.doctorswithoutborders.org/news/article.cfm?id=6755&amp;cat=field-news</guid> 
 	<feedburner:origLink>http://www.doctorswithoutborders.org/news/article.cfm?id=6755&amp;cat=field-news</feedburner:origLink></item> 
	<item>
		<title>[Video] A Young Syrian Woman Shot By a Sniper Gets Assistance as a Refugee</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/wHpAwrcN5gU/article.cfm</link> 
		<description>&lt;p&gt;
	&lt;iframe allowfullscreen="" frameborder="0" height="309" src="http://www.youtube.com/embed/y_9PlYQZJDM" width="550"&gt;&lt;/iframe&gt;&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/wHpAwrcN5gU" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
		<guid isPermaLink="false">http://www.doctorswithoutborders.org/news/article.cfm?id=6754&amp;cat=video</guid> 
 	<feedburner:origLink>http://www.doctorswithoutborders.org/news/article.cfm?id=6754&amp;cat=video</feedburner:origLink></item> 
	<item>
		<title>[Slideshow] Iraqi Civilians Injured in War Get the Treatment They Need</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/2-GYS-UZniw/gallery.cfm</link> 
		<description>&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;Nearly a decade ago, when unrelenting violence in Iraq was driving NGOs out of the country,&amp;nbsp;Doctors Without Borders/M&amp;eacute;decins Sans Fronti&amp;egrave;res (MSF)&amp;nbsp;opened a surgery program for wounded Iraqi civilians in neighboring Jordan, which was politically stable and has an excellent medical infrastructure.&lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;MSF is still running the surgery program today. Patients are civilians wounded by bombs, explosions, or gunshots in conflicts across the region, a neglected population that cannot access or afford to pay for the complex treatment they need. They have severe, complicated injuries that were not treated right away or couldn&amp;rsquo;t be treated properly in their home country.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;
	&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;
	Khetam&lt;/h3&gt;
&lt;div class="imgLeft" style="width: 263px; "&gt;
	&lt;img src="/photogallery/2013/Amman/MSF135173.jpg" style="cursor: default; " width="263" /&gt;
	&lt;p class="credit"&gt;
		Jordan 2012 &amp;copy; Niko Guido&lt;/p&gt;
	&lt;p class="caption"&gt;
		Khetam, 13, is ready to go back to school.&lt;/p&gt;
&lt;/div&gt;
&lt;div class="imgRight" style="width: 263px; "&gt;
	&lt;img src="/photogallery/2013/Amman/MSF135169.jpg" style="cursor: default; " width="263" /&gt;
	&lt;p class="credit"&gt;
		Jordan 2012 &amp;copy; Niko Guido&lt;/p&gt;
	&lt;p class="caption"&gt;
		She works on a coloring book now that she has the use of her hands.&lt;/p&gt;
&lt;/div&gt;
&lt;p&gt;
	&amp;nbsp;&lt;/p&gt;
&lt;p&gt;
	&amp;nbsp;&lt;/p&gt;
&lt;p&gt;
	&amp;nbsp;&lt;/p&gt;
&lt;p&gt;
	&amp;nbsp;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&amp;nbsp;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;&lt;br /&gt;
	&amp;quot;It was a beautiful sunny day,&amp;quot; said Khetam, a 13-year old girl and patient at MSF&amp;#39;s hospital in Amman. &amp;quot;I was sitting in the backyard with my sister. Suddenly, I felt my body being thrown meters away from where I was sitting. Then everything went black. I can still remember the sounds of noise all around me before I passed out.&amp;quot;&lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;She was home in Fallujah, roughly 55 kilometers [33 miles] from Baghdad, during a school holiday in 2010, when a car near her home&lt;span class="Apple-converted-space"&gt; &lt;/span&gt;erupted in flames. She was severely burned on her face, neck, hands, and legs.&lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;&amp;quot;A doctor in Iraq told us that MSF could treat the burns and that I would be better able to use my hands,&amp;quot; she recalls. &amp;quot;He sent my medical papers to the MSF doctors in Amman and they accepted to treat me. I was so happy when I found out.&amp;quot;&lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;Dr. Mohammad Mhaidat, a psychosocial counselor in the program, remarked on Khetam&amp;#39;s progress: &amp;quot;With psychosocial support, her self-confidence has increased. She&amp;#39;s now coping very well with her injury and never becomes isolated from other children in the program. She regularly participates in classes and loves painting.&amp;quot;&lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;Katrien Goegebeur, the physiotherapy supervisor, has likewise seen Khetam make some crucial steps in her recovery: &amp;quot;In the beginning, she was unable to use her left hand at all due to a limitation in her range of motion at the base of her fingers. She has since regained full mobility.&amp;quot;&lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;&amp;quot;I am ready to go home now and re-join school,&amp;quot; Khetam said. &amp;quot;I am studying the fifth grade curriculum now and can write better. When I first came to Amman, I couldn&amp;#39;t paint or draw or write. Now I can do everything.&amp;quot;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;
	&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;
	Omar&lt;/h3&gt;
&lt;div class="imgFull" style="width: 550px; "&gt;
	&lt;img src="/photogallery/2013/Amman/MSF135176.jpg" style="cursor: default; " width="550" /&gt;
	&lt;p class="credit"&gt;
		Jordan 2012 &amp;copy; Jared Koher&lt;/p&gt;
	&lt;p class="caption"&gt;
		Omar plays video games in his hospital room.&lt;/p&gt;
&lt;/div&gt;
&lt;div class="imgLeft" style="width: 263px; "&gt;
	&lt;img src="/photogallery/2013/Amman/MSF135175.jpg" style="cursor: default; " width="263" /&gt;
	&lt;p class="credit"&gt;
		Jordan 2012 &amp;copy; Jared Koher&lt;/p&gt;
	&lt;p class="caption"&gt;
		Without arms, the 13-year-old uses his feet.&lt;/p&gt;
&lt;/div&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;Like many children in Iraq, Omar loved flying his kite on sunny days. He was doing just that with a group of friends in February 2011 when an explosion caused live power lines to drop from above. The lines ripped through his body, and Omar lost both his arms as a result.&lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;He was immediately taken to the nearest hospital where doctors saved his life and he spent three days in a coma. Over the year the followed, Omar endured nine surgeries.&lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;He was transferred to the MSF hospital in Amman in March 2012 and has been through three additional surgeries so far. Omar is still only in the first stage of treatment, but he can now swim and play football with his friends and brothers.&lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;The emotional scars he suffered are too overwhelming to have healed yet, especially since he lost his mother in another horrifying explosion.&lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;&amp;quot;Since his arrival at the project, we&amp;#39;ve been observing Omar very carefully and trying to provide him with all necessary psychosocial support,&amp;quot; said Montaha Mashayekh, an MSF counselor. &amp;quot;He is a very sensitive child and keeps comparing himself with other children who are able to use their hands.&amp;quot;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;
	&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;
	Nahla&lt;/h3&gt;
&lt;div class="imgLeft" style="width: 263px; "&gt;
	&lt;img src="/photogallery/2013/Amman/MSF135172.jpg" style="cursor: default; " width="263" /&gt;
	&lt;p class="credit"&gt;
		Jordan 2010 &amp;copy; Enass Abu-Khalaf/MSF&lt;/p&gt;
	&lt;p class="caption"&gt;
		Nahla is finally getting the treatment she could never afford.&lt;/p&gt;
&lt;/div&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;Nahla was shopping in a market by her home in the northern city of Kirkuk one afternoon when a car next to her exploded. The only things she can remember are the loud noises and people yelling.&lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;She was transferred to a burn unit at a hospital in town where she received minor surgeries, but due to an infection she developed in the burns that covered her face and body, she had to spend three months in isolation.&lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;Despite everything, Nahla feels fortunate. &amp;quot;I was lucky because I left my one month-old baby at home that day,&amp;quot; she said. &amp;quot;It was a hot day in summer and I preferred to leave him at home with his aunt. I am so grateful for this; the weather saved his life.&amp;quot;&lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;Nahla was told she could have successful surgeries in Baghdad, but she couldn&amp;#39;t afford the fees of private doctors. An Iraqi doctor in Kirkuk put her in touch with an MSF doctor in the area, and she was referred to MSF&amp;#39;s facility in Amman.&lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;&amp;quot;My husband and family could never afford this option and that is why I spent two years with no appropriate treatment,&amp;quot; she said.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;
	&amp;nbsp;&lt;/p&gt;
&lt;h3&gt;
	Zahra&lt;/h3&gt;
&lt;div class="imgRight" style="width: 263px; "&gt;
	&lt;img src="/photogallery/2013/Amman/MSF135181.jpg" style="cursor: default; " width="263" /&gt;
	&lt;p class="credit"&gt;
		Jordan 2010 &amp;copy; Niko Guido&lt;/p&gt;
	&lt;p class="caption"&gt;
		Like many of the patients at MSF&amp;#39;s hospital in Amman, Zahra is still dealing with emotional, as well as physical scars.&lt;/p&gt;
&lt;/div&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;Zahra, then 12 years old, was sleeping one night in 2007 when her family&amp;#39;s house was bombed by a military helicopter. &amp;quot;I was sleeping peacefully with the rest of my brothers and sisters when all of a sudden, a heavy bomb exploded inside our small home,&amp;quot; she said.&lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;Her two brothers were killed in the airstrike. &lt;/span&gt;&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;She still remembers one of them saying, after the house was hit, &amp;quot;Oh my god, I am dying, please call an ambulance!&amp;quot;&lt;/span&gt;&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt; &lt;/span&gt;&lt;/p&gt;
&lt;p style="font-size: 13px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);"&gt;
	&lt;span style="color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); display: inline !important; float: none;"&gt;Zahra survived but was badly burned on her face and body. It was three years before she was referred to the MSF program in Amman, where she could receive additional treatment. Today, she feels lucky to be alive, and her recovery continues to progress, but the trauma of that night and the loss of her brothers lingers powerfully, invisible wounds likely to be with her for quite some time to come.&lt;br /&gt;
	&lt;/span&gt;&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/2-GYS-UZniw" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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	<item>
		<title>[Voice from the Field] Providing Psychological Care in Syria: &#xfffd;Flashbacks, Nightmares, and Baby Clothes&#xfffd;</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/zVumAsXxO-I/article.cfm</link> 
		<description>&lt;div class="imgFull"&gt;
	&lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/MSF132586-Iraq.jpg" width="550" /&gt;
	&lt;p class="credit"&gt;
		Iraq 2013 &amp;copy; Pierre-Yves Bernard/MSF&lt;/p&gt;
	&lt;p class="caption"&gt;
		A young refugee in Domeez camp, where more than 55,000 people have settled.&lt;/p&gt;
&lt;/div&gt;
&lt;div class="imgRight" style="width: 220px;"&gt;
	&lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/MSF135182-Audrey-Magis.jpg" width="220" /&gt;
	&lt;p class="caption" style="float: right;"&gt;
		MSF psychologist Audrey Magis&lt;/p&gt;
&lt;/div&gt;
&lt;p&gt;
	&lt;em&gt;Psychologist Audrey Magis recently returned home after spending two months working with Doctors Without Borders/M&amp;eacute;decins Sans Fronti&amp;egrave;res (MSF) in &lt;a href="http://www.doctorswithoutborders.org/news/allcontent.cfm?id=219"&gt;Syria&lt;/a&gt;, where she set up and ran a mental health program in one of MSF&amp;rsquo;s projects in the north of the country. Magis, who had previously worked for MSF in Gaza, Libya, and in a camp for Syrian refugees, explains how the war has affected people and what MSF is doing to help.&lt;/em&gt;&lt;/p&gt;
&lt;p&gt;
	In most places I have worked, people are rather hesitant when I tell them that I am a psychologist. But in Syria, it was quite the opposite. People actually came and told me they needed my services. The war has been raging for two years and people have completely lost their bearings. At first, they would come and tell me about their social problems at home. Children are not going to school and so become disruptive. Adults are not working. People are living in tents or ten-up crowded into one room. But when you dig a little, you quickly find that most have experienced deeply traumatic events. Some have lost friends or family. Some have seen their home destroyed. Some have lived through bombing raids . . .&lt;/p&gt;
&lt;h2&gt;
	Loss of Identity&lt;/h2&gt;
&lt;p&gt;
	People have lost their identity. Older men cannot find their place in society and in the family. They have lost their job or stopped being a fighter. Maybe they have responsibility for a family but they have had to move house several times in quick succession.&lt;/p&gt;
&lt;div class="pullquoteRight"&gt;
	&amp;quot;I don&amp;rsquo;t have to find them; they come and ask for help . . .&amp;quot;&lt;/div&gt;
&lt;p&gt;
	I don&amp;rsquo;t have to find them; they come and ask for help, saying things like, &amp;ldquo;I&amp;rsquo;m starting to be violent towards my wife and children. Please help me, I cannot be like that.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;
	I have seen many women who are finding it increasingly hard to form a bond with their children. There are few contraceptives available, and a lot of women are becoming pregnant without really wanting to. They struggle to imagine their future with their child. I met several women in the final term of pregnancy who had prepared nothing&amp;mdash;no cot, no baby clothes, no ideas for a name. People have lost their ability to project their lives into the future.&lt;/p&gt;
&lt;p&gt;
	All the children are playing at war. You don&amp;rsquo;t see them playing with cars or other normal games; they pretend to shoot each other. I&amp;rsquo;ve seen kids throwing stones at donkeys, hurting animals. This is their way of expressing the pent up anger. I have also seen young men in their 20s, ex-fighters who have come to me with complaints about depression, traumatic stress, flashbacks, nightmares . . .&lt;/p&gt;
&lt;h2&gt;
	Loss of Meaning&lt;/h2&gt;
&lt;p&gt;
	A number of people have quietly told me that they no longer know what the war is about. They are terrified at the idea that they are fighting their neighbors, their friends . . . and they don&amp;rsquo;t know why anymore. At first there seemed to be some purpose, but two years on, that&amp;rsquo;s all gone. They just want it all to end so they can go home.&lt;/p&gt;
&lt;div class="pullquoteRight"&gt;
	&amp;quot;People have lost their ability to project their lives into the future.&amp;quot;&lt;/div&gt;
&lt;p&gt;
	Things have gone way beyond the breaking point. People are on automatic pilot. But somehow they manage to hold it all together. They cannot allow themselves to fall apart. They have developed an amazing ability to cope and keep going. To survive two years living through this, it&amp;rsquo;s impressive. The family and community support is enormous.&lt;/p&gt;
&lt;h2&gt;
	Not Going Mad&lt;/h2&gt;
&lt;p&gt;
	Sometimes just one session is enough. Some people just need to hear that what&amp;rsquo;s happening to them is normal, that they are not going mad. But there are other patients who I had to work with for longer. The idea is to set a clear objective with them, and to get there step by step with behavioral therapy. There is no time for long analysis sessions, but you can do very sound psychological work with these short-form therapy techniques.&lt;/p&gt;
&lt;h2&gt;
	A Child Born of War&lt;/h2&gt;
&lt;p&gt;
	I remember one patient, a woman who was six months pregnant. She came to the hospital asking for a premature delivery. There was no medical reason; she just wanted us to do a C-section and deliver her baby as soon as possible. She was very jumpy, very agitated.&lt;/p&gt;
&lt;div class="pullquoteRight"&gt;
	&amp;quot;A number of people have quietly told me that they no longer know what the war is about. They are terrified at the idea that they are fighting their neighbors, their friends... and they don&amp;rsquo;t know why anymore.&amp;quot;&lt;/div&gt;
&lt;p&gt;
	I sat with her and we worked out that this was one baby too many, a child born of the war, and she felt that the baby was sapping all her energy. All she wanted to do was take anti-depressants, but she couldn&amp;rsquo;t because she was pregnant.&lt;/p&gt;
&lt;p&gt;
	We worked out a plan of relaxation exercises. And we made a diary where she would write down when she felt tense and what had happened to cause the tension. And a few sessions later we moved on to preparing for the arrival of her baby.&lt;/p&gt;
&lt;p&gt;
	At our last session she showed me the baby clothes for her soon-to-be-born baby. She hadn&amp;rsquo;t yet chosen a name, but she had made great strides and was ready. She was my last patient, my last session on my last day. I left the project with the sense that my time had been well spent.&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/zVumAsXxO-I" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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	<item>
		<title>An Overview of MSF Programs in and around Syria</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/R7HN8gkzA8w/article.cfm</link> 
		<description>&lt;div class="imgFull"&gt;
	&lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/MSF132594-Iraq.jpg" width="550" /&gt;
	&lt;p class="credit"&gt;
		Iraq 2013 &amp;copy; Pierre-Yves Bernard/MSF&lt;/p&gt;
	&lt;p class="caption"&gt;
		A little girl waits against the gates of the camp registration center in Domeez.&lt;/p&gt;
&lt;/div&gt;
&lt;p&gt;
	The conflict in Syria remains extremely intense. Frontlines continue to shift. The medical system is in shambles. An estimated 6.8 million people are in urgent need of humanitarian aid, but whole enclaves are cut off from assistance of any kind.&lt;/p&gt;
&lt;p&gt;
	Despite the very real challenges of operating in the country, Doctors Without Borders/M&amp;eacute;decins Sans Fronti&amp;egrave;res (MSF) is now running four hospitals inside Syria and is increasing mobile clinic activities to the extent possible. Simultaneously, the organization is actively seeking to open new projects where it is safe to do so.&lt;/p&gt;
&lt;p&gt;
	And, it should be noted, MSF is using only private donations for its work in Syria in order to remain entirely independent of all political positioning around the crisis.&lt;/p&gt;
&lt;p&gt;
	MSF is also working in the neighboring countries of Iraq, Jordan, Lebanon, and Turkey, where some 1.4 million Syrians have fled in search of sanctuary. These countries have been overwhelmed by the influx of refugees and returnees, and the humanitarian response has thus far been unable to meet their needs.&lt;/p&gt;
&lt;h2&gt;
	Activities inside Syria&lt;/h2&gt;
&lt;p&gt;
	Within Syria, MSF is scaling up its operations as quickly as it can, given the circumstances. Programs are still limited to four pockets of the country where MSF teams have the space and relative safety to provide high-quality medical services. While MSF continues to negotiate for access through Damascus, it is only possible for MSF to work in opposition-controlled areas for the time being.&lt;/p&gt;
&lt;p&gt;
	Near Aleppo, an MSF hospital provides more that 1,500 consultations and around 70 surgical operations per month. Another MSF team set up a blood bank, which it subsequently handed over to Syrian doctors, to supply the hospitals in the Aleppo area. A team also started providing vaccinations for children, as the war had brought normal vaccination activities to a halt.&lt;/p&gt;
&lt;p&gt;
	In Idlib governorate, MSF has two hospitals. &amp;ldquo;We&amp;rsquo;re on permanent standby for mass casualty influxes, but on a day-to-day basis, this is not our core activity,&amp;rdquo; says Alex Buchmann, who served as project coordinator for one of the hospitals. &amp;ldquo;Any medical services that are still somehow operational in this area are focused on war-wounded, so for people with difficult pregnancies, chronic diseases, fevers, or general illnesses, the only options are our hospital and mobile clinics. Sometimes there are wounded, but all the time there are other illnesses that need treatment.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;
	The other MSF hospital in this area has a specialized trauma and surgical department that has performed more than 1,160 surgical operations thus far, mainly for injuries related to violence, and provided emergency care to more than 2,800 patients, including many with extensive burns sustained from accidents with home heaters or homemade crude oil refining kits. Physiotherapy care is also provided after surgery in the hospital or in a post-operative unit.&lt;/p&gt;
&lt;p&gt;
	To improve the water and sanitation situation in a camp for internally displaced people (IDPs), MSF is building 50 latrines and 50 showers. A vaccination campaign was organized for children under five, during which 3,300 were immunized against polio and 2,000 against measles.&lt;/p&gt;
&lt;p&gt;
	In Al Raqqah governorate, fighting and bombing has forced tens of thousands to flee their homes in and around the town of Al Raqqah, and to seek shelter in area villages that are already struggling themselves. The MSF team in the area has seen some 300 measles cases&amp;mdash;a clear sign of the collapse of the health care system&amp;mdash;and has started providing outpatient consultations in a health center. They will soon begin offering maternity services, treatment for chronic diseases, emergency room care, and inpatient services as well.&lt;/p&gt;
&lt;p&gt;
	Most of the MSF teams are also engaged in mobile clinic activities, and some projects have introduced mental health services, which are critically needed after two years of intense conflict. MSF also supplies medical and emergency relief supplies to hospitals and clinics on both sides of the conflict in Syria&amp;mdash;in Al Raqqah, Damascus, Deir Ezzor, Deraa, Hama, Homs, and other areas.&lt;/p&gt;
&lt;div class="item"&gt;
	&lt;h3&gt;
		Activities inside Syria in numbers (through March 2013)&lt;/h3&gt;
	&lt;ul&gt;
		&lt;li&gt;
			Surgical procedures: 1,794&lt;/li&gt;
		&lt;li&gt;
			Consultations: 32,784&lt;/li&gt;
		&lt;li&gt;
			Deliveries: 499&lt;/li&gt;
	&lt;/ul&gt;
&lt;/div&gt;
&lt;h2&gt;
	Activities for Syrian Refugees&lt;/h2&gt;
&lt;p&gt;
	Neighboring countries are doing a great deal to assist Syrian refugees, but the sheer numbers?more than 1.3 million and rising fast?are overwhelming the humanitarian response.&lt;/p&gt;
&lt;p&gt;
	In Iraq, an estimated 133,000 refugees are registered or awaiting registration, many in the north of the country. Domeez camp, in Dohuk province, was initially designed to host 1,000 families but is now hosting more than 35,000 refugees. As many as 1,000 people have been crossing from Syria into this part of Iraq every day, but there are not enough services in the camps to keep pace with the increased demand.&lt;/p&gt;
&lt;p&gt;
	There is a critical lack of shelter; newly arrived refugees must share tents, blankets, mattresses, and even their food with other families. Water and sanitation services are poor, and access to water will remain difficult with summer approaching.&lt;/p&gt;
&lt;p&gt;
	MSF is the main health care provider in the Domeez camp, providing general health care, mental health care, and reproductive health care. The teams have provided more than 64,800 consultations and have carried out a measles vaccination for 31,000 people.&lt;/p&gt;
&lt;p&gt;
	In Jordan, more than 450,000 Syrians refugees are registered or awaiting registration, and up to 3,000 people continue to arrive each day. It is estimated that if arrivals continue at this rate, there will be 1 million refugees from Syria in Jordan by year&amp;rsquo;s end. The Jordanian health system is already overburdened with the continuous influx of refugees and wounded from Syria; some patients have died while waiting for referral.&lt;/p&gt;
&lt;p&gt;
	More than 100,000 Syrian refugees are living in makeshift shelters in the Zaatari camp, where water shortages are a concern, especially as summer nears. MSF runs a 24-hour, 30-bed pediatric hospital in Zaatari, along with an emergency room with three beds for children. By mid-April, MSF had hospitalized 72 patients and carried out 277 emergency consultations. In addition, the reconstructive surgery hospital MSF has run in Amman for several years is taking referrals from Zaatari who need physiotherapy, psychosocial support, and post-operative care, as well as technically advanced surgical procedures.&lt;/p&gt;
&lt;p&gt;
	In Lebanon, the primary needs for the more than 450,000 refugees in the country are accommodation, food, primary and secondary health care, and mental health care.&lt;/p&gt;
&lt;p&gt;
	MSF is assisting refugees by offering primary health care and immunization, treatment of chronic diseases, antenatal care, and mental health care, as well as distributing relief items. MSF&amp;rsquo;s project locations are in Tripoli, in northern Lebanon, where the largest numbers of Syrian refugees are staying, as well as in the Bekaa valley, the main crossing point for people fleeing Syria. Teams have also carried out activities in northern Akkar district and in the southern town of Tibnine.&lt;/p&gt;
&lt;p&gt;
	In Turkey, the number of people arriving from the area around Aleppo continues to increase. The official number of Syrians registered and accommodated in 13 camps in Turkey is 177,387, reaching the capacity of the available camps. But there are an estimated 70,000 to 100,000 additional refugees without passports who are not taken into account for any distributions or relief services.&lt;/p&gt;
&lt;p&gt;
	MSF is working in an outpatient clinic in Kilis and providing mental health support to unregistered refugees not living in the camps and refugees in the Kilis and Islahiya camps.&lt;/p&gt;
&lt;div class="item"&gt;
	&lt;h3&gt;
		Activities for Syrian Refugees in Neighboring Countries (through March 2013)&lt;/h3&gt;
	&lt;ul&gt;
		&lt;li&gt;
			Consultations: 110,019&lt;/li&gt;
		&lt;li&gt;
			Emergency vaccinations : 31,000 people for measles in Domeez camp&lt;/li&gt;
		&lt;li&gt;
			Post-operative rehabilitation: 2,517 patients in the hospital in Amman&lt;/li&gt;
	&lt;/ul&gt;
&lt;/div&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/R7HN8gkzA8w" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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		<title>[Press Release] DRC: Thousands Flee Violence in Pinga, North Kivu</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/gML5vNlMuv8/release.cfm</link> 
		<description>&lt;div class="imgFull"&gt;
	&lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/MSF135186-DRC.jpg" width="550" /&gt;
	&lt;p class="credit"&gt;
		DRC 2013 &amp;copy; MSF&lt;/p&gt;
	&lt;p class="caption"&gt;
		The sign outside the health center in Pinga, where armed conflict has made provision of care difficult.&lt;/p&gt;
&lt;/div&gt;
&lt;p&gt;
	&lt;strong&gt;GOMA, DEMOCRATIC REPUBLIC OF CONGO/NEW YORK, MAY 2, 2013&lt;/strong&gt;&amp;mdash;Thousands of people have fled the town of Pinga in recent days amid a new wave of armed conflict in the Democratic Republic of Congo (DRC)&amp;#39;s North Kivu Province, making it very difficult to ensure that they receive essential medical care, the international medical humanitarian organization Doctors Without Borders/M&amp;eacute;decins Sans Fronti&amp;egrave;res (MSF) said today.&lt;/p&gt;
&lt;p&gt;
	Many residents fled to the surrounding forests after attacks began on April 28, while others sought refuge at a local hospital, only to be forced out by armed men. Eleven of MSF&amp;#39;s Congolese staff members are missing. Houses have been burned and looted, and a combatant was decapitated, further increasing the level of panic and alarm in town.&lt;/p&gt;
&lt;p&gt;
	&amp;quot;Civilians are routinely exposed to this violence&amp;mdash;this is the eighth time Pinga has changed hands since 2012,&amp;quot; said Jan Peter Stellema, MSF&amp;#39;s operations manager in Goma. &amp;quot;A number of patients had to be transferred for emergency surgery to Goma, among them a 70-year-old woman shot in the arm.&amp;quot;&lt;/p&gt;
&lt;p&gt;
	While over the past year MSF has been running a large clinic in Pinga and supporting the town hospital and other clinics in the area, frequent violence has made it extremely challenging for MSF to negotiate access with multiple armed actors. Health centers have been looted and medical equipment destroyed.&lt;/p&gt;
&lt;p&gt;
	&amp;quot;Providing health care is proving a challenge when medical facilities are not respected, staff are missing, people have fled the area and those who remain fear being subjected to harsh treatment, illegal taxation, forced recruitment or worse,&amp;quot; Stellema said.&lt;/p&gt;
&lt;p&gt;
	&lt;em&gt;Despite challenging conditions, MSF continues to provide high quality medical care in four reference hospitals, 12 health centers and four health posts in North Kivu province, and four reference hospitals, 19 health centers and five health posts in South Kivu. MSF also operates several cholera treatment centers, weekly mobile clinics, and emergency response activities.&lt;/em&gt;&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/gML5vNlMuv8" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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		<title>[Press Release] Yemen: Migrants Abused, Tortured by Smugglers</title>   
  	<link>http://feedproxy.google.com/~r/DoctorsWithoutBordersNews/~3/_NjoXrlEwXE/release.cfm</link> 
		<description>&lt;div class="imgFull"&gt;
	&lt;img alt="" src="http://www.doctorswithoutborders.org/images/2013/MSF135128-Yemen.jpg" width="550" /&gt;
	&lt;p class="credit"&gt;
		Yemen 2013 &amp;copy; Anna Surinyach&lt;/p&gt;
	&lt;p class="caption"&gt;
		Many migrants pass through Haradh town on their way to Saudi Arabia, whose border is just a few kilometers away.&lt;/p&gt;
&lt;/div&gt;
&lt;p&gt;
	&lt;strong&gt;SANA&amp;rsquo;A, YEMEN/NEW YORK, MAY 1, 2013&lt;/strong&gt;&amp;mdash;Authorities in Yemen have freed more than one thousand migrants from &lt;a href="http://www.doctorswithoutborders.org/news/allcontent.cfm?id=68"&gt;Somalia&lt;/a&gt; and &lt;a href="http://www.doctorswithoutborders.org/news/allcontent.cfm?id=26"&gt;Ethiopia&lt;/a&gt;, many suffering from torture and sexual abuse while forcibly held by human smugglers, the international medical humanitarian organization Doctors Without Borders/M&amp;eacute;decins Sans Fronti&amp;egrave;res (MSF), which has treated the migrants, said today.&lt;/p&gt;
&lt;p&gt;
	Since April 7, Yemeni authorities have freed 1,620 people held by smugglers in farms in Haradh region in the north of Yemen. Some of the migrants had been held for months and displayed signs of torture and other physical, sexual, and emotional abuse. Some had their fingernails pulled out or their tongues partially cut off. Others had been severely beaten.&lt;/p&gt;
&lt;p&gt;
	&amp;ldquo;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,&amp;rdquo; said Angels Mairal, an MSF psychologist in Haradh.&lt;/p&gt;
&lt;p&gt;
	Many of the migrants treated by MSF were suffering from life-threatening diseases, including pneumonia, complicated malaria, and dengue. Most of the migrants referred by MSF to its hospital in Al-Mazraq, located near Haradh town, were victims of human trafficking, forced labor, and slavery. The majority of those receiving psychological support by MSF have reported being tortured. Among the migrants assisted, 62 are children and 142 are women; 71 severely ill people were admitted to the hospital.&lt;/p&gt;
&lt;p&gt;
	Yemen is located along one of the main people smuggling routes from the Horn of Africa to the Gulf States. Many Ethiopian migrants fleeing extreme poverty try to enter Saudi Arabia through Haradh. They often end up in the hands of smugglers who extort money through torture and psychological abuse.&lt;/p&gt;
&lt;p&gt;
	The freed migrants&amp;rsquo; medical and humanitarian needs were extensive since some had not eaten for up to seven days before their release by Yemeni authorities. MSF provided some supplementary food rations and also improved sanitary conditions in both Haradh and Amran transit locations.&lt;/p&gt;
&lt;p&gt;
	From Haradh, 800 Ethiopians have been transferred to migrant centers in the capital Sana&amp;rsquo;a, where they await repatriation; 550 Somalis were transferred to a refugee camp in Aden. However, those locations do not have the capacity and services to adequately assist the inhabitants.&lt;/p&gt;
&lt;p&gt;
	&amp;ldquo;We are facing an emergency on top of this chronic situation and we are extremely worried about the future of thousands of migrants who are stranded in Yemen generally and in Haradh in particular,&amp;rdquo; said Tarek Daher, MSF&amp;rsquo;s head of mission in Yemen. &amp;ldquo;They are exhausted after so many attempts to cross the border, and without any resources. The majority of them become beggars in the street of Haradh. They try to survive without any decent shelter, sanitation, or regular access to food.&amp;rdquo;&lt;/p&gt;
&lt;p&gt;
	The Yemeni government has made notable efforts to free, host, and protect the newly liberated migrants in Haradh. This support must continue, along with assistance from the international community.&lt;/p&gt;
&lt;p&gt;
	MSF, together with authorities and some nongovernmental organizations, is expanding its efforts to improve living conditions for the migrants stranded in Haradh and to improve access to health care for those who are released or who are in transit and awaiting repatriation.&lt;/p&gt;
&lt;p&gt;
	MSF has been working in Hajjah governorate in the north of Yemen since 2009. The organization manages the hospital near Al Mazraq, which provides local and displaced people with basic and specialist health care, surgery, and emergency services. Since last year, MSF has been providing mental health assistance for migrants in Haradh town. MSF is also carrying out medical activities in Aden, Ad-Dhale, Abyan, and Amran governorates.&lt;/p&gt;&lt;img src="http://feeds.feedburner.com/~r/DoctorsWithoutBordersNews/~4/_NjoXrlEwXE" height="1" width="1"/&gt;</description>
		<pubDate>Thu, 16 May 2013 15:11:00 GMT</pubDate> 
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