The document profiles several Doctors Without Borders volunteers working on the frontlines of the 2014-2015 Ebola outbreak in West Africa. It describes their experiences treating patients and battling the dangerous virus, including the intense conditions in protective gear, risks of infection, and emotional toll of caring for the ill and dying. It also conveys the reward and joy they feel from patients who recover and are discharged from isolation. The volunteers express the need for their work and commitment to helping end the epidemic, despite risks and family concerns, finding purpose in saving lives through their medical skills and donations from supporters.
The document summarizes TIME magazine's selection of "The Ebola Fighters" as the 2014 Person of the Year. It describes the heroic efforts of doctors, nurses, and caregivers working to fight the deadly Ebola virus during the 2014 outbreak in West Africa. It features portraits and stories of individuals on the front lines of the crisis, including Dr. Kent Brantly, Dr. Jerry Brown, nurse Salome Karwah, health promoter Ella Watson-Stryker, and ambulance supervisor Foday Galla.
This document summarizes experiences from MSF volunteers fighting the Ebola outbreak in West Africa. It discusses the challenging conditions they face, including intense heat while dressed in protective equipment. It also highlights emotional moments of joy when patients recover and are discharged from treatment centers. Volunteers discuss the exhaustion of those fleeing violence, and the rewarding feeling of helping individuals survive Ebola despite the risks.
This article is a daughter's journal chronicling her experiences caring for her elderly mother from a long distance. Her mother was recently moved to a skilled nursing facility after becoming ill with Clostridium Difficile. Though the facility is well-run, her mother is struggling to adjust and feels lonely. The daughter visits when she can, trying to make her mother more comfortable and ensure her needs are met, but struggles with feelings of guilt over enjoying her mother's home while her mother is in the facility.
The document summarizes MSF's response to several humanitarian crises around the world. It describes MSF providing medical assistance to victims of attacks in Kenya, Syria and Ukraine. It also details MSF's emergency response to the earthquakes in Nepal, including delivering aid via helicopter to remote villages cut off by landslides. MSF staff describe the devastating impact on communities and challenges of responding, from treating many injured to lack of shelter and sanitation. The document concludes by outlining MSF's new search and rescue operation in the Mediterranean Sea to aid migrants attempting the dangerous crossing from Africa to Europe.
The artist created a mask and performance piece called "100 drops of my mother's tears" based on a folk tale told by their grandmother. It explores themes of gender and racial ambiguity, as well as remnants of childhood within one's identity. The performance required spending time with their mother, which forced her to confront her religious faith conflicting with the artist's sexuality. Each night as she prayed, the artist's mother cried uncontrollably. The artist collected droplets of their mother's tears during this time to represent feeling guilt over not meeting their mother's expectations.
The document provides a synopsis and analysis of the films Shutter Island, Black Swan, and Se7en.
The synopsis of Shutter Island describes a U.S. Marshal investigating the disappearance of a patient from an asylum for the criminally insane located on an island. He starts experiencing strange visions and dreams. It is revealed that he himself is actually a patient who drowned his wife and is undergoing an experimental treatment.
The synopsis of Black Swan details a ballerina competing for the lead role in Swan Lake. She starts having hallucinations as the pressure mounts. It's suggested she may be losing her grip on reality.
No synopsis is given for Se7en
The document describes a medical mission trip by a team of nurses and doctors to Ecuador to perform surgeries on children. Some key details:
- The team traveled for over 12 hours to a remote hospital where they worked long days performing surgeries like cleft lip repairs.
- The conditions were challenging but the team found the experience incredibly rewarding. One nurse said "you come back so energized and with a whole different perspective on nursing."
- Medical mission trips are a great opportunity for nurses to volunteer their skills abroad. Many organizations help coordinate trips and provide scholarships to support travel costs.
1. Joseph and Angie have been trying for 5 years to have a child without success. One day, a strange homeless man tells Angie she sees "Amiki" or "the treasure long waited" in her. Weeks later, Angie discovers she is pregnant. The baby, Amiki, is born with complications and brain damage. Angie rejects the child until the same homeless man visits her again, telling her to accept the gift God has given her. Angie then bonds with Amiki and names her.
The document summarizes TIME magazine's selection of "The Ebola Fighters" as the 2014 Person of the Year. It describes the heroic efforts of doctors, nurses, and caregivers working to fight the deadly Ebola virus during the 2014 outbreak in West Africa. It features portraits and stories of individuals on the front lines of the crisis, including Dr. Kent Brantly, Dr. Jerry Brown, nurse Salome Karwah, health promoter Ella Watson-Stryker, and ambulance supervisor Foday Galla.
This document summarizes experiences from MSF volunteers fighting the Ebola outbreak in West Africa. It discusses the challenging conditions they face, including intense heat while dressed in protective equipment. It also highlights emotional moments of joy when patients recover and are discharged from treatment centers. Volunteers discuss the exhaustion of those fleeing violence, and the rewarding feeling of helping individuals survive Ebola despite the risks.
This article is a daughter's journal chronicling her experiences caring for her elderly mother from a long distance. Her mother was recently moved to a skilled nursing facility after becoming ill with Clostridium Difficile. Though the facility is well-run, her mother is struggling to adjust and feels lonely. The daughter visits when she can, trying to make her mother more comfortable and ensure her needs are met, but struggles with feelings of guilt over enjoying her mother's home while her mother is in the facility.
The document summarizes MSF's response to several humanitarian crises around the world. It describes MSF providing medical assistance to victims of attacks in Kenya, Syria and Ukraine. It also details MSF's emergency response to the earthquakes in Nepal, including delivering aid via helicopter to remote villages cut off by landslides. MSF staff describe the devastating impact on communities and challenges of responding, from treating many injured to lack of shelter and sanitation. The document concludes by outlining MSF's new search and rescue operation in the Mediterranean Sea to aid migrants attempting the dangerous crossing from Africa to Europe.
The artist created a mask and performance piece called "100 drops of my mother's tears" based on a folk tale told by their grandmother. It explores themes of gender and racial ambiguity, as well as remnants of childhood within one's identity. The performance required spending time with their mother, which forced her to confront her religious faith conflicting with the artist's sexuality. Each night as she prayed, the artist's mother cried uncontrollably. The artist collected droplets of their mother's tears during this time to represent feeling guilt over not meeting their mother's expectations.
The document provides a synopsis and analysis of the films Shutter Island, Black Swan, and Se7en.
The synopsis of Shutter Island describes a U.S. Marshal investigating the disappearance of a patient from an asylum for the criminally insane located on an island. He starts experiencing strange visions and dreams. It is revealed that he himself is actually a patient who drowned his wife and is undergoing an experimental treatment.
The synopsis of Black Swan details a ballerina competing for the lead role in Swan Lake. She starts having hallucinations as the pressure mounts. It's suggested she may be losing her grip on reality.
No synopsis is given for Se7en
The document describes a medical mission trip by a team of nurses and doctors to Ecuador to perform surgeries on children. Some key details:
- The team traveled for over 12 hours to a remote hospital where they worked long days performing surgeries like cleft lip repairs.
- The conditions were challenging but the team found the experience incredibly rewarding. One nurse said "you come back so energized and with a whole different perspective on nursing."
- Medical mission trips are a great opportunity for nurses to volunteer their skills abroad. Many organizations help coordinate trips and provide scholarships to support travel costs.
1. Joseph and Angie have been trying for 5 years to have a child without success. One day, a strange homeless man tells Angie she sees "Amiki" or "the treasure long waited" in her. Weeks later, Angie discovers she is pregnant. The baby, Amiki, is born with complications and brain damage. Angie rejects the child until the same homeless man visits her again, telling her to accept the gift God has given her. Angie then bonds with Amiki and names her.
A Sweetwater family faces the challenges of a painful, potentially life-threatening disease.
See how Joseph Peeden, M.D., solved one of our medical mysteries.
Brittany Overton is alive today thanks to an automated external defibrillator -- and school staff trained to use it.
Martha Daniels is a New Orleans native who lost her home and possessions along with her seven adult children in Hurricane Katrina in 2005. While they were able to evacuate, they struggled in Houston as refugees facing discrimination. After returning to New Orleans, they found their homes and community devastated. Though rebuilding has been difficult as they face challenges including lack of jobs and control over the rebuilding of their schools, the family remains determined to recover and advocate for their community. As the matriarch, Martha emphasizes the spiritual lessons of resilience and faith in God that Katrina taught her family.
The document describes two traumatic medical cases that occurred in South Sudan and were treated by MSF (Doctors Without Borders) medical staff. A 10-year-old boy and his uncle arrived at an MSF clinic after being shot, and required emergency air evacuation to a hospital. During the flight, the boy's lungs collapsed and the medic had to perform a needle decompression in the plane at high altitude to save his life. They were eventually stabilized and transferred to a hospital. The cases highlight the challenging conditions MSF faces in providing medical care in conflict zones like South Sudan, where they are often the only available care.
Tina Angeli and others who have experienced near-death experiences meet monthly in Farmington, Connecticut to share their stories. Angeli describes three near-death experiences she had, including spinning out of control in her car, nearly drowning as a young adult, and being visited by a "beautiful lady" as a grieving child. The group was founded in the 1980s to provide support to "NDErs" as the experiences were not widely accepted by the medical community at that time. Researchers have since studied over a thousand near-death experiences and found many commonalities between them that suggest there may be something beyond a scientific explanation. The group provides comfort and acceptance for those who have had profound spiritual experiences they
The chaplain was called to pray over a homeless man named Bobby who was dying alone in the ICU with no family or friends. When the chaplain arrived, the patient's nurse Ellen explained that Bobby had no visitors and would soon pass away. The chaplain prayed at Bobby's bedside, thanking God for his life and asking that Bobby feel comforted and at peace. The chaplain also blessed Bobby. After finishing the prayer, the chaplain spoke with the grateful nurse before leaving.
Research paper power point - the correct one(:Katymarie33
This document discusses neonaticide and filicide through the work of forensic scientist Phillip Resnick. It provides examples of cases where mothers killed their children and Resnick's testimony in court defending them by citing affective denial, mental illness, extreme depression, and postpartum depression. Resnick developed a classification system for these crimes including altruistic, psychotic, fatal maltreatment, unwanted child, and spousal revenge filicide. The document examines his influence in high profile cases and how he argues psychological factors can explain these acts of violence against children.
Dillon Davis wrote about grieving the loss of his mother Teresa, who passed away suddenly at age 48. He describes breaking down crying alone in his apartment bathroom on a weekly basis since her death months ago. The mourning process has been wretched with restless nights and tearful days as he misses calling and messaging his mother. However, Dillon has learned to fully experience his grieving moments through talking, crying, or listening to music, and to appreciate the friends who have supported him through this difficult time. While the loss still hurts, Dillon is slowly settling into his new reality without his mother, whose memory and love he keeps close.
This document discusses neonaticide and filicide, the killing of newborns and children. Forensic scientist Phillip Resnick coined these terms and created a classification system to describe different motives, such as altruistic filicide where the mother kills out of love. Affective denial, where mothers deny their pregnancy, is a factor in neonaticide cases. Resnick has testified in many trials using mental illness as a defense for mothers who commit filicide. He believes conditions like postpartum depression and psychosis can cause mothers to snap and kill their children.
Annie Lennox travels to Malawi to witness efforts to help those affected by AIDS. She meets Elenita, a grandmother raising her grandchildren after her children died of AIDS. Elenita struggles to support the children with little help. Annie is moved by Elenita's story. Annie also attends a meeting of HIV-positive women in a village. The women discuss challenges like forgetting to take medication. Their open discussion about HIV marks progress against the stigma once associated with the virus. Annie observes hopeful changes in Malawi but also much hardship faced by grandmothers like Elenita.
Dr. Natalie Roberts has been working for Doctors Without Borders (MSF) in Yemen, where she has witnessed intense fighting between Saudi-led coalition forces and Houthi rebels. In her audio diary, she describes treating victims of airstrikes in northern Yemen, including a four-year old girl who was the sole survivor from a cave bombing that killed her entire family. Roberts also notes the dangerous conditions facing MSF medical teams and civilians on the roads, where bombed out vehicles can be seen every 500 meters.
The document provides an overview of MSF's operations and challenges in multiple countries. It includes:
- Details from an MSF worker's audio diary describing the dire situation in Yemen where airstrikes have hit hospitals, schools, and civilians. She hopes equipped ambulances can help patients access care.
- An account of MSF responding to massive flooding caused by Cyclone Komen in Myanmar, where they provided medical care and supplies to hundreds affected.
- News of a successful Ebola vaccine trial in Guinea led by MSF, WHO, and others, showing 100% efficacy and promising a breakthrough in controlling future outbreaks.
The document summarizes MSF's response to the 2014 Ebola outbreak in West Africa. It describes how MSF has launched an emergency response by setting up Ebola treatment centers in Guinea, Sierra Leone, and Liberia. The centers isolate patients and have staff wear protective clothing to treat the highly infectious and deadly Ebola virus. The document also provides details about how the treatment centers operate and the challenges staff face in treating patients and controlling the spread of the disease.
This document provides three accounts from MSF (Doctors Without Borders) personnel working in conflict zones. The first is from a surgeon, Michael Roesch, reporting from a hospital in Gorlovka, Ukraine, where they are receiving between 5-20 victims of shelling daily and have had no running water for three days. The second is from a nurse, Siobhan O'Malley, recounting her experiences working in war-torn towns in South Sudan. The third briefly mentions MSF restarting basic medical activities in Rakhine State, Myanmar after being ordered to suspend them for almost a year.
An MSF nurse describes the aftermath of the 7.8 magnitude earthquake that struck Nepal in April 2015 and the organization's emergency response efforts. She recounts stories from villages affected by the quake, including a boy who carried an injured woman for three hours to get help and a village cut off by landslides. The nurse also discusses continuing response efforts, which involve using helicopters to access remote areas and deliver medical aid. A second major earthquake occurred two weeks later as the nurse's helicopter was preparing to land, demonstrating the ongoing challenges of responding in the region.
El Toro is a digital advertising company that uses patent-pending IP targeting technology to match IP addresses to physical addresses, allowing them to target digital ads to specific customers. Their technology targets ads without using cookies, census data, or geo-location. They offer banner and display ads across millions of websites as well as video and mobile targeting. El Toro provides analytics on ad exposure, clicks, and match-back analysis to determine campaign effectiveness. Their services include IP targeting of customer lists, targeting new movers, captive audiences at specific venues, and reverse appending of IP addresses to physical addresses for direct mail campaigns.
This document provides 3 summaries:
1. The document reports on the dire situation in Syria, including a market bombing in Damascus that caused hundreds of casualties. MSF supports over 100 health facilities in Syria but they are struggling with the violence, lack of supplies, and stress on medical workers.
2. Violence has also surged in Bangui, the capital of the Central African Republic, making it dangerous for the injured to access medical care. MSF teams have treated injured people but security issues are preventing broader access and response.
3. The document profiles Patrick, a young boy in Liberia who survived Ebola but was very ill. An MSF psychologist reflects on treating Patrick and becoming emotionally invested
A pharmacist-led antimicrobial stewardship program using clinical decision support software led to improved antibiotic use and cost savings at a 260-bed community hospital. The program identified opportunities for intervention through a daily CDS report, allowing the pharmacist to optimize antibiotic therapy and reduce costs by $40,110 per month through interventions like de-escalating broad-spectrum antibiotics and switching IV to oral medications. Provider education also helped reduce fluoroquinolone use for urinary tract infections from 64% to 17% in alignment with local resistance patterns. Clinical decision support is a valuable tool for pharmacists to lead antimicrobial stewardship programs, especially in community hospital settings.
Amplitude shift keying (ASK) is a digital modulation technique that represents binary data by changing the amplitude of a carrier wave. In binary ASK (BASK), also known as on-off keying (OOK), a high amplitude represents a binary 1 and a low or off amplitude represents a binary 0. The demodulator determines the amplitude of the received signal to recover the original data. ASK transmitters and receivers have a simple design but the transmission is susceptible to noise. ASK is used in early telephone modems and transmitting digital data over optical fibers.
Scopri come una lavagna KanBan può migliorare i tuoi processi. Organizza la tua Kanban. Attraverso questa presentazione verrai introdotto alle basi di utilizzo della lavagna kanban.
Presentazione degli stand-up meeting in Open Style: una prassi quotidiana in azienda mutuata dalla metodologia agile per un nuovo approccio allo sviluppo del software.
This document provides information on MSF activities around the world and introduces some new initiatives. It includes:
1) A description of a new mobile app called MapSwipe that allows users to help map remote areas by identifying features like villages and roads from satellite images, in order to help humanitarian organizations plan aid efforts.
2) Updates on medical activities and crises in places like Cameroon, Greece, Zimbabwe, Nigeria, Pakistan, and Yemen, where MSF is treating malnutrition, refugees, HIV/AIDS, and war injuries.
3) An interview with a British surgeon discussing his work teaching war surgery techniques to Yemeni doctors and the challenges of working in conflict zones over many years.
A Sweetwater family faces the challenges of a painful, potentially life-threatening disease.
See how Joseph Peeden, M.D., solved one of our medical mysteries.
Brittany Overton is alive today thanks to an automated external defibrillator -- and school staff trained to use it.
Martha Daniels is a New Orleans native who lost her home and possessions along with her seven adult children in Hurricane Katrina in 2005. While they were able to evacuate, they struggled in Houston as refugees facing discrimination. After returning to New Orleans, they found their homes and community devastated. Though rebuilding has been difficult as they face challenges including lack of jobs and control over the rebuilding of their schools, the family remains determined to recover and advocate for their community. As the matriarch, Martha emphasizes the spiritual lessons of resilience and faith in God that Katrina taught her family.
The document describes two traumatic medical cases that occurred in South Sudan and were treated by MSF (Doctors Without Borders) medical staff. A 10-year-old boy and his uncle arrived at an MSF clinic after being shot, and required emergency air evacuation to a hospital. During the flight, the boy's lungs collapsed and the medic had to perform a needle decompression in the plane at high altitude to save his life. They were eventually stabilized and transferred to a hospital. The cases highlight the challenging conditions MSF faces in providing medical care in conflict zones like South Sudan, where they are often the only available care.
Tina Angeli and others who have experienced near-death experiences meet monthly in Farmington, Connecticut to share their stories. Angeli describes three near-death experiences she had, including spinning out of control in her car, nearly drowning as a young adult, and being visited by a "beautiful lady" as a grieving child. The group was founded in the 1980s to provide support to "NDErs" as the experiences were not widely accepted by the medical community at that time. Researchers have since studied over a thousand near-death experiences and found many commonalities between them that suggest there may be something beyond a scientific explanation. The group provides comfort and acceptance for those who have had profound spiritual experiences they
The chaplain was called to pray over a homeless man named Bobby who was dying alone in the ICU with no family or friends. When the chaplain arrived, the patient's nurse Ellen explained that Bobby had no visitors and would soon pass away. The chaplain prayed at Bobby's bedside, thanking God for his life and asking that Bobby feel comforted and at peace. The chaplain also blessed Bobby. After finishing the prayer, the chaplain spoke with the grateful nurse before leaving.
Research paper power point - the correct one(:Katymarie33
This document discusses neonaticide and filicide through the work of forensic scientist Phillip Resnick. It provides examples of cases where mothers killed their children and Resnick's testimony in court defending them by citing affective denial, mental illness, extreme depression, and postpartum depression. Resnick developed a classification system for these crimes including altruistic, psychotic, fatal maltreatment, unwanted child, and spousal revenge filicide. The document examines his influence in high profile cases and how he argues psychological factors can explain these acts of violence against children.
Dillon Davis wrote about grieving the loss of his mother Teresa, who passed away suddenly at age 48. He describes breaking down crying alone in his apartment bathroom on a weekly basis since her death months ago. The mourning process has been wretched with restless nights and tearful days as he misses calling and messaging his mother. However, Dillon has learned to fully experience his grieving moments through talking, crying, or listening to music, and to appreciate the friends who have supported him through this difficult time. While the loss still hurts, Dillon is slowly settling into his new reality without his mother, whose memory and love he keeps close.
This document discusses neonaticide and filicide, the killing of newborns and children. Forensic scientist Phillip Resnick coined these terms and created a classification system to describe different motives, such as altruistic filicide where the mother kills out of love. Affective denial, where mothers deny their pregnancy, is a factor in neonaticide cases. Resnick has testified in many trials using mental illness as a defense for mothers who commit filicide. He believes conditions like postpartum depression and psychosis can cause mothers to snap and kill their children.
Annie Lennox travels to Malawi to witness efforts to help those affected by AIDS. She meets Elenita, a grandmother raising her grandchildren after her children died of AIDS. Elenita struggles to support the children with little help. Annie is moved by Elenita's story. Annie also attends a meeting of HIV-positive women in a village. The women discuss challenges like forgetting to take medication. Their open discussion about HIV marks progress against the stigma once associated with the virus. Annie observes hopeful changes in Malawi but also much hardship faced by grandmothers like Elenita.
Dr. Natalie Roberts has been working for Doctors Without Borders (MSF) in Yemen, where she has witnessed intense fighting between Saudi-led coalition forces and Houthi rebels. In her audio diary, she describes treating victims of airstrikes in northern Yemen, including a four-year old girl who was the sole survivor from a cave bombing that killed her entire family. Roberts also notes the dangerous conditions facing MSF medical teams and civilians on the roads, where bombed out vehicles can be seen every 500 meters.
The document provides an overview of MSF's operations and challenges in multiple countries. It includes:
- Details from an MSF worker's audio diary describing the dire situation in Yemen where airstrikes have hit hospitals, schools, and civilians. She hopes equipped ambulances can help patients access care.
- An account of MSF responding to massive flooding caused by Cyclone Komen in Myanmar, where they provided medical care and supplies to hundreds affected.
- News of a successful Ebola vaccine trial in Guinea led by MSF, WHO, and others, showing 100% efficacy and promising a breakthrough in controlling future outbreaks.
The document summarizes MSF's response to the 2014 Ebola outbreak in West Africa. It describes how MSF has launched an emergency response by setting up Ebola treatment centers in Guinea, Sierra Leone, and Liberia. The centers isolate patients and have staff wear protective clothing to treat the highly infectious and deadly Ebola virus. The document also provides details about how the treatment centers operate and the challenges staff face in treating patients and controlling the spread of the disease.
This document provides three accounts from MSF (Doctors Without Borders) personnel working in conflict zones. The first is from a surgeon, Michael Roesch, reporting from a hospital in Gorlovka, Ukraine, where they are receiving between 5-20 victims of shelling daily and have had no running water for three days. The second is from a nurse, Siobhan O'Malley, recounting her experiences working in war-torn towns in South Sudan. The third briefly mentions MSF restarting basic medical activities in Rakhine State, Myanmar after being ordered to suspend them for almost a year.
An MSF nurse describes the aftermath of the 7.8 magnitude earthquake that struck Nepal in April 2015 and the organization's emergency response efforts. She recounts stories from villages affected by the quake, including a boy who carried an injured woman for three hours to get help and a village cut off by landslides. The nurse also discusses continuing response efforts, which involve using helicopters to access remote areas and deliver medical aid. A second major earthquake occurred two weeks later as the nurse's helicopter was preparing to land, demonstrating the ongoing challenges of responding in the region.
El Toro is a digital advertising company that uses patent-pending IP targeting technology to match IP addresses to physical addresses, allowing them to target digital ads to specific customers. Their technology targets ads without using cookies, census data, or geo-location. They offer banner and display ads across millions of websites as well as video and mobile targeting. El Toro provides analytics on ad exposure, clicks, and match-back analysis to determine campaign effectiveness. Their services include IP targeting of customer lists, targeting new movers, captive audiences at specific venues, and reverse appending of IP addresses to physical addresses for direct mail campaigns.
This document provides 3 summaries:
1. The document reports on the dire situation in Syria, including a market bombing in Damascus that caused hundreds of casualties. MSF supports over 100 health facilities in Syria but they are struggling with the violence, lack of supplies, and stress on medical workers.
2. Violence has also surged in Bangui, the capital of the Central African Republic, making it dangerous for the injured to access medical care. MSF teams have treated injured people but security issues are preventing broader access and response.
3. The document profiles Patrick, a young boy in Liberia who survived Ebola but was very ill. An MSF psychologist reflects on treating Patrick and becoming emotionally invested
A pharmacist-led antimicrobial stewardship program using clinical decision support software led to improved antibiotic use and cost savings at a 260-bed community hospital. The program identified opportunities for intervention through a daily CDS report, allowing the pharmacist to optimize antibiotic therapy and reduce costs by $40,110 per month through interventions like de-escalating broad-spectrum antibiotics and switching IV to oral medications. Provider education also helped reduce fluoroquinolone use for urinary tract infections from 64% to 17% in alignment with local resistance patterns. Clinical decision support is a valuable tool for pharmacists to lead antimicrobial stewardship programs, especially in community hospital settings.
Amplitude shift keying (ASK) is a digital modulation technique that represents binary data by changing the amplitude of a carrier wave. In binary ASK (BASK), also known as on-off keying (OOK), a high amplitude represents a binary 1 and a low or off amplitude represents a binary 0. The demodulator determines the amplitude of the received signal to recover the original data. ASK transmitters and receivers have a simple design but the transmission is susceptible to noise. ASK is used in early telephone modems and transmitting digital data over optical fibers.
Scopri come una lavagna KanBan può migliorare i tuoi processi. Organizza la tua Kanban. Attraverso questa presentazione verrai introdotto alle basi di utilizzo della lavagna kanban.
Presentazione degli stand-up meeting in Open Style: una prassi quotidiana in azienda mutuata dalla metodologia agile per un nuovo approccio allo sviluppo del software.
This document provides information on MSF activities around the world and introduces some new initiatives. It includes:
1) A description of a new mobile app called MapSwipe that allows users to help map remote areas by identifying features like villages and roads from satellite images, in order to help humanitarian organizations plan aid efforts.
2) Updates on medical activities and crises in places like Cameroon, Greece, Zimbabwe, Nigeria, Pakistan, and Yemen, where MSF is treating malnutrition, refugees, HIV/AIDS, and war injuries.
3) An interview with a British surgeon discussing his work teaching war surgery techniques to Yemeni doctors and the challenges of working in conflict zones over many years.
This document discusses the importance of listening to patient stories in cancer treatment. It shares the story of a young woman who was diagnosed with breast cancer in 2007 but did not receive treatment due to misinformation. As a result, her cancer progressed severely over two years until she presented with an ulcerated, foul-smelling breast. The document also discusses how rural communities in South Africa have high levels of illiteracy and believe in traditional myths that can delay cancer treatment. The author founded an NGO to provide education on breast cancer screening and early detection in rural areas.
This is a small and mostly pictorial presentation which describes the role of community mobilisation in fighting Ebola. The small success stories has been taken from the World Health Organisation site, to have a better understanding of the power of community mobilisation in fighting any disease state, specially in countries of Africa .
This document provides information about Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig's disease. It defines ALS as a disease that destroys motor neurons in the brain and spinal cord, preventing signals from reaching muscles. This leads to the loss of muscle function and ability to move, speak, swallow and eventually breathe. The document discusses that ALS most often affects people aged 40-75, is slightly more common in men, and has no known cure, though some treatments can extend life by a few months. It also outlines the author's personal experience losing their grandmother to ALS and their goal of pursuing a career in ALS research.
This document provides information about Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig's disease. It defines ALS as a disease that destroys motor neurons in the brain and spinal cord, causing muscles throughout the body to weaken and lose function. Over time, people with ALS lose the ability to speak, eat, move, and breathe independently as the disease progresses. The document also shares statistics on ALS such as its higher prevalence in people over 60, its rarity, and the author's personal experience caring for their grandmother who had ALS.
The AMOR Kasese Maternity Hospital in Malawi opened in 2009 to address the high rates of maternal mortality in the country. Since opening, the hospital has seen 2371 births and reduced the HIV transmission rate from mother to child from 25% to 11%. The hospital provides prenatal, delivery, and postnatal care to about 300,000 people in the surrounding area. Additional funding is needed to continue providing medical services and supplies to mothers and children in the region.
This document summarizes a presentation given by community representatives from Australia at the 2010 UNHCR Annual Consultations with NGOs on realizing the rights of refugee women and girls. It discusses the barriers refugee women face, both prior to arriving in countries of resettlement, such as family separation, torture, and sexual violence, and after arrival, including language barriers, lack of services, and domestic violence. Two of the presenters, Deena and Melika, speak about these challenges in more detail, with Melika sharing the story of a 27-year old friend who died fleeing war in her home country of Eritrea. The document advocates for greater support and protections for refugee women.
This document discusses the Ebola outbreak in Liberia from the perspective of Liberians. It highlights several individuals who lost their lives to Ebola and describes how Liberians of all walks of life are impacted. It also notes that over 3,700 children in West Africa have lost parents to Ebola and now face abandonment. The document promotes an event by CardEurope to raise funds for preventative measures and protective kits to help address the crisis.
The document discusses rabies, including:
1) Rabies is caused by a virus that primarily infects dogs, cats, and wildlife like bats and foxes. It is transmitted through bites or scratches from infected animals.
2) There is no cure for rabies once symptoms appear, but it can be prevented through vaccination. Louis Pasteur developed the first rabies vaccine in the late 1800s.
3) In 2004, Jeanna Giese survived rabies after being bitten by a bat using an experimental treatment involving inducing a coma and using antiviral drugs, becoming one of only two known survivors of rabies without pre-exposure vaccination.
The document summarizes the work of Doctors Without Borders/Médecins Sans Frontières (MSF) in multiple locations around the world. It describes:
1) MSF doctors in Greece treating over 300 people, including 30 children, for respiratory issues and injuries from rubber bullets and tear gas during violence at the border between Greece and Macedonia.
2) The work of MSF nurses Michael Shek and Chrissie McVeigh stabilizing and evacuating by plane a 10-year-old boy and his uncle who were shot during a cattle raid in South Sudan, requiring complex medical procedures in the field.
3) An MSF vaccination campaign in Zambia's
Dr. Czarina Leung has spent her annual leave over the past ten years doing volunteer medical work in developing countries. She began this work as a first year medical student in the Philippines, where she provided basic health services in an impoverished community. Since then, she has organized numerous medical relief trips as a student, doctor, and intensivist at Queen Mary Hospital. On these trips, she sets up temporary clinics to provide care for underserved populations lacking access to healthcare. Through her dedicated service, Dr. Leung aims to extend medical care beyond boundaries and make a difference with her skills and compassion.
The letter describes the author's negative experiences with medical treatment that have left her disabled. She details being mistreated during childbirth and receiving epidural steroid injections for back pain that caused permanent damage, leaving her unable to care for herself. The author believes the injections were performed for profit without proper patient consent. She now suffers constant pain and loss of mobility due to adhesive arachnoiditis caused by the medical procedures. The letter calls for reform to prevent other patients from experiencing similar harm.
This document summarizes key facts and personal stories about the HIV/AIDS pandemic from 1981 to 2011. It notes that HIV causes AIDS, which weakens the immune system. Over 33 million people are currently living with HIV/AIDS, and over 25 million have died from it. The developing world has been most heavily impacted, with over 96% of cases. Anti-retroviral drugs have helped many live longer, but access remains limited. The document shares perspectives from those infected and affected in their struggle to survive and prevent further transmission.
This document provides a 3-part summary of a series of articles from DERMASCOPE Magazine about caring for caregivers. The summary includes:
Part 1 details the author getting an emergency call that her mother had a stroke while traveling for work. She describes rushing to her parents' aid and the long recovery process, taking on the new role as her mother's caregiver.
Part 2 discusses the challenges of navigating the healthcare system and managing her mother's recovery at home, including physical and speech therapy. The exhaustion of caregiving takes its toll on the author.
Part 3 continues sharing the personal story, celebrating milestones but also struggling with the toll of care. The author finds solace
A Story of Chaining and Freedom in IndonesiaLautan Jiwa
"Personal stories of ‘pasung survivors’ such as Anto’s, powerfully contribute to understanding the devastating impact that pasung has on the person and their families.
Similar to 24620 Without Borders OCT NOV ON2_laser (17)
1. Without BordersMédecins Sans Frontières/Doctors Without Borders | msf.org.uk
The outbreak of Ebola that
began in March this year is
wreaking havoc across a swathe
of west Africa as the number
of cases surges. Here five MSF
volunteers talk about their
experiences of the arduous and
dangerous battle to halt the
virus – and the euphoria that
the teams feel when a patient
recovers and returns home.
HANNAH SPENCER
A DOCTOR FROM SURREY
“When I heard about the Ebola outbreak in
west Africa, I contacted MSF and asked if I
could help. When I told my mum, she said,
‘As if I could stop you from going!’ Naturally
my family were concerned. Ebola is highly
infectious, and while you can never say there’s
no risk, if you follow all the procedures, the
risk of catching it is low.”
TIM JAGATIC
A DOCTOR FROM CANADA
“When I’m dressed up in my full personal
protective equipment, I know I’m not
exposed to the virus. Before we go back to
our compound, we go through multiple
decontaminations – there are all these
checkpoints to make sure we’re washing our
hands. There is a very strong sense of safety.”
BENJAMIN BLACK
AN OBSTETRICIAN FROM SUSSEX
“Trying to work in the heat is unbearable.
Coupled with the stress of the environment,
the high stakes of getting it right and of not
exposing oneself to the disease make the work
incredibly intense.
Once inside the isolation ward, you have to
rely on yourself and your ‘buddy’ – you never
go inside alone.”
COKIE VAN DER VELDE
A SANITATION SPECIALIST FROM YORKSHIRE
“This morning I woke with a sore throat – it’s
almost certainly due to inhaling chlorine, but
paranoia has set in and I take my temperature
for the tenth time this morning. Not sure this
is a healthy obsession.”
ANE BJØRU FJELDSÆTER
A PSYCHOLOGIST FROM NORWAY
“Dealing with the dead bodies is disturbing.
The hygienists experience feelings of sadness
and fear, and also disgust. With Ebola,
patients can die in a disgraceful manner –
there’s bleeding, vomiting and diarrhoea. The
cleaners tell me they experience flashbacks
Fighting Ebola
Moments of joy amid the outbreak
MSF staff at our Ebola treatment
centres give their all to treat
hundreds of patients each month.
But they can’t operate without
donations. Please support our
medical teams working around
the world today.
Phone: 0800 408 3894
Visit: www.msf.org.uk/support
Or use the form on page 3
INSIDE:
4-6 SYRIA – THE REACH OF WAR
7 SOUTH SUDAN
8 THROUGH THE LENS
Sida Bentou says goodbye to staff at MSF’s treatment centre in Guéckédou, Guinea, having survived Ebola.
Credit: Sylvain Cherkaoui/Cosmos
Médecins Sans Frontières/Doctors Without Borders (MSF) is the world’s leading emergency medical humanitarian aid organisation. We help people affected by armed conflict,
epidemics and natural or man-made disasters, without discrimination and irrespective of race, religion, creed or political affiliation. We work in over 70 countries and go to places
where others cannot or choose not to go. We can do this because we are independently funded, with 90 percent of our funding coming from individual or private donors, like you.
continued on page 2
Sierra Leone
Guinea
Mali
Senegal
Côte d’Ivoire
Liberia
Guinea Bissau
Burkina
Faso
Ghana
2. EBOLA CRISIS
2
/msf.English @msf_uk
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– of things they have seen and of things they
have smelt. Even wearing a mask, you can’t
shut out all the smells.
The stigma also makes it hard for the
hygienists and cleaners – who are all locals
– to maintain their image of what they are
doing. We tell them, ‘You are heroes, you’re
doing a very important service for your
community – it’s absolutely vital that someone
is doing this job.’ But although we see them as
heroes, this isn’t always how they are perceived
by their families, their friends or their villages.”
TIM JAGATIC
“The isolation unit is in a tent and the barriers
are made of plastic fencing, so family members
can sit on chairs outside and talk normally
with the patients, who sit inside. I’d say there
are a good 10 to 15 patients in there who will
survive. Social bonds form among many of
the patients. There’s a group of women sitting
there over lunchtime, and because it’s kind of
boring in these isolation units, they become
friends, they’re gossiping.”
COKIE VAN DER VELDE
“I’ve been working ridiculous hours. At night
we go back to the house for a team meeting
to discuss what’s happened during the day. At
the end of our meetings, we always say, has
anybody got any good news? That’s my cue to
tell a really rude joke.”
BENJAMIN BLACK
“An expert in Ebola recently told me, ‘This
disease kills those you love the most, the
people closest to you and those that you are
most likely to care for’. Wise and poignant
words, true to the cruel nature of transmission
in this disease.”
ANE BJØRU FJELDSÆTER
“Last week a very little girl came out of the
isolation ward. Her name was Bintu, and
she was 21 months old. Both her parents had
tested positive for Ebola, but she had tested
negative, so we had to take her out of the
ward because the risk of contamination was
too high. That was a horrible day. The nurses
told me she didn’t know how to speak. For
the two days she’d been in the ward, she’d
been so shocked that she hadn’t uttered a
word. This can happen to children – it’s called
elective mutism. When she came out, she
didn’t make eye contact, she didn’t speak to
anyone. We put her in a chair and she turned
around, with her back to the world. It must
have been a terribly disturbing experience for
a child: to see someone come into the ward
in a spacesuit; to hear them speaking to your
mother in words you don’t understand; to
see your mother start crying; and then to be
handed over to the stranger in the spacesuit
and carried off. I sat with her for four hours,
trying to talk to her in a calm voice and
singing her songs, to see if the shock would
pass. By the end, she had turned around and
was facing me. She made eye contact, she put
her hand out for me to touch her, she started
a conversation. You could see that she was
warming up to me, and that she wasn’t in
the same condition. Both of Bintu’s parents
died that day. Now she is in the care of a child
protection organisation which is trying to
locate other family members who can take
care of her. I just hope she’ll be ok.”
BENJAMIN BLACK
“Occasionally everyone stops what they are
doing – doctors, nurses, cleaners, everyone. All
attention is directed at the exit from the high-
risk zone. A patient is being discharged. Like
a celebrity, the survivor is surrounded by an
excitable crowd, whooping and clapping. The
beaming faces of the crowd are reflected in the
broad smile and shining eyes of the survivor. It
is an intensely emotional moment.”
ANE BJØRU FJELDSÆTER
“When we discharge a patient who has survived
Ebola, it makes an enormous difference.
Yesterday, three people who had been cured
were discharged from the isolation ward, and
all the cleaners were dancing around the ward,
deliriously happy and taking photographs.”
HANNAH SPENCER
“One 15-year-old girl was inside the isolation
ward for over a week, along with her seven-
year old sister and her mother, who was
very unwell at first – I really thought she
was going to die. But then they all started
to get better. When, finally, the girl’s test
came back negative, she had a shower in
chlorine, changed into new clothes and was
discharged from the ward. Her family were
all there to meet her at the gate and she was
crying because she was so happy. That was a
wonderful moment – to see that and to know
that her mother and sister would soon be well
enough to join her.”
BENJAMIN BLACK
“Everyone feels a huge sense of achievement
when a cured patient leaves the centre.
But MSF doesn’t cure Ebola – only an
individual’s own body can win the fight. But
I sense that the emotional and psychological
impact of seeing that you are not alone, and
of witnessing the euphoric moment when
others are discharged, has an important
restorative effect.”
TIM JAGATIC
“My family are not the happiest, but they
understand why I’m here. There’s a need,
plain and simple. I have the training to help
bring an end to this problem, so I’ll give
everything I can.”
COKIE VAN DER VELDE
“Tomorrow’s my last day in Liberia. Once us
tired ones have left, new people will come
in. I’m going home to Yorkshire, to see my
grandchildren and to have a jolly nice cup of
English tea. But in a month’s time, I’ll be ready
to come back with MSF to west Africa, to
wherever I’m needed.”
HANNAH SPENCER
“I’m back in the UK now, and a bit tired.
Working in an Ebola epidemic isn’t easy,
but it’s exactly the kind of work MSF should
be doing.”
MSF staff in protective clothing bring a girl with suspected Ebola into the treatment centre in Kailahun, Sierra Leone.
Credit: Sylvain Cherkaoui/Cosmos
continued from front page
Hannah Spencer Tim Jagatic Benjamin Black Cokie van der Velde Ane Bjøru Fjeldsæter
WHAT IS MSF DOING?i
The outbreak of Ebola in West Africa is the
largest Ebola epidemic ever recorded. The
virus has already infected more than 8,000
people and the outbreak is far from over.
MSF has been combatting the outbreak
since the first cases were reported and have
admitted 5,065 patients, among whom
3,264 were confirmed cases of Ebola. 1,173
have recovered.
We are operating six treatment centres in
affected areas, but more needs to be done.
We are stretched to the limit of our capacity.
MSF has 3,408 staff on the ground and
has brought in more than 807 tonnes of
equipment and supplies to help fight the
epidemic. It’s the financial support of
individuals like you that enables us to do
this. Thank you.
For the latest news and information,
visit msf.org.uk/ebola
3. SUPPORTING MSF
3
89%
on humanitarian work
8%
on fundraising
3%
on office management
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Your support makes our work possible – thank you!
£10 a month – or 33p
a day – can help provide
an MSF team with an
emergency dressing
kit containing sterile
equipment, dressings and
bandages to help people
caught up in conflict.
£20 a month
can buy medicine to
treat 200 people for
malaria: a treatable
disease that kills one
child every 30 seconds.
Credit: Seb Geo Credit: Marcell Nimfuehr/MSF
The one thing we can’t do without is your
support. Regular support — such as a monthly
donation — means we can plan ahead,
confident that the funds we need will be there
when we need them. It means we don’t have to
waste money on administration that could be
spent on saving lives.
Giving monthly is easy for you too. No hassle. No
time wasting. Just your money getting to where
it’s needed, fast.
We can’t do it without you
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There are three ways you can start supporting MSF’s lifesaving work today.
Make a regular monthly gift online at www.msf.org.uk/support
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4. SYRIA
4
SSSUPPORT MAKES OUR WORK POSSIBLE + WE CAN’T OPERATE WITHOUT YOU + YOUR SUPPORT SAVES LIVES + YOUR
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Syria: The reach
Now into its fourth year, the war in Syria has killed
more than 150,000 people and driven upwards of
nine million people from their homes, nearly a third
of whom have fled the country.
MSF has been working in Syria and in the
surrounding countries since the start of the conflict,
providing emergency medical care and support to
many thousands of people.
These photographs — all taken on one day in MSF
projects in Iraq, Jordan and Lebanon — reveal the
very personal dimensions of the conflict, as lived by
Syrian patients and the MSF staff members treating
them.
“The war is so overwhelming that it’s easy to lose
sight of what it means for individual Syrians,” said
Dr Joanne Liu, MSF’s international president.
“Working in Syria late last year, I saw children
suffering from blast wounds, families without
proper shelter and women who had nowhere safe
to give birth to their babies. These photographs
bear witness to the personal toll of a brutal,
relentless conflict.”
“We are trying to help as many Syrians as we can
in neighbouring countries as well as people inside
Syria itself.”
We can’t do it without your support.
Fourteen-year-old Malik plays chess with British anaesthetist Ben Gupta in Ramtha hospital, Jordan. Malik
party at his family’s home in Syria. Credit: Ton Koene
A Syrian child is checked for malnutrition at MSF’s clinic in Arsal, in Lebanon’s Bekaa valley. The
refugees’ poor living conditions can be particularly hard on the young, many of whom arrive in
Lebanon already traumatised by their experience of the war in Syria. Credit: Moises Saman/
Magnum
Eight-year-old Maria, from Sana in Syria, was badly burned when her bed caught on fire. She is
being treated by MSF doctors at Ramtha hospital in Jordan, which provides surgical and post-
operative care that is unavailable in much of Syria. Credit: Kate Brooks
5. SYRIA
5
SUPPORT MAKES OUR WORK POSSIBLE + WE CAN’T OPERATE WITHOUT YOU + YOUR SUPPORT SAVES LIVES + YOUR
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h of war
Malik lost one leg and sustained severe injuries to his arm and other leg when a bomb fell on a wedding
Syrians who have crossed into Iraq for safety wait to see a doctor at MSF’s clinic in Domiz refugee
camp. “People have suffered a lot,” says MSF psychologist Henrike Zellman. “If somebody could
tell them, ‘You have to stay here for another two months, and then you can go back home,’ people
would cope easily. But nobody can tell them when they’ll actually be able to leave.” Credit: Yuri
Kozyrev/Noor
Dr Haydar Alwash, an Iraqi surgeon who was once a refugee himself and now works for MSF,
operates on a young man in Ramtha, Jordan. “All our patients are newly injured in this conflict,
usually by bombs or gunshots,” he says. “We concentrate on surgical procedures that can save
lives or save limbs. You can really see the vital importance of the services you are providing.”
Credit: Ton Koene
Fourteen-year-old Rukaya lost both her legs when her hometown in Syria was bombed. “My
mother and I were going to another neighbourhood,” says Rukaya. “As we were about to leave,
we were hit by a rocket. My mother died, and I was wounded. I felt that I had no legs. Then I fell
unconscious.” Brought to hospital in Ramtha, Jordan, Rukaya has been operated on seven times
by MSF surgeons, and will soon be fitted with prosthetic legs. Credit: Ton Koene
6. SYRIA
6
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YOUR SUPPORT
£10.76 pays for a box of
300 surgical gloves
£17.26 pays for a surgical gown
£30.20 pays for a box of
300 surgical masks
£161.41 pays for a basic surgery
set of 27 instruments
£
Syria: The reach of war
*UN statistics July 2014
Community healthcare worker Falak Saadoun demonstrates handwashing techniques to Syrian refugee children in their family’s tent
in Domiz camp in northeast Iraq. At the camp’s clinic, MSF teams provide healthcare to some 60,000 refugees who have fled the war
in neighbouring Syria. Credit: Yuri Kozyrev/Noo
SYRIA 6.4M people displaced in Syria*
10,151 surgical acts by MSF teams
63,440 Emergency Room consultations
109,214 out-patient and mobile clinic
consultations
90,214 children vaccinated against measles
2,373 babies delivered
100+ MSF clinics
IRAQ 217,192 refugees*
4 MSF clinics
285,082 medical
consultations
6,963 mental health
consultations
JORDAN 607,878 refugees*
6 MSF clinics
30,205 medical consultations
2,123 surgical acts by MSF teams
1,008 babies delivered
813 mental health consultations
TURKEY 808,600 refugees*
LEBANON
1,138,043 refugees*
9 MSF clinics
272,564 medical
consultations
3,846 mental health
consultations
Amman
Damascus
Beirut
“I am a surgeon but
I am also a human
being. I feel pain
when I am face-to-
face with innocent
children and older
men and women
whose lives have
been forever changed
by conflict. But as a
surgeon, I am in a
position to treat these
vulnerable people,
to make them smile
and enjoy a sense of
independence again.”
Dr Ali Al-Ani, surgeon
at MSF’s reconstructive
surgery project in
Amman, Jordan
WHAT IS MSF DOING?i
MSF is running 25 health clinics and
hospitals in Lebanon, Jordan, Iraq and
Syria, and is providing remote support
to other clinics within Syria.
Is MSF taking sides in this conflict?
No, MSF never takes sides. We offer
medical assistance to anyone who needs it,
irrespective of their race, religion or politics.
Thank you.
It’s the financial support of individuals
like you that has enabled us to perform
760,505 medical consultations and 12,274
surgeries in and around Syria since the
crisis began. We couldn’t do it without you.
For more information, visit msf.org.uk/
syria and reachofwar.msf.org
During morning rounds, MSF’s Dr Haydar Alwash and his team in Ramtha, Jordan, visit patient Mohammed Jamus, who was wounded in the arm,
chest and leg in the war in Syria. “Most of our patients have a story other than their actual injury – they come with two or three tragedies,” says Dr
Alwash. “What we are trying to do is to give hope for these patients by trying to alleviate their pain.” Credit: Ton Koene
7. When I arrived in early July, there
were about 40,000 people living
in this camp, situated in one of the largest
swamps in the world. At first glance, it
looked like your average refugee camp, with
ramshackle dwellings made out of plastic
sheeting and twigs, and a lot of grass, mud
and people. It looked bad, but not too terrible.
But as soon as you looked beneath the surface
and examined what was happening to the people
here, the results were absolutely shocking. The
crude mortality rate – the number of deaths per
10,000 people per day – was 1.5. The emergency
threshold is one per 10,000 per day. What does
that mean in human terms? If you can picture
an average school with 1,000 students, that’s one
student dying every 10 days. That’s a staggering
level of death.
Three children dying every day
It was even worse for the under-fives, who were
dying at the rate of three children a day. You’d
go into a tent and see emaciated children with
protruding bellies as if they were in a famine, and
this was happening in a camp with enough food.
Why were people caught in this cycle of death?
It was because of water. Each person had just
four to five litres of water every day – for cooking,
drinking and washing. And when you’ve got such
a small amount of water, you’re basically not
washing. And if you are washing, it’s in muddy
water contaminated with sewage, because in the
camp there is only one latrine per 300 people.
There is faeces everywhere, and even if you want
to keep clean, you can’t. As a result, people are
constantly exposed to parasites and bacteria and
viruses, which means that people are constantly
suffering from diarrhoea, vomiting and fever.
Having diarrhoea means that you’re not gaining
weight, and that’s a big problem if you’re a
child under five. It means your immune system
is suppressed, and you’re more vulnerable to
infections. Before you know it, you’ve got dozens
of kids with severe acute malnutrition in a camp
with plenty of food, alongside adults dying from
diarrhoea.
We know what to do
So what do we do? This is where it’s an absolute
pleasure and privilege to be part of MSF, because
we know what to do in these situations. On
the front end, you start providing more water.
You dig more wells, and you encourage other
organisations working there to dig more wells.
We have water and sanitation experts who can
take muddy, contaminated water, pump it into a
tank, treat it, and turn it into clear drinking water.
Within a short amount of time, we’ve boosted
water availability to 10.6 litres per person per day.
Not enough, but better than before.
We also start building latrines – it goes from one
latrine for every 300 people to one for every 70
people. Then we set up nutritional care teams
and go out into the camp. Twenty percent of the
children are malnourished; seven percent of the
children – around 700 kids – have severe acute
malnutrition. We bring these children into our
inpatient centre and start treating them with
medicalised food and therapeutic milks.
Anchoring all this is our hospital. Nobody is
going to come to your clinic if they think the
traditional healer is going to do just as good a
job. But if people see that emaciated children
and people close to death go into your hospital,
and a week or two later come out looking fat and
sassy, then they know you’re offering something
real. Word spreads fast.
So we implement this package of water and
sanitation and feeding and medical care, and
within a decent period of time, we’ve pushed the
crude mortality rate down from 1.5 to 0.6, and
from 3 to 1 for the under-fives. That means that,
every single day, there are two more children
walking and talking and looking at the possibility
of a lifespan because of what we are doing.
Then the rains come...
But then the rains come. Initially, there is 50 cm
of water in the camp, and then suddenly there
is more, and then the latrines have flooded. We
are in a situation where most of the inhabitants
of the camp are unable to lie down and sleep
MSF.ORG.UK/SOUTH-SUDAN
7
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YOUR SUPPORT
Conflict, hunger, disease, disaster.
MSF tries to go where we are needed
most. But our staff can only help if they
have training and resources. We can
only provide these if people give to us.
Please support us today.
Phone 0800 408 3894
Visit: www.msf.org.uk/support
Or use the form on page 3
£
Living in filthy conditions, children can quickly become
caught in a cycle of sickness and malnutrition.
Credit: Jean-Pierre Amigo/MSF
People wade through floodwater to their shelters in Bentiu camp, South Sudan, situated in one of the world’s largest swamps.
Credit: MSF
‘
because of the water. Women are standing in
water at night with their children in their arms
trying to keep them dry. These are conditions
not compatible with human dignity, and barely
compatible with life.
People in the camp have been given dry rations
to eat, but these can’t be eaten unless they’re
cooked, and there’s no dry firewood in the
camp. There’s still a civil war going on, and
if men leave the camp, there’s a risk they’ll
be shot, while for the women, there’s a risk
they’ll be raped. But what choice do they have?
Women start to leave the camp to collect
firewood, and before long, we are treating
victims of rape.
People are alive because MSF
is there
What do we do in a situation like this? We speak
out on behalf of our patients. The United Nations
is responsible for this camp and for protecting
these people, so we called on them to improve
conditions, to start assisting with drainage and to
provide protection for people leaving the camp to
collect firewood. We got them to act, and things
have improved in the camp, although there’s still
room for improvement.
It was hard for me to leave at the beginning of
August, because you feel there’s still so much
to be done. But at MSF, we have three aims:
to save lives, alleviate suffering, and restore
dignity. I think we have gone some way to
achieving those aims at Bentiu. It is a small
drop in a large ocean, but it is something,
and people are alive because we are there.
In South Sudan,
40,000 people have
taken refuge from
the civil war in an
overcrowded camp
in Bentiu. MSF’s emergency
coordinator, Ivan Gayton,
talks about the practical steps
MSF takes to save lives in such
desperate environments.
‘
Saving lives in a swamp
8. Médecins Sans Frontières/Doctors Without Borders (MSF) Charity Registration Number 1026588
67-74 Saffron Hill London EC1N 8QX Tel: 44 (0)207 404 6600 Web: www.msf.org.uk 24620_ON2
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THROUGH THE LENS
SUPPORT MAKES OUR WORK POSSIBLE + WE CAN’T OPERATE WITHOUT YOU + YOUR SUPPORT SAVES LIVES + YOUR
Médecins Sans Frontières/Doctors Without Borders (MSF) Charity Registration Number 10265888 Médecins Sans Frontières/Doctors Without Borders (MSF) Charity Registration Number 1026588888
SUPPORT MAKES OUR WORK POSSIBLE + WE CAN’T OPERATE WITHOUT YOU + YOUR SUPPORT SAVES LIVES + YOUR
Mexico, May 2014 – Young men ride a cargo train known as ‘the
Beast’ as they head for the US. MSF teams provide medical care
to the migrants, many of whom are fleeing violent gang culture in
El Salvador and Honduras. Credit: MSF
Burundi, May 2014 – Nurse Annalisa Baldi, from Italy, helps a woman give birth in a field after she went into premature labour.
Credit: Matteo Bianchi Fasani
Iraq, August 2014 – Following their escape from the Sinjar mountains, after days under siege by Islamic State
militants, Iraqi families receive bottled water and biscuits from MSF teams. Credit: Favila Escobio/MSF
Around the world with MSF
South Sudan, July 2014 – MSF’s team in Agok bandage the leg of a
two-year-old girl hit by a bullet during fighting between rival forces.
Credit: Valérie Batselaere/MSF
Gaza, July 2014 – MSF anaesthetist Kelly Dilworth cares for one of two
brothers injured when a missile fell on their house during the Israeli
offensive on the Gaza Strip. Credit: Samantha Maurin/MSF
South Sudan, June 2014 – Two-year-old Gatluok is treated
for malnutrition at MSF’s hospital in Leer, after his home
was looted and burnt and his family was forced to hide in
the bush. Credit: Nick Owen/MSF
Ukraine, September 2014 – MSF teams deliver
urgently needed medical supplies to a hospital
in Donetsk. Credit: MSF