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Obstetric fistulas, most often the result of prolonged obstructed labor, is an opening that occurs between the bladder and the vagina, or between the rectum and the vagina and causes a woman to become incontinent, among other devastating medical and social consequences. According to the UN, an estimated two million women live with fistulas today—about half of them in Nigeria.

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One of many so-called megacities growing at rapid speeds around the world, Lagos attracts a steady flow of people from rural areas of Nigeria and from other countries. MSF is offering free-of-charge medical services in three slum areas of Lagos, including Makoko, where teams are running a clinic on land and constructing a rather unique small clinic on water.

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In an area of northwest Nigeria, gold-mining means extremely high levels of lead-poisoning and the deaths of children. MSF treats patients for lead-poisoning for the first time in the organization's history.   Additional music: "Love Theme" © David Merson Hess  

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We take you to northern Nigeria, where MSF is providing surgery to repair fistulas – life-altering internal injuries that can happen to women who endure prolonged, complicated labor. In Burkina Faso, malnutrition is at its annual peak and MSF is responding.We’ll hear from an MSF doctor who was there at the same time last year. You'll also hear emergency updates from MSF projects around the world.

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In this month's edition, listen to stories on how MSF is treating multidrug-resistant tuberculosis in the former Soviet state of Georgia, responding to the latest outbreaks of violence in the central African nation of Chad, and assisting victims of violence in Nigeria's volatile Niger Delta region.

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