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In February, bombings and attacks on villages in parts of West Darfur, Sudan, led to an influx of thousands of refugees into the Birak region of eastern Chad. MSF teams have been providing assistance by distributing essential relief items to the refugees and administering nutrient-fortified, ready-to-use foods (RUF) to prevent and treat malnutrition. As a new wave of refugees arrives in Birak from the Jebel Moon region in Darfur, MSF is distributing an additional round of relief items, setting up mobile medical clinics, and organizing a measles vaccination campaign alongside another distribution of RUF.

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A car belonging to the international medical humanitarian organization Doctors Without Borders/Médecins Sans Frontières (MSF) was attacked on March 12 near the town of Balcad in Somalia. At 1 p.m. local time, several armed men opened fire on the vehicle, seriously wounding one of the MSF staff members, a security guard, who was taken to hospital where he is now recovering from a femur fracture. Three other employees were slightly injured in the incident.

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Despite a ceasefire agreement signed in January by the government of the Democratic Republic of Congo and armed groups, insecurity persists in North Kivu province. The population is subject to violent attacks and must flee, often multiple times. Romain Gitenet, MSF head of mission in DRC, provides an update on MSF’s work there.

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The situation in the Gaza Strip has been calmer since last week's fighting between Palestinian armed groups and Israeli forces. At the height of the violence, MSF managed to make donations to health facilities and continued to assess medical needs. Teams are prepared to treat new patients in the coming days.

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The MSF team has reopened its clinic in Gaza City in order to treat wounded people and to support hospitals overloaded by a large influx of patients due to the Israeli incursion in the north of Gaza strip. MSF has also made donations of medical items and essential drugs to some hospitals in the area.

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Even as a political settlement was reached in Kenya, MSF teams continued to provide medical care in Nairobi, Nyanza, Rift Valley, and Western provinces. Many areas of Kenya remain tense: in Nairobi, MSF has adapted their long-running HIV/AIDS projects to also provide care for victims of violence; in western Kenya, MSF is responding to people’s needs by working in internally displaced persons’ (IDP) camps and supporting health centers and hospitals. Meanwhile, mobile medical teams travel to rural areas every week to provide care to the many hundreds of Kenyans who are trapped there with little or no aid.

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Stuck in a highly volatile security context, Sudanese refugees who have recently arrived just over the border in Birak, Chad, are in an extremely worrying situation. With ongoing combat a few kilometers away from their settlement, the lives of the refugees and those who remain in targeted areas in Darfur, are still at risk.

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While many people have already returned to N'Djamena, further aid is reaching the thousands of refugees that still remain in the border town of Kousseri, in Cameroon. This week, MSF carried out a measles vaccination campaign and distributed relief items to thousands of people at two sites. MSF continues to offer free medical care to refugees and two surgical teams are still working in Kousseri and N'Djamena.

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Cholera cases are still on the rise in Katanga province, in the southwest of the Democratic Republic of Congo (DRC). Since late September, a total of 4,029 cases have been reported by MSF emergency teams in the cities of Lubumbashi and Likasi. At least 97 patients have died.

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One week after the fighting ended, things are slowly getting back to normal in N'Djamena. The streets are starting to fill again, even if many shops in the town center remain closed. In the hospitals too, the worst of the crisis has passed. While a good number of people have returned to N'Djamena, thousands of families do not yet dare to go home, and continue to survive in precarious conditions across the border in Cameroon.

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