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As the Israeli offensive continues in Gaza, clashes in the West Bank, on top of several weeks of raids and arrests by Israeli forces, are taking a heavy toll on the already fragile psychological well being of Palestinians. Doctors Without Borders/Médecins Sans Frontières (MSF) launched an emergency response in mid-June and has carried out 1,146 mental health consultations for those affected by the violence since then.

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On January 2, five members of Doctors Without Borders/Medecins Sans Frontieres (MSF) were abducted in northern Syria and held captive by an armed group for several months. After five months they have been released.

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The World Health Organization published a report on resistance to antibiotics at the end of April. The first of its kind, it sounded the alarm on this insufficiently documented issue where infected wounds won't heal despite treatment. Doctors Without Borders/Medecins Sans Frontieres (MSF) had already observed the phenomena, notably in its surgical program in Amman, Jordan where, three quarters of patients from Iraq have infections due to resistant bacteria.

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Doctors Without Borders/Médecins Sans Frontières (MSF) opened a clinic inside this camp sheltering 12,400 Syrian refugees in northern Iraq in September. MSF teams provided nearly 4,000 consultations in October, a third of them for children. As winter sets in MSF is even more concerned about the refugees' health.

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In Gaza, Doctors Without Borders/Médecins Sans Frontières (MSF) provides post-operative care to people injured in burn accidents. Generators and poor quality gas cylinders are the cause of many serious accidents in Gaza, and MSF's is the only clinic that provides comprehensive wound care, physiotherapy, and medical care for these types of injuries.

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With more than 540,000 Syrian refugees in Jordan, the Jordanian health system has had problems meeting the needs of all these new patients. Doctors Without Borders/Médecins Sans Frontières (MSF) has opened a maternity care clinic in Irbid and plans to scale up activities.

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Since doctors in Gaza cannot leave to receive specialized medical training, Doctors Without Borders/Médecins Sans Frontières (MSF) organized an accredited training course for them in Gaza.

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Doctors Without Borders/Médecins Sans Frontières (MSF) is providing mental health care in a detention center in Sana'a, Yemen. Migrants have told counselors of horrific experiences with traffickers; many are trying to return home.

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In Jordan, where Doctors Without Borders/Médecins Sans Frontières (MSF) treats patients who need specialized surgical and rehabilitative care, a project originally designed for Iraqis now also includes people from several other nations, including Yemen, Libya, and Syria.

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Salwah, 18 years old, was shot by a sniper in Aleppo, and now she cannot walk. After seeking treatment in several hospitals in Syria, she became a refugee in Turkey where she is now receiving assistance. Doctors Without Borders/Médecins Sans Frontières (MSF) is providing her with mental health care. Photographs by Anna Surinyach.

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