Four-year-old Sheleme, above, is one of the 28,000 severely malnourished patients MSF treated between May and September in southern Ethiopia. After nine days of treatment at an MSF therapeutic feeding center in Kuyera, Oromiya region, Shemele had recovered from the severest stage of malnutrition and went home with a week’s worth of nutrient-rich, ready-to-use food.

The year 2008 was extraordinary for the number of emergencies that occurred. Your support made it possible for MSF teams to bring humanitarian assistance to millions of people in crises across the globe. With your help, we will continue to provide independent and impartial medical care to the people who need it the most in 2009—whoever and wherever they are—and to be advocates for those whose voices are not heard. Thank you.