Read about first-hand accounts from MSF aid workers and patients.

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Dr. Christophe Fournier, MSF's International Council president, recently returned from an assessment mission to Darfur, Sudan, and describes the humanitarian situation there as well as the work and the challenges faced by MSF.

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In March and April 2007, heavy fighting in Mogadishu, Somalia, resulted in a large number of civilian casualties and thousands of people fleeing the capital. The following stories, gathered by MSF, come from people displaced from Mogadishu who arrived at MSF's hospital in South Galcayo in May.

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Alison Wong was the pharmacist for the Doctors Without Borders/Médecins Sans Frontières (MSF) HIV/AIDS program at Arua Regional Referral Hospital in Uganda from September 2005 to October 2006. MSF began the program in 2001 to provide antiretroviral (ARV) treatment to people in the region living with HIV. It has grown to include treatment for people co-infected with HIV and TB, and to establishing better decentralized care.

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People have been fleeing Mogadishu since the start of the clashes, but the last month has seen a real increase of people arriving in the Hiraan, Galgadud and Bay regions and also in Afgooye. We think that there are about 10 to 12,000 families who have fled to Afgooye from Mogadishu, with an average of 6 people per family. They're mostly women and children, there are very few men.

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Since mid-2006 violence has dramatically increased in scale and intensity in the northern parts of Central African Republic—with grave consequences for the civilians who are caught in the crossfire of a number of armed groups.

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Philip Humphris is Doctors Without Borders/Médecins Sans Frontières' (MSF) head of mission for West Darfur state in Sudan. He has returned from western Darfur and, as the number of aid agencies in Darfur continues to decrease, explains what MSF is doing in this region.

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Since November 2005, various rebel groups have appeared in the northwest region of the country, in the Ouham and Ouham Pendé prefectures. Since then, the civilian population has been subject to considerable abuse, beginning in the Paoua region, expanding to the area around Markounda and, more recently, in the Kabo region.

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"I returned to Darfur this October, having worked there in July 2004 when few aid agencies were operational and there was a crisis requiring a massive and urgent increase in assistance. Fighting was going on then but it was possible to rapidly expand the aid effort. Today things are very different," writes Dr. Rowan Gillies, Doctors Without Borders/Médecins Sans Frontières (MSF) International Council President, on the situation in Darfur, Sudan.

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The situation is worsening in Darfur, the western Sudan region where a conflict began in 2003. Renewed violence has led to reduced assistance to people in the area. Dr. Denis Lemasson, MSF program director, has just returned from Sudan with a disturbing report.

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It is Brazilian nurse Gabriela Adao's fourth mission with MSF. At Island Hospital, Gabriela is developing alternative adherence tools to make sure that tuberculosis (TB) patients actually take their drugs properly, and ultimately recover.

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