「医療事故調査・支援センター」2015年10月発足 真相究明に必要な理由とは

医療ミスなどが原因で起きた死亡事故を調査する民間の第三者機関「医療事故調査・支援センター」が、2015年10月に導入されることになった。
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Martin J Cook via Getty Images

医療ミスなどが原因で起きた死亡事故を調査する民間の第三者機関「医療事故調査・支援センター」が、2015年10月に導入されることになった。

参院本会議で6月18日に可決・成立した医療と介護の包括法「地域医療・介護確保法」の成立に伴い、真相究明に軸足を置いた調査の枠組みが動き出す。

第三者機関の名称は「医療事故調査・支援センター」。医療機関は、診療行為に関連して患者が予期せず死亡した場合、センターに届け出ることが義務づけられる。センターは、医療機関が原因究明のために行う院内調査を支援し、調査結果の報告を受ける。医療機関は調査結果を遺族にも説明。遺族は結果に納得できない場合、センターに調査を依頼することができる。

制度の対象となるのは、歯科診療所や助産施設を含めた全国約18万施設の医療機関。

(毎日新聞「医療事故:民間機関設置…原因究明の調査支援」より 2014/06/18 20:27)

医療事故の真相究明に病院側が非協力的な場合、現在は遺族が捜査機関に告訴するか、損害賠償を求めて裁判所に提訴する方法がある。捜査や裁判が長期化すると被害者側に精神的、経済的な負担が大きいことや、刑事罰を科されたり、多額の賠償金を支払ったりすることを恐れ、医師や医療機関が正確な情報を開示しないことも多く、第三者機関の設置が必要とされていた。

対象となるのは、年間1300~2000件程度起きているとみられる診療中の「予期せぬ死亡事故」。厚生労働省は今後、具体的な運用指針を定める方針だが、調査するかどうかは病院側が決めるため、透明性をどう確保するかが課題となる。

「予期せぬ死亡事故」かを判断し、調査をするかは病院が決める。このため、厚労省は病院が恣意(しい)的に決めないように、届け出が必要な場合の基準や調査項目を指針で示す。だが、遺族は事故の調査を始めるよう病院に求めることができない。このため、遺族らはセンターに相談窓口を設置するよう求めている。

また、センターによる再調査費用の一部は遺族も負担しなければならない。公費補助の検討も課題だ。

(朝日新聞デジタル『「医療版事故調」発足へ 法案18日成立、透明性が課題』より 2014/06/18 08:00)

日本には、航空、鉄道、海難事故を調査する国土交通省外局の「運輸安全委員会」、食品の添加物や農薬などについて調査する内閣府の「食品安全委員会」などがある。

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A woman tends to a malnurished Malian re(33 of70)
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A woman tends to a malnurished Malian refugee child at the Medecins sans Frontières (MSF) medical center of the M\'bere refugee camp on May 3, 2012, near Bassiknou, southern Mauritania, 60 km from the border with Mali. The fighting in Mali has left more than 60,000 people internally displaced, and a similar number have fled to Mauritania and neighboring countries. Camp Mbere, spread out over a surface area of some 570 km2 receives an average of 1,000 refugees per day, some days even more. According to the LWF representative, in mid-April the camp population was over 55,000, of which more than half were children. AFP PHOTO / ABDELHAK SENNA (Photo credit should read ABDELHAK SENNA/AFP/GettyImages) (credit:Getty Images)
A malnurished Malian refugee child is we(34 of70)
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A malnurished Malian refugee child is weighed at the Medecins sans Frontières (MSF) medical center of the M\'bere refugee camp on May 3, 2012, near Bassiknou, southern Mauritania, 60 km from the border with Mali. The fighting in Mali has left more than 60,000 people internally displaced, and a similar number have fled to Mauritania and neighboring countries. Camp Mbere, spread out over a surface area of some 570 km2 receives an average of 1,000 refugees per day, some days even more. According to the LWF representative, in mid-April the camp population was over 55,000, of which more than half were children. AFP PHOTO / ABDELHAK SENNA (Photo credit should read ABDELHAK SENNA/AFP/GettyImages) (credit:Getty Images)
Nurses tend to a malnurished Malian refu(35 of70)
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Nurses tend to a malnurished Malian refugee child at the Medecins sans Frontières (MSF) medical center of the M\'bere refugee camp on May 3, 2012, near Bassiknou, southern Mauritania, 60 km from the border with Mali. The fighting in Mali has left more than 60,000 people internally displaced, and a similar number have fled to Mauritania and neighboring countries. Camp Mbere, spread out over a surface area of some 570 km2 receives an average of 1,000 refugees per day, some days even more. According to the LWF representative, in mid-April the camp population was over 55,000, of which more than half were children. AFP PHOTO / ABDELHAK SENNA (Photo credit should read ABDELHAK SENNA/AFP/GettyImages) (credit:Getty Images)
A malnurished Malian refugee child cries(36 of70)
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A malnurished Malian refugee child cries at the Medecins sans Frontières (MSF) medical center of the M\'bere refugee camp on May 3, 2012, near Bassiknou, southern Mauritania, 60 km from the border with Mali. The fighting in Mali has left more than 60,000 people internally displaced, and a similar number have fled to Mauritania and neighboring countries. Camp Mbere, spread out over a surface area of some 570 km2 receives an average of 1,000 refugees per day, some days even more. According to the LWF representative, in mid-April the camp population was over 55,000, of which more than half were children. AFP PHOTO / ABDELHAK SENNA (Photo credit should read ABDELHAK SENNA/AFP/GettyImages) (credit:Getty Images)
A malnurished Malian refugee child sits (37 of70)
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A malnurished Malian refugee child sits at the Medecins sans Frontières (MSF) medical center of the M\'bere refugee camp on May 3, 2012, near Bassiknou, southern Mauritania, 60 km from the border with Mali. The fighting in Mali has left more than 60,000 people internally displaced, and a similar number have fled to Mauritania and neighboring countries. Camp Mbere, spread out over a surface area of some 570 km2 receives an average of 1,000 refugees per day, some days even more. According to the LWF representative, in mid-April the camp population was over 55,000, of which more than half were children. AFP PHOTO / ABDELHAK SENNA (Photo credit should read ABDELHAK SENNA/AFP/GettyImages) (credit:Getty Images)
A malnurished Malian refugee child lies (38 of70)
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A malnurished Malian refugee child lies at the Medecins sans Frontières (MSF) medical center of the M\'bere refugee camp on May 3, 2012, near Bassiknou, southern Mauritania, 60 km from the border with Mali. The fighting in Mali has left more than 60,000 people internally displaced, and a similar number have fled to Mauritania and neighboring countries. Camp Mbere, spread out over a surface area of some 570 km2 receives an average of 1,000 refugees per day, some days even more. According to the LWF representative, in mid-April the camp population was over 55,000, of which more than half were children. AFP PHOTO / ABDELHAK SENNA (Photo credit should read ABDELHAK SENNA/AFP/GettyImages) (credit:Getty Images)
Struggle to Combat HIV in Burma As Funds Are Cut(39 of70)
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YANGON, MYANMAR - APRIL 3: Patients wait to be seen by medical staff at the Medecins Sans Frontieres (MSF) HIV-AIDS clinic April 3, 2012 in Yangon, Myanmar. Thim Thim recently became a nun as she finds her faith helping her with her illness. According to a recent report by Medecins Sans Frontieres (MSF) who is the largest provider of HIV treatment in the country, urgent action is needed to save lives of HIV-AIDS patients in Myanmar. According to the report 85,000 people in urgent need of lifesaving anti-retroviral therapy (ART) are not able to access it . The cancellation of an entire round of funding from the Global Fund to Fight AIDS, TB and Malaria means that money used for expansion of treatment will be cut through 2014. According to the recent MSF report, between 15,000 and 20,000 people living with HIV die every year in Burma because of lack of the lifesaving medicine anti-retroviral therapy (ART). The Burmese government spends only 0.3% of the gross domestic product on health, the lowest amount worldwide, according to the United Nations Development Program 2008 survey (UNDP). (Photo by Paula Bronstein/Getty Images) (credit:Getty Images)
Struggle to Combat HIV in Burma As Funds Are Cut(40 of70)
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YANGON, MYANMAR - APRIL 3: Patients wait to be seen by medical staff at the Medecins Sans Frontieres (MSF) HIV-AIDS clinic April 3, 2012 in Yangon, Myanmar. Thim Thim recently became a nun as she finds her faith helping her with her illness. According to a recent report by Medecins Sans Frontieres (MSF) who is the largest provider of HIV treatment in the country, urgent action is needed to save lives of HIV-AIDS patients in Myanmar. According to the report 85,000 people in urgent need of lifesaving anti-retroviral therapy (ART) are not able to access it . The cancellation of an entire round of funding from the Global Fund to Fight AIDS, TB and Malaria means that money used for expansion of treatment will be cut through 2014. According to the recent MSF report, between 15,000 and 20,000 people living with HIV die every year in Burma because of lack of the lifesaving medicine anti-retroviral therapy (ART). The Burmese government spends only 0.3% of the gross domestic product on health, the lowest amount worldwide, according to the United Nations Development Program 2008 survey (UNDP). (Photo by Paula Bronstein/Getty Images) (credit:Getty Images)
Struggle to Combat HIV in Burma As Funds Are Cut(41 of70)
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YANGON, MYANMAR - APRIL 3: Patients wait to be seen by medical staff at the Medecins Sans Frontieres (MSF) HIV-AIDS clinic April 3, 2012 in Yangon, Myanmar. According to a recent report by Medecins Sans Frontieres (MSF) who is the largest provider of HIV treatment in the country, urgent action is needed to save lives of HIV-AIDS patients in Myanmar. According to the report 85,000 people in urgent need of lifesaving anti-retroviral therapy (ART) are not able to access it . The cancellation of an entire round of funding from the Global Fund to Fight AIDS, TB and Malaria means that money used for expansion of treatment will be cut through 2014. According to the recent MSF report, between 15,000 and 20,000 people living with HIV die every year in Burma because of lack of the lifesaving medicine anti-retroviral therapy (ART). The Burmese government spends only 0.3% of the gross domestic product on health, the lowest amount worldwide, according to the United Nations Development Program 2008 survey (UNDP). (Photo by Paula Bronstein/Getty Images) (credit:Getty Images)
Struggle to Combat HIV in Burma As Funds Are Cut(42 of70)
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YANGON, MYANMAR - APRIL 3: Thim Thim Soe gets examined by Dr. May Thina at the Medecins Sans Frontieres (MSF) HIV-AIDS clinic April 3, 2012 in Yangon, Myanmar. Thim Thim recently became a nun as she finds her faith helping her with her illness. According to a recent report by Medecins Sans Frontieres (MSF) who is the largest provider of HIV treatment in the country, urgent action is needed to save lives of HIV-AIDS patients in Myanmar. According to the report 85,000 people in urgent need of lifesaving anti-retroviral therapy (ART) are not able to access it . The cancellation of an entire round of funding from the Global Fund to Fight AIDS, TB and Malaria means that money used for expansion of treatment will be cut through 2014. According to the recent MSF report, between 15,000 and 20,000 people living with HIV die every year in Burma because of lack of the lifesaving medicine anti-retroviral therapy (ART). The Burmese government spends only 0.3% of the gross domestic product on health, the lowest amount worldwide, according to the United Nations Development Program 2008 survey (UNDP). (Photo by Paula Bronstein/Getty Images) (credit:Getty Images)
Struggle to Combat HIV in Burma As Funds Are Cut(43 of70)
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YANGON, MYANMAR - APRIL 3: Patients infected with multidrug-resistant tuberculosis (MDR-TB) wear masks as they wait to be seen by medical staff at the Medecins Sans Frontieres (MSF) HIV-AIDS clinic April 3, 2012 in Yangon, Myanmar. According to a recent report by Medecins Sans Frontieres (MSF) who is the largest provider of HIV treatment in the country, urgent action is needed to save lives of HIV-AIDS patients in Myanmar. According to the report 85,000 people in urgent need of lifesaving anti-retroviral therapy (ART) are not able to access it . The cancellation of an entire round of funding from the Global Fund to Fight AIDS, TB and Malaria means that money used for expansion of treatment will be cut through 2014. According to the recent MSF report, between 15,000 and 20,000 people living with HIV die every year in Burma because of lack of the lifesaving medicine anti-retroviral therapy (ART). The Burmese government spends only 0.3% of the gross domestic product on health, the lowest amount worldwide, according to the United Nations Development Program 2008 survey (UNDP). (Photo by Paula Bronstein/Getty Images) (credit:Getty Images)
Struggle to Combat HIV in Burma As Funds Are Cut(44 of70)
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YANGON, MYANMAR - APRIL 3: Thim Thim Soe gets examined by Dr. May Thina at the Medecins Sans Frontieres (MSF) HIV-AIDS clinic April 3, 2012 in Yangon, Myanmar. Thim Thim recently became a nun as she finds her faith helping her with her illness. According to a recent report by Medecins Sans Frontieres (MSF) who is the largest provider of HIV treatment in the country, urgent action is needed to save lives of HIV-AIDS patients in Myanmar. According to the report 85,000 people in urgent need of lifesaving anti-retroviral therapy (ART) are not able to access it . The cancellation of an entire round of funding from the Global Fund to Fight AIDS, TB and Malaria means that money used for expansion of treatment will be cut through 2014. According to the recent MSF report, between 15,000 and 20,000 people living with HIV die every year in Burma because of lack of the lifesaving medicine anti-retroviral therapy (ART). The Burmese government spends only 0.3% of the gross domestic product on health, the lowest amount worldwide, according to the United Nations Development Program 2008 survey (UNDP). (Photo by Paula Bronstein/Getty Images) (credit:Getty Images)
Struggle to Combat HIV in Burma As Funds Are Cut(45 of70)
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YANGON, MYANMAR - APRIL 3: Patients wait to be seen by medical staff at the Medecins Sans Frontieres (MSF) HIV-AIDS clinic April 3, 2012 in Yangon, Myanmar. Thim Thim recently became a nun as she finds her faith helping her with her illness. According to a recent report by Medecins Sans Frontieres (MSF) who is the largest provider of HIV treatment in the country, urgent action is needed to save lives of HIV-AIDS patients in Myanmar. According to the report 85,000 people in urgent need of lifesaving anti-retroviral therapy (ART) are not able to access it . The cancellation of an entire round of funding from the Global Fund to Fight AIDS, TB and Malaria means that money used for expansion of treatment will be cut through 2014. According to the recent MSF report, between 15,000 and 20,000 people living with HIV die every year in Burma because of lack of the lifesaving medicine anti-retroviral therapy (ART). The Burmese government spends only 0.3% of the gross domestic product on health, the lowest amount worldwide, according to the United Nations Development Program 2008 survey (UNDP). (Photo by Paula Bronstein/Getty Images) (credit:Getty Images)
Struggle to Combat HIV in Burma As Funds Are Cut(46 of70)
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YANGON, MYANMAR - APRIL 3: Patients wait to be seen by medical staff at the Medecins Sans Frontieres (MSF) HIV-AIDS clinic April 3, 2012 in Yangon, Myanmar. Thim Thim recently became a nun as she finds her faith helping her with her illness. According to a recent report by Medecins Sans Frontieres (MSF) who is the largest provider of HIV treatment in the country, urgent action is needed to save lives of HIV-AIDS patients in Myanmar. According to the report 85,000 people in urgent need of lifesaving anti-retroviral therapy (ART) are not able to access it . The cancellation of an entire round of funding from the Global Fund to Fight AIDS, TB and Malaria means that money used for expansion of treatment will be cut through 2014. According to the recent MSF report, between 15,000 and 20,000 people living with HIV die every year in Burma because of lack of the lifesaving medicine anti-retroviral therapy (ART). The Burmese government spends only 0.3% of the gross domestic product on health, the lowest amount worldwide, according to the United Nations Development Program 2008 survey (UNDP). (Photo by Paula Bronstein/Getty Images) (credit:Getty Images)
People displaced by the March 4 huge bla(47 of70)
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People displaced by the March 4 huge blasts at an arms depot that killed more than 180 people and left 1,340 injured stand near an employee of Medecins Sans Frontieres (Doctors Without Borders) at the Notre Dame welcome center for displaced people in the Bakongo district of Brazzaville on March 6, 2012. President Denis Sassou Nguesso announced a curfew in the capital and cordoned off the area around the devastated eastern district of Mpila, as Congo issued a plea for international help on March 5. AFP PHOTO / JUNIOR D. KANNAH (Photo credit should read Junior D. Kannah/AFP/Getty Images) (credit:Getty Images)
French Doctor and co-founder of Medecins(48 of70)
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French Doctor and co-founder of Medecins Sans Frontieres (MSF, Doctors Without Borders) Jacques Beres takes part in the TV broadcast show \'Le Grand Journal\' on Canal Plus channel set on February 28, 2012 in Paris. AFP PHOTO / BERTRAND LANGLOIS (Photo credit should read BERTRAND LANGLOIS/AFP/Getty Images) (credit:Getty Images)
Jacques Beres (C), French Doctor and co-(49 of70)
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Jacques Beres (C), French Doctor and co-founder of Medecins Sans Frontieres (MSF, Doctors Without Borders), flanked by Hassen Farsadou (L), head of the Union of Muslim Associations of Seine-Saint-Denis (U.A.M.S.S.D. Union des associations musulmanes de Seine-Saint-Denis) and Ismael Hachem (R), head of the France-Syria democracy association (France-Syrie Democratie), holds a press conference following his return from Homs on February 27, 2012 in Paris. Both associations mandated Jacques Beres to spent one month in the besieged city of Homs. More than 7,600 people have been killed in violence across Syria since anti-regime protests erupted in March 2011, according to the Observatory. AFP PHOTO / MEHDI FEDOUACH (Photo credit should read MEHDI FEDOUACH/AFP/Getty Images) (credit:Getty Images)
Jacques Beres, French Doctor and co-foun(50 of70)
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Jacques Beres, French Doctor and co-founder of Medecins Sans Frontieres (MSF, Doctors Without Borders), poses after a press conference following his return from the besieged city of Homs on February 27, 2012 in Paris. More than 7,600 people have been killed in violence across Syria since anti-regime protests erupted in March 2011, according to the Observatory. AFP PHOTO / MEHDI FEDOUACH (Photo credit should read MEHDI FEDOUACH/AFP/Getty Images) (credit:Getty Images)
Iraqi War Victims Receive Specialized Treatment At MSF Faciity In Jordan(51 of70)
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AMMAN, JORDAN - NOVEMBER 28: Khitam Hamad, 12, whose face and body was burned after a car bomb exploded in the Iraqi city of Fallujah, poses in a hallway at a program operated by Doctors Without Borders/Medecins Sans Frontieres (MSF) on November 28, 2011 in Amman, Jordan. MSF has been running a reconstructive-surgery program for war-wounded Iraqis since August 2006. The program, which helps Iraqis irrespective of age or ethnic/religious background, is currently treating roughly 120 cases. MSF was forced to pull out of Iraq in 2004 due to the escalating violence in the country. Following the years of violence in the country, the state of medical care in Iraq is poor. There is a chronic shortage of doctors and nurses and much of the country\'s hospitals are using outdated and damaged equipment. (Photo by Mario Tama/Getty Images) (credit:Getty Images)
Medina hospital staff and a colleague ro(52 of70)
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Medina hospital staff and a colleague roll a wounded Doctors Without Borders (MSF) foreign aid worker on a stretcher to hospital after a Somali gunman opened fire on an MSF compund on December 29, 2011 in Mogadishu. A gunman killed a Western aid worker and seriously wounded his Indonesian colleague when he opened fire at a Doctors Without Borders compound in Mogadishu, police and medics said. AFP PHOTO/Mohamed ABDIWAHAB (Photo credit should read Mohamed Abdiwahab/AFP/Getty Images) (credit:Getty Images)
Iraqi War Victims Receive Specialized Treatment At MSF Faciity In Jordan(53 of70)
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AMMAN, JORDAN - NOVEMBER 28: Khitam Hamad, 12, whose face and body was burned after a car bomb exploded in the Iraqi city of Fallujah, poses in a hallway at a program operated by Doctors Without Borders/Medecins Sans Frontieres (MSF) on November 28, 2011 in Amman, Jordan. MSF has been running a reconstructive-surgery program for war-wounded Iraqis since August 2006. The program, which helps Iraqis irrespective of age or ethnic/religious background, is currently treating roughly 120 cases. MSF was forced to pull out of Iraq in 2004 due to the escalating violence in the country. Following the years of violence in the country, the state of medical care in Iraq is poor. There is a chronic shortage of doctors and nurses and much of the country\'s hospitals are using outdated and damaged equipment. (Photo by Mario Tama/Getty Images) (credit:Getty Images)
A clinic run by Medecins-Sans-Frontieres(54 of70)
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A clinic run by Medecins-Sans-Frontieres (MSF, Doctors Without Borders) is abandoned on October 16, 2011 at Kenya\'s Dadaab refugee camp, where two Spanish aid workers were seized by gunmen on October 13 and are now believed to be in Somalia. Kenyan troops and tanks crossed the border into war-torn Somalia on October 16 to attack Islamist Shebab rebels accused of kidnapping foreigners, who in turn warned Kenya its soldiers faced the \'pain of bullets.\' AFP PHOTO / TONY KARUMBA (Photo credit should read TONY KARUMBA/AFP/Getty Images) (credit:Getty Images)
Construction materials are stored at an(55 of70)
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Construction materials are stored at an abandoned clinic run by Medecins-Sans-Frontieres (MSF, Doctors Without Borders) on October 16, 2011 at Kenya\'s Dadaab refugee camp, where two Spanish aid workers were seized by gunmen on October 13 and are now believed to be in Somalia. Kenyan troops and tanks crossed the border into war-torn Somalia on October 16 to attack Islamist Shebab rebels accused of kidnapping foreigners, who in turn warned Kenya its soldiers faced the \'pain of bullets.\' AFP PHOTO / TONY KARUMBA (Photo credit should read TONY KARUMBA/AFP/Getty Images) (credit:Getty Images)
A worn flag belonging to Medecins Sans F(56 of70)
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A worn flag belonging to Medecins Sans Frontieres (MSF, Doctors Without Borders) flutters over refugee shelters on October 16, 2011 from an abandoned clinic run by the same non-governmental organization at the IFO-2 complex of the sprawling Dadaab refugee complex in Kenya, where two Spanish aid workers were seized by gunmen on October 13 and are now believed to be in Somalia. Kenyan troops and tanks crossed the border into war-torn Somalia on October 16 to attack Islamist Shebab rebels accused of kidnapping foreigners, who in turn warned Kenya its soldiers faced the \'pain of bullets.\' AFP PHOTO / TONY KARUMBA (Photo credit should read TONY KARUMBA/AFP/Getty Images) (credit:Getty Images)
A worn flag belonging to Medecins Sans F(57 of70)
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A worn flag belonging to Medecins Sans Frontieres (MSF, Doctors Without Borders) flutters over refugee shelters on October 16, 2011 from an abandoned clinic run by the same non-governmental organization at the IFO-2 complex of the sprawling Dadaab refugee complex in Kenya, where two Spanish aid workers were seized by gunmen on October 13 and are now believed to be in Somalia. Kenyan troops and tanks crossed the border into war-torn Somalia on October 16 to attack Islamist Shebab rebels accused of kidnapping foreigners, who in turn warned Kenya its soldiers faced the \'pain of bullets.\' AFP PHOTO / TONY KARUMBA (Photo credit should read TONY KARUMBA/AFP/Getty Images) (credit:Getty Images)
A Field Hospital Is Used As Exhibition In NYC's Union Square To Spotlight Childhood Malnutrition(58 of70)
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NEW YORK, NY - SEPTEMBER 13: Visitors to \'Starved for Attention,\' a free interactive exhibit by Doctors Without Borders/Medecins Sans Frontieres (MSF) in Union Square, speak with an MSF nurse about childhood malnutrition on September 13, 2011 in New York City. The exhibit, which looks to simulate a Doctors Without Borders field clinic, serves to raise awareness about childhood malnutrition that continues to affect 195 million children worldwide and contributes to at least one-third of the eight million deaths of children under five every year. After Union Square the exhibit will be in Prospect Park, Brooklyn from September 21-23. (Photo by Spencer Platt/Getty Images) (credit:Getty Images)
A Field Hospital Is Used As Exhibition In NYC's Union Square To Spotlight Childhood Malnutrition(59 of70)
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NEW YORK, NY - SEPTEMBER 13: Visitors to \'Starved for Attention,\' a free interactive exhibit by Doctors Without Borders/Medecins Sans Frontieres (MSF) in Union Square, speak with John Fiddler of MSF about childhood malnutrition on September 13, 2011 in New York City. The exhibit, which looks to simulate a Doctors Without Borders field clinic, serves to raise awareness about childhood malnutrition that continues to affect 195 million children worldwide and contributes to at least one-third of the eight million deaths of children under five every year. After Union Square the exhibit will be in Prospect Park, Brooklyn from September 21-23. (Photo by Spencer Platt/Getty Images) (credit:Getty Images)
A Field Hospital Is Used As Exhibition In NYC's Union Square To Spotlight Childhood Malnutrition(60 of70)
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NEW YORK, NY - SEPTEMBER 13: Visitors to \'Starved for Attention,\' a free interactive exhibit by Doctors Without Borders/Medecins Sans Frontieres (MSF) in Union Square, speak with John Fiddler (C) of MSF about childhood malnutrition on September 13, 2011 in New York City. The exhibit, which looks to simulate a Doctors Without Borders field clinic, serves to raise awareness about childhood malnutrition that continues to affect 195 million children worldwide and contributes to at least one-third of the eight million deaths of children under five every year. After Union Square the exhibit will be in Prospect Park, Brooklyn from September 21-23. (Photo by Spencer Platt/Getty Images) (credit:Getty Images)
A Field Hospital Is Used As Exhibition In NYC's Union Square To Spotlight Childhood Malnutrition(61 of70)
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NEW YORK, NY - SEPTEMBER 13: Visitors to \'Starved for Attention,\' a free interactive exhibit by Doctors Without Borders/Medecins Sans Frontieres (MSF) in Union Square, speak with an MSF nurse about childhood malnutrition on September 13, 2011 in New York City. The exhibit, which looks to simulate a Doctors Without Borders field clinic, serves to raise awareness about childhood malnutrition that continues to affect 195 million children worldwide and contributes to at least one-third of the eight million deaths of children under five every year. After Union Square the exhibit will be in Prospect Park, Brooklyn from September 21-23. (Photo by Spencer Platt/Getty Images) (credit:Getty Images)
A Field Hospital Is Used As Exhibition In NYC's Union Square To Spotlight Childhood Malnutrition(62 of70)
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NEW YORK, NY - SEPTEMBER 13: A visitor to \'Starved for Attention,\' a free interactive exhibit by Doctors Without Borders/Medecins Sans Frontieres (MSF) in Union Square, looks at photographs that focus on the topic of childhood malnutrition on September 13, 2011 in New York City. The exhibit, which looks to simulate a Doctors Without Borders field clinic, serves to raise awareness about childhood malnutrition that continues to affect 195 million children worldwide and contributes to at least one-third of the eight million deaths of children under five every year. After Union Square the exhibit will be in Prospect Park, Brooklyn from September 21-23. (Photo by Spencer Platt/Getty Images) (credit:Getty Images)
A Field Hospital Is Used As Exhibition In NYC's Union Square To Spotlight Childhood Malnutrition(63 of70)
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NEW YORK, NY - SEPTEMBER 13: A visitor to \'Starved for Attention,\' a free interactive exhibit by Doctors Without Borders/Medecins Sans Frontieres (MSF) in Union Square, looks at photographs that focus on the topic of childhood malnutrition on September 13, 2011 in New York City. The exhibit, which looks to simulate a Doctors Without Borders field clinic, serves to raise awareness about childhood malnutrition that continues to affect 195 million children worldwide and contributes to at least one-third of the eight million deaths of children under five every year. After Union Square the exhibit will be in Prospect Park, Brooklyn from September 21-23. (Photo by Spencer Platt/Getty Images) (credit:Getty Images)
A Field Hospital Is Used As Exhibition In NYC's Union Square To Spotlight Childhood Malnutrition(64 of70)
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NEW YORK, NY - SEPTEMBER 13: Visitors to \'Starved for Attention,\' a free interactive exhibit by Doctors Without Borders/Medecins Sans Frontieres (MSF) in Union Square, speak with John Fiddler of MSF about childhood malnutrition on September 13, 2011 in New York City. The exhibit, which looks to simulate a Doctors Without Borders field clinic, serves to raise awareness about childhood malnutrition that continues to affect 195 million children worldwide and contributes to at least one-third of the eight million deaths of children under five every year. After Union Square the exhibit will be in Prospect Park, Brooklyn from September 21-23. (Photo by Spencer Platt/Getty Images) (credit:Getty Images)
A Field Hospital Is Used As Exhibition In NYC's Union Square To Spotlight Childhood Malnutrition(65 of70)
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NEW YORK, NY - SEPTEMBER 13: Visitors to \'Starved for Attention,\' a free interactive exhibit by Doctors Without Borders/Medecins Sans Frontieres (MSF) in Union Square, speak with Carissa Guild (R), an MSF nurse, about childhood malnutrition on September 13, 2011 in New York City. The exhibit, which looks to simulate a Doctors Without Borders field clinic, serves to raise awareness about childhood malnutrition that continues to affect 195 million children worldwide and contributes to at least one-third of the eight million deaths of children under five every year. After Union Square the exhibit will be in Prospect Park, Brooklyn from September 21-23. (Photo by Spencer Platt/Getty Images) (credit:Getty Images)
A Field Hospital Is Used As Exhibition In NYC's Union Square To Spotlight Childhood Malnutrition(66 of70)
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NEW YORK, NY - SEPTEMBER 13: A visitor to \'Starved for Attention,\' a free interactive exhibit by Doctors Without Borders/Medecins Sans Frontieres (MSF) in Union Square, speak with an MSF nurse about childhood malnutrition on September 13, 2011 in New York City. The exhibit, which looks to simulate a Doctors Without Borders field clinic, serves to raise awareness about childhood malnutrition that continues to affect 195 million children worldwide and contributes to at least one-third of the eight million deaths of children under five every year. After Union Square the exhibit will be in Prospect Park, Brooklyn from September 21-23. (Photo by Spencer Platt/Getty Images) (credit:Getty Images)
A Field Hospital Is Used As Exhibition In NYC's Union Square To Spotlight Childhood Malnutrition(67 of70)
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NEW YORK, NY - SEPTEMBER 13: Visitors to \'Starved for Attention,\' a free interactive exhibit by Doctors Without Borders/Medecins Sans Frontieres (MSF) in Union Square, speak with John Fiddler (2L) of MSF about childhood malnutrition on September 13, 2011 in New York City. The exhibit, which looks to simulate a Doctors Without Borders field clinic, serves to raise awareness about childhood malnutrition that continues to affect 195 million children worldwide and contributes to at least one-third of the eight million deaths of children under five every year. After Union Square the exhibit will be in Prospect Park, Brooklyn from September 21-23. (Photo by Spencer Platt/Getty Images) (credit:Getty Images)
Iraqi Victims Of Violence Receive Emergency Care Outside Of Iraq(68 of70)
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AMMAN, JORDAN - JULY 28: Makki Ali, 58, participates in physical therapy at a program for victims of Iraq violence where Doctors Without Borders/Medecins Sans Frontieres (MSF) operates a reconstructive-surgery clinic on July 28, 2011 in Amman, Jordan. Ali was injured in Baghdad in a truck bombing near an American base. MSF has been running a reconstructive-surgery program for war-wounded Iraqis since August 2006. The program, which helps Iraqis irrespective of age or ethnic/religious background, has thus far attended to roughly 1,500 cases. MSF was forced to pull out of Iraq in 2004 due to the escalating violence in the country. Following the years of violence in the country, the state of medical care in Iraq is poor. There is a chronic shortage of doctors and nurses and much of the country\'s hospitals are using outdated and damaged equipment. (Photo by Spencer Platt/Getty Images) (credit:Getty Images)
Iraqi Victims Of Violence Receive Emergency Care Outside Of Iraq(69 of70)
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AMMAN, JORDAN - JULY 28: Makki Ali, 58, participates in physical therapy at a program for victims of Iraq violence where Doctors Without Borders/Medecins Sans Frontieres (MSF) operates a reconstructive-surgery clinic on July 28, 2011 in Amman, Jordan. Ali was injured in Baghdad in a truck bombing near an American base. MSF has been running a reconstructive-surgery program for war-wounded Iraqis since August 2006. The program, which helps Iraqis irrespective of age or ethnic/religious background, has thus far attended to roughly 1,500 cases. MSF was forced to pull out of Iraq in 2004 due to the escalating violence in the country. Following the years of violence in the country, the state of medical care in Iraq is poor. There is a chronic shortage of doctors and nurses and much of the country\'s hospitals are using outdated and damaged equipment. (Photo by Spencer Platt/Getty Images) (credit:Getty Images)
Iraqi Victims Of Violence Receive Emergency Care Outside Of Iraq(70 of70)
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AMMAN, JORDAN - JULY 28: Nesma Abdel, 39, participates in physical therapy at a program for victims of Iraq violence where Doctors Without Borders/Medecins Sans Frontieres (MSF) operates a reconstructive-surgery clinic on July 28, 2011 in Amman, Jordan. Abdel was injured in Baghdad in a 2010 car bombing. MSF has been running a reconstructive-surgery program for war-wounded Iraqis since August 2006. The program, which helps Iraqis irrespective of age or ethnic/religious background, has thus far attended to roughly 1,500 cases. MSF was forced to pull out of Iraq in 2004 due to the escalating violence in the country. Following the years of violence in the country, the state of medical care in Iraq is poor. There is a chronic shortage of doctors and nurses and much of the country\'s hospitals are using outdated and damaged equipment. (Photo by Spencer Platt/Getty Images) (credit:Getty Images)