中央アフリカの人びとを救えない国際援助

中央アフリカ共和国(以下、中央アフリカ)がこの数ヵ月、武装勢力の対立による暴力の激化に苦しんでいる。しかし被害者に向けられた国連の人道援助はあまりにも少なく、あまりにも遅いと言わざるを得ない。
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中央アフリカ共和国(以下、中央アフリカ)がこの数ヵ月、武装勢力の対立による暴力の激化に苦しんでいる。しかし被害者に向けられた国連の人道援助はあまりにも少なく、あまりにも遅いと言わざるを得ない。

11月中旬、私は首都バンギから北に300キロ離れたボサンゴアで活動中の国境なき医師団(MSF)の拠点を訪ねた。そこでは戦闘に巻き込まれ、死の恐怖におびえる3万人もの人びとがカトリック教会に避難していた。前触れもなく讃美歌が始まり、皆が加わると、4時間にわたって歌い続け、暴力からの加護を神に祈る。私が目にし、大いに心を揺さぶられたその光景は、人びとの無力さの象徴に見えた。ただその時点では、この国の状況はこれ以上悪くならないだろうと思っていた。

しかし12月5日より起きている一連の武力衝突で、私の見通しの甘さが証明されてしまった。言葉では表せないほど残虐な暴力行為と混乱が国中を席巻し、一般市民を恐怖に陥れている。ほぼすべての国民が被害を受け、宗教対立による憎悪、恐怖、復讐の空気がかつてないほど漂っている。全人口の1割以上が避難を強いられ、病気がひろがり、公共サービスも崩壊したことで、何百万人もの国民の生活が立ち行かなくなった。

MSFは、ルワンダ虐殺のような極端な例を除けば、軍事介入を支持しない。この立場の原点は、人道主義的理念だけでなく、一般的に暴力は暴力を生むという我々の経験則にある。そのため中央アフリカでも、軍事介入を求める声には加わらなかった。

ただMSFも、この国には自らを助ける力がほとんど残っていないことには気づいており、さらなる暴力で深刻な人道危機が生じることを危ぶんでいた。そしてフランス軍がバンギに到着し、国内各地に展開を始めたとき、我々の海外派遣・現地スタッフも、(疑念と危惧が入り混じってはいるものの)一定の希望を見出していた。しかしながら、どんなに優秀な軍隊であっても、暴力の活性ではなく鎮静を目指すには、明確な戦略が必要だし、また結局のところ、実力行使は、数十年にわたってこの国を覆ってきた政治・安全上の恒常的危機に対する万能薬にはならない。

軍事介入の結果として期待できることがあるとすれば、それは、見せかけの平常化と安全が国連とNGOにバンギ市外での介入と人道援助活動の拡大を促すことだろう。2013年7月にこの国の状況が暗転して以来、MSFは国際社会による人道援助の不足にいら立ちを募らせてきた。確かに、国連やNGOのスタッフが自らの身の安全に用心するのも無理はない。2013年3月のクーデターの際、MSFも含め、多くの人が騒乱や略奪の被害に遭ったからだ。

しかしその一方で、この危機的事態と人びとのニーズには、もっと早く有効な手を打つ必要があった。しかし、人道援助は、届けるべき人びとに届かず、その状況は今も続いている。MSFやいくつかの例外はあるものの、国際人道援助の大部分はあまりにも不足し、対応は遅れている。

あまりにも長い間、世界は中央アフリカの苦難に関心を寄せず、国民は容赦のない運命に身を委ねるほかなかった。今後何週間かのうちに人道援助が拡大されたとしても、過去数ヵ月の対応の遅れをなかったことにはできない。私が特に失望させられたのは国連だ。緊急支援を担当するバレリー・アモス人道問題担当事務次長は、現在の危機の初期にあたる7月、自ら中央アフリカを訪問し、その姿勢を示すと、10月には、異例の合同ミッション展開のため、緊急対応責任者8人を派遣した。彼らの現地入りは、積極的な介入を約束するものと理解されたが、その後の国連およびNGOの対応は、期待されていた水準に遠く及ばず、必要な人命救助が提供されない状況が続いている。

MSFは、人道団体のなせること、なそうとすべきことには限界があるという事実を全面的に受け入れている。先ごろも、長年にわたり、繰り返し暴力行為の標的となった末の決断として、ソマリアから撤退した。しかし、中央アフリカはソマリアとは異なる。この国の現状は確かに厳しいものだが、人道援助活動の実践は可能だったし、今でも可能だ。MSFは海外派遣スタッフの現地駐在を危機が最悪だった時も維持しただけでなく、暴力の被害を受けた特に無力な6地域でも活動を拡大させてきた。

国連主導の国際援助も徐々に始まっているが、これまでのところ、大幅な不足は否めない。国連主導の援助体制が、その意義と妥当性、そして今後の人道危機への対応力を維持していこうというのであれば、中央アフリカでの活動を速やかに改善するとともに、他の国や地域で同じ過ちを犯さぬような努力が求められる。

国境なき医師団(MSF)は、紛争や災害、貧困などによって命の危機に直面している人びとに医療を届ける国際的な民間の医療・人道援助団体。「独立・中立・公平」を原則とし、人種や政治、宗教にかかわらず援助を提供する。医師や看護師をはじめとする海外派遣スタッフと現地スタッフの合計約3万6000人が、世界の約70ヵ国・地域で活動している。1999年、ノーベル平和賞受賞。

http://www.msf.or.jp/

Twitter:@MSFJapan

Facebook: http://www.facebook.com/msf.japan

国境なき医師団(MSF)画像集
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MAJDAL ANJAR, LEBANON - NOVEMBER 11: A doctor speaks with a Syrian woman before examing her son at a health clinic for refugees operated by Doctors Without Borders/Medecins Sans Frontieres (MSF) in the Bekaa Valley, close to the border with Syria on November 11, 2013 in Majdal Anjar, Lebanon. As the war in neighboring Syria drags on for a third year, Lebanon, a country of only 4 million people, is now home to the largest number of Syrian refugees who have fled the conflict. The situation is beginning to put huge social and political strains on Lebanon as there is currently no end in sight to the war in Syria. (Photo by Spencer Platt/Getty Images) (credit:Getty Images)
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Yida Refugee Camp Struggles To Cope With Population Swelling(16 of70)
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YIDA REFUGEE CAMP, SOUTH SUDAN - JULY 5: A Sudanese mother holds her baby who is suffering from severe diarrhea at the MSF ( Medecins Sans Frontieres ) field hospital at Yida refugee camp along the border with North Sudan July 5, 2012 in Yida, South Sudan. The number of people arriving at the Yida refugee camp increases every day with the current population exceeding 64,000, as refugees continue to flee South Kordofan in North Sudan. Refugees arriving from the North can number between 500 to 1,000 a day and many have experienced long, arduous journeys without food to reach the camp. The rainy season has increased the numbers suffering from diarrhea, severe malnutrition and malaria. Even with refugees having food, there are sanitation issues causing increasing incidents of illness with the field hospitals saying that 95% of all patients are under the age of five. (Photo by Paula Bronstein/Getty Images) (credit:Getty Images)
Yida Refugee Camp Struggles To Cope With Population Swelling(19 of70)
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YIDA REFUGEE CAMP, SOUTH SUDAN - JULY 5: A baby with a fever waits for medical care at the CARE medical clinic at the Yida refugee camp along the border with North Sudan on July 5, 2012 in Yida, South Sudan. The number of people arriving at the Yida refugee camp increases every day with the current population exceeding 64,000, as refugees continue to flee South Kordofan in North Sudan. Refugees arriving from the North can number between 500 to 1,000 a day and many have experienced long, arduous journeys without food to reach the camp. The rainy season has increased the numbers suffering from diarrhea, severe malnutrition and malaria. Even with refugees having food, there are sanitation issues causing increasing incidents of illness with the field hospitals saying that 95% of all patients are under the age of five. (Photo by Paula Bronstein/Getty Images) (credit:Getty Images)
Yida Refugee Camp Struggles To Cope With Population Swelling(20 of70)
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YIDA REFUGEE CAMP, SOUTH SUDAN - JULY 5: A Sudanese mother holds her baby who is suffering from severe diarrhea at the MSF ( Medecins Sans Frontieres ) field hospital at Yida refugee camp along the border with North Sudan July 5, 2012 in Yida, South Sudan. The number of people arriving at the Yida refugee camp increases every day with the current population exceeding 64,000, as refugees continue to flee South Kordofan in North Sudan. Refugees arriving from the North can number between 500 to 1,000 a day and many have experienced long, arduous journeys without food to reach the camp. The rainy season has increased the numbers suffering from diarrhea, severe malnutrition and malaria. Even with refugees having food, there are sanitation issues causing increasing incidents of illness with the field hospitals saying that 95% of all patients are under the age of five. (Photo by Paula Bronstein/Getty Images) (credit:Getty Images)
Yida Refugee Camp Struggles To Cope With Population Swelling(21 of70)
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YIDA REFUGEE CAMP, SOUTH SUDAN - JULY 5: A Sudanese mother breast-feeds both of her small children who are hospitalized at the MSF ( Medecins Sans Frontieres ) field hospital at the Yida refugee camp along the border with North Sudan July 5, 2012 in Yida, South Sudan. The number of people arriving at the Yida refugee camp increases every day with the current population exceeding 64,000, as refugees continue to flee South Kordofan in North Sudan. Refugees arriving from the North can number between 500 to 1,000 a day and many have experienced long, arduous journeys without food to reach the camp. The rainy season has increased the numbers suffering from diarrhea, severe malnutrition and malaria. Even with refugees having food, there are sanitation issues causing increasing incidents of illness with the field hospitals saying that 95% of all patients are under the age of five. (Photo by Paula Bronstein/Getty Images) (credit:Getty Images)
Yida Refugee Camp Struggles To Cope With Population Swelling(22 of70)
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YIDA REFUGEE CAMP, SOUTH SUDAN - JULY 5: A baby gets her heart rate and temperature taken at the MSF ( Medecins Sans Frontieres ) field hospital at Yida refugee camp along the border with North Sudan July 5, 2012 in Yida, South Sudan. The number of people arriving at the Yida refugee camp increases every day with the current population exceeding 64,000, as refugees continue to flee South Kordofan in North Sudan. Refugees arriving from the North can number between 500 to 1,000 a day and many have experienced long, arduous journeys without food to reach the camp. The rainy season has increased the numbers suffering from diarrhea, severe malnutrition and malaria. Even with refugees having food, there are sanitation issues causing increasing incidents of illness with the field hospitals saying that 95% of all patients are under the age of five. (Photo by Paula Bronstein/Getty Images) (credit:Getty Images)
Yida Refugee Camp Struggles To Cope With Population Swelling(23 of70)
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YIDA REFUGEE CAMP, SOUTH SUDAN - JULY 4: New arrivals crowd together living in a makeshift shelter at the Yida refugee camp along the border with North Sudan July 4, 2012 in Yida, South Sudan. The number of people arriving at the Yida refugee camp increases every day with the current population exceeding 64,000, as refugees continue to flee South Kordofan in North Sudan. Refugees arriving from the North can number between 500 to 1,000 a day and many have experienced long, arduous journeys without food to reach the camp. The rainy season has increased the numbers suffering from diarrhea, severe malnutrition and malaria. Even with refugees having food, there are sanitation issues causing increasing incidents of illness with the field hospitals saying that 95% of all patients are under the age of five. (Photo by Paula Bronstein/Getty Images) (credit:Getty Images)
A Sudanese girl looks after her malnouri(24 of70)
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A Sudanese girl looks after her malnourished brother June 15, 2012 at an Medecins Sans Frontieres (Doctors Without Borders - MSF) clinic near the border with Sudan\'s wartorn Blue Nile state. Aid agencies in South Sudan are faced with the task of helping more than 150,000 people, essentially those who have fled south to escape hunger and bombing in Sudan\'s troubled border states. Sudan has been battling rebels who fought alongside South Sudan during decades of civil war that eventually led to the July 2011 secession of the south. Despite famine warnings, aid agencies have been blocked from accessing the two troubled areas. AFP PHOTO / HANNAH MC NEISH (Photo credit should read HANNAH MCNEISH/AFP/GettyImages) (credit:Getty Images)
A malnourished child is treated on June (25 of70)
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A malnourished child is treated on June 15, 2012 at an Medecins Sans Frontieres (Doctors Without Borders - MSF) clinic at the Jamam refugee camp, some 60 kms (40 miles) south of the border with Sudan. Aid agencies in South Sudan are faced with the task of helping more than 150,000 people, essentially those who have fled south to escape hunger and bombing in Sudan\'s troubled border states. Sudan has been battling rebels who fought alongside South Sudan during decades of civil war that eventually led to the July 2011 secession of the south. Despite famine warnings, aid agencies have been blocked from accessing the two troubled areas. AFP PHOTO / HANNAH MC NEISH (Photo credit should read HANNAH MCNEISH/AFP/GettyImages) (credit:Getty Images)
Malian refugees and their children queue(26 of70)
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Malian refugees and their children queue outside the Medecins sans Frontieres (MSF) medical center at the Mbere refugee camp, near Bassiknou, southern Mauritania, 60 km from the border with Mali on May 4, 2012. 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)
Women tend to Malian refugee child at th(27 of70)
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Women tend to 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 Malian refugee mother sits with her ma(28 of70)
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A Malian refugee mother sits with her malnourished 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 Malian refugee mother holds her malnou(29 of70)
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A Malian refugee mother holds her malnourished 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 doctor tends to a malnurished Malian r(30 of70)
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A doctor tends to a malnurished Malian refugee baby at the Medecins Sans Frontieres (MSF) medical center of the Mbere 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 woman tends to a malnurished Malian re(31 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 woman tends to a malnurished Malian re(32 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 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)
Open Image Modal
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)