1 00:00:02,562 --> 00:00:08,017 ♪ (very rhythmical music) ♪ 2 00:00:18,466 --> 00:00:24,529 ♪ (New Age music) ♪ 3 00:00:25,426 --> 00:00:27,502 (MSF President): Six months into 4 00:00:27,502 --> 00:00:28,965 the worst Ebola epidemic in history, 5 00:00:28,965 --> 00:00:31,579 the world is losing the battle to contain it. 6 00:00:31,579 --> 00:00:36,673 Leaders are failing to come to grips with this transnational threat. 7 00:00:36,673 --> 00:00:40,715 At the beginning of September, addressing the member-states of the United Nations, 8 00:00:40,715 --> 00:00:45,781 the International President of the MSF reported on the failure 9 00:00:45,781 --> 00:00:47,704 of the present strategy for combatting Ebola. 10 00:00:47,704 --> 00:00:53,251 No group, including the MSF, can handle the explosion in the number of cases, 11 00:00:53,251 --> 00:00:56,042 the infection of dozens of medical workers, 12 00:00:56,042 --> 00:00:59,166 the collapse of the health systems in the affected countries. 13 00:00:59,166 --> 00:01:03,323 (MSF President): Many of the UN member states here today 14 00:01:03,323 --> 00:01:06,257 have invested heavily in capabilities for responding to biological theats. 15 00:01:06,257 --> 00:01:12,568 You have a political and humanitarian responsibility to use these capabilities 16 00:01:12,568 --> 00:01:15,566 in the countries affected by Ebola. 17 00:01:15,566 --> 00:01:17,857 (Presenter): On the ground, the MSF teams are overwhelmed. 18 00:01:17,857 --> 00:01:22,357 Since the epidemic started, they've handled more than 1000 confirmed Ebola cases 19 00:01:22,357 --> 00:01:24,339 across five treatment centers. 20 00:01:24,339 --> 00:01:28,334 Every new structure that is put up, such as this one in the Liberian, Monrovia, 21 00:01:28,334 --> 00:01:31,704 has its beds filled up right away. 22 00:01:31,704 --> 00:01:34,477 (Lindis Hurum): In all of the zones, all of the districts of the city, 23 00:01:34,477 --> 00:01:37,880 people are falling ill and dying every day. 24 00:01:37,880 --> 00:01:40,482 They are asking for help; they don't know what do do, 25 00:01:40,482 --> 00:01:43,524 because when they call on the health services, nobody comes for them. 26 00:01:43,524 --> 00:01:46,849 The system is entirely overwhelmed and the number of the sick is too great. 27 00:01:46,849 --> 00:01:48,919 The response is totally inadequate. 28 00:01:52,499 --> 00:01:55,100 (Presenter) Doctors Without Borders state that the restrictive measures 29 00:01:55,950 --> 00:01:58,454 that have been put in place, such as enforced quarantines, 30 00:01:58,454 --> 00:02:01,348 do nothing but add to the panic and the risk of losing control. 31 00:02:01,348 --> 00:02:04,938 The suspension of international flights is also entirely counterproductive. 32 00:02:04,938 --> 00:02:09,609 It complicates travel for volunteers and weakens countries in crisis. 33 00:02:09,609 --> 00:02:15,124 To halt the epidemic, we must not punish or isolate the affected countries, 34 00:02:15,124 --> 00:02:17,615 but rather increase the number of treatment centers 35 00:02:17,615 --> 00:02:21,549 to deploy more qualified personnel and mobile laboratories, 36 00:02:21,549 --> 00:02:25,148 to finally regain control of this unprecedented epidemic. 37 00:02:37,701 --> 00:02:39,518 We are obviously very happy 38 00:02:39,518 --> 00:02:41,023 about Chantal's release. 39 00:02:41,144 --> 00:02:43,333 It has been over a year, 40 00:02:43,333 --> 00:02:45,846 since July 11, 2013, actually, 41 00:02:45,846 --> 00:02:47,421 since we've had news. 42 00:02:47,421 --> 00:02:49,367 It's obviously an enormous relief 43 00:02:49,367 --> 00:02:52,799 for her MSF colleagues 44 00:02:52,799 --> 00:02:57,369 and for the crisis team that has been mobilized 45 00:02:57,369 --> 00:03:00,867 with great resources for over a year. 46 00:03:00,867 --> 00:03:03,927 Chantal is doing relatively well, 47 00:03:03,927 --> 00:03:09,776 as well as can be expected after 14 months in captivity. 48 00:03:09,776 --> 00:03:12,741 She's exhausted, she's lost weight; 49 00:03:12,933 --> 00:03:19,141 the final days of her captivity were very trying. 50 00:03:19,141 --> 00:03:23,200 She succeeded in escaping by taking advantage of military maneuvers. 51 00:03:23,200 --> 00:03:27,278 Three members of the team that were in Kamongo 52 00:03:27,278 --> 00:03:30,080 in July, 2013 remain missing. 53 00:03:30,080 --> 00:03:32,425 We keep our three colleagues in our thoughts, 54 00:03:32,425 --> 00:03:35,320 and we are keeping the crisis team in place 55 00:03:35,320 --> 00:03:37,581 actively searching and looking for contact, 56 00:03:37,581 --> 00:03:42,913 and we hope that very soon, our three colleagues 57 00:03:42,913 --> 00:03:45,603 will be able to follow Chantal's lead 58 00:03:45,603 --> 00:03:48,014 and regain their freedom. 59 00:04:00,205 --> 00:04:01,548 Impossible to flee 60 00:04:01,548 --> 00:04:02,942 while the bombing was underway; 61 00:04:03,330 --> 00:04:05,169 Impossible to return home, 62 00:04:05,169 --> 00:04:07,312 now that the report of the guns has ceased. 63 00:04:07,312 --> 00:04:09,294 For many residents of the Gaza Strip, 64 00:04:09,294 --> 00:04:11,358 the return of calm is a relative proposition. 65 00:04:11,358 --> 00:04:13,240 Still crammed together inside schools, 66 00:04:13,240 --> 00:04:15,189 or with multiple families sharing an apartment, 67 00:04:15,189 --> 00:04:18,472 they must sometimes live without running water or electricity. 68 00:04:18,472 --> 00:04:21,544 After this war, I believe there is no more hope. 69 00:04:21,544 --> 00:04:27,198 What hope can people have after all this destruction? 70 00:04:27,198 --> 00:04:30,160 All the buildings have been destroyed. 71 00:04:30,160 --> 00:04:33,445 They say Gaza will need 20 years 72 00:04:33,445 --> 00:04:34,655 to rebuild, 73 00:04:34,655 --> 00:04:37,193 to re-establish all of its infrastructure. 74 00:04:37,193 --> 00:04:39,199 Everything here has been destroyed. 75 00:04:39,199 --> 00:04:43,649 The Israeli offensive "Operation Protective Edge" 76 00:04:43,649 --> 00:04:45,224 has caused over 2000 deaths, 77 00:04:45,224 --> 00:04:47,465 but also thousands of wounded. 78 00:04:47,465 --> 00:04:50,680 The return of calm is hardly noticed inside the hospitals. 79 00:04:50,680 --> 00:04:53,963 The most badly injured will need dozens of operations, 80 00:04:53,963 --> 00:04:57,111 and the others need to have their bandages changed 81 00:04:57,111 --> 00:04:59,103 and to receive their physical therapy. 82 00:04:59,103 --> 00:05:00,674 The psychological scars, 83 00:05:00,674 --> 00:05:02,324 particularly for the children, 84 00:05:02,324 --> 00:05:04,833 will also need to be attended to. 85 00:05:18,134 --> 00:05:20,909 Here is the Lietchuor camp at the end of August 86 00:05:21,223 --> 00:05:24,308 A sea from which boxes of refugees peek out. 87 00:05:24,308 --> 00:05:27,544 The ground is flat, and water stagnates on the clay soil. 88 00:05:27,544 --> 00:05:29,866 These conditions combine such that this camp, 89 00:05:29,866 --> 00:05:31,563 which shelters 36,000 refugees, 90 00:05:31,563 --> 00:05:34,377 becomes unliveable during the rainy season. 91 00:05:34,377 --> 00:05:36,181 The only remaining dry spot, 92 00:05:36,181 --> 00:05:38,960 a road that crosses the camp. 93 00:05:39,174 --> 00:05:43,255 Those who can survive in the camp have found spots 94 00:05:43,255 --> 00:05:44,327 along the road, 95 00:05:44,327 --> 00:05:46,063 and have planted themselves there. 96 00:05:46,063 --> 00:05:47,907 Others who are not able to stay, 97 00:05:47,907 --> 00:05:50,630 find shelter among the area communities. 98 00:05:50,630 --> 00:05:53,740 Faced with these conditions, 99 00:05:53,740 --> 00:05:55,668 the Ethiopian agency in charge of refugees, 100 00:05:55,668 --> 00:05:58,673 and the UN, have decided to close the camp. 101 00:05:58,673 --> 00:06:02,420 But for the time being, there is no satisfactory resettlement plan. 102 00:06:02,420 --> 00:06:08,358 If the government is able to identify another location, 103 00:06:08,358 --> 00:06:10,630 close to Lietchuor Camp or elsewhere, 104 00:06:10,630 --> 00:06:12,610 at least for the rainy season, 105 00:06:12,610 --> 00:06:14,781 where all the refugees could be moved, 106 00:06:14,781 --> 00:06:16,457 that would be a great relief. 107 00:06:16,457 --> 00:06:18,092 Not only for these populations, 108 00:06:18,092 --> 00:06:20,360 but also for the government and the NGOs 109 00:06:20,360 --> 00:06:22,627 who are providing water, medical care, 110 00:06:22,627 --> 00:06:24,168 and other services to the refugees. 111 00:06:24,168 --> 00:06:33,472 While they wait, the MSF teams 112 00:06:33,472 --> 00:06:34,899 carry on their work. 113 00:06:34,899 --> 00:06:37,216 At Lietchuor, they have taken to 114 00:06:37,216 --> 00:06:40,319 keeping patients dry by elevating the tents for the hospital 115 00:06:40,319 --> 00:06:41,743 and the health center. 116 00:06:41,743 --> 00:06:44,123 But the rains, and the poor hygiene conditions, 117 00:06:44,123 --> 00:06:46,932 pose a grave threat to health and to the population. 118 00:06:46,932 --> 00:06:49,718 Respiratory infections and malaria 119 00:06:49,718 --> 00:06:52,269 are the primary complaints of patients. 120 00:06:52,269 --> 00:06:54,868 And a Hepatitis E epidemic has been declared. 121 00:07:07,351 --> 00:07:10,634 The doctors who work in the refugee camps understand 122 00:07:10,710 --> 00:07:13,220 that epidemics take hold rapidly 123 00:07:13,220 --> 00:07:14,638 in these sorts of conditions. 124 00:07:14,638 --> 00:07:17,265 To avoid this, it's necessary to enact a of practice 125 00:07:17,265 --> 00:07:19,164 that still remains uncommon: 126 00:07:19,164 --> 00:07:21,327 to organize vaccination campaigns 127 00:07:21,327 --> 00:07:22,919 on an emergency basis. 128 00:07:23,086 --> 00:07:25,001 Refugees all across the world 129 00:07:25,001 --> 00:07:28,990 require access to new vaccines 130 00:07:28,990 --> 00:07:30,806 because they are all vulnerable. 131 00:07:30,806 --> 00:07:33,263 We notice that for the most part, 132 00:07:33,263 --> 00:07:35,280 they are not up to date on their vaccinations, 133 00:07:35,280 --> 00:07:37,489 because of their displacement. 134 00:07:37,489 --> 00:07:40,974 So they really need to have access to all the necessary vaccines. 135 00:07:44,874 --> 00:07:46,549 The children, particularly fragile, 136 00:07:46,655 --> 00:07:48,880 can die from a simple respiratory infection. 137 00:07:48,880 --> 00:07:51,741 Yet there exists a vaccine, PCV vaccine, 138 00:07:51,741 --> 00:07:54,868 that can protect them against one of the principal bacteria 139 00:07:54,868 --> 00:07:57,317 responsible for pneumonia. 140 00:07:57,317 --> 00:07:58,879 Last July, in Uganda, 141 00:07:58,879 --> 00:08:00,470 10,000 infants under 2 years of age 142 00:08:00,470 --> 00:08:01,976 received the PCV vaccine. 143 00:08:01,976 --> 00:08:04,432 The beneficiaries: the refugees, 144 00:08:04,432 --> 00:08:06,231 but also the local communities 145 00:08:06,231 --> 00:08:09,197 affected by this massive influx of arrivals. 146 00:08:09,829 --> 00:08:11,439 South Sudan in 2013, 147 00:08:11,439 --> 00:08:12,941 Uganda today, 148 00:08:12,941 --> 00:08:14,201 and soon Ethiopia, 149 00:08:14,201 --> 00:08:17,351 MSF has decided to to universalize its vaccination campaigns 150 00:08:17,351 --> 00:08:19,611 among displaced peoples 151 00:08:19,611 --> 00:08:21,570 to protect the most vulnerable 152 00:08:21,570 --> 00:08:23,522 from preventable illnesses. 153 00:08:24,146 --> 00:08:25,238 But to achieve this will require 154 00:08:25,238 --> 00:08:26,995 that the barriers that exist today 155 00:08:26,995 --> 00:08:30,390 such as the high price of PCV vaccine, 156 00:08:30,390 --> 00:08:31,778 are eliminated. 157 00:08:43,919 --> 00:08:46,767 Turkey, Lebanon, Jordan, Iraq, 158 00:08:46,851 --> 00:08:49,101 the impact of war is felt 159 00:08:49,101 --> 00:08:51,240 far outside the territory of Syria. 160 00:08:51,240 --> 00:08:53,965 The refugees bring with them their wounds, 161 00:08:53,965 --> 00:08:55,574 physical or psychological. 162 00:08:55,574 --> 00:08:58,330 On the other side of the border posts, the MSF teams 163 00:08:58,330 --> 00:09:00,598 take care of these people. 164 00:09:00,598 --> 00:09:04,758 Ramda is a Jordanian city 5 km from the Syrian border. 165 00:09:04,758 --> 00:09:07,805 In the surgery provided by MSF, 166 00:09:07,805 --> 00:09:10,748 Roukiya, a young 14-year-old Syrian girl, 167 00:09:10,748 --> 00:09:13,647 a rocket fell very close to where she was. 168 00:09:13,647 --> 00:09:17,526 My mother and my neighbor were killed in the blast, 169 00:09:17,526 --> 00:09:18,978 and I myself was injured, 170 00:09:18,978 --> 00:09:23,488 and I was afraid I wouldn't have legs anymore. 171 00:09:23,488 --> 00:09:25,462 I lost consciousness, 172 00:09:25,462 --> 00:09:30,375 At Roukiya's bedside, Dr. Alouache 173 00:09:30,375 --> 00:09:32,737 an Iraqi who fled his country 174 00:09:32,737 --> 00:09:34,093 at the beginning of the 1990s 175 00:09:34,093 --> 00:09:35,783 during the Gulf War. 176 00:09:35,783 --> 00:09:40,187 When I was a refugee, I recall, 177 00:09:40,187 --> 00:09:42,961 I was not able to offer medical assistance 178 00:09:42,961 --> 00:09:45,639 to my own people. 179 00:09:45,639 --> 00:09:49,108 MSF came to see me, and asked me 180 00:09:49,108 --> 00:09:50,758 to open a clinic. 181 00:09:50,758 --> 00:09:52,544 I was overwhelmed with joy. 182 00:09:52,544 --> 00:09:54,324 I thought it was finally a chance for me 183 00:09:54,324 --> 00:09:57,360 to give back some small portion of what I received. 184 00:09:57,360 --> 00:09:59,591 In order to give 3 million refugees 185 00:09:59,591 --> 00:10:01,120 a face and a voice, 186 00:10:01,120 --> 00:10:02,822 MSF has launched a project: 187 00:10:02,822 --> 00:10:04,353 "Beyond The War" 188 00:10:04,353 --> 00:10:06,435 a day with Doctors Without Borders 189 00:10:06,435 --> 00:10:08,640 in Iraq, Lebanon, and Jordan, 190 00:10:08,640 --> 00:10:10,063 to tell the story of their work 191 00:10:10,063 --> 00:10:12,758 and let us meet their patients. 192 00:10:12,758 --> 00:10:23,552 ♪ ♪