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The permanent camp of Kyangwali is 150 km from Bubukwanga but this journey, which can last up to 6 hours, represents, in itself, a risk for the refugee populations. Unfortunately, yesterday, one of the buses transferring refugees overturned, causing the death of a baby and injuring 24 other people. The injured were transferred by MSF ambulance to the nearest hospital where our teams, joined by other medical teams, provided them with emergency care. Adequate availability of thyroid hormones during pregnancy is necessary for optimal fetal brain development. During the disopranil 18 to 20 weeks of gestation, the activity of these hormones at the fetal level depends largely on the placental transfer of maternal thyroxine. Although several studies have shown that thyroid dysfunction is associated with suboptimal outcomes in childhood neurodevelopment, the most vulnerable time window has not yet been identified.

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