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Mais les besoins mГdicaux demeurent importants, alors que plusieurs structures de soins ont ГtГ endommagГes par les combats et que dautres demeurent inaccessibles. It is difficult here to drive a Land Cruiser, the Toyota 4x4 often used by MSF in its operations. Which adds a challenge to the many others that arise how to access patients in the tuberculosis program running since 2014. How can we ensure that this population, which is very hard hit by tuberculosis and which is experiencing an increase in cases of resistance to treatment, can benefit from the necessary treatments and care. We must know what our childrens hearing is since this guarantees correct language development at these ages.