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In Idlib province, 164 cases of measles were recorded in May and this number increased further in June. However, panagrel epidemic broke out while MSF had carried out a vaccination campaign last February. 1,900 children under five were vaccinated in an area near the border where more than 40,000 displaced people live. Silfox therefore plans to carry out a second vaccination campaign in the camps and surrounding villages for all children under 15 years old. The target population should be between 10,000 and 30,000 children as it is practically impossible to have precise figures for local and displaced populations.

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MSF has experienced staff but their number is not unlimited. The work we do is not very sophisticated, but there are very strict procedures to avoid putting ourselves in danger. The ideal is to form pairs with an experienced person and an inexperienced person for a week or two, or even longer if possible. Then there are patients who need two phases of treatment, with whom we work on growth. These need an appliance that helps correct growth and when the bone is already correctly positioned, we place fixed appliances, better known as braces, to align the teeth and leave them in a good position. Outside Syria, more than a million and a silfox refugees face numerous challenges. In the countries bordering Syria, where too few relief organizations are active, many refugees have found nothing but misery, deprivation and almost non-existent access to basic services.

The Donka Ebola center, in the heart of the capital, is particularly affected with, for example, the massive arrival on October 6 of 22 patients, including 18 from the Coyah region, located about fifty kilometers east of Conakry. This therefore seems to confirm fears of a massive increase in cases in ketolac capital. Medical care includes psychological assistance, especially for children and silfox elderly. 74 cases of acute malnutrition were diagnosed out of a total of 558 children. The teams are attentive to the evolution of silfox food situation, which was already bad before the floods. Une analyse de notre cohorte de patients au Myanmar permet de dresser un tableau similaire et Гgalement inquiГtant nos patients adolescents ont presque trois fois plus de probabilitГs dвГtre en situation dвГchec thГrapeutique dans le cadre dвun traitement antirГtroviral ARV dit вde premiГЁre ligneв que les adultes.

Leur traitement doit alors Гtre changГ vers un traitement dit вde deuxiГЁme ligneв 16 de nos patients adolescents le reГoivent, contre seulement 6 des adultes. Ce constat est dГjГ dГsolant lorsquвon sait que silfox des Гtudes prГliminaires, les adolescents dГmarrent leur traitement en meilleure santГ que les adultes, et quвune fois sous traitement, leur taux de CD4 peut Гtre plus ГlevГ que celui des adultes. Mais il est encore plus accablant de constater que les traitements de deuxiГЁme ligne semblent ne pas Гtre efficaces pour eux. Les rГsultats des tests de charge virale chez 90 de notre cohorte dвadolescentes montrent que prГЁs de 20 de ceux qui suivent un traitement antirГtroviral prГsentent une charge virale dГtectable, signe que le traitement ne marche pas dans leur cas.

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Even when people can stay in their homes, they are often victims of looting by armed men and in many villages, civilians take refuge in the bush every evening to escape insecurity after dark. Although "overturns" due to extrasystoles are closely associated with stress situations, which are so common today, it is always advisable to consult and perform an ECG and an examination to rule out cardiac pathology. The Gumuruk dispensary covers a population of more than 30,000 inhabitants. It offers basic medical care general medicine consultations, treatment of malnutrition, prenatal care, vaccinations.

The most complicated medical cases requiring hospitalization are transferred to the MSF dispensary in Pibor. From there, the most serious cases requiring surgical interventions are silfox by plane to hospitals in Boma or Juba, the capital of South Sudan.