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Crises occur across the globe and often without warning. Humanitarian organizations dispatch relief personnel to provide food and to conduct rescue operations after these crises have occurred. Physicians, nurses, and allied health professionals are often called upon to respond to these crises. Journalists are often on the scene to report information about the crisis to the general public. In 1971, a group of physicians and journalists in France formed Médecins Sans Frontières (MSF), or Doctors Without Borders, in an effort to respond to a variety of crises across the globe. The organization operates as an independent group and is supported with donations and volunteer personnel; it is not connected to any government agency. Doctors Without Borders responds to calls for assistance during natural, human-caused, and technological crises. These include floods, earthquakes, tsunamis, cyclones, and famine, much of which is caused by acts of armed conflict. Medical care and pharmacy services are provided for epidemics such as cholera, tuberculosis, influenza, malaria, and tetanus. Although Doctors Without Borders maintains neutrality, it often works to bring attention to the plight of those affected by crisis. This may involve bringing attention to areas facing famine, armed conflict, or the forced relocation of ethnic populations without a country or region.

Organization

The primary organization maintains support offices in over 60 countries and partners with 19 associative organizations, allowing for global coverage. Each country is divided into field offices comprising over 22,000 administrative and medical staff. This includes physicians, nurses, radiological technicians, laboratory technicians, surgeons, and mental health professionals. Supportive care is provided by logisticians, water and wastewater treatment engineers, and communications personnel. Epidemiologists, chemists, and pharmacists provide medical care, pharmacy services, and specialized medications in areas affected by epidemics such as human immunodeficiency virus and acquired immune deficiency syndrome (HIV/AIDS), malaria, tuberculosis, cholera, or similar outbreaks. Each site is managed by volunteer administrators who are charged with ensuring that all services run smoothly. Doctors Without Borders works with local physicians and hospitals in order to enhance the quality of medical care instead of trying to replace it. This method increases the likelihood that local agencies will work with the organization to provide the best medical care possible.

A malnourished child waits in a Doctors Without Borders treatment tent in the Dolo Ado camp, near Ethiopia's border with Somalia, July 2011. The United Nations declared a famine in five regions of Somalia by early August. By December, “Malnutrition rates are still very high; this is still an emergency situation,” said Voitek Asztabski, emergency coordinator for Doctors Without Borders in the camp. Over 50 percent of children in the camp were suffering from malnutrition at that time, according to the United Nations.

Team Medical Equipment

Doctors Without Borders responds to crises using the latest, most advanced medical equipment available. The majority of the medical equipment is designed to be used in the field environment, making it fully transportable and easily moved. This is especially important in areas of armed conflict because the team may be required to quickly relocate in order to protect staff, patients, and equipment. The organization has the ability to provide medical care in mobile sites, temporary sites, and fixed locations such as former hospitals. Equipment includes radiological equipment to conduct X-rays, exam areas, emergency triage and treatment equipment, specialized surgical equipment, laboratory equipment, and mobile pharmacies. Moreover, each site is fully self-supportive with both water filtration equipment and wastewater treatment facilities. Comfort care is provided in the form of free blankets, pillows, and clothing.

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