MSF providing medical and nutritional assistance for refugees and local people More than 28,000 Malian refugees have been forced to seek refuge in the border region of Mauritania following the conflict between the Malian army and Tuareg rebels that broke out in northern Mali in January. Some refugees travelled days without sustenance to get to makeshift camps in Fassala and Mbéré in the south east of Mauritania. Today an initial shipment of 26 tonnes of medical and logistical supplies will fly from Belgium to Néma, 200 kilometres from Mbéré camp, where Médecins Sans Frontières (MSF) teams are starting medical activities. “We are in the middle of the desert in an area where water is a scarce commodity. Even more alarming, these people are isolated here: the nearest hospital is six hours away by road,” says Marie-Christine Férir, emergency coordinator with MSF. Food insecurity threatens both refugees and local people. The arrival of refugees in distress creates even greater pressure on Mauritanian families who have already been impoverished by bad harvests. “We know that amongst the refugees are pregnant women as well as children who are suffering from moderate to severe malnutrition,” says Férir. It is crucial that the youngest children, who are particularly fragile, are able to access free medical aid, as a malnourished child is more vulnerable to illnesses like measles, diarrhea and respiratory infections. Similarly, a sick child is more susceptible to becoming malnourished. Considering that the closest hospital is more than 200 kilometres away, one of MSF’s priorities will be to provide prompt emergency care and stabilize serious cases before referring patients to the hospital in Néma. The new MSF clinic in Mbére camp will allow medical teams to provide a range of key services including consultations, nutritional screening, primary healthcare, prenatal care and vaccinations against infectious diseases like measles if necessary. Since the beginning of February, MSF has been responding to the medical needs of Malian refugees in Niger and Burkina Faso. The organization is also working in the north of Mali, where it is offering primary healthcare to people displaced by fighting there. MSF is also evaluating the nutritional situation of local people in Mali, Burkina Faso, Niger, Senegal, Chad and Mauritania.