The violent clashes that plunged the south of Kyrgyzstan into chaos since June 10 have led to an acute humanitarian crisis, with hundreds of people wounded and many people displaced from their homes. According to official reports, at least 170 people have been killed and 1,700 wounded during the past five days. MSF teams are arriving on the ground on both sides of the border between Kyrgyzstan and Uzbekistan to provide emergency assistance to those in need. In Kyrgyzstan, MSF’s emergency medical stock in the city of Osh has already been dispatched to local hospitals. More medical material, drugs, cooking sets, plastic sheeting for shelter, water containers, and hygiene kits will be on route to the south of country on Wednesday. Meanwhile, an MSF medical team will soon arrive in the city of Osh and from there try to reach Jalalabad, the other main city where serious violence has been reported. They will visit health structures and places where people have taken refuge near the Uzbek border after fleeing the violence and start providing assistance to the victims and those who have been displaced. “In addition to the many hospitalized victims who may need medical attention, one of our biggest worries is for the hundreds of people who have been wounded and have no access to healthcare. Some of them are afraid to go to health structures or to move from where they are, others have fled far from any health structures near the border area. We are also concerned by the lack of access to drinking water – water systems were shut down for some days in Jalalabad, and they lack food and basic items as hundreds of houses were looted, destroyed or burnt during these violent events,” says Alexandre Baillat, head of mission for MSF in Kyrgyzstan. Thousands of people who have fled the violence have sought refuge across the border in Uzbekistan. About 75,000 people have officially been registered as refugees in Andijan, a province located on the Uzbek side of the border between Uzbekistan and Kyrgyzstan. Uzbek authorities have started to set up camps and local hospitals are treating the wounded people who have come across the border from Kyrgyzstan. A first MSF medical team has arrived in Andijan yesterday to assess the situation and to support local authorities’ efforts to respond to the influx of refugees. “The first priorities are medical care, medical supplies, food and tents for temporary shelter,” says Andreas Bruender, head of mission for MSF in Uzbekistan. “In the following days we will send more staff to the affected areas to support the population, in particular with additional medical and psychological support for traumatized refugees. We are working in close coordination with the authorities and other actors on both sides of the border to determine how to respond to the needs most effectively.” MSF has been working in Uzbekistan since 1997. Staff have been running a tuberculosis program in the Kyrgyz penitentiary system since 2006. In Karakalpakstan, an autonomous republic within Uzbekistan, MSF is treating patients with drug resistant forms of tuberculosis in Nukus and Chimbay and has recently expanded activities into Karauziak and Tahtakupir districts.