Eight additional Médecins Sans Frontières (MSF) international staff have arrived in Kenya to help assess and respond to the needs created by the violence and insecurity that has rocked the country since elections on Dec. 27, 2007. As well as continuing to provide HIV/AIDS and tuberculosis (TB) care in projects in Nairobi and western Kenya, MSF is helping thousands of people who have been displaced during the violence of the last few days. In Eldoret, a busy transit town in Western Province, MSF staff started work to assist the estimated 30,000 people who arrived in the city in early January. A team consisting of two doctors, a surgeon, two logisticians and a nurse are supporting the hospital in Eldoret and helping to distribute essential items such as plastic sheeting, blankets and jerry cans to people living in camps around the city. Surgical referrals have been done from Burnt Forest to Eldoret. The MSF team is also starting to support three health structures in different settlements in Eldoret and is doing assessments in the surrounding areas such as Moi's Bridge and Turbo, where the poorest internally displaced people seem to be settling. To the south of Eldoret, in Nakuru and Molo, MSF is also assisting those affected by the insecurity. MSF teams have been working in Molo since early December, providing medical care to people who had been displaced by violent clashes. Since Dec. 27, the number of displaced people in the town has increased significantly, with at least 26 settlements emerging in the rural areas around Kuresoi and Molo. In Molo MSF is again providing items such as plastic sheeting, blankets and jerry cans to the displaced. Mobile teams visit the camps and logistical teams ensure that water and sanitation standards are met. As Nakuru Provincial hospital now seems to be running as normal, MSF teams have reduced their activities there, but remain on hand to assist if necessary. Over the past few days MSF teams have done assessments by helicopter in different areas in the west of Kenya where large numbers of displaced people are reported to have fled. So far assessments have been done in Kericho, Ikonge, Longani, Kisi, Kisumu, Migori, Narok, Kapsokweni, Muhoroni, Koru, and Nandi Hills. These assessments will continue until the end of the week. The situation is changing rapidly and needs to be closely monitored to ensure that MSF can respond to the ongoing medical needs. The insecurity in the country's capital meant that some of MSF's HIV/AIDS clinics in Nairobi's slums were forced to close for a few days. However, the clinics are now resuming normal activities. After some disruption, Kibera South Health Centre — one of MSF's three health clinics in Kibera slum, Nairobi — was able to reopen on Dec. 31. In the first two days of reopening MSF staff treated 62 patients, more than half of whom had been wounded during the violence. As the situation in Nairobi becomes a little calmer, the number of people coming to the clinics has increased. On Jan.8, 280 consultations were done in Kibera South Health Centre and 250 consultations were done at Mbagathi District Hospital where MSF provides comprehensive HIV/AIDS care. Teams hope to be able to reopen MSF's other two HIV/AIDS clinics in Kibera in the coming days. In Mathare, a slum on the eastern outskirts of Nairobi, MSF staff were able to go back to work on Jan. 1. Initially the teams treated 19 emergency cases, some of whom had been wounded during the violence. In the past few days more of MSF's HIV/AIDS and TB patients have been able to return to the clinic to receive treatment. On Jan. 8, 200 consultations were done, 160 for people living with HIV/AIDS and 40 for people receiving TB treatment. Projects in Busia and Homa Bay, in the west of Kenya, are now starting to run as normal. In Busia, in addition to providing HIV/AIDS care, MSF teams are also providing clean water, blankets and plastic sheeting to displaced people who have sought shelter near the police station in the town. In all MSF's HIV/AIDS and TB projects, teams are seeing a number of patients who lost their antiretroviral or TB drugs during the insecurity of the last few days. Staff are also treating patients who cannot get their drugs, as the clinics that they normally go to are closed. Although most clinics now seem to be reopening, MSF is very concerned about these patients and the interruption of their treatment.

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