Alarming number of blast injuries, women and young children particularly affected A very high proportion of civilians, among them large numbers of women and young children, are bearing the brunt of ongoing extreme warfare in Somalia’s capital, Mogadishu, with many suffering catastrophic injuries. Medical data gathered at the Médecins Sans Frontières (MSF) hospital in the Dayniile neighbourhood, on the outskirts of Mogadishu, reveal an alarming pattern over the first seven months of the year. Of 2,854 patients treated by MSF medical teams at Dayniile Hospital, 48 per cent suffered war-related injuries. In the 84-bed hospital, 64 per cent of the war-wounded patients sustained serious blast injuries, largely consistent with continuous intensive mortar fire in the city’s residential areas. Notably, 38 per cent of the people with war-related injuries were children under 14 years of age and women. “As the fighting continues, more and more civilians are being admitted to Dayniile Hospital with horrible injuries,” said Dr. Naidu Uday Raj, MSF medical coordinator for Somalia. “People are arriving at the hospital with serious blast wounds and high-velocity gunshot injuries, including severe fractures. Many people require surgery. Women and young children continue to bear the brunt of the violence.” The latest illustration of the how violence permeates daily life for civilians living in Mogadishu occurred on July 27 when 45 people were brought to Dayniile Hospital following heavy shelling between armed opposition groups and the Transitional Federal Government and the African Union Peacekeeping Force. Over half of the patients, 26 people, were children under 14 and women. The most recent medical data are consistent with numbers gathered since MSF started its surgical program in Dayniile in September 2007, underscoring the tremendous human toll Somalia’s unremitting conflict continues to exact. To date, 11,888 people have been treated at Dayniile Hospital with more than 50 per cent of patients suffering from war-related injuries. MSF calls upon all parties to the conflict to take all measures to minimize civilian casualties and to respect the protected status of medical facilities. MSF operates projects in eight regions of south central Somalia. More than 1,300 Somali staff, supported by more than 100 staff in Nairobi, Kenya, provide primary healthcare, tuberculosis and malnutrition treatment, surgery, and water and relief supplies to displaced people. MSF does not accept any government funding for its projects in Somalia, relying solely on donations from individuals throughout the world.