MSF staff, patients forced to flee amid security fears in Unity state

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February 1, 2014 (JUBA) - Medecins Sans Frontieres (MSF) said ongoing
insecurity had forced 240 of its local staff in South Sudan's Unity state
to abandon its medical facility on Friday and flee into the bush along with
dozens of patients.
[image: JPEG - 34 kb]*Ongoing insecurity has forced Medecins Sans
Frontieres (MSF) to suspend its operations in Unity state's Leer town
(Photo: Kim Clausen/MSF)*

In a statement released on Friday, the medical charity said staff had taken
several dozen of the most severely ill patients from Leer Hospital with
them into the bush, while other patients who were well enough to leave on
their own also fled.

MSF said it remained "extremely worried" about the safety and well-being of
both staff and patients in Leer.

There are now no longer any patients or staff remaining at the hospital,
where MSF has worked for the past 25 years.

MSF was one of the last remaining humanitarian organisations still working
in Unity state after violence engulfed Sudan following clashes between
rival tribal factions of the presidential guard in mid-December.

The agency said Leer Hospital was the only fully functioning hospital in
southern Unity state and its closure means more than 270,000 people will be
without access to healthcare services.

In early January, MSF staff in Bentiu were forced to relocate to Leer town
due to the deteriorating security situation, with the agency warning at the
time that thousands of people in the capital would be deprived of
healthcare as a result.

The decision came after the Bentiu medical facility was looted as rebels
aligned with former vice-president Riek Machar withdrew from the town after
government forces retook the town, which changed hands several times during
the conflict.

MSF head of mission Raphael Gorgeu said local staff had managed to keep the
Leer medical facility running as long as possible despite "incredibly
challenging circumstances".

"However in the past three days, the situation became too unstable and the
only way to provide medical care was to take patients out of the hospital
and to flee with the population into the bush", she said.

On 21 January, MSF evacuated 12 international staff members, although many
locally-hired staff chose to remain in Leer and continue providing medical
care.

Gorgeu said local medical teams had shown "tremendous dedication" in
continuing to care for patients with only basic medical supplies and
equipment at great personal risk.

"In the last six weeks in South Sudan, our staff have worked in extreme
conditions - we've been forced to evacuate multiple times, our facilities
have been looted and our teams have operated in areas of active conflict,"
she said.

Tens of thousands of people have been displaced from their homes in
southern Unity State since the conflict began, including more than 10,000
displaced from the fighting in Bentiu who had fled to Leer only to be
displaced for a second time.

Gorgeu said many of those displaced were without access to adequate food,
clean water or shelter and remained vulnerable to disease outbreaks and
malnutrition.

With dwindling medical supplies and the hospital's closure, she said the
humanitarian situation in Leer was likely to become even more dire.

Gorgeu said MSF's Leer facility has provided outpatient and inpatient care
for children and adults, surgery, maternity, HIV/TB treatment, and
intensive care services. She said the agency was ready to return to Leer
once the security situation allows.

In the first five weeks of the crisis, MSF has carried out 71,973
consultations, including 27, 688 for children under 5 in the first five
weeks of the crisis.

It is continuing to provide medical and humanitarian services to refugees
from South Sudan in Kenya and Uganda, and will soon begin operations for
refugees in Ethiopia

(ST)

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