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  • Doctors Take In New Horizons

    DOCTORS TAKE IN NEW HORIZONS
    swissinfo, Gaby Ochsenbein

    Neue Zurcher Zeitung, Switzerland
    Dec 4 2006

    The Swiss section of Medecins Sans Frontières (MSF), which provides
    medical assistance to victims of natural disasters and war, is
    celebrating its 25th anniversary.

    Representatives of this non:governmental organisation are active in 20
    countries, helping people in war:torn Darfur, treating Aids patients
    in Mozambique and fighting tuberculosis in Kyrgyzstan, among others.

    Antoine Chaix is just one of many medical volunteers who make up MSF.

    He is a member of the Swiss section's committee and has worked in
    the field on a number of occasions for the organisation.

    His first mission lasted seven months and took him in 1997 to
    Azerbaijan's Nagorny Karabakh region to help fight tuberculosis.

    "I had never come across this disease despite working for a number of
    years in Switzerland," he said. "To find out more, I visited similar
    projects in Abkhazia and Southern Ossetia, where the situation was
    tense. It was a whole new world for me."

    Even though he was a young doctor, his job was to convince more
    experienced colleagues to apply World Health Organization guidelines,
    anything but a simple task and requiring real diplomatic skills.

    For security reasons, the MSF staff were not allowed to leave their
    residence alone. There weren't any restaurants, in fact no distractions
    whatsoever.

    "Team spirit is extremely important," Chaix told swissinfo. "You
    spend all your time working and living with the same people."

    Experience Until 2002, he worked in Kazakhstan, Mozambique and Sierra
    Leone, long enough to build up a lifetime of memories.

    "In Sierra Leone, there was no medical care available in the east of
    the country, but refugees including starving children were arriving
    there in massive numbers," he said.

    The French doctors, as they are sometimes called, quickly set up a
    centre there to help around 100 children, a hugely satisfying outcome
    according to Chaix. But there is a dark side to such stories.

    "I remember watching a two:year:old child suffering from cholera
    literally die before my eyes. I had to learn that there was a lot we
    could do, but that we could not help everyone."

    MSF works mostly in crisis areas and war zones. Its teams can be
    found in most of the planet's hot spots, such as after the 2004 Asian
    tsunami, the 2005 Pakistan earthquake, in Sudan's Darfur region or
    in Lebanon this summer.

    "Our emergency teams are always on the ground in a very short time,"
    said Chaix. "Often the International Committee of the Red Cross (ICRC)
    and ourselves are the only ones on the spot, so we have developed
    some synergies even if our missions differ."

    Aids The doctors who now work for MSF are different to their
    predecessors.

    New programmes now deal with fighting Aids and resistant forms
    of tuberculosis, a huge challenge according to Chaix, a general
    practitioner.

    "Aids is a terrifying pandemic that is spreading throughout the world,"
    he said. "Each year, it kills three million people, the equivalent
    of ten tsunamis, and Africa is worst off."

    MSF has been offering Aids treatments since 2001, with around 80,000
    people getting antiretroviral therapy. The organisation has also been
    demanding cheaper access to drugs since 1999.

    "If generics were produced massively in countries like India, the
    price of treatment per patient and per year would drop from thousands
    of dollars to just $300," added Chaix.

    Precarious Humanitarian work has also become more dangerous for
    MSF. Its members followed the arrival of foreign soldiers in Iraq
    and Afghanistan very quickly, causing some parts of the population
    to assimilate them to invaders.

    Chaix reckons this is why five MSF representatives were killed in
    Afghanistan in 2003, even though the organisation is careful to
    highlight its independence.

    When he returns from one of the planet's many hotspots to the Swiss
    health system, one of the world's most expensive, Chaix says he finds
    his marks very quickly.

    He is always surprised how fast he slips back into his bad old ways.

    "You get upset about the tram being three minutes late, whereas before
    you were quite happy if you could get from A to B within a day,"
    he admitted.

    --Boundary_(ID_nogLUoIMaMopxzZAFetz8A)- -
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