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2016 may well be the year best remembered for its tumultuous political turnarounds, hardening attitudes to refugees and migration, and continuing devastating conflicts. Looking through over 10,000 images released this year (created between October 2015 and December 2016), however, a different reality reveals itself.
Whether you read it in the bravery and determination of MSF’s medical responses in South Sudan or Yemen; see it in the relief and trepidation on the faces of those rescued at sea in the Mediterranean; or feel it in the gentlest moment, between a mother and her daughter amidst heartache and turmoil in Nigeria; an unbeatable spirit of survival and care has prevailed in 2016.
Throughout the year, our photographers have been alongside our doctors, nurses, midwives, logisticians and other staff, on the frontline of our projects around the world. They have been there to bear witness, not only to the work done by our dedicated medical teams, but also, unflinchingly, to the intimate circumstances that surround each individual's story.
In each photograph here, there is both a personal story and a bigger story; one that led to the event that you see in it. But to see it you must look, not away, and for that we are always grateful.
December 2015: Wading at dusk through the swamplands of Unity state, an MSF staff member carries a young boy as his family make their way to the relative safety of Kok island, where more than 2,000 people are sheltering from conflict.
December 2015: A girl waits with her mother to be seen by a nurse at MSF's hospital in Leer, South Sudan. The hospital, which has served the local community since 1988, has been ransacked and looted three times in the past two years.
November 2015: Four-month-old Mary James grasps the finger of a nurse in MSF's hospital in the UN compound in Malakal, South Sudan, where she is being treated for tuberculosis. Some 48,000 people fled for safety to the UN compound after Malakal town was caught up in fighting between government and rebel forces.
December 2015: An MSF staff member monitors a boy with suspected rabies after he was bitten in the head by a dog. Forced to evacuate Leer hospital after it was attacked by armed men, the MSF team is working in an abandoned building. If the boy tests positive for rabies, there is little the medical staff will be able to do to save him.
December 2015: Lines of displaced people wait for an aid distribution in the otherwise empty and destroyed town of Leer, Unity state. Many thousands of people fled fighting in the area, seeking safety in the surrounding bush and swamplands or in the UN compound.
February 2016: MSF teams in Malakal worked through the nights of 17 and 18 February to treat the injured after fighting erupted in the UN compound. Much of the compound was destroyed and 18 people were killed, including two South Sudanese MSF staff members.
November 2015: A woman grieves for her sick relative in MSF's hospital in the UN compound in Malakal, South Sudan.
January 2016: Wasira makes regular visits to MSF's mobile clinic, which operates in Kirkuk and in Salahedin, to get treatment for high blood pressure. Like many in this part of Iraq, she has been displaced from her home and her current living conditions are poor. "We get the water from the canal - they truck it all the way here - but it's not drinkable, it needs treating. Some people died on account of the water. And then of course there is no electricity. But at least here we are safe."
December 2015: MSF staff care for a baby in the newly-renovated intensive care unit of Sulaymaniyah emergency hospital, which is the only trauma facility for more than 2.5 million people in the region, including many people displaced from neighbouring conflict zones.
May 2016: A young boy sleeps in his family's tent in Khanaqin refugee camp in northern Iraq. In the camp, MSF provides mental healthcare, treatment for non-communicable diseases and health promotion activities for people displaced by violence in neighbouring regions.
February 2016: A woman and her children shelter in a camp on the outskirts of Amran, in northern Yemen, for people displaced from their homes by fighting between Houthis and the Saudi-led coalition.
March 2016: An MSF staff member surveys the ruins of MSF's hospital in Haydan, Yemen, after it was destroyed by airstrikes.
May 2016: Eight-month-old Ayashi Ibrahim lies on a bed in Al Thawra hospital, Hodeidah, Yemen, suffering from severe acute malnutrition, which is life-threatening. The conflict in Yemen has caused severe food shortages, and this is the second time Ayashi has been admitted to the hospital's malnutrition centre.
April 2016: An MSF-supported hospital in east Aleppo is protected with sandbags after it was hit by numerous airstrikes in April, killing one doctor and injuring several nurses.
September 2016: A five-year-old child recovers from surgery to his abdomen after being hit by shrapnel in an airstrike on Al Sukkari neighbourhood in east Aleppo.
October 2016: Firas Hebili, an MSF cultural mediator, talks to people crowded on board a rubber dinghy during a rescue off the northern coast of Libya.
May 2016: A woman from Ivory Coast cries after been rescued from a boat in distress on the Mediterranean. She was one of 435 people rescued from three separate boats on a single day in May by the MSF search and rescue ship Dignity I.
October 2016: People wait to be rescued from a dinghy next to the bodies of people who died during a crossing of the Mediterranean sea. MSF teams rescued 246 people and discovered 25 dead bodies on the boat.
January 2016: A father and daughter recover on a beach on the island of Lesbos after being rescued from a boat on the sea crossing from Turkey. Joint MSF and Greenpeace crews are assisting boats in distress off the coast of Lesbos alongside the Greek coastguard.
May 2016: A woman and her baby look out of a porthole of an MSF search and rescue ship, run in cooperation with SOS Méditerranée, off the coast of Libya.
August 2016: MSF doctor Pierre Vachaud shares a joke with a young man from Eritrea aboard an MSF search and rescue ship as the crew prepare to land on the coast of Italy.
May 2016: On board MSF's search and rescue ship Dignity I, people celebrate their rescue from a boat in distress. Some 435 people were rescued, most of them from Guinea, Mali, Ivory Coast and Senegal.
March 2016: Mirza Hossain, from Afghanistan, travels with his family by bus to the ferry terminal on the island of Samos, from where they plan to travel on to Piraeus, on mainland Greece. MSF had stepped in to provide hotel accommodation for eight families from Afghanistan and Syria who were left without shelter on the island as a storm approached.
August 2016: A young Syrian man waits in the City Plaza hotel, Athens, for a response to his relocation application following a journey by sea to reach Europe. More than 50,000 people found themselves trapped in refugee camps and temporary hotel accommodation in Greece after the Former Yugoslav Republic of Macedonia closed its border with Greece.
February 2016: Iwath, from Mosul, Iraq, protests against border controls outside a reception centre for migrants and refugees near Sid, Serbia. "We want freedom and a future - we don't have freedom in my country. I want to continue my journey, I can't go back."
March 2016: A couple share a moment in the sunlight in a makeshift refugee camp set up in the shadow of the docks in Piraeus, near Athens. Some 5,000 people who intended to travel north found themselves stuck in the Greek capital when the Former Yugoslav Republic of Macedonia closed its borders in March.
January 2016: Herro, from Iraqi Kurdistan, carries her four-year-old son across the mud to her tent in the Grande Synthe refugee camp in Dunkirk, northern France.
Januray 2016: A woman adjusts her veil in MSF's clinic in Harandi, Tehran, which provides medical and psychological care for vulnerable women and children, drug users and their families, sex workers, Afghan child workers and the gypsy community, amongst others.
December 2015: A woman receives medical care at MSF's family and sexual violence clinic in Tari hospital, Hela province, in the highlands region of Papua New Guinea. She sought treatment for lacerations after her husband cut her with a knife on the back of her head and both hands.
October 2015: A mother carries her two children to Tchabi health centre to receive polio vaccinations during a community healthcare and health promotion programme run by MSF in Boga, Democratic Republic of Congo.
October 2015: An MSF health promoter talks to children and parents in the village of Rubingo, during a community healthcare and health promotion programme in Boga, Democratic Republic of Congo.
June 2016: A young girl receives a measles vaccination on the first day of an MSF vaccination campaign in Kolo, Bas-Uele province, Democratic Republic of Congo.
February 2016: A doctor prepares vaccines before an unprecedented vaccination campaign, supported by MSF, to protect as many children as possible in Central African Republic against common childhood diseases.
February 2016: Children crowd around as an MSF health worker screens a young boy for malnutrition at the start of a mass vaccination campaign in Central African Republic.
August 2016: Health workers examine a child with suspected malnutrition and malaria in an MSF-supported hospital in the Magaria region in southern Niger. The rainy season corresponds to the lean season, so malaria and malnutrition peaks coincide. For children in particular, this period of the year represents a real fight for survival.
August 2016: A mother places a cool, damp washcloth on her daughter's body to bring her fever down in the isolation ward of the general hospital in Damboa, Borno state, Nigeria. Her daughter is being treated for measles with complications. The most severe cases are referred to the hospital in Biu, two hours' drive away.
February 2016: An MSF health worker communicates with an HIV-positive man who became deaf and blind after he stopped taking his antiretroviral drugs due to social stigma. MSF teams go door-to-door to test people for HIV in Katwe, Uganda.
February 2016: Refugees fleeing unrest and violence in Burundi find temporary shelter and food at Lumasi transit centre, across the border in Tanzania. They arrive either by crossing lake Tanganyika by boat, or by walking across the hilly hinterland.
June 2016: A girl with severe malnutrition is admitted to MSF's therapeutic feeding centre in Boost hospital, Lashkar Gah, in Helmand province. The girl and her family are from Marjah district, an area that has seen frequent fighting in recent months.
May 2016: Operating theatre staff prepare a 20-year-old man for surgery at the MSF-supported hospital s in Boost, Lashkar Gah, Afghanistan. The man suffered extensive burns to his face and arms after being involved in a bus crash on a motorway.
June 2016: A girl waits in the emergency room of Boost hospital, Lashkar Gah, in Afghanistan's Helmand province, which MSF runs alongside the Afghan Ministry of Health.
January 2016: MSF psychologists carry out a consultation with a woman in Tumaco, Colombia. MSF teams provide comprehensive mental health support for victims of the armed conflict and other types of violence, especially sexual violence, in the urban area of Tumaco.
March 2016: A volunteer MSF health worker sits in the back of a mobile medical clinic, run from a van, that serves the population of Mayorsk, Ukraine, near the frontline between government and opposition forces.
July 2016: Kale Mantkava rests in his room in the tuberculosis hospital in Abastumani, a spa town in Georgia's mountainous Meskheti region. The sanatorium was built in the 1920s and continues to serve its original purpose to this day, though only 70 of its 200-or-so rooms are in a good enough state to house patients. MSF has worked here since 2014.
October 2016: An MSF doctor discusses treatment options with Nischaya, a patient with extensively drug-resistant tuberculosis (XDR-TB), in MSF's clinic in Mumbai. Nischaya, 18, is one of only a handful of patients with XDR-TB fortunate enough to access new drugs for her treatment. MSF has been providing free diagnosis, treatment and support to patients with drug-resistant TB in Mumbai since 2006.
May 2016: Fedia Fontenel, aged nine, burnt her hand in the kitchen of her home in Mariani. Three times a week she meets with Josue Toussaint, an MSF social worker, for physiotherapy at the burns unit in Drouillard hospital, Port-au-Prince.
October 2016: A man sits with his son, in the remains of their home, near Port Salut, in southwestern Haiti. Hurricane Matthew tore through the Caribbean on 4 October devastating large parts of the island. MSF teams used every means of transport, including donkeys, to bring medical aid to some of the more remote communities in the mountains, cut-off by damage to bridges and roads.
October 2016: Ashley, 19, is a member of an HIV youth support group at MSF's Epworth clinic on the outskirts of Zimbabwe's capital, Harare. The group focuses on getting across the message to young people and adolescents that they are not alone and that, with medication, they can live healthy and full lives. The sessions also tackle difficult subjects including how to break the news to a partner that you are HIV-positive.
February 2016: MSF teams go door-to-door to test people for HIV in Katwe, Uganda.
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