Dans une tribune publiée le 24 juillet dans Le Monde, Alain Deloche, président de la Chaîne de l'Espoir, lance un cri d'alarme déjà entendu à quelques reprises ces derniers temps : « la médecine gratuite est en train de détruire le système de santé en Haïti » écrit-il.

Using Niger as an example, this text seeks to explore the dilemmas involved in medical responses to child malnutrition when such malnutrition is endemic (strong, permanent presence) and gives rise to seasonal peaks (epidemics) each year.

Ce texte est une postface au livre du Dr Irène Frachon Médiator, 150mg dont le sous-titre « Combien de morts ?», a été retiré à la suite d'une plainte du laboratoire Servier, producteur du médicaments incriminé. Rony Brauman y aborde la question du poids croissant des compagnies pharmaceutiques dans les décisions de santé publique.

La comparaison entre les réponses apportées aux épidémies de grippe en France et de méningite au Nigeria est instructive. Comme celle de la grippe, l'épidémie de méningite ne peut être prévenue par la vaccination.

The emergency and constraints of certain catastrophes force MSF teams to medical and operational audacity. To take new paths or stray away from official protocols is to run the risk of doing things less well, of perhaps doing harm and dilapidating resources...

Une des premières tâches pour construire une réponse appropriée au désastre est de libérer les autoroutes de l'information des poncifs qui embouteillent les ondes et nuisent à la diffusion de messages favorisant l'organisation des secours. 

Four years after the Nigerian crisis, many things have changed in the nutrition field. This Cahier du Crash aims at considering this evolution and explore new possibilities for action for MSF.

Pharmaceutical companies produce drugs and are increasing involved in the clinical trials of these products. This conflict of interest is incompatible with the expectations  of Public Health. Rony Brauman suggests that the industry no longer be responsible for therapeutic trials.

Medical Innovations in Humanitarian Situations explores how the particular style of humanitarian action practiced by MSF has stayed in line with the standards in scientifically advanced countries while also leading to significant improvements in the medical care delivered to people in crisis. 

In 2008, Southern Ethiopia was the epicentre of a vast nutritional intervention: more than 100,000 malnourished children received assistance from a mix of actors including both international actors and local health facilities.

Based on MSF's experience in responding to epidemics, Jean-Hervé Bradol describes the risks of spending precious time and energy on trying to delay the spread of the epidemic rather than on the case management of large numbers of sick people.

Influenza A H1N1 is turning into a pandemic. What will the number of cases be, what groups will be the most affected, how virulent will the virus be, and how long will it last?