Medicine and public health

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.

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.

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?

Humanitarian medicine is intented for marginalized people, hit by a crisis or deprived of access to medical care. This book helps us understand how the specificity of humanitarian medicine stems from real-life situations, more than from the medical act in itself.

Dr. Jean-Hervé Bradol, Former President of MSF-France presented data based on MSF's experience in Niger that showed the implementation of the UN recommendation for the treatment of severe acute malnutrition was not possible in a high burden setting.

Twenty years after the charity concerts for the Sahel Nigerien politicians, institutional donors, aid agencies and humanitarian organisations clashed on the nature and substance of the crisis affecting Niger in 2005. Identifying the causes of, and adequate responses to, the situation also gave rise to profound disagreements. Having set up their most ambitious emergency nutrition programme to date, Médecins Sans Frontières found itself at the forefront of these controversies.

Rony Brauman questions the link between public health decisions and the right to health care. 

« Never again »: in the wake of the second World War, the terror caused by the Holocaust led the community of states to condemn genocide as a crime and to create a new international organization, the United Nations. And yet, half a century later, the international community did nothing to prevent the first undeniable genocide since that of the Jews: it let the massacre of the Rwandan Tutsis and merely sent humanitarian aid, even though it was nearly over.  

With the end of the Cold War came the hope of a "New World Order". yet the tragedies of war and famine continue to dominate our headlines. Humanitarian law is still violated every day. Emergency aid from the United Nations and donor governments remains inadequate and military interventions often fail to restore durable peace.

On 3rd and 4th February 2022, the CRASH organised a workshop aimed at the leaders, operational managers and members of MSF France, to shed light on the current debates on access to medicines, and to determine together which issues are the most relevant to resolve. In preparation for this workshop, the CRASH asked experts external to MSF to explain their vision of today’s pharmaceutical industry system, with subjects that ranged from pre-development to distribution, and included patents and quality-related issues.

The members of the Crash are very happy to welcome you all to this new conference-debate with occupational psychologists Yves Clot and Jean-Yves Bonnefond, two of the authors of “Le prix du travail bien fait – La coopération conflictuelle dans les organisations” (Paris, La Découverte, 2021 ; co-written with Antoine Bonnemain and Mylène Zittoun).

Pierre Chirac, pharmacist and editor of the journal Prescrire, will present his analysis of the pharmaceutical industry's influence strategies and the special interests of university hospital researchers, their consequences on the reliability of drug information and the means now required to rectify a harmful situation.