Depuis le 5 mai, les équipes de Médecins Sans Frontières (MSF) seraient témoins d’une reprise des affrontements dans la zone de santé de Bambo, ainsi qu’au Sud de la zone de santé de Kibirizi en territoire de Rutshuru dans le Nord-Kivu.
D’après une communication publiée par l’organisation le vendredi 23 Mai 2025, environ 500 ménages se sont réfugiés dans des écoles ou des églises, transformées en abris temporaires. Plus de 4 000 ménages seraient hébergés par des familles d’accueil, conséquences des échanges entre belligérants.
Les combats ont d’abord éclaté sur l’axe Sud Tongo–Kibirizi, entraînant quelques mouvements de population. La situation s’est fortement détériorée à partir du 15 mai, avec des affrontements impliquant des armes lourdes jusque dans le centre de la cité de Bambo.
Ce jour-là, une grande partie de la population s’est réfugiée à l’hôpital. Si la majorité est rentrée chez elle après cet épisode, les tensions ont continué d’escalader. Les différentes parties au conflit ont renforcé leur présence, ce qui a provoqué de nouveaux affrontements.
Depuis le 17 mai, MSF observe un afflux massif de personnes déplacées vers le centre de Bambo. Certains villages auraient reçu des ordres d’évacuation, tandis que d’autres habitants se déplacent de manière préventive.
La situation dans les sites informels est particulièrement préoccupante. Les ménages sont arrivés presque bredouilles et font face à de nombreuses difficultés, notamment le manque de récipients pour l’eau, l’absence de savon et de produits d’hygiène, ainsi qu’un nombre insuffisant d’installations sanitaires.
La situation est similaire dans les familles d’accueil », décrit Matilde Gueho, cheffe de programme adjointe de MSF au Nord-Kivu.
Cet afflux de population exerce une pression sur des ressources déjà limitées, tant en matière d’accès à l’eau, à l’hygiène qu’à la nourriture.
Tous les ménages qu’ils soient déplacés ou résidents de Bambo voient leur accès aux champs fortement restreint.
Dans un contexte sécuritaire extrêmement tendu, les gens risquent leur vie pour aller glaner quelques fruits ou haricots encore disponibles. L’approvisionnement alimentaire est clairement insuffisant pour l’ensemble de la population, poursuit-elle.
Cette situation affecte directement la capacité de mouvement de MSF et l’assistance apportée dans la zone.
Les activités habituelles de soutien aux centres de santé périphériques ont été largement perturbées par les combats.
Néanmoins, les équipes MSF poursuivent leur travail à l’hôpital général de référence de Bambo ainsi que dans les centres de santé encore accessibles. L’organisation envisage d’élargir son offre de soins, initialement centrée sur les patients pédiatriques.
En dépit des interruptions liées aux affrontements, les équipes MSF ont réussi à finaliser la campagne de vaccination contre la rougeole durant la première quinzaine de mai. Près de 40 000 enfants de moins de 15 ans ont ainsi été vaccinés.
MSF appuie la zone de santé de Bambo dans la prise en charge des enfants souffrant de malnutrition et de rougeole à l’hôpital général de référence de Bambo.
Le 15 mai dernier, les équipes y ont soigné une vingtaine de blessés, dont la majorité étaient des civils atteints par des balles perdues ou des éclats d’artillerie et d’autres armes lourdes imprécises.
« Nous sommes particulièrement inquiets à l’idée que de nouveaux affrontements puissent entraîner davantage de victimes collatérales selon le même schéma.
Ces patients ont été pris en charge à l’hôpital de Bambo; les cas les plus graves ont été référés vers notre hôpital de référence à Rutshuru pour une prise en charge chirurgicale.
Certaines de ces références ont été retardées en raison de conditions de déplacement extrêmement difficiles, mais nous avons pu en transférer plusieurs », explique Matilde Gueho.
L’hôpital a utilisé une grande partie de ses stocks pour soigner les blessés. MSF s’efforce de réapprovisionner l’établissement en fonction des fenêtres d’accès disponibles, mais cela exige une réactivité immédiate.
MSF demeure profondément préoccupée par la possibilité de nouveaux affrontements dans des zones densément peuplées, susceptibles de provoquer encore plus de victimes civiles.
Par ailleurs, les équipes MSF basées à Kibirizi se préparent également à d’éventuels afflux de blessés et de personnes déplacées. Il est important de noter que la zone de Kibirizi a récemment signalé des cas de choléra, liés en grande partie à de mauvaises conditions d’hygiène dans les sites de déplacement et les familles d’accueil.
La zone de santé de Bambo est confrontée à plusieurs pathologies, notamment le paludisme, les infections respiratoires aiguës et la malnutrition. En raison de réductions de financement, certains acteurs ont dû se retirer ou réduire considérablement leurs activités.
MSF demeure particulièrement préoccupée par la situation nutritionnelle. Son unité de traitement intensif pour enfants souffrant de malnutrition sévère avec complications fonctionnerait actuellement au-delà de sa capacité d’accueil. Avant même les déplacements massifs survenus la semaine dernière, une extension avait déjà été réalisée pour atteindre une trentaine de lits.
Les capacités d’accueil de l’hôpital étant déjà très limitées, un éventuel afflux de patients nécessiterait un renforcement urgent de la prise en charge au niveau ambulatoire.
MSF réitère son appel à toutes les parties au conflit pour qu’elles respectent les structures de santé, garantissent l’accès humanitaire et assurent la protection des civils. L’Organisation exprime également son inquiétude face à la précarité de la situation humanitaire et appelle les autres acteurs à se mobiliser davantage.
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Steroids are illegal in Australia and, since 2014, have
been reclassified as a narcotic. Accordingly, possession, provide or
importation carry heavier penalties and will result in a
full-time custodial sentence. In Western Australia, anabolic
steroids and other androgenic substances are thought-about ‘specified drugs’.
This is because of how they’re a prescription drug that may be subject to misuse.
Less than a traffickable amount, an $8,800 fantastic (50 penalty units) may as an alternative be relevant.
Each the Australian Therapeutic Items Administration (TGA) and
the US Meals and Drug Administration (FDA) have issued warnings in regards to the health results of SARMs.
In Australia, Anavar (oxandrolone) is a Schedule four prescription-only
medicine, and is illegal to make use of without a prescription. Anavar (oxandrolone) is a man-made (synthetic) model of testosterone, which
is the main male sex hormone in our our bodies.
Variations within the chemical make-up and structure between oxandrolone and testosterone
cause slight variations in their effects, how they’re taken, and side effects.
We are devoted to standing behind any healthcare or Phil Heath bodybuilding tips for beginners
choices you make. Hold us knowledgeable should you face difficulties during the ordering process or need
harder-to-find steroids on the market.
Buying steroids illegally can lead to extreme penalties, including hefty fines and imprisonment.
Furthermore, the dearth of regulation within the underground market
raises significant considerations in regards to the high quality and security of the products available.
Many customers could unknowingly purchase contaminated or substandard
substances, leading to severe health points.
There are lots of people questioning if Anavar, also referred to as
oxandrolone, is authorized in the U.S., and for
good cause. Oxandrolone was previously obtainable under
a wide selection of brand names on the earth, all with a medical prescription. Intramuscular injections are easily absorbed directly into the bloodstream, so the impact
lasts longer in the body. We can offer you a completely customized consultation earlier than buying any merchandise at our specialised sports pharmacology shop.
The security code that comes with the unique product could be found
on the respective manufacturer’s web site to confirm the quality assurance of our products.
Peptides are natural or synthetic compounds containing tens,
hundreds, or thousands of monomer units (amino acids).
More Durable penalties can also distract from key harm-minimisation measures,
similar to safe injecting practices.
Mean body mass index (BMI) was 34.7 kg/m2, with all but one of many patients having a BMI of ≥30
kg/m2. Follow-up knowledge have been out there for eight of the patients, of which one progressed to end-stage renal illness inside 1 month of biopsy.
One of the sufferers resumed AAS use and subsequently developed progressive renal insufficiency and an increase in proteinuria.
Serum creatinine levels are commonly used to estimate the glomerular filtration rate (eGFR) utilizing formulation such because
the Continual Kidney Illness Epidemiology Collaboration (CKD-EPI) equation (157).
The eGFR is an effective and unbiased predictor of all-cause and cardiovascular mortality
and kidney failure in a variety of populations (158).
However, it should be appreciated that the accuracy of the equation is predicated on the idea that serum creatinine
levels accurately reflect the GFR – which is uncertain in this specific population. Creatinine is,
for probably the most half, a product of the spontaneous nonenzymatic degradation of
creatine (Cr) and creatine phosphate (PCr) (159).
Laryngoscopic findings confirmed no differences between groups with regard
to oedema of the vocal cords and laryngitis. However, earlier stories do notice
oedema and hyperaemia shortly after starting AAS administration, however subsiding afterwards.
Importantly, participants didn’t self-report changes in voice, highlighting that these changes
can occur progressively and unnoticed.
The use of steroids can have varied physical effects, together with zits, hypertension, liver issues, heart issues, hair
loss, and sleep disturbances. Psychological effects may include increased aggression, irritability, temper swings, melancholy,
and dependence on the medication. Moreover, it’s essential
to notice that anabolic steroids are additionally banned in aggressive sports activities in Australia.
Athletes who use steroids can face fines, suspensions,
or even permanent bans from participating in sports activities.
The use of steroids in sports activities is taken into account unlawful and unethical,
as it offers an unfair advantage over different rivals.
Nonetheless, much like SARMs, they’re additionally included within the
Australian Therapeutic Items Administration’s list of
prohibited substances.
Gyms and health facilities are often a great place to begin out, as many
members of the fitness group have used steroids and can present recommendation and steering.
It’s necessary to approach the acquisition of steroids with warning and to make sure that any merchandise purchased are legally obtainable for
purchase and use. The attract of steroids lies not only
in their capability to enhance physical look but in addition in the
promise of faster results. In a world where instant gratification is increasingly valued, the idea of reaching a sculpted physique
in a fraction of the time could be irresistible.
The longer and higher the dose, the extra severe the withdrawal symptoms are prone to
be. Buying injectable steroids in Australia requires a physician’s written prescription. A well being
care practitioner nevertheless, never approves or prescribes anabolic steroids for aesthetic needs.
In the Northern Territory, anabolic steroids are considered a Schedule 2 ‘dangerous
drug’.
Whereas Chinese Language law prohibits the unlicensed production and sale of steroids, enforcement is usually
inconsistent, with authorities focusing extra on curbing export-related issues.
In other parts of Asia, corresponding to India, anabolic steroids
are available with a prescription, however misuse is widespread,
and black market sales are common. Finally, it should not
be used along side other anabolic steroids or another unlawful substances.
Several population studies have shown the utilization of image and
efficiency enhancing medicine in Australia is
relatively low.
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References:
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