MédecinsSansFrontièresDoctorsWithoutBorders
Transcription
MédecinsSansFrontièresDoctorsWithoutBorders
● US ANNUAL REPORT 2008 Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan MédecinsSansFrontières DoctorsWithoutBorders “We move with the people— to reach the first victims of violence and neglect.” Laos Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Russian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo france Geor Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus 04 Emergency Response 12 MSF Activities 14 Project Support 28 Field Staff 32 Donors 52 Financial Report 54 How Your Support Saves Lives 56 Board of Directors 57 Board of Advisors Doctors Without Borders/Medecins Sans Frontieres (MSF) is an international independent medical humanitarian organization that delivers emergency aid to people affected by armed conflict, epidemics, malnutrition, natural disasters, and exclusion from health care in more than 60 countries. On any one day, more than 27,000 individuals representing dozens of nationalities can be found providing assistance to people caught in crises around the world. They are doctors, nurses, logistics experts, administrators, epidemiologists, laboratory technicians, mental-health professionals, and others who work together in accordance with MSF’s guiding principles of humanitarian action and medical ethics. The organization received the Nobel Peace Prize in 1999. Cover Photo: Ethiopia © Francesco Zizola Inside Front Cover Photo: Russian Federation © Misha Friedman 02 Letter from MSF Doctors Without borders ● Medecins sans frontieres (MSF) ● US ANNUAL REPORT 2008 rgia Greece Guatemala Democratic Republic of Congo Guinea Guinea-bissau Haiti Honduras Ethiopia India Indonesia Iran Iraq Kenya italy Ivory Coast Kyrgyzstan Laos ussian Federation Sierra Leone Sri Lanka Sudan Swaziland Somalia switzerland Thailand Turkmenistan South Africa Uganda Uzbekistan Zimbabwe Yemen Zambia © Joanna Stavropoulou/MSF EMERGENCY RESPONSE Zimbabwe When an MSF team arrived at the border town of Beitbridge in November, scores of cholera patients had been moved outside to empty their bowels into the ground. Compounding the unsanitary conditions and lack of medical personnel or materials, the facility’s water had been cut off. MSF set up a functioning 130-bed cholera treatment center in three days. Letter From MSF Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus Dear Friends, Your generosity to Doctors Without Borders/Médecins Sans Frontières (MSF) during the 2008 economic downturn permitted us to continue our independent response to an extraordinary range and magnitude of emergencies. MSF-USA was able to commit more than $133 million to fund emergency medical programs in 2008— testament to the determination of supporters across the country to bring assistance and care to the most vulnerable people caught in crises in more than 60 countries. In this year’s Annual Report, we show how your contributions translated into life-saving action amid some of the most critical emergencies of 2008—including the violence that erupted on the streets of Kenya’s capital in January, the cyclone that hit Myanmar in May, Zimbabwe’s devastating cholera outbreak in August, the hurricanes that wracked Haiti in September, and the flight of desperate migrants who arrived on Yemen’s shores throughout the year. Moreover, your support ensured MSF’s immediate intervention when, for several months, some regions of Ethiopia saw a dramatic rise in the number of severely malnourished children—an effect of drought combined with skyrocketing food prices. Your contributions helped to send US-based aid workers on more than 300 assignments in 37 countries. Because of its unrestricted pool of funds, MSF was often the first independent agency to have teams on the ground making firsthand assessments. In Kenya, Myanmar, and Zimbabwe, for example, MSF was already present, running HIV/AIDS and tuberculosis programs. Our medical teams quickly shifted gears to respond to new crises unfolding around them, continuing to treat the thousands of patients already under their care until additional staff could arrive. MSF has also been working for many years in Sudan, Somalia, Chad, Central African Republic, Democratic Republic of Congo, Sri Lanka, and Pakistan, in zones where new crises continually arise and thousands of people are uprooted as frontlines shift. In response, our teams move with the population, open treatment centers, run mobile clinics, start vaccination campaigns, or open nutrition programs—so they can assist the first victims of violence. However, even when our teams are ready to deliver assistance, we have faced, in recent years, a major challenge getting across frontlines to reach war wounded while also ensuring the safety of our staff, whether hired Ethiopia A mother holds her child outside an MSF feeding center in Siraro district, Oromiya region. MSF treated over 70,000 malnourished children in Ethiopia during 2008. © Francesco Zizola 02 Doctors Without borders ● Medecins sans frontieres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe internationally or locally. In 2008, we continued to seek access to provide medical assistance based on the needs of patients caught in the middle of conflict and to advocate with warring parties to uphold their own obligations under humanitarian law. In spite of these efforts, three Somaliabased MSF staff were killed during January in a targeted attack, a horrific event that forced us to evacuate all international staff and scale down our activities. © Francesco Zizola During the year, we also ran up against restrictions that prevented international staff from gaining entry to Myanmar in the immediate aftermath of Cyclone Nargis in May. Moreover, the Zimbabwe government’s restrictions hampered the expansion of MSF’s cholera response. At the same time, research by major drug companies was still steered toward areas of maximum profit, leaving millions around the world without lifesaving treatment for the most neglected diseases, including Chagas, sleeping sickness, and kala azar. Millions more with HIV/AIDS, malaria, tuberculosis, or a combination of these diseases were neglected due to factors including a lack of appropriate treatments, high drug prices, or prohibitive patents. In addition, the survival of malnourished children is still at risk due to a lack of appropriate food relief, to which institutions with a global role, including the US government, are major contributors. MSF continued to advocate during the year on many of these issues and challenges. The following pages document them and describe our corresponding activities in more detail. Especially now, as we face a deepening economic and financial crisis, we are counting on your support to help those who will be hit the hardest. Your continued support will ensure that millions of the world’s most vulnerable individuals receive the assistance they need to survive, whoever they are, wherever they may be. Thank you. Matthew Spitzer, President Sophie Delaunay, Executive Director Ethiopia An MSF nurse works at a feeding center in Mudulla, Southern Nations, Nationalities, and People’s region. At the beginning of the nutrition intervention in Mudulla and at other MSF feeding centers in southern Ethiopia, hungry and sick people waited for treatment in lines measuring hundreds of yards. 03 South Africa After violent attacks against Armenia Belgium Bangladesh Bolivia Brazil foreign nationals in parts of South AfricaBurkina in May, Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus tens Liberia of thousands of people fled their homes. Here, a child waits as people are put onto a bus to a temporary camp in Johannesburg. MSF provided primary health care at six camps in Johannesburg and at one in Pretoria where conditions were poor and security was minimal. © Erin Trieb A new wave of emergencies mobilized MSF in 2008: Africa continued to be at the center of the largest and most enduring responses, with populations in the subSaharan region vulnerable to armed conflicts, natural disasters, malnutrition, urban violence, and exclusion from health care. In the following pages we highlight six challenging emergencies through the firsthand experiences of MSF aid workers. ● Across the globe in 2008, more than 27,000 national and international staff were working around the clock to bring emergency medical care to millions of people caught in crises. Their job is to help people survive these acute emergencies. Here, you will read about the commitment, professionalism, and dedication of six of them—their work made possible through regular contributions by individuals like you around the world. EMERGENCY RESPONSE 04 Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 © MSF Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Zimbabwe Yemen Zambia Team Treats Cholera While Tracking Massive Epidemic As a cholera epidemic raged across Zimbabwe following an outbreak in the capital, Harare, in August, MSF opened dozens of treatment centers across the country. By the end of the year, MSF medical teams had seen more than 20,000 people in desperate need of assistance—three-quarters of those affected. They would go on to treat more than 60,000. Patients arrived with typical symptoms of the bacterial infection—diarrhea and vomiting—which, if left untreated, cause death from dehydration. Years of government neglect of the country’s water supply and sewage system made it easy for the epidemic to spread rapidly to rural and urban areas. Caitlin Meredith arrived in early December. “When I arrived the surveillance team was still in a district on the border with Mozambique. They’d gone there to make an assessment a month earlier, found a huge outbreak, and got to work. You always sacrifice surveillance for active treatment, but with an epidemic this vast and unpredictable, we had to find ways to keep tracking. We decided to create three surveillance teams, each made up of a doctor or nurse, a logistician, and support staff. We divided the area up, and they methodically visited each big town and followed cases to smaller villages. If one team found a pocket of cholera somewhere, they Caitlin Meredith got to work right away—while others continued surveillance. Role Epidemiologist Teams carried “mini-kits” at all times so they could donate supplies to local Home hospitals or start work immediately. These kits included the essentials that come Austin, Texas with every MSF cholera kit—oral rehydration salts, IV saline bags, chlorine, gloves, Former Assignments Democratic Republic of and buckets. They were a great way of making sure patients received the rapid Congo; Darfur, treatment they needed in the multiple small outbreaks occurring all around us.” ● Sudan; Nigeria o5 EMERGENCY Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria South Africa Pakistan Palestinian Territories Papua N RESPONSE © Benedicte Kurzen/EVE Thousands Uprooted, Reliant on Independent Aid 06 On May 11, MSF’s medical team in Johannesburg received news that angry mobs in Alexandria Township were attacking thousands of foreign nationals—many of whom had come to South Africa in search of safety from violence, political turmoil, or economic collapse in their own countries, including Zimbabwe, Democratic Republic of Congo, and Somalia. Within 36 hours, MSF sent a medical team that started treating those with injuries from knife or gun attacks, or beatings. As the violence spread throughout Johannesburg and beyond, 62 people were killed, and 100,000 more were driven from their homes to shelter in police stations, churches, or community halls. Within five days, emergency personnel arrived, and medical and logistical teams rotated among 15 sites to provide health care, blankets, plastic sheeting, and hygiene kits. In June, South African authorities regrouped the displaced into seven camps, most of which fell short of minimum international standards—for example, one potential site was in an isolated industrial area with few latrines and large potholes, next to an area where the violence had originated. Rachel Cohen was head of MSF’s South Africa HIV/AIDS programs at that time. “Patients told us they were afraid to seek medical care from the authorities because many displaced foreign nationals—especially Zimbabweans who did not have legal status— were systematically arrested and deported and were subject to abuse, harassment, and xenophobic discrimination, even by health services. Rachel Cohen Role They expected the United Nations refugee agency to provide assistance, but, as Head of Mission one of our Zimbabwean patients said, ‘Everyone failed to protect us.’ Home MSF has treated thousands of people who were too terrified to seek out medical New York care from the authorities, but who trust us because they know we are independent Former Assignments Lesotho and that our only agenda is to bring medical care to those who need it.” ● Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos New Guinea Russian Federation Sierra Leone Somalia Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe “Without Surgery They Would Likely Have Lost Their Limbs” © Brendan Bannon Kenya was rocked by a wave of violence after contested elections in December 2007 led to a rash of attacks across the country forcing tens of thousands of people from their homes. Over the following days, MSF reinforced its teams to provide medical care in affected areas: Nairobi, Nyanza, Rift Valley, and Western provinces. Surgeons, emergency physicians, nurses, and logistical specialists were sent to replace local hospital staff, some of whom were too afraid to report for work. Gary Myers Gary Myers was sent to Eldoret town in the Rift Valley on January 10. Role “Almost overnight 30,000 people from town had fled to open spaces, Surgeon churches, police stations—anywhere they felt relatively safe. My Home MSF colleagues traveled around the area providing basic medical Oklahoma Former Assignments care, vaccinations, shelter, and sanitation services to groups of 300 up to 6,000. Sri Lanka; Liberia; Chad; Many staff had fled because of the violence, and only two operating rooms Sierra Leone; Kurdistan; Democratic Republic of were functional. My essential task at the town’s sophisticated 400-bed hospital Congo; Cameroon; Sudan was to train surgeons in MSF’s technique for fixing open and contaminated fractures, a relatively simple procedure that works really well when you are triaging massive numbers of injured people. The surgeons were extremely well-versed in orthopedic surgery, but they hadn’t much experience with a massive influx of violent injuries. What was really dramatic was the intensity of some of the violence. On at least three of the patients I saw, the machete wounds had caused near amputations. In my experience working with MSF it’s been unusual to see fractures caused by knife wounds, but at least half of the patients I saw had been injured in this way. Without surgery they would most likely have lost their limbs.” ● 07 EMERGENCY Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Ethiopia fra Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus RESPONSE © Sven Torfinn Teams Work Across Both Sides of Combat Line 08 The fierce conflict that began in the Democratic Republic of Congo (DRC) in the mid-1990s has been called “Africa’s world war,” drawing in all neighboring countries. Renewed fighting in eastern DRC in September 2007 caused hundreds of thousands to flee their homes. Fearing displaced persons camps—where protection is not guaranteed—many dispersed to areas with little food, water, or shelter, often out of reach or too dangerous for aid workers. DRC is MSF’s second largest operation, presenting a tense and confusing political landscape where work in one community may be interpreted by another as “working for the enemy.” Some of the most pressing medical problems in the country’s east are malaria, pulmonary disease, malnutrition, and the effects of widespread sexual violence. Gilduin Blanchard was assigned in January to work in Kitchanga, North Kivu, coordinating MSF’s response to an outbreak of violence. “The first thing I did was to cross the buffer zone to Kalembe—a town controlled by a different group from Kitchanga. To show our proactive neutrality and impartiality means we must be extremely active on all sides of a conflict. In preparation, everybody in our team—drivers, nurses, other local staff— Gilduin Blanchard used their contacts to gather information and make connections on the other Role side. One day we crossed with three mobile clinics and saw 250 patients, which Head of Mission is extremely high. When a group that had threatened us in January saw what Home Vermont we were doing, they dropped their threat. We told them we’d return every Former Assignments Tuesday and Thursday. Ethiopia; North Korean refugee program; Burundi; Now when we come, there’s a long line of people; some walk 4 to 5 hours to Democratic Republic of Congo; Nigeria reach us. Even if we cannot help all, they know we’re here and we care.” ● Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 © sven Torfinn © Cedric Gerbehaye © Cedric Gerbehaye ance Georgia Democratic Republic of Congo Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ussian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe 09 EMERGENCY Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Somalia Nepal Niger Nigeria Pakistan Palestinian Territories Papua New G RESPONSE © Jehad Nga Local Staff Keep Mogadishu Hospital Doors Open 10 After almost 20 years with no government and protracted conflict, Somalia lacks a functioning health system. MSF is the main provider of free health care in this country, where 3.2 million people need assistance. MSF has maintained programs across nine regions in south-central Somalia. In 2008, the organization performed more than 730,000 outpatient medical consultations, provided prenatal care to 50,000 women, and treated 10,700 severely malnourished and 47,760 moderately malnourished children. Shelagh Woods was appointed Somalia Head of Mission after completing six MSF assignments. “We face enormous challenges. Since April, the presence of international staff has been limited to ‘flash visits’ due to deteriorating security. Three MSF aid workers were killed in January, and all international staff are currently based in neighboring Kenya. We run an emergency surgical program at Daynile Community Hospital on the outskirts of Mogadishu, where this year we treated 3,093 war-wounded patients, more than half of them women and children. In Daynile, everyone from off-duty nurses to security guards helped out in February when the hospital received 121 casualties on one day, the largest single-day number since the program started. Staff themselves are living and working in a Shelagh Woods Role war zone. Many have to sleep at the hospital between shifts, as it’s often too Nurse, Head of Mission dangerous to travel home at night. Home A huge part of our role working remotely from Kenya is to support our teams. We Adelaide, Australia Former Assignments ensure that the quality of patient care is maintained by augmenting our medical Iran; Malawi; Darfur, teams, organizing trainings, and providing technical support where needed. It’s Sudan; Liberia; Sri Lanka; Somalia a major challenge given the difficulties of access and communication.” ● Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos Guinea Russian Federation Sierra Leone South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe Therapeutic Foods Bring Relief From Malnutrition © Juan carlos tomasi/msf Against a backdrop of cyclical droughts and a sharp spike in food prices, MSF treated more than 70,000 children in Ethiopia during 2008. Medical teams set up emergency feeding programs in two regions of the country’s south after finding alarming levels of malnutrition among children under five. Leo Ho was based in the Southern Nations, Nationalities and Peoples Region for three months starting in June. “At the start, we opened one outpatient feeding center after another, and some of the locations were saturated with people. The first thing I did was hire security guards and train staff on every aspect of a feeding program—how to keep records, measure children’s weight and height, and distribute ready-to-use foods made from a nutrient-dense peanut base. It was an emergency, and we tried to do it as quickly as we could. As soon as word got out that children could get free nourishment, people came in droves. We couldn’t possibly feed every malnourished child, so for quite a period we gave assistance to those at the greatest risk of death. Even working as fast as possible, we could enroll only 200 patients per day at each center. Staff would go out and routinely scan people to find the critical Leo Ho Role cases. Those with severe swelling—edema or kwashiorkor—were incredibly Physician high risk, and we would send them to the inpatient feeding center right away. Home Most patients got better, even inpatients whom we thought had little chance. Washington Malnutrition is extremely treatable if you see the patient before organs fail. Many Former Assignments Sierra Leone; Liberia children have a very good chance of recovery if medical work is done correctly.” ● 11 Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus Guatemala Honduras 9 Haiti % Colombia 6 countries americas Brazil Bolivia 44 28 countries africa Morocco MALI MSF ACTIVITIES Niger sudan CHAD Guinea-bissau Burkina Faso Guinea Sierra Leone Nigeria Ethiopia Ivory Coast Liberia Cameroon Central African Republic Somalia Uganda Republic of Congo Democratic Republic of congo In 2008, Doctors Without Borders/Médecins Sans Frontières (MSF) provided humanitarian assistance in 64 countries. MSF-USA supported work in 38 of these countries. Names are indicated solely for those countries and territories where MSF runs projects. Kenya Burundi malawi Zambia Zimbabwe Countries in red received MSF-USA funding Swaziland Countries in gray received funding from other MSF offices 12 % Lesotho South Africa Mozambique Doctors Without borders ● Medecins sans frontieres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe 11 % 7 countries europe Belgium Moldova Switzerland France 36 ITALY Greece Malta % 23 countries/territories asia & middle east Russian Federation Uzbekistan Georgia Armenia Lebanon Iraq Kyrgyzstan Turkmenistan China Iran Pakistan Palestinian Territories Nepal India Bangladesh Myanmar Laos Thailand Yemen Cambodia Sri Lanka Indonesia 13 Papua New Guinea kenya When violent protests broke Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad Chinaout Colombia Republic of Congo after elections in January, large Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Papua numbers ofTerritories wounded people beganNew Guinea Rus flooding into hospitals. This young woman said that she had been hiding inside a house when bullets passed through the door, and one struck her. She was taken to a hospital in Nairobi where MSF staff removed the bullet. © Brendan Bannon Project Support 14 Projects described in this section were made possible by generous contributions from individuals, foundations, and corporations in the United States. Unrestricted funding has been essential to MSF’s ability to react to emergencies as they unfold. The dollar amounts reflect the total MSF-USA funding for field programs in a given country. These amounts are part of total project costs presented by MSF International in its 2008 International Activity Report available at www.doctorswithoutborders.org/publications/ar. Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe africa Sudan $19,162,100 Caring for Victims of Mass Displacement Since 2003, MSF has worked in Sudan’s Darfur region, site of the world’s largest humanitarian intervention. The complex conflict deteriorated in 2008, causing further mass displacement. Approximately 2,000 MSF staff cared for more than 500,000 people, providing primary and secondary health care; emergency, prenatal, obstetric, and pediatric services; malaria and malnutrition treatment; and supplementary food for children during the “hunger gap.” In 20 locations in North, South, and West Darfur, MSF brought health care to thousands in remote areas through mobile clinics. Attacks on aid staff forced MSF to withdraw from several locations in North Darfur for part of the year, and MSF was ordered by authorities to stop its mental-health program in South Darfur—which had served 1,600 patients. In other parts of Sudan, MSF was the only organization providing medical care. MSF cared for hundreds of thousands suffering from violence, malnutrition, and infectious disease and conducted thousands of prenatal consultations in Bahr-el-Ghazal, Upper Nile, Unity, Jonglei, and Red Sea states. In Bahr-elGhazal, MSF responded to waves of displacement, providing everything from soap to outpatient care for more than 15,000 people in and around the state capital, Aweil. After an attack on the town of Abyei, MSF operated on dozens of wounded and established mobile clinics for those who had fled. In other locations, MSF provided all levels of health care, treating cholera, vaccinating tens of thousands of children against measles, and aiding victims of attacks by the Ugandan Lord’s Resistance Army. In Red Sea state, MSF continued to treat serious complications facing pregnant women who had been circumcised and raised awareness locally of the risks of this practice. Democratic Republic of Congo $12,789,999 response was to run mobile clinics, constantly assess new areas, and quickly relocate teams. MSF worked in hospitals, health centers, and numerous mobile clinics in some 45 cities, villages, and camps, providing surgery; water and sanitation; care for victims of sexual violence; treatment of malnutrition, cholera, and sleeping sickness; and measles vaccination for more than 215,000 children. North of Goma, amid the heaviest fighting, MSF performed more than 3,700 surgeries. Elsewhere, MSF responded to deadly Ebola hemorrhagic fever and large outbreaks of cholera, and continued its HIV/AIDS programs in Kinshasa, the capital, and in the east. Responding to a Massive Health Care Crisis A January peace agreement between the Congolese army and armed groups brought hope to the east and northwest of the country, but war resumed in August and hundreds of thousands again fled the violence. The districts of Ituri and Haut-Uélé were particularly hard hit. For MSF, the key to an effective Chad $8,065,050 Helping displaced Chadians and Sudanese refugees Chad remained highly unstable in 2008, due to border incursions from Darfur, confrontations between government forces and rebels, and banditry. In Increasing Support to Projects Over the last six years, a growth in donor support has enabled MSF-USA to increase its grants to field projects by 243 percent. $123.0 $133.3 $95.2 $72.2 $49.2 $38.9 2003 2004 2005 2006 2007 2008 Total Project Support Total (in $ millions). Project Support Figures(in are $ rounded. millions) This section is arranged in five geographical regions. Country activities are described in descending order according to project funds contributed by MSF-USA. Prominence is given to several countries in Africa and Asia with large-scale emergencies during 2008. Sri Lanka and South Africa are the only countries receiving $10,000 or less for which a full description of activities is included. 15 project support Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus February, when the capital, N’Djamena, came under attack, an MSF surgical team treated the wounded in Bon Samaritain Hospital. Throughout the year, MSF provided upwards of 300,000 medical or mental-health consultations to displaced Chadians and Sudanese refugees. In eastern Chad, MSF met the basic health care, surgical, and maternity needs of Sudanese refugees in five camps. In Adre, Guereda, and Abéché, MSF focused on health care for both Chadian and Sudanese women and children. Farther south, MSF provided medical assistance for the displaced and residents in the villages of Gozbeida, Kerfi, Ade, and Dogdoré. In the southwest, MSF continued to support Goré’s hospital, caring for tens of thousands of refugees from Central African Republic and local residents. MSF also responded to several epidemic outbreaks, immunizing more than 26,000 children against measles. Somalia $8,008,470 Reaching Victims of Unending Humanitarian Crisis Somalia’s appalling living conditions only worsened in 2008, with indiscriminate violence blocking humanitarian aid. MSF was profoundly affected: In 2008 three colleagues were killed in Somalia. Fighting and threats against foreign aid workers forced MSF to close three projects and evacuate its international staff. Still, much work continued through the efforts of dedicated Somali staff, supported by teams based in Nairobi. Surgical staff treated 5,250 patients in the emergency room of Mogadishu’s Daynile hospital, and overall MSF provided more than 730,000 outpatient consultations, more than 50,000 prenatal consultations, 82,000 vaccinations, and over 1,500 deliveries. Outside Mogadishu, where some 300,000 displaced people are living in terrible conditions, MSF supported a private clinic, running outpatient, pediatric inpatient, cholera-treatment, and nutrition services. With a huge rise in malnourished children in its intensive and mobile feeding centers in Hawa Abdi and Afgooye, MSF treated more than 15,500 children under five, including over 2,000 in intensive-care units. Care for violence victims and those suffering from preventable diseases was provided in the Galgaduud region and in the city of Galcayo in central Somalia. Ethiopia $5,849,945 Combating Severe MALNUTRITION A combination of droughts and a dramatic rise in food prices in 2008 left hundreds of thousands of Ethiopians without food. MSF teams launched emergency nutrition programs in the Oromiya and Southern Nations, Nationalities, and People’s regions. © Sven Torfinn 16 Sudan An MSF team treats a baby with severe dehydration in Pieri, Jonglei state, where MSF runs basic health centers for people in remote rural areas who otherwise would have no access to medical care. Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe Niger central african republic A woman sits with her child in the town of Massabiou, near the Chad border. The town had been attacked months earlier by armed gunmen, forcing thousands of people to flee. Residents who returned found themselves destitute, with little food or shelter. MSF is providing basic health care. $5,500,000 Making Gains Against Malnutrition During the May-to-October “hunger gap,” MSF worked with health authorities to fight malnutrition in the Maradi, Zinder, and Tahoua regions. Through more than 40 mobile nutrition centers, MSF cared for some 97,600 moderately or severely malnourished children under age five. A supplementary nutritive paste was distributed to 30,000 children each month, sharply reducing severe malnutrition in the targeted areas. MSF also vaccinated about 700,000 children against measles and worked with the ministry of health to vaccinate some 437,000 people against meningitis. All nutritional activities in the Maradi region were halted in July, after the government suspended MSF’s work authorization in the area. In conflict-affected Agadez, MSF supported maternity services in three health centers. Nigeria © Spencer Platt/Getty Images More than 700 staff treated more than 34,800 severely malnourished and 37,600 moderately malnourished people. MSF also vaccinated approximately 93,000 children against measles in the Oromiya region and launched a nutritional intervention in the northwestern Afar region. In the conflict-affected Somali region, MSF ran several health care programs, and elsewhere MSF treated those with the deadly disease kala azar. “We have seen more and more patients whose state of health has been worsened by their flight into the bush. Children come in suffering from malaria, respiratory infections, diarrhea and conjunctivitis; and adults suffering from a range of other conditions.” Stéphane Hauser, MSF coordinator, batangafo, Central African Republic of sexual violence. MSF also opened a primary care center in Bayelsa state and a maternal health project in Sokoto state, where maternal and infant mortality rates were alarming. In Jigawa state, MSF opened a surgical program focused on emergency obstetrics and treatment of fistulas. Medical emergencies led to a cholera intervention in Sokoto state, mass vaccinations against meningitis in Katsina and Kebbi states, and measles vaccinations in Niger state. A new national program of free antiretroviral therapy (ARV) enabled MSF—the first ARV provider in Nigeria—to hand its programs in Lagos to local partners. $5,100,000 Working to Reduce Maternal and Infant Mortality In 2008, in Port Harcourt, capital of the Niger Delta, MSF treated more than 9,300 patients in its emergency room and began treatment for victims Kenya 4,556,500 Responding to AIDS and Political Violence In Kenya, MSF has long treated chronic and neglected diseases including AIDS, tuberculosis, and kala azar. By the end of 2008, more than 18,600 people with HIV/AIDS were receiving treatment. When presidential elections sparked two months of violence, medical staff quickly established mobile clinics and sent ambulances throughout Nairobi slums to respond to the injured. In the Rift Valley, mobile teams cared for hundreds trapped with little aid. In the Mount Elgon region in the west, MSF extended medical care to the newly displaced, providing thousands of consultations including care for victims of sexual violence and violent trauma. Central African Republic $4,115,632 Providing Medical and Mental-Health Care A peace accord among major rebel groups in June 2008 diminished violence in Central African Republic, but bandit attacks continued to sow fear and limit access to health care. Serving 17 project support Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus an enormous displaced population, MSF provided medical and mental-health assistance through mobile clinics, hospitals, and health centers in the northwestern towns of Kabo, Batangafo, Markounda, Paoua, Bocaranaga, and Boguila, and in Birao and Gordil in the northeast. MSF conducted more than 385,000 outpatient consultations and treated more than 14,800 hospitalized patients for malaria, tuberculosis, HIV/ AIDS, sleeping sickness, malnutrition, and other diseases. Uganda $4,087,534 Responding to Infectious Disease In parts of Uganda, the need for HIV/ AIDS treatment remains dire. In the northern Arua district, MSF integrated HIV-tuberculosis treatment, prenatal care, and prevention of mother-to-child transmission, treating more than 4,700 with antiretroviral therapy. MSF also treated AIDS in the West Nile region and Kitgum district. In the town of Lalogi, Gulu district, MSF treated about 53,000 patients while preparing hospital services to be taken over by the Ministry of Health. MSF also responded to hepatitis E, Ebola hemorrhagic fever, and cholera; met the needs of refugees from Democratic Republic of Congo; and operated several nutrition projects. In a single district of Karamoja, in northeastern Uganda, MSF treated more than 3,000 cases of malnutrition. Malawi $4,000,000 Expanding Capacity for HIV/AIDS Care Severely affected by HIV/AIDS, Malawi faces an acute shortage of nurses and doctors. In two southern districts, Chiradzulu and Thyolo, MSF has begun more than 28,000 patients on antiretroviral therapy. Faced with an increasing caseload, in 2008 MSF trained nurses to provide this therapy in 25 locations and trained community members to perform testing and counseling, freeing nurses and doctors to focus on medical tasks. Expanding rural services and treatment of HIV-tuberculosis co-infection were also priorities. MSF intervened in a major cholera epidemic in the fall, providing patient care and water and sanitation support. “I could not find a pulse on the woman; she vomited and was in a coma. In the hospital, we inserted a peripheral intravenous line, gave her fluid, and all we could do was wait. The woman’s baby daughter received her feeding through a bottle as her mother could not breastfeed her anymore. This is a common and serious problem for lactating women who have Hepatitis E.” Guro Steine, an MSF doctor at Madi Opei Health Center in northern Uganda UGANDA A patient released from Madi Opei after treatment for severe Hepatitis E. She still has some mild heart burn, headaches and nose bleeds. There is no cure or vaccine for Hepatitis E—it must simply run its course. Zimbabwe $3,459,680 Treating AIDS and Cholera © Julie Remy 18 Zimbabwe’s extraordinary political crisis has resulted in economic freefall and total collapse of health services. MSF ran HIV/AIDS programs in Bulawayo, Epworth, Gweru, Tshlotshlo, and various locations in Manicaland province, caring for 40,000 people and providing 26,000 with antiretroviral treatment. Because transportation costs and population displacement have created barriers to care, MSF brought services to those in more rural areas. MSF also brought Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos provided nutrient-rich ssian FederationGuinea SierraMSF Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe © Julie Rémy food to malnourished prisoners at the Guéckédou prison during a medical intervention there in September. primary care to Zimbabweans fleeing to South Africa through Beitbridge, an exit point. Responding to a massive cholera outbreak, MSF supplied government health facilities and established isolated treatment units. Guinea $1,000,000 Improving Care for AIDS and Malaria As Guinea’s main HIV/AIDS treatment provider, MSF worked in Guéckédou in the east and in Conakry to bring treatment, testing, and counseling to health centers closer to patients’ homes and gave antiretroviral therapy to more than 3,500 patients. MSF transferred its Dabola-based malaria program to local authorities. MSF also intervened in an overcrowded prison in Guéckédou, where severe malnutrition, dehydration, skin infections, and tuberculosis are rampant. Material supplies and training were provided to fight cholera in Boké. Lesotho $800,000 Caring for Those with HIV/AIDS More than 23 percent of Lesotho’s adult population has HIV/AIDS. With the Ministry of Health and Social Welfare, MSF ran a program in Scott Hospital and in 14 rural clinics that provide primary and comprehensive HIV/AIDS care. The vast majority of patients receiving antiretroviral therapy adhered to treatment for at least a year, and HIV transmission from mother to child was reduced to less than five percent for pregnant women who received prophylaxis. MSF will gradually transfer all responsibilities to the health ministry and local partners by late 2010. Cameroon $545,000 Treating Buruli Ulcer In 2008, the creation of a national project for HIV/AIDS treatment enabled MSF to transfer all patients from its five-year-old program that provided comprehensive AIDS care in Douala. In Akonolinga Hospital in Centre Province, MSF treated patients affected by Buruli ulcer, a bacterial infection that can cause deformities. In 2008, MSF decentralized this program and began using a different kind of dressing so that people in remote areas could be treated without being hospitalized. MSF seeks to draw the attention of researchers and donors to this neglected disease. Burkina Faso $265,000 Caring for Street Girls and People with HIV/AIDS In one of the world’s poorest countries, MSF seeks to ensure that those with HIV/AIDS receive the care they need. By September, MSF was treating 4,275 patients, many with antiretroviral therapy. MSF continued to provide medical and mental-health care for girls living on the streets of Ouagadougou and their young children. These highly vulnerable girls often engage in prostitution to survive and have little access to care. 19 project support Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus In two northern districts, Yako and Titao, MSF treated children for malnutrition using ready-to-use food that families could bring home. Eighty-eight percent of the 23,440 children admitted to the program were cured. Swaziland $224,000 Battling HIV/AIDS and Tuberculosis Together MSF focuses on HIV/AIDS in Swaziland, where one-quarter of adults have the virus and 80 percent of those with tuberculosis (TB) are co-infected. In the Shiselweni region, MSF worked toward building a one-stop system of care for both diseases. Screening and treatment were offered at Hlatikulu Hospital and in 11 health centers. Nearly 2,300 patients received TB treatment, and 1,870 HIV-TB co-infected patients received antiretroviral therapy. MSF worked with communities and people living with HIV/AIDS on prevention and education, case-detection, and monitoring, engaging “expert patients” in helping others gain control of the disease. Liberia $151,210 Focusing on the Most Vulnerable Many Liberians cannot afford medical care, and thus MSF focuses on reaching the most vulnerable groups. In 2008, MSF helped to deliver 3,130 babies, conducted 772 emergency gynecological surgeries, and treated 886 rape survivors at Benson Hospital in Monrovia, the capital. At Island Hospital, also in Monrovia, MSF treated malnourished children and victims of sexual violence, while building toward integrated care for chronic diseases such as HIV and tuberculosis. MSF also participated in malaria-medication research and advocated for both affordable ribavirine for Lassa hemorrhagic fever and continuity of care for HIV patients. South Africa $6,500 Responding to a Wave of Violence An estimated 18 percent of adults in South Africa are HIV-positive. MSF’s groundbreaking treatment program, conducted with local partners in Khayelitsha township, outside of Cape Town, provided antiretroviral therapy to more than 11,000 patients in 2008. With HIV and drug-resistant TB co-infection rising, MSF piloted a community-based program to address both diseases. MSF continued its work with nearly 700 clients at Simelela Centre for Survivors of Sexual Violence in Khayelitsha. When a wave of violence toward foreign migrants, particularly Zimbabweans, led to deaths, severe injuries, and displacement of more than 100,000 people, MSF responded in 15 locations, providing 11,000 medical and 8,000 mental-health consultations. MSF also intervened in a cholera epidemic that spread from Zimbabwe to South Africa. 20 © Klavs Bo Christensen/WpN haiti MSF staff treat children for malnutrition at a hospital in Gonaïves after Haiti was struck in quick succession by two hurricanes and a tropical storm. MSF also provided basic medical care and surgery, as well as much needed access to clean water. Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe americas $7,550,000 Mounting Emergency Response and Caring For Victims of Violence Security efforts have succeeded in decreasing violence around Haiti’s capital; yet Haitians continue to face extremely precarious conditions. MSF launched major emergency interventions in and around Gonaïves in northern Haiti following two tropical storms and two hurricanes in late August and early September. Teams traveled by car, on horseback, and on foot to provide water, sanitation, hygiene kits, and emergency medical care. An 80-bed hospital that MSF reopened in Gonaïves in September remains busy handling hundreds of emergencies and child births. At Trinité trauma center, the only free emergency room in the capital, Port-au-Prince, MSF treated 17,950 patients. In April, amid demonstrations against increasing food prices, MSF teams treated more than 44 patients for gunshot wounds in four days. Through its program for victims of sexual violence, MSF treated 468 people, more than half of them under 18, while raising awareness in shantytowns and in the city center of the need for treatment within 72 hours of a sexual assault. In its physical rehabilitation center, MSF gave postoperative treatment, physical therapy, and psychological care to more than © Clement saccomani Haiti colombia MSF staff conduct a meeting in Buenaventura, one of Colombia’s most violent areas. Teams set up health centers and established mobile clinics to reach those cut off from access to medical facilities. “We have observed how daily violence in the society is growing and becoming endemic the longer the armed conflict continues.” Juan Carlos Torres, MSF psychosocial coordinator, Norte de Santander, Colombia 10,900 patients. MSF continued to manage the 65-bed Jude Anne emergency obstetric hospital in Portau-Prince and provided comprehensive pregnancy care through three mobile clinics in nearby slum areas. Colombia $3,112,100 Offering Health Care to Those Displaced by Violence MSF worked in 17 of Colombia’s 32 departments, providing badly needed primary health care and psychological assistance through fixed and mobile clinics, staff training, and rehabilitation of health structures in numerous rural and urban areas. Caring for tens of thousands of people, MSF supported maternity and pediatric services, treated illnesses such as tuberculosis and malaria, and provided HIV testing and treatment including antiretroviral therapy. Many of MSF’s programs address those affected by sexual violence, which is extremely common. Honduras $300,000 Giving Treatment to Street Youth Homeless young people in the capital, Tegucigalpa, are extremely vulnerable to violence and have little access to medical care. MSF provides medical and psychological treatment through a day center that was visited by 370 street youth in 2008. MSF treated youth with respiratory infections, skin diseases, dental problems, and injuries from violence, while psychologists helped them address drug abuse and life on the street. MSF provided family planning and prenatal care, and, working with a state health clinic, coordinated hepatitis B and tetanus vaccination programs. 21 project support Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus Guatemala $430,000 Supporting Those Affected by Sexual Violence Myanmar $1,964,500 Assisting the most Vulnerable After Cyclone Devastation Myanmar’s health care system already provided little assistance for the thousands with treatable infectious diseases. In May 2008, Cyclone Nargis wrought destruction throughout the Irrawaddy delta leaving some 130,000 people missing or dead. With preexisting projects running, MSF was one of very few organizations able to provide relief, intervening within 48 hours. While the government restricted external aid, MSF delivered food, water, shelter, health care, and essential nonfood items. As access to aid grew, MSF © MSF Guatemala continues to cope with violence and crime, including an enormous incidence of sexual violence. MSF runs a medical and psychological assistance program in two suburban zones on the outskirts of Guatemala City, where those most affected reside. In 2008, MSF expanded the program and treated more than 400 victims of sexual violence, providing prophylaxis to prevent sexually transmitted infections. MSF also opened a 24hour service at “Ministero Publico,” where women who report assaults can receive medical and mental-health care. The organization has conducted extensive awareness campaigns about the necessity of immediate medical treatment following sexual assault. Asia 22 Myanmar An HIV/AIDS patient receives treatment at an MSF clinic. MSF provides antiretroviral therapy (ARV) to about 11,000 people living with HIV— representing 80 percent of all available ARV in the country. More than 75,000 people still need ARV in Myanmar. added psychological care to its work. Some 450 MSF staff assisted more than 520,000 people. MSF provides most of the HIV/AIDS treatment in Myanmar. Working in the former capital, Yangon, in Shan, Kachin, and Rakhine states, and in Thanintaryi division, MSF in 2008 cared for 16,000 HIV/AIDS patients, providing 11,000 with antiretroviral therapy. MSF has called on Myanmar’s government and the international community to increase HIV services urgently. MSF also provided extensive primary care and tuberculosis and malaria treatment in several areas. During the year, MSF supported 30 clinics and 3 mobile health teams that treated more than 200,000 people for malaria in Rakhine state. China $2,500,000 Caring for HIV/AIDS and Earthquake Victims HIV/AIDS is the top infectious-disease killer in China, with 44,839 new cases reported in the first 9 months of the year. While the government provides free antiretroviral therapy, HIV testing and management of opportunistic infections are not free, so many go without needed treatment. In Nanning, MSF, in collaboration with local health bureaus, provides HIV counseling, testing, and treatment, serving 3,000 people in 2008. When a major earthquake hit Sichuan province on May 12, MSF donated 4,310 winter tents and medical supplies in Mianzhu city. MSF cared for patients with “crush syndrome” in Chengdu and supported a triage center in Guanghan City, Deyang. It provided psychological care to shocked survivors in several counties. MSF also provided thousands of pounds of essential supplies after snowstorms hit Maocao village in Guizhou province and in response to flooding in Guangxi. Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe © Greg Constantine Thailand A child receives medical care from MSF staff at Huay Nam Khao camp in Petchabun province. MSF has provided medical care and food at the camp to thousands of Hmong refugees from Laos. Sri Lanka $5,000 Providing Assistance Amid Renewed Fighting In January 2008, heavy fighting resumed between the Sri Lankan Army and the rebel Liberation Tigers of Tamil Eelam (LTTE). MSF supported hospitals in both government- and LTTE-controlled areas, providing medical, surgical, gynecological, and emergency care. In 2008, MSF conducted 2,550 deliveries and assisted in 1,885 surgical interventions in partnership with the health ministry. In Point Pedro, at the northern tip of the Jaffna Peninsula, MSF taught staff to prepare for mass casualties and trained nurses in hygiene and dressings. In Vavuniya, MSF surgeons, anesthesiologists, and lab technicians supported the general hospital. MSF also treated 150 children for malnutrition through a mobile program and trained staff of a local mental-health organization. MSF was forced by the government to leave Kilinochchi, an LTTE-controlled site, in September. “Hmong refugees receiving treatment from MSF for mental trauma caused by the violence and persecution they experienced in Laos are among the missing. These people do not trust the Lao government and demand real guarantees before going back.” GILLES ISARD, MSF HEAD OF MISSION, THAILAND. Cambodia $1,350,000 Taking Stigma Out Of HIV/AIDS Treatment With growing international support for Cambodia’s HIV/AIDS treatment program, MSF was able to integrate many patients into the public health system. It runs two clinics in the provinces of Siem Reap and Takeo, using an innovative and destigmatizing approach that treats HIV/AIDS as a chronic disease alongside hypertension and diabetes. At the end of 2008, MSF was treating 3,097 patients with HIV, 1,729 with diabetes, and 390 with hypertension. In Phnom Penh and Kampong Cham, MSF also provided care to people with HIV/AIDS, particularly those with HIV-tuberculosis co-infection. Thailand $1,050,000 Transferring HIV/AIDS Projects and Caring for Refugees Thailand was the site of MSF’s first HIV/AIDS program that demonstrated the feasibility of treating patients with antiretroviral medications in less-developed settings. In 2008, MSF progressively transferred these programs to the Thai government, which has greatly increased its capacity to provide such care. In Mae Sot, on the Myanmar border, MSF treated several thousand people from Myanmar for 23 project support Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus tuberculosis (TB) and HIV/AIDS. It also ran a cross-border malaria project for ethnic Mon living inside Myanmar, treating 4,360 cases. The organization continued to provide health care, food, water, and mental-health care to Lao Hmong refugees in a camp in the northern Petchabun province, speaking out repeatedly about the government’s plan to forcibly return them to Laos. It also continued to assist migrants crossing from Myanmar to work in Phang Nga province in the south. India $452,420 Offering Treatments for HIV/AIDS, Kala Azar and Conflict Targeting the most marginalized groups, MSF runs several HIV/AIDS programs in India. MSF conducted more than 4,200 HIV/AIDS consultations in Mumbai and 50,000 in Manipur and provided antiretroviral therapy for more than 1,000 patients. MSF also gave 32,600 consultations in camps for people who had fled the conflict between rebels and government forces in Chhattisgarh and Andhra Pradesh. In Bihar state, MSF provided 1,974 people the best available treatment for kala azar and gave extensive assistance to those displaced by severe flooding. In the violence-affected Kashmir Valley, MSF provided primary and mental-health care and vaccinations to thousands of people. Indonesia $400,000 Responding to Crises and Planning for the Future MSF elected to begin closing its Indonesia programs due to improved national disaster-response capacity. Still, it responded to several crises, such as the earthquake that struck central Sulawesi in November. MSF offered mental-health care, mobile clinics, and training for 2,600 people on handling stress. When MSF discovered disturbing levels of the parasite that causes lymphatic filariasis, in Asmat, Papua province, it treated 36,644 people and performed surgery on 36. MSF continued its primary and emergency care program there, training staff, ensuring safe blood transfusions, and establishing an emergency radio system. 24 © Juan Carlos Tomasi India A young patient and her relative wait at Hajipur hospital in Bihar, where MSF runs a project to treat kala azar, also know as visceral leishmaniasis. This neglected and deadly disease is spread through the bite of a sandfly. India has 80 percent of the world’s cases, and 90 percent of those are found in Bihar. Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe Caucasus & Central Asia Russian Federation $2,850,000 Acting as Main Source of TB Treatment in Chechen Capital Health needs remain high in the postconflict region of Russian North Caucasus. In Nazran, Ingushetia, an MSF-run medical center provided about 1,200 medical and mental-health consultations each month to refugees. In Chechyna, through its surgical program in Grozny Hospital Number 9, MSF operated on 445 patients and provided physical therapy to 11,056. MSF also provided women’s health care in Grozny and in three mountainous villages. In 2008, MSF expanded its tuberculosis (TB) program and is the main source of TB treatment in Grozny. Georgia © Misha friedman russian federation A child receives treatment in the trauma ward of Grozny’s Hospital No. 9 in Chechnya, where MSF provides support. MSF staff also perform reconstructive surgery and support the neurosurgical ward. $1,235,000 Focusing on Drug-Resistant Tuberculosis Drug-resistant tuberculosis (DR-TB) is the primary focus of MSF’s work in Georgia. MSF treated patients in the western city of Zugdidi and in the separatist republic of Abkhazia, where, near the capital, Sukhumi, MSF refurbished a hospital and supplied it with drugs, materials, and laboratory equipment. MSF also provided antiretroviral therapy for HIV-TB co-infected patients and supported national DR-TB programs in Tbilisi and Abastumani, training nurses and counselors. After fighting broke out “Before the war, there were more than 120 TB doctors for a population of one million. During the two wars, the TB service infrastructure was completely destroyed. The MSF program showed that TB treatment in a post-war setting is possible and yields good results.” Shamsudin IkHaev, MSF TB doctor, Russian federation in August 2008 over a separate region, South Ossetia, MSF provided health and psychological services in Tbilisi and Gori. Armenia Middle East $600,000 Helping Patients With Drug-Resistant Tuberculosis In Armenia, a country hard hit with drugresistant tuberculosis (DR-TB), MSF, with the ministry of health, ran a treatment program in the capital, Yerevan, and advised health authorities on establishing best treatment protocols. MSF provided initial care in a 35-bed inpatient unit, which the organization refurbished. After discharge, the arduous regimen—involving numerous drugs daily—continues for up to two years through mobile clinics or home care. MSF also provides services to encourage treatment adherence, including nutritional assistance and transport allowances to help patients reach the clinic. Iraq $12,400,000 Reaching out to Civilians Caught in Conflict In the sixth year of war, although overall violence had decreased in Iraq, the situation remained violent and highly volatile. With humanitarian organizations at risk, MSF delivered aid to the most affected areas only from more secure parts of Iraq or from outside its borders. Still, MSF made inroads in formerly off-limits areas and in October began a surgical training 25 project support Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus project in Basra General Hospital in the south of the country. MSF continued to provide orthopedic and plastic surgery for Iraqi war wounded in Amman, Jordan, and provided reconstructive surgery from Mehran, Iran. In the Kurdish governorates of the north, MSF aided hospitals in Sulaymaniyah, Erbil, and Dohuk, focusing on prosthetic and orthopedic reconstructive surgery and burn care. In Baghdad and in central and southern Iraq, MSF provided medical equipment and training in eight hospitals, and emergency psychological counseling in four of them. In the northern governorates of Tameen and Ninewa, MSF provided medical supplies and emergency care after violent incidents occurred. Yemen $2,248,630 Providing Health Care for Refugees and Conflict Affected Long a haven for refugees from the Horn of Africa, Yemen is coping with a conflict of its own, in the northwestern governorate of Saada. When fighting erupted in May 2008, MSF provided health care to those affected from Haydan and Razeh hospitals. In Al Tahl, MSF offered inpatient and mobile health consultations for the nearby village of Dahyan, carrying out some 3,000 hospital or clinic consultations, treating 15,000 patients in emergency rooms, and providing surgery, treatment for malnutrition, and obstetric care. Yemeni staff maintained programs when international teams were forced to evacuate. In the southern Abyan and Shabwah governorates, MSF continued “The boat was very crowded. We had no water or food; only the smugglers did. If you move, they kick you. If someone dies on the boat, they throw him overboard. I witnessed someone being thrown into the sea.” SURVIVOR OF BOAT JOURNEY FROM SOMALIA TO YEMEN © Michael Goldfarb/MSF yemen A severely dehydrated Somali refugee is treated by an MSF medical worker in southern Yemen, December, 2008. She arrived in the country hours earlier after spending 45 hours on a dangerously overcrowded smuggler boat from northern Somalia. 26 to provide medical and non-medical assistance to Ethiopian and Somali people who risked their lives to cross the Gulf of Aden. MSF also provided urgent care on the shore, running a health center that provided health screenings and vaccinations. The team in Ahwar helped almost 10,000 people during the year. Palestinian Territories $2,153,630 Continuing Care During and After Conflict In the Gaza strip, 2008 saw a dramatic deterioration in economic, security, and health conditions due to a strict blockade imposed following heightened tensions in the Palestinian-Israeli conflict. Working in three clinics, MSF provided post-operative and physical therapy for more than 480 wounded patients who had no other access to this care. MSF also began an outpatient medical program for children under 12 to augment the overloaded pediatric referral hospital, caring for 6,676 children. It continued a program for those with violence-related psychological problems. In late February, when rocket attacks left about 360 wounded, MSF provided care in its Gaza City clinic; donated medical supplies; and supported overwhelmed hospitals. It again supported hospitals during a new outbreak of conflict in December. Although MSF’s clinics near the fighting could not open, Palestinian staff used emergency medical kits to care for those living near them. In Nablus, on the West Bank, MSF continued to provide mental-health and medical support. Collaborating with local mental-health providers, MSF cared for more than 300 patients. Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 © Laurent chamussy/sipa press Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe niger Mothers wait in line with their children to receive ready-to-use foods for treatment of malnutrition in the Maradi region. During the “hunger gap” between harvests, MSF distributed a monthly supply of these nutrient-rich foods, which can be administered at home. Advocacy, Coordination & Research MSF International Office $1,296,762 Supporting Advocacy and Network Coordination As part of the MSF network, MSF-USA helped to support the MSF International Office, which coordinates common projects on behalf of MSF’s 19 sections worldwide. It also supported MSF’s medical and humanitarian advocacy efforts with the United Nations and other international bodies. Drugs for Neglected Diseases Initiative (DNDi) medicines to treat diseases such as malaria, sleeping sickness, kala azar, and Chagas disease. DNDi is also working to register existing medicines with various nations’ drug regulators so that they can be used against these neglected diseases. This partnership, involving MSF, the World Health Organization, and key public research institutes, was launched in 2003 to research and develop new International Campaign for Access to Essential Medicines Epicentre $430,000 Carrying out Operational Research Epicentre is a nonprofit research center founded by MSF in 1987. The center conducts epidemiological assessments and studies to assist MSF in understanding medical and nutritional needs, improving treatments, and developing high-quality health care initiatives in its field projects. $812,682 Confronting Barriers to Treatment MSF-USA supported this advocacy campaign, which draws on MSF’s field experience to promote greater access to affordable and effective medicines and diagnostics. Other Funding Distributions Sierra Leone: $500; Bangladesh: $7,500 $1,423,849 Developing Medicines for Forgotten Diseases needs. Examples include ambulance services in remote slums of Rio de Janeiro and the use of adapted diagnostic tools for malnutrition in West Africa or for TB among HIV patients in East Africa. INNOVATION FUND $1,064,822 Stimulating new ideas for action This international fund was created to promote innovation in operational activities by rewarding methods that improve the way MSF meets health care Total Project Support Through US Private Funding in 2008: $133,324,284 27 Ethiopia MSF medical staff care for a malnourished child in southern Ethiopia. Between May and October, MSF ran about 60 nutrition centers for patients with severe, life-threatening malnutrition. © Francesco Zizola “Our field staff are the most important means MSF possesses to carry out its humanitarian action. As many as 27,000 medical and other professionals from dozens of countries provide assistance each day to millions of people caught in crises around the world. They share a common commitment to MSF’s guiding principles of independence, impartiality, neutrality, and medical ethics. MSF maintains a rigorous selection process, ongoing training opportunities, and an incremental salary scale that encourage highly qualified and motivated staff to take on new and more challenging positions. In 2008, US-based aid workers from 41 US states and the District of Columbia were sent on more than 300 assignments in 37 countries. More than half of them had previous experience, enabling them to hit the ground running”. Nick Lawson, Director of Field FieldStaff 28 Human Resources, MSF-USA. Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe Armenia Colombia Georgia Marcia Mayer, FL, Registered Nurse Pamela Wilcox, IL, Field Administrator Augusto Llosa, MA, Project Coordinator Rick Morey, CO, Logistician Jean Akin, OR, Mental Health Officer Kerri Kelly, NY, Field Administrator Megan Klingler, MT, Registered Nurse Burkina Faso Democratic Republic of Congo Yodit Bekele, NY, Epidemiologist Carissa Guild, PA, Registered Nurse Samantha Johnston, CA, Physician Joseph (Jose) Ruiz, NC, Logistician Jeff Allen, GA, Logistician Michele Belletete, NH, Registered Nurse Cristiana Bertocchi, PA, Surgeon Kenna Bifani, OR, Registered Nurse Gilduin Blanchard, VT, Head of Mission Jordy Cox, AZ, Surgeon Brett Davis, PA, Project Coordinator Nicole Dennis, NC, Registered Nurse Anna Freeman, NC, Registered Nurse Andre Heller, CA, Logistics Coordinator Ya-Ching Lin, AZ, Project Coordinator Deane Marchbein, MA, Anesthesiologist Caitlin Meredith, TX, Epidemiologist Xandra Rarden, WA, Physician Patricia Swagart, NC, Registered Nurse Catherine Wittman, PA, Physician Sherry Wren, CA, Surgeon Cambodia Kelly Chipemba, KY, Mental Health Officer Lauren Cohen, IL, Registered Nurse Catherine Cornu-Quinn, NY, Registered Nurse Cameroon Emmanuel Flamand, NY, Project Coordinator Peter Orr, NY, Head of Mission Central African Republic Michele Belletete, NH, Registered Nurse Anje Van Berckelaer, PA, Physician Patricia Campbell, NY, Physician Laurie Lopez Charles, MA, Mental Health Officer Jordan Davidoff, NY, Logistician Joelle Depeyrot, CA, Mental Health Officer Peter Groce, PA, Registered Nurse Jennifer Pahl, AK, Project Coordinator Charlotte Probst, FL, Laboratory Technician Chad Jeff Allen, GA, Logistician Macka Barry, VA, Surgeon Meredith Casella, MA, Midwife Sarah Crawford, NY, Field Administrator Joshua Cuscaden, FL, Logistician - Admin Jordan Davidoff, NY, Logistician Alpha Amadou Diallo, NY, Physician Carol Etherington-Fossick, TN, Mental Health Officer Emmanuel Flamand, NY, Project Coordinator Janel Lehman, PA, Registered Nurse Eric Nilles, IA, Physician Stephen Odom, CO, Surgeon Anita Repp, CT, Project Coordinator; Registered Nurse Uintah Shabazz, CO, Registered Nurse China Paul Brockmann, PA, Emergency Administrator Sherry DuBois, DC, Head of Mission Cindy Huang, CA, Project Coordinator Sum (Alison) Wong, CA, Pharmacist Ethiopia Jeff Allen, GA, Logistician - Admin Voitek Asztabski, TX, Logistics Coordinator Gilduin Blanchard, VT, Head of Mission Allyson Bowers, GA, Registered Nurse Suzanne Ceresko, NY, Logistician - Admin Sylvia Curtis, WA, Registered Nurse Brett Davis, PA, Project Coordinator Maureen Foley, NJ, Registered Nurse Mary Jo Frawley, CA, Registered Nurse Brian Hansen, WI, Logistician Leo Ho, WA, Physician George Kratee, MN, Registered Nurse Anne Luke, CA, Pharmacist Shinko Mondori, WA, Logistician - Admin Donna Myers, OH, Registered Nurse Amy Parsons, AZ, Registered Nurse John Payne, KY, Physician Christopher Pont, CT, Registered Nurse Kira Rashba, MD, Registered Nurse Lili Sperry, WA, Physician Leslie Temple, VA, Registered Nurse Interested in Joining Haiti John Brooks, NY, IT Logistician Rhian Gastineau, MN, Project Coordinator Michelle Gray, CA, Registered Nurse Elizabeth Levison, MA, Logistician Steven R. Maynard, RI, Surgeon Suzan Newman, SC, Registered Nurse Ashok Shroff, WA, Anesthesiologist India Jane Boggini, CT, Registered Nurse Duncan Cohen, MD, Logistician Joan Donaldson, MN, Field Administrator Nell Eisenberg, NY, Physician Michael Friedman, NY, Field Administrator Rebecca Golden, LA, Project Coordinator Ruth Kauffman, NM, Midwife Michelle Mays, MD, Registered Nurse Eileen McDonald, NY, Registered Nurse Vuong Nguyen, MA, Physician Mary Kay Pasnick, WA, Physician Indonesia Navneet Bhullar, PA, Physician Shauna Muendel, WA, Registered Nurse Iraq Richard Gosselin, CA, Surgeon John Mathews, NY, Anesthesiologist Jordan Aria Danika, NJ, Logistician David Templeman, MN, Surgeon Kenya Julie Buser, MI, Registered Nurse Donna Canali, CA, Project Coordinator Thomas Coogan, CO, Field Administrator MSF? MSF is always looking for motivated and skilled medical and non-medical professionals for our field projects around the world. For information on requirements, visit: www.doctorswithoutborders.org. MSF-USA also needs volunteers and interns to work in our New York office. For more information please visit our website. 29 Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus FieldStaff Henry Debusmann, IL, Project Coordinator Nell Eisenberg, NY, Physician Hernando Garzon, CA, Physician Neena Jain, CO, Physician Corri Johanson, GA, Field Administrator Katherine Kao, CA, Physician Colette Kerr, OR, Registered Nurse Andrew McKee, WA, Logistician - Admin Michael Nordine, IL, Registered Nurse Robyn Osrow, NY, Mental Health Officer Robin Picard, NH, Field Administrator Sabrina Plum, NY, Logistician - Admin Kassia Echavarri Queen, CA, Logistician Vivian Reyes, CA, Physician Anna Christina Tavares, MA, Project Coordinator Kerry Thomson, MA, Epidemiologist Karen Poster-Verrill, MI, Laboratory Technician Richard Vinroot, LA, Physician Siamak Malek, PA, Physician Megan McGuire, MA, Epidemiologist Mark Stover, KS, Physician Mali Justin Andrews, NY, Logistician Mozambique Maria (Nenna) Arnold, NM, Registered Nurse Bryan Blondeau, ID, Logistician Henry Debusmann, IL, Logistician Myanmar Edward Cullen, MA, Logistician Lindsay Farnsworth, VT, Logistician - Admin Kaci Hickox, TX, Registered Nurse Richard Kim, TX, Logistician - Watsan Nepal Anna Hess, NY, Registered Nurse Michael Miano, NY, Logistician James Stockstill, PA, Project Coordinator Elizabeth Wentzel, IA, Project Coordinator Liberia Kiranpreet Chawla, NY, Surgeon Sally Girvin, NY, Project Evaluator Walter Gould, WY, Surgeon Betty Lou Tom, CA, Surgeon Niger Malawi Sandy Althomsons, GA, Epidemiologist Anna Keba, CA, Registered Nurse Hannah Clymer, VA, Registered Nurse Aria Danika, NJ, Logistician - Admin Marc William Levin, NY, Physician Antonia Makosky, MA, Registered Nurse In Memorium The powerful will to save lives and alleviate suffering of people affected by war, disease, and disaster is what brings together thousands of individuals from different nationalities, religions, cultures, and professions to work with MSF. It is with this same humanitarian spirit that MSF remembers our colleagues who lost their lives in the service of others in 2008. MSF extends our deepest sympathies to their families and friends for their profound loss. Francine Uweka Acikane Maria Tiziana Albrizio Mohamed Abdi Ali (Bidhaan) Gigi Baguma Samuel Bamoueni Jean-Jacques Bourgois David Jon Brand Melkamu Bulti Bradley Burlingham 30 Caroline Maroten, CA, Registered Nurse Hannah Megacz, NY, Registered Nurse Martha Montgomery, NC, Epidemiologist Martha Turner, CA, Midwife Vladimer Chernoles Sarah Ann Christianson Jean-François Delcambe Raphael Gintzburger Mustafa Khalifa Martine Laurent Damien Lehalle John Lunda Enrico Marchis Victor Okumu Rafael Olivier Ojwato Omod Ghislain Pangou Antoine Ndimubanzi Safari Promise Sanelisiwe Tshiloane Peter Munga Waweru Keith Woodard Nigeria Claudette Akpodiete, FL, Registered Nurse Gerard Bashein, WA, Anesthesiologist Romie Basu, CA, Surgeon Gilduin Blanchard, VT, Head of Mission John (Mike) Braden, WA, Registered Nurse John Bradshaw, VA, Logistician Bradley Burlingham, OH, Anesthesiologist Matthew Deeter, WA, Surgeon William Faria, MA, Logistician - Admin Ekaterina Galiyeva, CA, Registered Nurse Richard Gosselin, CA, Surgeon Kelly Grimshaw, CT, Emergency Coordinator Maria Guevara, AL, Medical Coordinator John Hamby, IL, Surgeon Brian Hansen, WI, Logistician Julie Hubble, NY, Field Administrator Neena Jain, CO, Physician Lisa Kalik, NY, Physician Ann Kane, NY, Field Administrator Colette Kerr, OR, Registered Nurse Richard Kim, TX, Logistician Christopher Klemawesch, FL, Field Administrator Liza Le, VA, Physician Dennis Lewis, WY, Surgeon Krista Maddox, NY, Field Administrator Deane Marchbein, MA, Anesthesiologist Jon Martinson, NH, Logistician Caitlin Meredith, TX, Epidemiologist Amir Miodovnik, CA, Physician Joseph Pale, NY, Head of Mission Lisa Pint, IL, Registered Nurse Sabrina Plum, NY, Logistician - Admin Wijayan Ratnathicam, NY, Surgeon Christopher Reveley, UT, Anesthesiologist William Rohs, CO, Field Administrator David Rothstein, IL, Surgeon Philip Sacks, MA, Logistician Kyle Stevens, OR, Logistician James Stockstill, PA, Project Coordinator Douglas Vanderbilt, TN, Surgeon Jonathan Vogan, MA, Field Administrator Donald Weaks, FL, Logistician - Construction Holly Welch, CA, Registered Nurse Benjamin Whitfield, NY, Logistician Jordan Wiley, OR, Logistician - Admin Papua New Guinea Myron Burkholder, VA, Logistician Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe Michael Friedman, NY, Logistics Coordinator Shinko Mondori, WA, Logistician South Africa Rachel Cohen, NY, Head of Mission Terufat Deneke, VA, Logistics Coordinator Sharonann Lynch, NY, Project Coordinator Sri Lanka Zacarias Asuncion, HI, Surgeon Voitek Asztabski, TX, Logistician Ziya Celik, FL, Surgeon Sara Doran, OH, Field Administrator Lisabeth List, TX, Head of Mission Bipinchandra Patel, NY, Surgeon James Peck, OR, Surgeon George Record, WV, Surgeon Michael Sinclair, PA, Surgeon Karen Stewart, CO, Mental Health Officer Hope Wall, OR, Registered Nurse Sudan Kimberly Allen, NM, Registered Nurse Eric Ams, VA, Logistician Gholamreza Asgary, NY, Physician David Austin, ME, Physician Susan Averill, WA, Project Coordinator Peggy Bennett, MI, Registered Nurse Naina Bhalla, CA, Physician Rebecca Carlton, CA, Midwife Thomas Coogan, CO, Field Administrator Jane Coyne, NY, Head of Mission Jordan Davidoff, NY, Logistics Coordinator; Logistician Louise Fang, WA, Registered Nurse Lindsay Farnsworth, VT, Logistician - Admin Brenda Fedde, CO, Registered Nurse Rajeev Fernando, NY, Physician Melissa Guerra, LA, Field Administrator Holly Herr, VA, Registered Nurse Jonathan Jennings, VA, Project Coordinator Lisa Johnson, WY, Registered Nurse Lisa Kalik, NY, Physician Jesse Karp, CA, Logistician - Construction Steven Knuesel, MN, Physician Viktoria Lindberg, CA, Registered Nurse Alison Ludwig, CA, Physician Anne Luke, CA, Registered Nurse (two assignments) Sharon Merecki, NM, Midwife Jason Mills, NH, Logistician James Mitchell, CA, Registered Nurse Tara Patenaude, VA, Project Coordinator Frank Peters, CO, Logistician Arvind Ponnambalam, NY, Physician Jason Prystowsky, GA, Physician Kassia Echavarri Queen, CA, Project Coordinator Philip Sacks, MA, Logistician - Admin Christopher Sauer, CA, Project Coordinator Kyle Stevens, OR, Logistician James Stockstill, PA, Project Coordinator Joel Trinidad, NJ, Registered Nurse Deborah Van Dyke, VT, Registered Nurse Hope Wall, OR, Registered Nurse Zachariah Zanek, TX, Logistician - Admin Carole Howe, VT, Registered Nurse Jonathan Jennings, VA, Project Coordinator Sarah Kesler, MN, Physician Richard Kim, TX, Logistician - Watsan Elsie Lee, NY, Physician Robert Linden, CO, Physician Sara Nowlis, FL, Registered Nurse Maureen Orr, CO, Registered Nurse Toris Strydom, TX, Field Administrator Celia Carolyn Thiedke, SC, Physician Habtamu Mehari Zenebe, FL, Logistics Coordinator Swaziland Lena Dietz, AZ, Field Administrator Jesse Karp, CA, Logistician - Construction Margaret McChesney, AZ, Registered Nurse Vladimir Svesko, AZ, Physician Thailand Christa Peacock, CA, Registered Nurse Bernadette Thomas, PA, Physician Uganda Naomi Blackman, NC, Registered Nurse Jeanne Cabeza, CA, Physician Aria Danika, NJ, Logistician Lisa Godwin, AL, Registered Nurse Alfredo Gonzalez, Logistician Anna Hess, NY, Registered Nurse © Pim Ras Russia Uzbekistan Cynthia Scott, CA, Mental Health Officer Yemen Anne Cugier, NY, Finance Officer Zambia Lauren Jones, MA, Registered Nurse Zimbabwe Jane Boggini, CT, Registered Nurse Mary Jo Frawley, CA, Registered Nurse Jane Hannon, MD, Registered Nurse Benjamin Ip, WA, Physician Carol Kirby, CT, Registered Nurse Caitlin Meredith, TX, Epidemiologist Democratic republic of congo A child has a medical consultation with MSF staff at Shamwana hospital in Katanga, where MSF provides primary and secondary health care. 31 Ethiopia An MSF doctor examines a child at a stabilization center in Senbete in the Oromiya region. During MSF’s nutrition intervention in southern Ethiopia, teams set up several of these centers for the most severely malnourished children with medical complications such as malaria or pneumonia. © Juan Carlos Tomasi/MSF Donors 32 MSF is extremely grateful for the financial support it receives from individuals, foundations, and corporations. Your generosity allows MSF to respond to emergencies based on medical humanitarian needs and operate independent of political, economic, or religious interests. Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe MSF Acknowledges Our Donors Who Have Made Multiyear Commitments Multiyear pledges and promises provide MSF with predictable and sustainable funds, enabling us to respond effectively and rapidly to emergencies around the world, and helping us to better plan for the future. By the close of 2008, MSF had received 83 multiyear commitments toward this effort, totaling $19,261,625. $1,000,000+ The Fludzinski Foundation Libby and Dan Goldring Andrew Justin Mrs. Nell V. Weidenhammer $500,000 - $999,999 Mr. & Mrs. Robert Arnow The Charles Engelhard Foundation The Lawrence Foundation The Lehman Brothers Foundation Luff Family Fund of Denver Foundation Richard and Rhoda Goldman Fund The Starr Foundation Thomas & Ancella Toldrian $100,000 - $499,999 AlixPartners Arlene & Arnold Goldstein Family Foundation Charina Endowment Fund Anna Chavez & Eugene Eidenberg Dr. & Mrs. Emmett J. Doerr, Jr. Eaglemere Foundation, Inc. Kathleen & Tom Freston George L. Shields Foundation, Inc. Aileen Getty The Gilbert & Ildiko Butler Foundation Harman Family Foundation The Hess Foundation Charles & Marion Johnson Susan & Bernard Liautaud Louis and Harold Price Foundation The Louise and Gerald Kaiser Foundation Inc. Eric J. Lunger Lewis & Jean Miller The Mortimer D. Sackler Foundation, Inc. The Morton K. and Jane Blaustein Foundation The Parker Family Foundation Walter F. Parkes & Laurie MacDonald Nicholas & Anne Patterson Bradford A. Peik The Reed Foundation, Inc. Carol and Joe Reich Reusing & Cole Family Charitable Fund Richard Rockefeller, MD David & Barbara Roux David & Beth Sawi Edward & Barbara Shapiro Stavros S. Niarchos Foundation The Windfall Foundation $50,000 - $99,999 Meena & Liaquat Ahamed George & Herawati Alvarez-Correa Pete & Elizabeth Beglin Victoria & Hank Bjorklund Timothy Boudreau Countess Moira Charitable Foundation Mr. Robert English & Ms. Anna Zara Pawel Fludzinski Raymond P. & Marie M. Ginther The Kalish Family Foundation, Inc. The Moriah Fund Oceanic Heritage Foundation The Peter and Carmen Lucia Buck Foundation, Inc. The Sunrise Foundation Irene & Alan Wurtzel $25,000 - $49,999 Marco Battaglia David & Katherine B. Bradley Elizabeth & Roger Insley Sheila & Jim Leatherman Arnold & Barbara Silverman Robert & Sharon van Zwieten Jennifer White Mary & Jeff Zients $5,000 - $24,999 Carol Etherington Mary Ann Hopkins, MD The Jeffrey and Janet Quay Charitable Foundation Gertje & Garrick Utley Wang-McLaren Foundation Under $5,000 David Shevlin, Esq. Myles D. Spar, MD Lists above do not include names of donors requesting anonymity 33 Donors in 2008 Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus $1 Million + Anonymous (1) Estate of Helen Anderton Audrey S. Burnand Grousbeck Family Foundation Estate of Robert Cleo Mitchell Estate of Adrianne Baker Reilly Estate of Louise Lux Sions $500,000 - $999,999 Anonymous (1) Estate of Margo Baird Jacqueline Hoefer Fund Estate of Dorothy Marron The Pierre and Pamela Omidyar Fund Richard and Rhoda Goldman Fund Simpson, Thacher & Bartlett LLP # Estate of Nancy L. Wyman $250,000 - $499,999 Anonymous (3) The Barkley Fund Estate of Betty Gay Coltrane Bivens Estate of Jacques Crosby Estate of Marjorie Flood The Fludzinski Foundation Libby and Dan Goldring Estate of Maxine E. Hammer Reusing & Cole Family Charitable Fund Ms. Karen Rylander TripAdvisor Virginia S. Chase Trust $100,000 - $249,999 Anonymous (24) Anonymous Fund of the Foundation for the Carolinas Mr. & Mrs. Robert Arnow Euan & Angelica Baird Estate of Elizabeth A. Bearer Bonne Volonte Charitable Trust Estate of Maureen Bradford Charles Butt The Capital Group Companies Charitable Foundation The Charles Engelhard Foundation Estate of Janice Charlup David H. & Denise K. Chase Estate of Julia Condon D. E. Shaw & Co., L.P. Mr. Keith V. Dyck Estate of Mary L. Enderly Estate of Louise Gaudet 34 Ms. Aileen Getty Estate of Rita Goldberg Hau�oli Mau Loa Foundation Hollywood Foreign Press Association Estate of Georgette Kamenetz Mr. Matthew Kennedy Mr. & Mrs. John Kim Kwok Charitable Trust Larry and Nancy Pantirer Family Foundation, Inc. Ruth & David Levine The Lloyd A. Fry Foundation Estate of Virginia Lloyd The Lopatin Family Foundation Luff Family Fund of Denver Foundation Ms. Sarah L. Lutz & Mr. John Van Rens Estate of Alfreda T. McKillop The Morton K. and Jane Blaustein Foundation Neukom Family Foundation Estate of Donna O’Connor Estate of Richard Oneto Partridge Foundation Estate of Alfred Peet The Peierls Foundation, Inc. The Perkins Malo Hunter Foundation Estate of Michael V. Reusing David & Barbara Roux Estate of David G. Rubin Estate of Donald David Sacks Estate of Carol Salvadori Joyce & Larry Stupski Anna Marie & John E. Thron The Tortora Sillcox Family Foundation Mr. & Mrs. Robert E. Welch, Jr. Mr. Robert J. Weltman Bob & Marion Wilson Windfall Foundation Estate of Andrew Zakarian $50,000 - $99,999 Anonymous (15) Clifton A. Gaskill 1993 Irrevocable Trust of Bette D. Moorman The Ahmanson Foundation Ann L. Bronfman Family Charitable Trust Arlene & Arnold Goldstein Family Foundation Autodesk, Inc. Jeff Baldwin & Debra Perry Bernard & Janice E. Charlup CRUT Estate of Satia Jenkins Bernen Blue Cross Blue Shield of Georgia Ms. Charlotte T. Bordeaux Estate of Susan Briggs * Indicates a monthly donor # Indicates in-kind contribution Daniel & Nalini Brown Estate of Clement F. Burnap Estate of Helen Castelli L. Chase Claire Giannini Fund Estate of Eleanor Collins Estate of Peter Mark Dearden Donald & Jeanmarie Donahue Mr. Philip Downes Eaglemere Foundation, Inc. FJC, A Foundation of Donor Advised Funds G. Scott Hong Charitable Trust Clifton A. Gaskill The George L. Shields Foundation, Inc. Richard Gilfillan, MD, & Carmen Caneda Estate of Margaret T. Goering Mr. & Mrs. Daniel Goldstein Harari Family Charitable Fund Hegardt Foundation Mr. Randolph Huebsch The Human Fund Hurvis Charitable Foundation, Inc. I Do Foundation Ms. Chandra Jessee & Mr. Julius Gaudio Andrew Justin Ratus and Anne Kelly Estate of Sherrill Elizabeth Kemp Mr. & Mrs. Quentin J. Kennedy Wendy Keys & Donald A. Pels Mr. Greg T. Kimball & Ms. Wendy Hauenstein Kathryn & Andrew Kimball The Estate of Elizabeth Lasser Lehman Brothers Foundation Mr. Thomas A. Lehrer L. Lemmer & E. Veach Estate of Renata Libner Mr. & Mrs. Charles Liebman The Louis and Anne Abrons Foundation, Inc. Estate of Kathleen MacDonnell The McBean Family Foundation Estate of Martin McGagh Maurice R. Meslans & Margaret E. Holyfield Daniel Mintz Monster.com Estate of Robert L. Morrison Mushett Family Foundation Estate of Sofula Novikova Oakwood Foundation Mary M. O’Hern Estate of John Oliver The Parker Family Foundation Philip and Rebecca Hochman Foundation Joe & Kathy Pretlow R.F. Technologies, Inc. The Reed Foundation, Inc. Carol & Joe Reich Ride For World Health The Rona Jaffe Foundation James Rushton Satter Foundation The Schaffner Family Foundation Mr. Derek Schrier & Ms. Cecily Cameron Estate of Noreen M. Shapiro Christine M. Simone Sincerely, Henry Foundation Estate of Jacqueline Conrad Smith Christine Spillane * Stavros Niarchos Foundation Mark & Sarah Stegmoeller Stella and Charles Guttman Foundation Tin Kwong Corporation Tinicum Investors Joseph Uricchio, MD Estate of Rudolph J. Vecoli Edgar Villchur The Warburg Pincus Foundation Judith Watson & Daniel Finnegan Estate of Jo-Anne Weissbart Joan T. Wheeler $10,000 - $49,999 Anonymous (289) The Abdalla Stern Fund Mr. Jeffrey J. Abrams & Ms. Kathleen McGrath Estate of Douglas Adams Ware & Ellen Adams Aerospace Service & Controls, Inc. Agua Fund, Inc. Meena & Liaquat Ahamed AJA Charitable Fund Alan L. Blum Family Fund The Albert and Doris Pitt Foundation Alchemy Foundation Dr. & Mrs. Ulrich Aldag Alesia Family Foundation Mr. Eric Alexander & Ms. Ana C. Arumi Alfred A. Iverson & Family Foundation Allegheny Foundation Allen Whitehill Clowes Charitable Foundation, Inc. Ms. Eugenie Allen & Mr. Jeremy Feigelson Thomas J. & Karen Allen Simin & Herb Allison Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe © Jiro ose jordan Patients at MSF’s reconstructive-surgery program in Amman are Iraqi civilians—men, women and children—injured by bomb blasts and landmines. They are referred to the program by doctors still in Iraq, to receive procedures such as maxillofacial, plastic, and orthopedic surgery. Mr. Robert Alpert Mr. & Mrs. Jonathan Altman George & Herawati Alvarez-Correa * The Alvin and Fanny B. Thalheimer Foundation Alvin I. & Peggy S. Brown Foundation Drs. Robert M. & Carol J. Amick Anbinder Family Charitable Fund Andrew R. & Dorothy L. Cochrane Foundation Ann Goodbody Charitable Fund Anonymous Private Foundation Jeff Antebi / Waxploitation Artists The Anthony R. Abraham Foundation Inc. The April Fund Eric & Cynthia Arbanovella Franklin J. Arcella Rachel & Adam Albright The Arie and Ida Crown Memorial Fund Mr. Timothy D. Armour The Aronovitz Family Foundation Mr. Daniel Aronson The Around Foundation Astec Power Mr. & Mrs. Marshall Ausburn B.T. Rocca, Jr. Foundation Backstage Technologies Mr. & Mrs. Alfred Bader Mr. Cy Bahakel, Jr. Mr. John G. Ballentine Mr. & Mrs. Brett Barker Richard Barna & Eileen Maisel Mr. Richard S. Bauer Todd Bault & Melinda Boa Beatrice Stern, Ralph E. Ogden Foundation, Inc. Anne Beckett Estate of Dale Beebe Pete & Elizabeth Beglin Beilfuss Charitable Giving Fund Mr. & Mrs. Max S. Bell BelleGemma Fund David Benioff Benjamin & Sophie Scher Charitable Foundation Mr. Philip Bentley & Ms. Michele Ferenz Dr. Robert Berenson Dennis M. & Carol Berryman Mr. & Mrs. Mark A. Bertagnolli Jutta, Miriam & Hans Bertram-Nothnagel Betty S. Cohen & Jonathan M. Liff Philanthropic Fund Betty and Wes Foster Family Foundation Mr. & Mrs. Kenneth Betz Greg & Mary Betzler Estate of Anne G. Biddle The Biesecker Foundation The Bill Maher Trust Mr. & Mrs. Michael Bittner Victoria & Hank Bjorklund Ms. Lelia E. Blackwell & Mr. John D. Watson, Jr. Ms. Sara Blackwell The Blair Fund Mr. & Mrs. John A. Blanchard Mark A. & Nancy Briggs Blaser Ms. Susan Blaustein & Mr. Alan Berlow Mr. & Mrs. Karlfred Bloom Susan Bloomberg Ms. Susan L. Blount & Mr. Richard A. Bard Mike & Julie Bock Victoria Boisen, DO Estate of Martine Boorse Borrego Foundation, Inc. Timothy Boudreau Ms. Jeanne Bowman Ms. Lucille Boxhoorn The Boye Foundation, Inc. Brad Lemons Foundation Mr. & Mrs. Thomas M. Brady Bridgemill Foundation Bright Horizon Fund Jim & Lynn Briody Patrick & Missy Briody Ms. Katherine Brobeck * Paul Broder Joshua & Fiona Brooks The Brown Foundation, Inc., of Houston Clifford & Toni Brown Mr. & Mrs. Phil Brown Mr. William C. Brown The Bruce G. and Mary A. Robert Family Foundation Mr. Jeffrey Brummette & Ms. Donna Marie Lancia The BSJ Foundation Mrs. Margaret Buckman * Dr. & Mrs. Andrew Burgdorf Clifford Burnstein Paul Burtness Butler Family Fund of the Denver Foundation Thomas J. Byrne C. E. and S. Foundation C.R. Stevenson Family Foundation Estate of Jill B. Caire Mrs. Leslie Caldwell Ms. Patricia Callahan & Mr. David Dee Mr. Gregory P. Callimanopulos Ms. Bonnie Campbell Christine Campbell & Christopher Lochhead Estate of John W. Campbell Jo Canter Cape Flattery Foundation Alexander & Jill Carles Mr. & Mrs. Sherman B. Carll Estate of Martin Carlsen The Carol Chow Charitable Fund The Caroline Blanton Thayer Trust Cars 4 Causes Ms. Ava Carter Pamela & John Casaudoumecq Mr. & Mrs. Joseph Castillo The Catherine Hawkins Foundation The Cawley Family The Central National-Gottesman Foundation Vee-en Chan Chapman Family Foundation Charles S. and Zena A. Scimeca Charitable Fund Mr. & Mrs. David D. Charlton Ying Chen Mr. Tung Cheung The Chris A. Wachenheim Foundation Mr. & Mrs. Lynn Christiansen Civil Society Institute Mr. & Mrs. William E. Clark The Clemens Family Foundation Cogan Family Foundation Mr. James M. Cohen & Ms. Barbara Carey Estate of Joyce Lynn Colbert William & Majorie Coleman Collegiate Church Corporation Mr. Daniel Collins Condé Nast Publications Mr. & Mrs. John P. Congdon Mr. Reid Conway & Ms. Amy Sukinik William & Lottie Copeland John & Kathleen Corbet Ms. Margaret H. Cotton Countess Moira Charitable Foundation Cow Hollow Foundation Craig S. Jenkins Charitable Foundation Crane Family Charitable Trust Mr. Ronald Creamer The Crean Foundation The Cristofer Puleo Charitable Trust Ms. Elizabeth Cronin Mr. Timothy Crowell & Ms. Patricia Sabalis Estate of Elaine M. Daly Danellie Foundation 35 Donors in 2008 Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus © Sven Torfinn David M. & Donna T. Brown Fund The David R. and Patricia D. Atkinson Foundation Mr. Eli David Ms. Adah R. Davis Ms. Saskia M. de Jonge & Ms. Anneke M. de Jonge Marcos de Moraes Mr. John DeLapa Development Design Group, Inc. Hester Diamond Ms. Jane C. Diefenbach Mr. & Mrs. Donald Dillon Dr. & Mrs. Emmett J. Doerr, Jr. Mr. & Mrs. D. Kevin Dolan Doll Family Foundation Mr. & Mrs. Robert Donnell Mr. & Mrs. Michael P. Donovan Mr. Paul Dooley & Ms. Winnie Holzman Doppelt Family Foundation Jane Dowling & Barry Daly, MD * Mr. Max Duckworth Mr. Kingston Duffie & Mrs. Liz Schwerer Duffie Estate of Kathleen Dughi Susan & Thomas Dunn Tim Dunn & Ellen Stofan Arthur & Elizabeth Duquette Durant Family Foundation Eccles Family Foundation Mr. & Mrs. Doug Eckrote Ed & H Pillsbury Foundation 36 Edith Baldinger Charitable Lead Annuity Trust Edna Wardlaw Charitable Trust The Edward and Verna Gerbic Family Foundation The Edward T. Cone Foundation Dr. Bart D. Ehrman * Eight VFX Mr. & Mrs. Scot Eisenfelder The Eleanor B. Crook Foundation Jamie & Mohamed El-Erian Dr. & Mrs. Sylvan Eller Ellice & Rosa McDonald Foundation, Inc. Mr. & Mrs. Vish Emani Emerson Network Power Mr. Robert English & Ms. Anna Zara Epic Systems Corporation eQuilter.com Erna & Bob Place Family Fund Mr. Daniel J. Ernst, Jr. George C. & Nerys Estes, Jr. Ms. Isobel Estorick Eule Charitable Foundation Estate of Julie A. Evans Jason & Eliza M. Factor Estate of Elizabeth C. Fairbanks FedEx Services Mr. Mitchell Feinberg Ferrell/Paulin Family Foundation, Inc. Fetzer Institute Mr. Lincoln P. Field First Clearing, LLC Five Together Foundation Ms. Joyce D. Flaschen Estate of Margaret Fleming Dr. & Mrs. Eric W. Fonkalsrud Mr. Harrison Ford Ms. Helen H. Ford John F. “Jeff” Fort & Marion Barthelme Gary & Christine Fossett Estate of Dora L. Foster Foundation M Ms. Virginia Fowler Mr. & Mrs. Wyman B. Fowler III The Frank & Roslyn Grobman Foundation David Frankel The Franklin Fund Freedman Family Fund Kathleen & Tom Freston Mr. Robert Friede Mr. Robert A. Friedman & Ms. Anita Davidson Margaretha & Charles Fritz III Estate of Stella Frohriep Leo & Sherry Frumkin Dr. Lydia Lee Fung Mr. Paul Funk E. Marianne Gabel & Donald Lateiner Gaiam, Inc. GAMA Foundation Rebecca Gaples & Simon Harrison Gardner Grout Foundation Mr. Michael Gardner The Garrison Keillor & Jenny Nilsson Fund Mr. & Mrs. James R. Gates Jim & Yukiko Gatheral Democratic republic of congo In North Kivu province, where ongoing fighting between armed groups cuts off access to medical care, a child in need of treatment for cholera is brought in an MSF ambulance from Kibati refugee camp to the general hospital in Goma, 10 miles away. Gaul Dermatology Gene and Peggy Somoza Gift Fund George & Dorothy Babare Family Foundation The Georgina Fredrick Children’s Foundation Gerald and Janet Carrus Foundation Gerson Lehrman Group Gibson Foundation The Gilbert & Ildiko Butler Foundation Kristin & Cory Gilchrist Estate of Henriette J. Gill Raymond P. & Marie M. Ginther Mary-Jane D. Givens The Glickenhaus Foundation Gloria & Joseph Simons Fund Gloria Sherman Family Foundation Jelena Gmitrovic & Russell Kling Mr. Gregg P. Gobeli Mr. Richard H. Gold Dr. & Mrs. David Goldfarb Marcia and John Goldman Mr. & Mrs. Alexander Golitzin Mr. Kirill Goncharenko Orlando Gonzalez, MD Good Boy Productions, LLC The Gottesman Fund The Grace Jones Richardson Trust Grand Circle Foundation Ms. Dale Grant Mr. Guy Gravel Green Fund Anne M. & Robert N. Green Ward & Marlene Greenberg Estate of Eileen Greene The Gregor G. Peterson Family Foundation Mr. Devin Griffin & Dr. Tristy Shaw The Grodzins Fund Mr. Donal G. Grogan Tom & Pat Grossman Mr. Manuel Guerra Guilford Publications, Inc. Mr. Milan R. Gupta Gurney Family Trust Guth Family Foundation Inc. Mr. & Mrs. Robert D. Gwin Alissa & Russell Hackman Ms. Alexis B. Hafken Estate of Marian E. Haij Mr. & Mrs. Mark L. Hall Hamill Family Foundation Mr. Russel T. Hamilton Ms. Gloria H. Hamman Mr. Michael Handelman Mrs. Olivia Hansen * Indicates a monthly donor # Indicates in-kind contribution Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation“We Sierra Leone Somalia SouthWithout Africa SriBorders Lanka Sudan Swaziland Thailandcharitable Turkmenistaninitiative Uganda Uzbekistan included Doctors in our ‘More switzerland than Footprints’ becauseYemen of Zambia Zimbabwe their outstanding global humanitarian work. Travelers voted to decide how to distribute $1 million among five nonprofits to positively impact destinations around the world. We were pleased to be able to bring our community of members together to support Doctors Without Borders, especially in a year that presented so many needs.” TripAdvisor.com. Supporter in 2008. Ibrahim El-Hefni Technical Training Foundation iHerb, Inc. Dr. & Mrs. Omer A. Ilahi Inavale Foundation IngMar Medical The International Humanitarian Fund: In Honor of Mihajlo Labalo & Jean Sauer, MD Dr. Brian Ip Dr. Stephen B. Ippolito Iqbal G. Mamdani & Shelby M. Mamdani Foundation, Inc. Ira N. Langsan and Lillian Langsan Philanthropic Fund Irwin and Marjorie Guttag Philanthropic Fund Mr. Zephyr Isely & Ms. Fruzan Parvanta Isram World ITA Software, Inc. Russell & Viola E. Iungerich Mr. & Mrs. Pradeep K. Jacob Ms. Anne Jacobson Ms. Diane E. Jaffee Jane and Worth B. Daniels, Jr. Fund Janine Luke Fund The Jaquith Family Foundation Jeanette & H. Peter Kriendler Charitable Trust Jenkin Lloyd and Ana Maria Jones Foundation kenya An MSF field worker assists an elderly man who fled to Endebess camp, near Kitale, after post-election violence broke out in December 2007. MSF helped build that camp and Cherangani camp nearby, which held a combined total of 13,200 people. Jerome & Ilene Cole Foundation, Inc. Robert Jespersen, MD Mr. & Mrs. Dennis Jilot John A. Sellon Charitable Residual Trust John M. and Joan F. Thalheimer Family Charitable Foundation John R. SanFilipo Charitable Gift Fund Eric Johnson Matthew & Donna Johnson Mr. Lyle V. Jones Ms. Helen Jordahl The Joseph & Sophia Abeles Foundation * James & Nancy Joye Mr. Roger Jusseaume Mr. & Mrs. Matthew E. Just Kadence Business Research Ms. Rosemarie Kainz The Kalish Family Foundation, Inc. Ms. Donna L. Kaplan Estate of Joanna Karl Karma Foundation Mr. & Mrs. Charles D. Karp Mr. Michael Katz Mr. Felix Kaufman Dr. Leora Kaufman & Mr. Derek Kaufman The Kaufmann Foundation Jennie & Avinash Kaushik Mr. & Mrs. Glen Keane Keare/Hodge Family Foundation Keefer Family Charitable Trust Mr. & Mrs. William M. Keeler Ms. Kathryn Keen Mr. & Mrs. Michael Keiser Richard Griffin Keiser Mr. & Mrs. Garnett Keith Mr. Peter M. Keller & Ms. Rosemary E. Tripp Mr. & Mrs. Richard C. Kerns Estate of Kenneth T. Key Kim and Harold Louie Family Foundation Diana & Abner Kingman Mr. & Mrs. Alan C. Kingston Estate of Diane Kinoshita The Kirk A. Copanos Memorial Foundation Estate of Patsy Kirschbaum Mr. & Mrs. Enrique Klein Joyce Klein Mr. & Mrs. Daniel Klenbort Knopf Family Foundation Inc. Mr. & Mrs. Thomas R. Knutson Dr. Claudia A. Komer Mr. & Mrs. Max Kozloff Ms. Ann V. Kramer Caleb Kramer & Ryan Allen Mr. & Mrs. Edwin J. Krane Mr. Neil Kreitman Irene Daniell Kress Mr. & Mrs. E. Joseph Kubat Mr. Michael Kuehn © Brendan Bannon Estate of Jacqueline Happ Randall & Jane V.L. Hardy Estate of Anne Harmon Ms. Barbara Haroldson The Harriet Ford Dickenson Foundation Harris Family Fund Peter & Carol Harris Mr. William R. Harris Mr. Gerald D. Hartert Ms. Meryl D. Hartzband Hassett Air Express Mr. Jan Hatzius & Ms. Linda-Eling Lee * Andrew Hawkins Hechinger Family Charitable Gift Fund Helen Bader Foundation, Inc. Mr. & Mrs. Walter Hellendall Mr. David L. Hendry Sally J. Henrichsen Henry Family Foundation Mr. Harry N. Herbert Dr. Mel Herbert The Herman Lissner Foundation Mr. Dawson C. Heron Mr. & Mrs. Willis S. Hesselroth Estate of Ruth Heuscher Joseph Higdon & Ellen Sudow Linda & Robert Hildreth Estate of Marjorie J. Hill Hill-Snowdon Foundation Hilltop Foundation The Hitz Foundation Ms. Cynthia Hoelscher Mr. Urs Hoelzle & Ms. Geeske Joel Edith & Roger Hoffman D.D. and Bruce Holcomb Beth & Morgan Holder Ms. Katy Homans & Mr. Patterson Sims Mr. Jerry C. Hong & Ms. Cordelia J. Chan Mr. John M. Horner The Howard Bayne Fund Robert G. Huber The Human Rights Project, Inc. Mr. Michael Humphries & Ms. Emily Goldner The Hunter-White Foundation Mr. Joseph V. Huntington The Hurlbut-Johnson Charitable Trusts Dr. John Hussman I.J. and Hilda M. Breeden Foundation 37 Donors in 2008 Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus Thom Kuhn & Diane O’Connell Mr. & Mrs. Michael A. Kumar Emily Kunreuther The Kurr Foundation, Inc. Ms. Celiane M. Labouret Peter & Deborah Lamm Mr. John Lamonica Lang 2000 Charitable Lead Trust John Langan and Judith Nadell Ms. Janine Lariviere & Mr. Roger Gural Lawrence A. Dollman Fund of the Greater Cincinnati Foundation Lawrence E. Irell & Elaine S. Irell Foundation Sheila & Jim Leatherman Leaves of Grass Fund Anne & David Lee Ms. Eva Lee Legg Family Foundation Leibowitz & Greenway Family Charitable Foundation Leila Yassa and David Mendels Fund The Leir Charitable Foundations Mr. & Mrs. Nicholas K. Lembo Ms. Yoko Ono Lennon Mr. & Mrs. Dale A. Leppo Leslie Peter Foundation Lester Poretsky Family Foundation Marjorie R. Lewis Mr. Lewis Susan & Bernard Liautaud Mr. Ernest Lieblich Lillian J. Epps Charitable Lead Annuity Trust Dr. Sue Lin & Dr. Reuben Rivera Mr. Gregory Lipper Ms. Margaret O. Little & Mr. Jon W. Faust Litwin Foundation Mr. & Mrs. Gary E. Long Lotus Foundation Mr. Park L. Loughlin Louis and Harold Price Foundation The Louise P. Hackett Foundation Lowell F. Johnson Foundation Estate of Ruth E. Lucas The Lucinda Foundation Ludes Family Foundation Mr. Eric J. Lunger Greg & Liz Lutz Ms. Heidi Lynch & Mr. Daniel Greenstone The Lynn R. & Karl E. Prickett Fund Jerome Russell MacBeth Jane C. MacElree 38 Ms. Marcia T. MacKinnon Carla & Scott MacLeod Malcolm Hewitt Wiener Foundation Malibu Global Awareness Dr. Evamarie Malsch Estate of Dumitru Manea The Marble Fund, Inc. The Marcled Foundation Dr. Carole L. Marcus The Margaret H. and James E. Kelley Foundation Marie H. Ankeny Charitable Lead Trust Marilyn & Jeffrey Katzenberg Foundation Mark A. & Nancy Briggs Blaser Jonathan Mark & Donna Sakson Estate of John A. Marque Marquis George MacDonald Foundation Ethel Kennedy Marran Martha J. Weiner Charitable Foundation Martin & Mary L. Boyer Foundation The Martin Foundation Hugh & Moira Martin Mary Lynn Richardson Fund Max and Yetta Karasik Family Foundation Ms. Judith M. Mayer Mr. & Mrs. Steven Mayer Ms. Kathleen McCoy & Mr. Philip Vogelzang Mr. Mark W. McGauley & Ms. Leslie Sutton Douglas & Patricia McGrady The McIntyre Foundation Prof. Neil McKelvie Mr. & Mrs. Andrew P. McMahon Russell & Ellen McManus David J. & Camille I. McQuillan Estate of Ann S. Meltzer Mr. Victor V. Menayan Mr. Joseph Metz Mr. Attilio Meucci Ms. Nancy Meyer Michael A. O’Bannon Foundation Ms. Laurie Michaels The Middle Passage Foundation Milagro Foundation Estate of Arthur Miller Lewis & Jean Miller Ms. Loraine B. Millman Minerva Foundation Miriam & Arthur Diamond Charitable Trust Mr. & Mrs. Joseph H. Mitchell Ms. Anne Modarressi * Indicates a monthly donor # Indicates in-kind contribution Moe Greendale Family Foundation, Inc. Mr. & Mrs. Charles E. Monroe Mr. Ian Montgomerie Mr. & Mrs. Randy Moore Mr. Alex Morcos Mr. Jay J. Morey Mary R. Morgan The Moriah Fund Mr. William Morokoff Mr. & Mrs. Luke N. Morrow The Mortimer D. Sackler Foundation, Inc. Tim Mosmann The Mostyn Foundation, Inc. Muchnic Foundation Dr. Amy S. Mulvahill Mr. & Mrs. Raymond Murray Mr. Philip Mustain Lura Myers Trust The Namaste Foundation, Inc. The Nancy & Raymond Schoenke Charitable Foundation The Nancy Allison Perkins Foundation The Nancy Taylor Memorial Fund Mr. Erikas Napjus Nararo Foundation Natembea Foundation Ann & Walter Nathan Natixis Capital Markets The Neels Family Foundation The Neidig Family Charitable Foundation Mr. Dean A. Neumann Mr. Robbie Nevil New York Film Academy Nicholl Family Foundation Norma Kline Tiefel Foundation Gilbert M. Nyamuswa, MD The Oak Tree Philanthropic Foundation Oceanic Heritage Foundation Ms. Susan E. O’Connor Office Depot Foundation Dr. Eric Oldfield Estate of Patricia Olender Olivia Jones Family Foundation The One Small Light 5 Fund Osprey Foundation Owen Connolly and Harold Sundberg Memorial Fund Mr. & Mrs. Kenneth A. Owen Wayne Paglieri & Elizabeth Clarke Pamphalon Foundation, Inc. Mr. & Mrs. A. Neil Pappalardo Mr. Chang K. Park Walter F. Parkes & Laurie MacDonald Pass It On Charitable Fund Mrs. Diana L. Patrick Liebe & Bill Patterson Nicholas & Anne Patterson Keith Patti & Susan Haas Mrs. Arline Paunack Frank J. Pawlowski Peggy & Peter Pressman Family Foundation Dr. & Mrs. Mark Pentecost, Jr. Perls Foundation The Peter and Carmen Lucia Buck Foundation, Inc. Phillip A. and Patricia L. Peters Mr. & Mrs. Donald E. Petersen Theodore Petroulas & Nasimeh Alikhani Mr. Guy Pfeffermann Michael & Jane Pharr Sherry & John Phelan Pierre F. Simon Charitable Trust Pinnacle Entertainment, Inc. Ms. Elise Piquet Plan B Entertainment, Inc. Polaner Family Supporting Foundation Mr. Richard N. Poli Mr. & Mrs. Thomas H. Porter Estate of Zoe Porter Richard Pozen, MD, & Ann Silver Pozen Prince Charitable Trusts Ms. Margaret M. Prowse Rudolph & Fernande Pruden Pzena Investment Charitable Fund Mr. John Queralt R.T. Vanderbilt Trust Steve Rabin Rakitzis Fund The Ralph & Margaret Youngblood Family Charitable Fund Mr. & Mrs. Roger Ralph The Randi and Clifford Lane Foundation, Inc. Richard & Carol Ranger Dr. Gita Rao & Dr. Bhaskar Chakravorti Mr. Gregory G. Rapawy & Ms. Jessica S. Boger The Ray and Donna Guerin Family Foundation Joan & Robert Rechnitz Redlich Horwitz Foundation The Rego Park Fund The Renee B. Fisher Foundation, Inc. Mr. Marc Reshovsky Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe © MSF Myanmar Left: This volunteer health worker at an MSF clinic for people with HIV/ AIDS is also a patient receiving antiretroviral therapy (ARV) and has dedicated her time to helping others begin treatment. Right: Patients wait at an MSF clinic. An estimated 240,000 people are thought to be living with HIV in Myanmar, but less than 20 percent of them are receiving ARV. The Rice Family Foundation Mr. Paul J. Rice Richard & Marianne Reinisch Foundation The Richard S. and Elizabeth P. Kent Family Fund Mr. & Mrs. Andrew D. Richard Mr. & Mrs. J. A. Richey Mr. & Mrs. George Richmond Mr. & Mrs. Stephen Ridinger Petra & Randy O. Rissman Rivinus Family Foundation Robert & Catherine Miller Charitable Foundation The Robert and Shirley Harris Family Foundation Robert J. Frisby Foundation Robert M. Schiffman Foundation Robert Mize & Isa White Trimble Family Foundation The Robert Simmons Family Trust Mr. William T. Robertson Mr. Hugo Rocha David Rockefeller Richard Rockefeller, MD Mr. & Mrs. Fon Rogers II Estate of Soncha Roland Rolf & Elizabeth Rosenthal Family Foundation Sheldon Rose Ms. Rebecca Rosen Ms. Kathy Rosenberg Ms. Harriet Rosenbloom Mr. & Mrs. Bruce E. Rosenblum Mr. & Mrs. Russell G. Ross Rossmore Properties Clarice & Larry Roth Ms. Eve Rothenberg Richard Rothstein & Judith Petersen Mr. & Mrs. Eric Roza Mr. & Mrs. Raymond L. Ruder Mr. Edmund J. Rung, Jr., & Mrs. Kathleen M. Logan-Rung Ruth & Peter Metz Family Foundation Ruth N. Barber CLAT The Ruth Turner Fund, Inc. Dorothy Rutledge Ryan Memorial Foundation The S.D. Trombetta Foundation Mr. Richard A. Saada Mr. Akram Saigh Ms. Shelia Saltiel Samuels Family Foundation Katherine Sanborn, MD & Phillip Hellmuth Donald & Laura Sanders Frederic G. Sanford, MD The Sara and David Hunt Charitable Fund The Saul Zaentz Trust David & Beth Sawi Mr. Michael E. Schaufeld Estate of Oliver A. Scheele Richard L. Schiffman Ms. Rebecca F. Schiller Ms. Margaret K. Schink Mr. & Mrs. Douglas Schoenberg Mr. & Mrs. John C. Schuler Mr. Daniel W. Schwab Estate of Martin Schwager Ms. Elizabeth A. Scott Ms. Nadya K. Scott Mr. & Mrs. Robert P. Scoville The Sedmak-Wooten Family Foundation Nancy & David Seeman The Seifert Family Foundation Sexton Foundation Shaker Family Charitable Foundation Mr. George Shapiro Dr. Shobha Sharma Jerold & Laura Shea The Sherman Oaks Woman’s Club, Inc. Ms. Kathleen A. Shiel The Shifting Foundation Ms. Carolyn S. Shine Mr. Ronald A. Shrock Sidney E. Frank Foundation Patricia & Stanley Silver Mr. John T. Simon Mrs. Patricia J.S. Simpson Sisters of Charity of Nazareth, Kentucky Mark & Angela Skolnick Mr. Trond Skramstad Don & Jane Slack Amy Slater & Garrett Gruener Mr. Frank Slupesky Mr. Brian J. Smith Mr. & Mrs. Lawrence Smith Walter S. & Kathleen A. Snodell Ms. Agnes So The Society of Young Philanthropists Ms. Paulette Solinski & Mr. Richard E. Barry The Solstice Foundation, Inc. Estate of Bernadine Sorgenfrey Andrew & Sandra Soye James & Joyce L. Spain The Spark Fund Mr. & Mrs. Dan Spicer The Spurlino Foundation James A. Squires & Karen E. Jones Squires Jadwiga Maria Staar Mrs. Lawrence E. Stahl Lois & Arthur Stainman William and Nancy Stanback The Stanley Donor Fund Steben & Company, Inc. Steele Foundation Trust The Stefan Alexis Grant Memorial Fund Steffens Foundation The Stein Family Fund Mr. Matthew E. Steinmetz Mr. Scott D. Sterner Steve and Mary Jane Lindholm Charitable Fund Stillwater Foundation Ruth I. Stolz Stoneliegh Fund at the Seattle Foundation George Stout & Margaret Ellis Dr. Lawrence Strawbridge Estate of Ruth Stroheim Stuart and Benjamin Abelson Foundation The Sumasil Fund Mr. Lawrence Summers The Sunrise Foundation Ms. Ana Vigon Tabar Mr. Paul P. Tanico & Ms. Maria L. Vecchiotti Ellyn & Jimmy Tanner Ms. Gerda Taranow Matthew & Anupama Tate Mr. & Mrs. William B. Teal Tecumseh Foundation Teitelbaum Family Charitable Remainder Unitrust Mr. Paul Teitelbaum Ernest L. Ten Eyck & Dorothy E. Walker Mr. & Mrs. Lynn A. Tentler Lee Tepper & Dorine Real Theodore W. Batterman Family Foundation, Inc. Mr. Landon Thomas Ms. Jean M. Thomason The Thompson Trust Mr. & Mrs. Walter J. Thomson Richard & Elaine Tinberg Ting Tsung & Wei Fong Chao Foundation Thomas & Ancella Toldrian Estate of Ralph & Beatrice Tolleris The Tomchin Family Charitable Foundation Dr. Angelo Tomedi & Ms. Margaret M. Wolak * 39 Donors in 2008 Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus © Juan Carlos Tomasi/MSF Tosa Foundation Dr. Michael Toubbeh Mr. George Townsend Mr. Michael E. Tubbs Tudor Foundation, Inc. Turton Family Fund Estate of Patricia Tyler United Biosource Corporation Emilio M. & Chris C. Valdes Ms. Susan A. Vallario Mr. & Mrs. Robert van Brugge Elsie P. van Buren Van der Wansem Foundation Paul & Heather Van Munching Mr. Robin A. Vandermolen Drs. Jonathan & Janet Velasco 40 Estate of Frances A. Velay Venkat Venkatraman & Carolyn A. Lattin Mr. Erik A. Volk Mr. & Mrs. James von Herrmann Betsy & Paul von Kuster Steven & Grace Voorhis Mary Sue & Peter Vorbrich The Wadleigh Family Fund Mr. Benjamin R. Wagner The Wahoo’s Family Foundation Walman Optical Mr. Chester T. Walters Estate of Jean B. Walton Mr. Tim M. Ward Wasily Family Foundation The Watkins Family Ethiopia People gather water in jerry cans at a water point in Senbete, Oromiya region. * Indicates a monthly donor # Indicates in-kind contribution Watson Family Fund of the Minneapolis Foundation Mr. & Mrs. Linden H. Welch Wellfleet Foundation, Inc. Linda & Peter Werner West Wind Foundation Douglas & Melinda Weston Yecu-Chyn & Yuh-Jaan Wey Estate of Nathaniel Weyl Dr. George B. Whatley Mr. Andrew V. White Joyce White Ms. Grace Whitney Estate of Irene Wiemers Ms. Diane Wiggins Wiggle Bug Foundation Steve & Peg Wilcox Mr. & Mrs. Michael Wiles Mary Willard, MD Mr. & Mrs. Matthew Magni Willcox The William L. Price Charitable Foundation William Pugh & Lisa Orange Charitable Gift Fund Ruth & Morris Williams, Jr. Ms. Dena G. Willmore Mr. & Mrs. Edward J. Wilson WINGS Enterprises, Inc. The Winifred & William O’Reilly Foundation Winston Family Foundation The Winston Foundation Dr. Glenn Withrow Diana J. Wold James K. & Rosemary T. Wolfe Thomas & Barbara Wolfe Mr. James A. Womack The Wonder Trust Stephen & Nathalie Wong Michelle & John Woodley Mr. & Mrs. Albert G. Woodring Mr. Walter K. Wornick Daniel & Brienne Wright Kenneth & Megan Wright Writer Family Foundation Dr. Miao-Dan Wu & Mrs. Jing-Tian Wu Irene & Alan Wurtzel Justin & Molly Yandell Dr. Leslie A. Yates Wai & Grace Yeung Mr. Shan-Liang Yin & Ms. Aiyi Liao Young Family Trust 10.2.96 Youths’ Friends Association, Inc. Estate of Eleanor Zeldow Mr. Stanley Zubel The Zufall Family Foundation Dr. Yonatan Zunger & Ms. Amy Sundberg $5,000 - $9,999 Anonymous (385) 10-25 Tomorrow Foundation A & J Saks Foundation A.E. & Martha Michelbacher Fund A.S. Guterman Foundation Aaron Goldman Philanthropic Fund Mr. Adil Abdulali The Abe and Sterling Margolis Foundation The Ablen F. Bates and Clara G. Bates Foundation Abraham Fuchsberg Family Foundation, Inc. The Adam J. Weissman Foundation Ms. Barbara Adams Adelson Family Foundation Mr. G. C. Adkins & Ms. Dianne Balfour AE Charitable Foundation Heinz & Margaret Aeschbach Agilent Technologies Ms. Selma Albee Mr. Yves Albouy Arlene & Alan Alda Mr. Gene R. Alexander Mr. & Mrs. Robert Aliber Mr. Alexander Alimanestianu & Ms. Sally Maca The Allegheny Marketing Group Ms. Susan W. Almy The Altman Fund Ameritrade Clearing Analia and John Earhart Fund Julian & Sylvia Ander Patricia A. Anderson Mr. William Anderson Yolanda & Anthony B. Andrade Ann and Bill Wallace Foundation, Inc. Anncox Foundation, Inc. Anne M. & John E. Benson Charitable Remainder Trust Ms. Jean Antonello The Apostolic Church of God Lucille & Irwyn Applebaum Arizona Bay Production Co, Inc. Ruth B. Armold The Armstrong Foundation The Arnold and Jeanne Bernstein Fund Arthur & Eve Fastenberg Philanthropic Fund Mr. Jaweed Ashraf Dr. & Mrs. Steven G. Atcheson The Attias Family Foundation Verne S. Atwater, PhD Judith & Rene Auberjonois Audrey Love Charitable Foundation Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation“For Sierra Leone Somalia Sri Lanka Swaziland switzerland Thailand Turkmenistan Ugandaas Uzbekistan several years South now,Africa we have beenSudan providing funding to Médecins Sans Frontières part of Yemen our Zambia Zimbabwe commitment to provide humanitarian relief, especially in areas where other resources to respond are limited. We are in awe of their commitment and ability to respond immediately, with care and professionalism, to the urgent needs of neglected emergencies around the world.” Hau�Oli Mau Loa Foundation. Supporter since 2004 Mr. Howard Austin Mr. Emanuel Ax Dr. & Mrs. Alan A. Axelson L. Fred Ayvazian, MD B Barine, Inc. The B&L Foundation Arvird Balasundaram & Suparna Rajaram Andrew Balber Ken & Ginger Baldwin Dr. & Mrs. Prabhakar Baliga Mrs. Eva M. Ball Mr. Gustavo E. Bamberger The Barbara & Bruce Heublein Family Fund Mr. & Mrs. Steven W. Barger The Barrington Foundation Mr. Manuel H. Barron Barry & Wendy Meyer Charitable Foundation Ms. Prudence Barry Thomas & Johanna Baruch Ms. Nan Bases Marco Battaglia Mr. Steven P. Baum Mr. Robert Bawn Ms. Elly Beard Bearingpoint, Inc. Ms. Grace C. Beatty Mr. James Beatty & Ms. Colleen Loftus Ms. Debra Rapp Becker Mr. & Mrs. William P. Becker Bedford Falls Foundation The Bela B. Nevai and Clara Nevai Charitable Foundation Helen R. Bellar, MD Ms. Leora Ben-Ami & Mr. Timothy T. Brock Mr. Albert E. Benjamin The Bennett Family Foundation Ms. Hazel Berger * Mr. & Mrs. James R. Berger Karl Berger & Maribeth Visco Mr. & Mrs. John P. Bergren Ms. Beth Berke Bernard F. & Alva B. Gimbel Foundation Arlene & Michael Berner Richard Bernstein & Chris Ritenis Craig Berthel & Emily Kohn Berthel Mr. & Mrs. Paul J. Beswick Bethany Community Mr. & Mrs. Gregory Bethke The Betsy Gordon Foundation Betty B. Sawyer Charitable Gift Fund * Estate of Dorothy M. Betz Dr. & Mrs. Rakesh Bhalla Biamp Systems Estate of Martha Bickley Bingham Family Foundation Mr. William L. Bingley Ms. Juliet Bischoff Mr. & Mrs. Donald J. Bisenius Mr. & Mrs. Theodore S. Bistany Blackie Foundation Virginia Young Blacklidge, MD Mr. & Mrs. Robert Blatchley John & Betsy Bloch Timothy & Rebecca Blodgett Jay & Theresa Blosser A.J. Bocchino & Phoebe Washburn Mr. & Mrs. Harvey N. Bock Norman R. Bodine Mr. David G. Bolz Bonnie Cashin Fund at the New York Community Trust Mr. Dale Booher & Ms. Lisa Stamm Mr. & Mrs. Scott Booker Mr. Robert Bookman Boone Hospital Center Ms. Janet Malcolm Botsford Boulder Associates Architects Helen Hunt Bouscaren Mr. Craig Bowen & Ms. Esther Diez * Ms. Patricia S. Bowne Mr. Richard Boyd Mr. & Mrs. Brian Bozlee Ms. Johanna E. Bracken David & Katherine B. Bradley Mr. Nelson Brady Sally & Neil Braid JoDee R. Brandon Cheryl & Ken Branson David & Michiko Braybrooke Mr. Frank Brenninkmeyer Brian E. Boyle Charitable Foundation Margaret Bridwell, MD Brighton NC Machine Corporation Mr. & Mrs. Jack W. Britts Mr. Larry Broderick Brodie Price Fund of the Jewish Community Foundation Ellen & Len Brodsky Julian & Lois Brodsky Mr. & Mrs. John Brogan Mr. Donald Brooks Galen F. Brooks, MD Mr. & Mrs. Richard E. Broschat Ms. Catherine D. Brown Mr. Charles Brown Mr. & Mrs. Douglas Brown Dr. Nancy Brown The Brownington Foundation Mona & Stephen Bruce The Bruce, Steven, Gerald & Diane Solomon Fund Melanie J. Brunt, MD, MPH Ms. Linda Bukowski Mr. Steven E. Buller & Ms. Anne L. Walsh Dr. Leslie P. Bullock Ms. Mary C. Bunting Mr. John Bunton Edward A. Burkhardt Burmese Buddhist Association Caroline B. Burnett Mr. Robert Burns Mr. & Mrs. Marty Busby Susan Okie Bush Ms. Kerry Butler Estate of John Buxton Margaret Byrne Mrs. Margaret M. Byrne C.B. Coleman & Joan F. Coleman Charitable Foundation Ms. Beth Caldwell California Emergency Physicians Medical Group Mr. Teddy L. Call Michael S. Callister, MD & Ronda R. Callister, PhD Estate of Miriam Cameron Mr. Christopher P. Campbell Martha Campbell The Canonicus Fund Scott & Amy Canute Richard & Jo Ann Capriotti Mr. Joseph A. Carbone Cardiovascular Specialists PA Mr. Luigi A. Caridi & Ms. Cathleen McClain Mr. Alexander M. Castellino Castleway Travel, Inc. Catherine Whitney Memorial Catto Charitable Foundation Mr. & Mrs. Robert L. Cauffman Mr. & Mrs. Richard Cavagnol Ms. Marie-Christine Champain & Mr. Ed Bugnion Germaine Chan Dr. Mary Finnorn Chan Diane Lewis Chaney, PhD, MPH Dr. Tien-Lan Chang Mr. & Mrs. Geoffrey Chapman Charles A. Mastronardi Foundation Charles A. Walsh Fund The Charles Delmar Foundation The Charles Evans Foundation Charles R.S. Shepard & Derry Ann Moritz Fund Charles S. Chapin Charitable Lead Unitrust Ms. Ellen M. Charles The Charlotte and Charles Perret & Family Fund Mr. & Mrs. Stephen G. Chase Chateau Cupertino Anna Chavez & Eugene Eidenberg CheapOair Chiaramonte Construction Co. Ms. Sybil N. Chirgwin Dr. Patrick Chitwood Mr. Yvon Chouinard Chow Mein Corp Clannad Foundation Anne M. Clark * Lee Clarke & Kristin Neun Ms. Cathy Cleghorn Dr. Don W. Cleveland & Ms. Margaret A. Lopata Clinton D. and Grace A. Carlough Charitable Foundation The Clovis Foundation The Coach Dairy Goat Farm Joel D. Coen & Frances L. McDormand Richard Cogswell & Ester Saunoras Mr. Vincent Cohan & Ms. Susannah Johnston Mr. David P. Cohen Cole Foundation Estate of Helen P. Comber Alex Combs John & JoAnn Congdon Ms. Margaret A. Congleton Cook Family Ms. Bridget L. Cooke Cooper Thomas, LLC Mr. David M. Cooper John G. Cornish Courtenay C. & Lucy Patten Davis Foundation 41 Donors in 2008 Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus Courtney Knight Gaines Foundation Mrs. Geraldine C. Cowlin Marion & Edwin Cox Craig and Nanette Gordon Family Fund Estate of Stephanie Crain Ms. Candace A. Crawshaw John & Jan Cregier Ms. Penny V. Crevoiserat Mr. & Mrs. Thomas M. Crisham Sidney & Egil Croff Dorothy and Lewis Cullman Cummings Christensen Family Foundation Linda & John Cummiskey Mr. John Curley Curt R. & Gerry Pindler Foundation Ms. Nancy A. Cypert Mr. John Dalenberg Estate of George M. Daly Ms. Nora Daly Ms. Tracey D’Angelo Daniel and Margaret Carper Foundation Ms. Nancy Audrey D’Anjou Mr. & Mrs. Victor Dankis Darfur Foundation Mr. & Mrs. Rollin Dart The Davee Foundation The David Kimmel Foundation Mr. & Mrs. Charles E. Davidow Mr. Vern G. Davidson Mr. Peter Davies Bill Davis Mr. & Mrs. Harry L. Davis Deann Dylandale Foundation Dears Foundation, Inc. Mr. Alan C. DeChant Ms. Dorothy J. Del Bueno Mr. & Mrs. Ernie Del Delaplaine Foundation, Inc. Delaware Investments DeMartini Family Foundation The Dennis & Pamela Mudd Charitable Foundation Mr. & Mrs. David E. Denzel Mrs. Laurence Deprez & Mr. Stefano Zenezini Dinesh & Joy Desai Mr. Joe Desantis desJardins/Blachman Fund Mr. Peter N. Dezendorf Ms. Grace R. Diaz Mr. Fritz Dietl Directions for Rural Action Fund Thang Do Garnell Doggett Dolnick Family Fund Ruth Dombkoski, MD Dr. Paul Donoghue Mr. & Mrs. Michael Donovan Mr. William F. Dooley The Douglas & Tara Weckstein Charitable Fund Ms. Kristi Ann Dove Charles M. Doyle & Jocelyn A. Holash Frank & Helga Doyle Dr. & Mrs. Allan Drazen Mark & Karen Drazkowski Karen & Gordon Dressler Jean Driscoll & Peter Calthorpe Mr. Thomas Driscoll & Ms. Patricia Tefuel Eileen Duggan James Duncan, MD * Jean Dunlap Mr. David J. DuPont Mr. & Mrs. Terence Dwyer Dynax Corporation Dr. E. Bryce & Harriet Alpern Foundation Eades Foundation Ms. Mae Eagleson Dr. Dianne Eardley Estate of Margaret Early 2008 Private Support Received By MSF-USA TOTAL: $151,514,937 Individuals $128,030,123 84.5% Foundations $18,181,792 12.0% Corporations $5,303,022 42 3.5% * Indicates a monthly donor # Indicates in-kind contribution Mr. Otmar Ebenhoech Mr. William Eckhardt The Edward Colston Foundation, Inc. Ms. Merry Edwards & Mr. Kenneth Coopersmith Edwin P. and Esther M. Marshick Fund E-Flux, Incorporated Ms. Shiva Eftekhari Ms. M. W. Egar Egg Harbor Township Board Of Education David & Lynne Eggert Mr. Robert H. Einhaus Ms. Christina H. Eisenbeis & Mr. Ralph Martin Mr. Gary Elden & Ms. Phyllis Mandler The Elder Family Foundation Elephant Rock Foundation The Eli and Edythe Broad Foundation Elizabeth Hebert & Donald Guthrie Foundation Brian & Sara Elkin The Elliott and Rhoda Levinthal Fund Ellis Family Fund Viola Ellison Ms. Margret Elson & Mr. Michael Schwab Kathryn Emmett & David S. Golub Ms. Elizabeth English EOS Foundation Dr. Jonathan Epstein Jerry & Rayla Erding The Eric Del Balso Family Fund Eric W. Weinmann Charitable Lead Annuity Trust Everest Waterproofing & Restoration, Inc. Mr. Andy Fair & Mr. Rob Christie Mrs. Karen Fairchild The Falk Family Charitable Fund Loti Falk-Gaffney The Fanfera Family Foundation Mr. Thomas Fannin & Mrs. Deborah Kiernan-Fannin Mr. Joe Farris Nastaran Fathi, MD Judy & Gordon Faulkner Ms. Karyn Feiner James & Tammy Felt Ms. Elizabeth Fergus The Festoon Foundation, Inc. Paul E. Fey The Ficks Family Foundation Dr. John C. Fiddes & Dr. Karen Talmadge The Fife Cragin Charitable Trust Elizabeth J. Finch Dr. Michael J. Finney Firefly Communications LLC Firefly Trust First Cornerstone Foundation, Inc. First Presbyterian Church Fishreys Family Philanthropic Fund Mr. & Mrs. Stephen C. Flavin Florence & Richard Koplow Charitable Foundation Floyd C. Johnson & Flo Singer-Johnson Foundation Mr. & Mrs. Bob Flynn Marie & John Foley Mr. Sean Patrick Foohey Mr. & Mrs. Floyd F. Foslien Mrs. Betty R. Foster Kathryn Foster, PhD Mr. Daniel Fox Mr. & Mrs. Steven Foy Frances G. and Lewis Allen Davies Endowment Fund Frank S. & Joanne M. Nicoll Foundation, Inc. Samuel E. Franklin Burton M. & Sandra T. Freeman Ms. Mary L. Frick Peter Friedman Robert Friedman & Jane Grenadier Fripp Island Community Centre All Faiths Chapel Mr. Michael Froebe & Ms. Janet Best The Frogman Partners Charitable Fund Mr. & Mrs. Richard D. Furino Mr. Yuri Gadow James & Claire Gagan The Gage Fund Gaiam Shared Services, Inc. Galewitz Family Foundation Marion Galison Ms. Jude Gallik & Mr. Clint Coles Mr. & Mrs. Bret Galloway Mr. & Mrs. Len A. Ganote Mr. Manuel Garcia, Jr. Ms. Janine R. Garrick Mr. Lester Garrison Roberta & Craig Garrison-Mogren Ms. Gail Garrow * Mrs. Ann C. Garstang Ms. Peggy S. Gartin Gary L. Gaubatz Estate of Verla M. Geary Greg Gelfan & Lucy Butler David W. Gengler Gerald Lennard Foundation Inc. Mrs. Simone Gerard Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Thailand Left: MSF operates a tuberculosis (TB) project for patients, mostly refugees and migrant workers from Myanmar, at Mae La camp near the Myanmar border. Right: A child receives medical care at Huay Nam Khao in Petchabun province. MSF has been the only humanitarian organization working at the camp for four years. Mr. & Mrs. Michael Ghourdjian GIGA Foundation Mr. & Mrs. Steve Gilbert Mr. & Mrs. Jeffrey Gilman Mr. Blaine Gingher The Giving World Foundation, Inc. Mr. & Mrs. John Glidewell Mr. Thomas Gloger Mr. & Mrs. William Glover Ms. Christine Glynn Charles & Jane Goldman Mr. & Mrs. Perry Golkin Ms. Maureen M. Goodenow Mr. Joseph Goodman Barbara Freid Gottesman Gottlieb Family Foundation Mr. & Mrs. Terry Graber Mr. Martin Granger Barbara Grasseschi & Tony Crabb Estate of Thomas D. Gray Grayslake Central High School Mr. Daniel J. Greenberg Ms. Kathleen B. Gregg Nicholas P. Greville Mr. & Mrs. Steven Grigg Mr. & Mrs. Claude Griggs Mr. & Mrs. Anthony J. Grimaldi Mr. & Mrs. Joseph Grinnell Ms. Charlotte Griswold-Tergis Ms. Jennifer Gromada * Mr. Jonathan Grossman Frank & Carol Gruen Mr. Adam Grumbach & Ms. Janice L. Bloom Mary Beth Guild Guilford Fund Patrick V. Guiney, Esq. Mr. James Guiry The Gunzenhauser-Chapin Fund Ms. Judith Guss-Nelson Mr. James K. A. Guthrie Ms. Carol G. Guttery & Mr. Kenneth J. Voorheis Mr. Frank Guy H.I. Foundation, Inc. Mr. & Mrs. Adam Haber The Haddad Foundation Inc. Mr. & Mrs. Robert S. Hagge, Jr. Angela Hahn, DVM * Mr. Judd G. Halenza Halpern Family Fund Rev. Ralph Macon Hamlet Hammerman Berliner Family Hamilton Family Foundation Dr. & Mrs. Nicholas G. Handanos * Ms. Sally S. Hanley Frederick & Lynn Hanna * Ms. Patricia Hansen Gordon Hanson Mrs. Ruth M. Hardin Gale & David Harding Ms. Elizabeth Harkins-Baughan Skipper & Katie Hartley Ms. Maryanne Harvey * Mr. & Mrs. Edward F. Hasbrook * Ms. Jane Hassler Mr. & Mrs. Francis W. Hatch Mr. Antoine Hatoun & Ms. Andrea Levitt Mr. Chris Hauck * Hearst Corporation Mr. & Mrs. William L. Heathcote HEI Hotels & Resorts Mr. Tim Hein Sheryl Heitker and Mark Dixon Dr. Frank R. Hellinger, Jr. Mr. Richard E. Helm & Ms. Catherine Pitinga Caroline & George Helmkamp Ms. Mitzi G. Henderson Henkels & McCoy, Inc. Ms. Margaret E. Henney Mr. Michael A. Hennig Mr. & Mrs. Bayard Henry Ms. Sue J. Henry Wes Heppler The Herb Fred Medical Society, Inc. © Greg Constantine © Espen Rasmussen Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe Herbert & Katherine Kurth Religious Foundation Mr. Boyd Herforth Mr. William Herman Mrs. Peggy Herold Mr. George Sutherland Herscher Mr. Robert M. Hess Mrs. Minna W. Hewes Hibbs Family Foundation The Hicks Family Charitable Foundation Mr. & Mrs. W. Wesley Higgins Highland Technology, Inc. Anna & Cyrus Highsmith Mr. G. Richard Hill Charles Hirschler & Marianne Rosenberg Sam Ho, MD Ms. Sandra Hoehne Dr. Michel Hoessly & Dr. Selina Luger David & Nancy Hoff Mr. & Mrs. Mike Hogan Mr. Richard S. Holden Mr. Henry Holland Ms. Ruth M. Holland Babette Hollister Mr. & Mrs. Kenneth F. Holtby Kerry T. Holtrust Homeyhome Fund Mr. John T. Horan & Ms. Diane Singer Estate of Carmella H. Horre Ms. Caryl Horwitz Ms. Joan L. Hoskins Mr. Vittorio Hosle Dr. Willem Houwink The Howard & Marcia Owens Charitable Trust Mr. & Mrs. Timothy Howard Estate of Edward N. Howe Mr. & Mrs. Frank A. Howell Mr. & Mrs. John I Howell III Mr. Webb C. Howell Hsu Family Fund Mr. & Mrs. Gregory B. Hueni Mr. & Mrs. Robert Hufnagel Mr. & Mrs. Michael F. Hughes Mrs. Philip Hulitar Neil & Nancy Humphreys The Hunter Foundation Mr. John Hunter Mr. Wasil S. Husain Mushtaq Hussain & Tanvir Hussain Maiphuong T. Huynh, MD Mr. John L. Iacobelli Gianfranco & Rita Iavarone Mr. & Mrs. Ian R. Ibbitson Ms. Gail Icahn Drs. Martin F. & Katherine Ill IMS Health Robert & Naomi Ingalls Elizabeth & Roger Insley IntelliClear Inc. International Medical Health Organization IPSOS Ira A. Roschelle, MD, Family Foundation Irving Foundation Mr. Ernest J. Isenstadt & Dr. Judith Hsia J. Andrew Coombs, A P.C. Mr. Burton Jablin Mr. & Mrs. H. Craig Jacobs The Jacquelyn & Gregory Zehner Foundation The Jaffe Family Foundation The James and Alice Reilly Fund James and Patricia Larson Living Trust James Riepe Family Foundation Darwin James Mr. Frank F. James Mr. Rezie Jan Jane H. Zimmerman Fund Mr. & Mrs. David A. Jay Mr. & Mrs. Rangarajan Jayaraman 43 Donors in 2008 Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus The JEC Foundation Jeff F. Herring Foundation The Jeffrey and Janet Quay Charitable Foundation The Jerry L. and Barbara J. Burris Foundation Jerry R. Licari Foundation Joan Antonucci Charitable Lead Annuity Trust The Joan Goldfeder Fund Joe and Barbara Gurkoff Philanthropic Fund The Johanson Survivors Trust John & Martha Odle Family Foundation, Inc. John A. Kozel Charitable Trust Ms. Julia Groh Johns The John K. & Elizabeth W. Knorr Foundation John M. Kohler Foundation, Inc. John MacNeil Kramer Foundation John W. Warner, IV Foundation Michael & Helen Johnsen Mr. & Mrs. Jim Johnston Mr. Robert Joiner Mr. and Mrs. William C.H. Joiner Thomas P. & Elizabeth M. Jones Ms. Mary C. Jordan The Joseph F. McCrindle Foundation Joseph H. and Maria C. Schwartz Family Fund Josephine Ebbe Kenah CLAT Joyce Green Family Foundation © Jean-Marc Giboux/Getty Images India Villagers wait to receive medical treatment at an MSF mobile clinic in Jaigur, Chhattisgarh state, where years of fighting between local Maoist rebels and the Indian government have displaced tens of thousands of people. 44 JS & S Michaan Foundation Jules and Evelyn Jacobsen Charitable Trust Julia Bakelaar Charitable Trust Julius L. & Libbie B. Steinsapir Family Foundation Mr. & Mrs. John A. Jung Ms. Janet M. Junge Juniper Consulting Group, Inc. Mr. & Mrs. David Junkin Paul Kadull, Jr. Mr. Robert Kagan Naomi M. Kane, MD Stanley, Mitchell & Melissa Kanter Mr. Roland N. Karlen Dr. Mitchell Karton & Ms. Ann Gardner Mrs. Sanderina Kasper Michael Kass & Kate Hartley Donald G. Kassebaum, MD Ms. Gloria Kassouf Mr. & Mrs. James Kassouf * Katharina and Joseph Schober Foundation The Kathryn Conway Preyer Charitable Lead Unitrust Pamela & Andrew Kaufman Anne & Jim Kearns Ms. Heather D. Keating * Mr. Walter E. Keating Kelli & Richard Keenan Mr. & Mrs. Robert E. Keith Ms. Larissa K. Kelly The Ken and Judith Joy Family Foundation The Kennedy-Hanly Foundation Kathy Kennedy Peter Kern Dr. Jules A. Kernen The Honorable Gladys Kessler Mr. Ajeet Khalsa Ms. Raejeanne Kier Mr. & Mrs. Murray Kilgour Ms. Elizabeth Kimmel & Mr. Peter D. Dion Jeffrey & Deborah King Kintera Barbara Kirchheimer Kirk Wise CLAT Mr. & Mrs. John G. Kittredge Ms. Meg Kiuchi Ms. Carolyn M. Kleefeld Philip & Rhonda Gale Klein Thomas B. Klein Mr. Gene Klingshirn Mr. Steven B. Klinsky KLM Foundation Mr. Mark Knight Mr. & Mrs. Lorenz F. Koerber, Jr. Mr. Roger L. Kohn Mr. & Mrs. William C. Kolter * Will & Annette Kopachik Gabrielle Kopelman Mr. & Mrs. Robert Korval Dr. Amy Kotsenas Ms. Constance R. Kozlowski Robert D. & Carol H. Krinsky Ehren and Karen Kruger Mr. & Mrs. Robert L. Kuehlthau Mrs. Kay Kuehn Mr. & Mrs. Daniel Kunin Mr. & Mrs. Conrad Kuzma The Kylin Fund Lady Moon Farms, Inc. Barbara & David Laidlaw Lake Family Foundation Mr. Peter C. Lambert The Lamm Family Foundation The Landegger Charitable Foundation, Inc. Ms. Monica R. Landry Jeff & Mary Lane Mr. Roger W. Langsdorf & Ms. Juel Janis The Lanie Foundation Lannan Foundation Mr. & Mrs. Timothy Lappen Las Hermanas Fund Ms. Robin Lasko Mr. Robert Pyle Lauriston Ms. Lois Lautenberg Lawrence Israel Family Foundation Mr. & Mrs. Tom Leahy Lear Family Foundation Ms. France Leclerc & Mr. Richard Thaler * The Lee Charitable Foundation Mr. & Mrs. Henry Lee Henry & Mary Lee Mr. Jeffrey Lee Jin Yen Lee Mr. Philip J. Lee Mr. Michael Lehr & Ms. Linda Pennington Mr. Dennis H. Leibowitz Craig Lemmen, MD, & Tyra Van Gilder Lemman Mr. David Lenhardt * The Leo Model Foundation Leo Strauch Living Trust Dr. Andrew C. Leon & Ms. Yukiko Okuma Estate of Violet Leonard Mr. & Mrs. John M. Lepore Mr. Jeffrey D. Leppink & Ms. Jane A. Freeman David & Laura Lester Ms. Pamela J. Levine Kenneth & Jeanne Levy-Church George Lewis Mr. & Mrs. Randal Lewis Sebastian S. Lighvani, MD Mr. Andrew Lim Mr. Yu-Hsing Lin Mr. & Mrs. Andrew Linder Mr. & Mrs. Merran Lindsay Mr. & Mrs. Daniel T. Linehan * Indicates a monthly donor # Indicates in-kind contribution Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation“ISierra Leoneinterested Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan became in supporting MSF after traveling to Ethiopia in 2004 and seeing MSF vehiclesYemen and Zambia Zimbabwe volunteers in even the most remote towns and villages. MSF was the only aid organization that we saw. They were supplying urgent and much needed health care where it was most needed. I was so impressed with the selfless dedication of the staff and their willingness to bring some measure of relief to ordinary people that I wanted to become involved in supporting their work.” Eric Lunger. Supporter since 2003 The Mary & Albert Bergeron Fund The Mary & John Grant Foundation Mary and Kathleen Harriman Foundation Mary Frances LeMat Family Fund Mary Margaret Sullivan Foundation Mary T. & S. James Adelstein Charitable Gift Fund Mr. & Mrs. John W. Mason Ms. Cindy K. Matheison & Dr. Paul J. Schubert Matthew Royce Fund Dr. & Mrs. Raj K. Maturi Maurice and Carol Feinberg Family Foundation Mr. John A. Mayer Lynn McAtee Ms. Joyce H. McClanahan Mr. Aubrey K. McClendon Ms. Laure McConnell The McCortney Foundation Mr. John McHale Denis J. McInerney Dr. & Mrs. Bradley McIver Dr. Kennon P. McKee Mr. Richard McKinley The McLafferty-Skinner Fund Grey & Sarah McLean Ann & Jim McMullan Ruth E. McNally Mr. Arthur T. McNeill Steve & Suzi McVoy Vincent Memoli June & John Mercer Mr. Matt H. Merluzzi Mr. Paul Messina Mrs. Robert Metzenberg Jon & Danielle Mewes Mr. & Mrs. Fred Meyer Mr. & Mrs. James D. Meyer Mr. & Mrs. Larry G. Meyer The Tory Meyer Family * Ms. Joanne J. Meyerowitz Michael and Anne B. Golden Fund Michael & Patricia Kelly Fund Dominique Mielle-Carrillo & Juan Carrillo Mildred Shashaty 2004 Charitable Annuity Trust The Miller Family Endowment Mr. Christopher D. Miller David & Rosemary Miller Mr. & Mrs. Donald Miller Estate of Roy F. Miller Ms. Sue Miller Walter E. D. Miller The Millie Fund Michael & Leslie Mills The Milton V. Brown Foundation Mr. & Mrs. Fred Mitchell MKM Foundation Mr. James Modrall & Ms. Johanna Sperling John & Elizabeth Monagle Mr. Joseph Monk Mrs. Robert C. Montgomery Mrs. Penelope H. Moodey Ms. Jo Ellen Moore Ms. Stefanianna Moore & Mr. Todd Jackson Mr. & Mrs. Thomas Morel Mrs. Gerry Morenzi Peter W. & Vicki R. Morgan Rhea Morgan, DVM Mr. & Mrs. William F. Morrill Morris M. Goldberg Charitable Lead Trust James M. Morris, MD Patricia & James Morris Mr. & Mrs. David C. Morrow Evelyn M. Morrow Ms. Cora E. Morse Ms. Barbara Moses & Mr. Matthew A. Grayson Mr. Hatem Mostafa Mr. Masoud Motamedi Mr. & Mrs. Thomas Mottl Brigitta U. Mueller, MD Mrs. Christa Mueller Mr. Kurt Mueller Ms. Beth Mullen Ms. Diana Mullen Wilma Tucker Muse The Myrtle L. Atkinson Foundation Mr. Mitchell Nadel & Ms. Beth Bennett chad An 8-year-old boy injured by a bullet during fighting between government and rebel forces recovers at a hospital in the capital, N’Djamena, where MSF provided support. © Benedicte Kurzen Mr. & Mrs. Juan J. Linz Mr. David W. Lippitt Ms. Sarah M. Liron & Mr. Sheldon Kahn Lisa Duke Foundation Dr. & Mrs. Harold W. Lischner Ms. Rena Listokin Little Flower Fund Ms. Virginia G. Little LLS Foundation Mr. David W. Locascio Loft Fund Mr. & Mrs. George H. Lohrer Mr. & Mrs. Kevin Long The Looker Foundation Mr. Joseph I. Loonan Loren & Helen Walker Foundation Loris M. Masterton Mr. & Mrs. Ernest L. Loser Mr. & Mrs. Jay W. Lotspeich Roy & Carol Lott Mr. Jay Louden Love Quotes, Inc. Judith & Mark Lowenstein Mr. Steven Luchini Mr. Ed Luedke Mr. Frank Lufkin Mr. & Mrs. Bill J. Luksemburg Anthony Lux, MD Mr. Stephen J. Lynton Mr. & Mrs. James MacGregor Mr. & Mrs. Vincent Pershing Maddi Mr. & Mrs. Peter Madonia Mr. John F. Maher & Ms. Ellen Sarkisian The Malcolm Gibbs Foundation Mr. Anthony M. Malizia Mr. & Mrs. Marc A. Malnati Mr. Christopher O. Manley Mr. Christopher P. Marcella Marcie and Robert Musser Advised Fund Marguerite & Donald L. Harvey Family Fund Mr. Robinson Markel & Ms. Joan Mintz MarketFrames Group, LLC Richard & Inga Markovits Frank & Susan Mars Dr. Margaret A. Marshall The Martin Fabert Foundation Ms. Elaine P. Martin * Estate of Suzanne L. Martin 45 Donors in 2008 Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus Edwin C. Nagel The Naghshineh Family The Naida S. Wharton Foundation Nancy H. and James Kelso Fund The Nancy Lurie Marks Family Foundation Ravi & Padma Nangunoori Mrs. Mary Louise Napier The Nasgovitz Family Foundation Mr. & Mrs. John E. Nash Mr. & Mrs. Albert Nassi Ms. Catherine Nathan John Nelson & Kate Gessner Ms. Blanche R. Nett Mr. & Mrs. Paul Newhagen Mr. & Mrs. Michael Newlin Mr. & Mrs. Ted Nierenberg Ms. Erika Nijenhuis & Mr. Christian F. Bastian Nikola’s Charity Fund Mrs. Colleen Noall Dr. Jason G. Noble Ms. Kelly Noblin The Nolan Family Charitable Foundation Drs. Richard & Susan Nolen-Hoeksema Nomura America Foundation Andrew & Lauren Norelli Norma & Milton Mann Foundation Inc. Mrs. Katherine E. North North American Property Corporation Mr. Edward H. Norton The Nossel Kolar Family Fund Mrs. Emily H. Nugent Sheila O’Brien & Marc Whitehead Susan O’Brien Mr. Thomas H. O’Connor, Jr. Sue Douthit O’Donnell & Robert G. O’Donnell Oechsle International Advisors Dr. & Mrs. Joseph D. O’Gorman Ms. Ellen M. Okun & Mr. Donald J. Zack Mr. G. Olerich Herb and Leah Olfson Oliver & Elizabeth Stanton Foundation Ms. Kathleen O’Malley * Mr. & Mrs. Gerard T. O’Neill Opdyke Inc. Mr. Gilman Ordway Mr. & Mrs. Michael O’Riordan Mr. & Ms. Duncan B. Orr 46 Mr. & Mrs. Emilio M. Ortiz Dr. & Mrs. William Osborne David Oswald Mr. David K. Owen Mr. Marc R. Packer Mr. & Mrs. Kourosh Pakzad * Ms. Carol C. Palmer Anne Palumbo, DO * Pamela and Richard Rubinstein Foundation Mr. & Mrs. Joe Pao Ms. Elizabeth Parish Thomas B. Parker & Michelle Griffin Mrs. Grace M. Parr Mr. Robert H. Paslay Dr. & Mrs. Srikanth S. Patankar Mr. & Mrs. Clayton Patmont Christopher K. Payne, MD Ms. Margarette A. Paz & Mr. Barry C. Delman PECO Foundation Ms. Lucille Peevey Peggy Meyerhoff Pearlstone Foundation Pellegrini Revocable Trust Joan M. Pepin & Michael J. Woods Allen Perrel Mr. & Mrs. Eric Persing Roland Pesch & Kathy Rosskopf Ms. Elizabeth I. Peters Mr. James H. Petersen Peterson-Tsai Foundation Mr. Nicholas Petraglia Mr. & Mrs. Dominic Petrucci Dr. Tuan Van Phan Philip and Daniele Barach Foundation Philip Kaplan Glass Works, LLC The Philip W. Riskin Charitable Foundation Mr. & Mrs. B. Donovan Picard Mr. & Mrs. Julian Pick Mr. Jonathan Pierson Mr. Sterling Pile Ethel & John Piper Mr. & Mrs. Steve Pipkin Ms. Marianne Piterans Mr. & Mrs. James Plessas Ms. Laura Poch The PoGo Family Foundation Inc. Christina Polischuk Ms. Fradene Pollack Dr. William Polonsky Marcia B. & Frank P. Polyak, MD Mr. William Powell Ms. Patricia L. Powers Mr. Gretchen Preston & Dr. Gregory P. Meisner * Indicates a monthly donor # Indicates in-kind contribution Martha Stokes Price Progressive Computing, LLC Mr. John Purdon The Purple Lady Fund - Barbara J. Meislin Ms. Barbara Quilty R. Clark & Jane Taylor Fund Mr. & Mrs. George Raab Roy Radner & Charlotte V. Kuh Mr. Joseph N. Ragan Dr. Kevin & Mrs. Karla Rahn Ms. Jane G. Rainbolt Mr. Sal Randazzo Mr. & Mrs. Ted Ranft * Linda E. Ransom & James J Capra, Jr. Rawl Family Fund The Ray Beebe and Mary Boland Charitable Fund The Raymond Family Foundation Realan Foundation, Inc. Mr. Michael H. Reardon Red Mountain Fund Mr. Jonathan Reed Elinor M. Rees Mr. Barton Reese Andrew Reich Reid and Stacey Walker Fund Ms. Kathleen Reilly Ms. Christine Reily The Renaissance Foundation The Renaker Family Fund William J. Resnick, MD Dr. Sally A. Reyering & Mr. Christopher Baldwin Carl & Jodi Reynolds The Rhoades Foundation The Richard and Karen Solle Foundation The Richard and Natalie Jacoff Foundation The Richard L. Levin Family Foundation Ms. Mary Kay Ring The Ritchey Family Community Property Ms. Sarah A. Ritter Ms. Elisa Rivlin & Mr. Eric Nadler Mr. & Mrs. William H. Roach, Jr. Mr. Neil Roache Robert C. and Mary K. Horton Fund The Robin O’Brien Fund Dwight R. & Margaret B. Robinson Laurie K. Robinson Mr. Michael K. Robinson Mary Rodgers & Henry Guettel Dr. & Mrs. Anthony Rogers Mr. Chris Rogers Mr. Ryan Romeiser & Ms. Ariana Garfinkel Ron & Cheryl Howard Family Foundation Drs. John & Carolann Rosario Mr. Paul F. Rosenbaum & Ms. Rocio Villasenor Mr. & Mrs. Paul W. Rosenberger Rosenfeld Family Charitable Foundation Gillian Rosenfeld Mr. Michael Rosenthal Ms. Karan A. Ross Anthony C.& Deena G. Roth Ms. Martine A. Rothblatt Mrs. Julia K. Rowse Roy E. Crummer Foundation Mr. Tuhin Roy Mr. & Mrs. Charles P. Rozier Mr. & Mrs. James A. Ruoff Robert & Jane Russell Ruth McLean Bowman Bowers Foundation Barbara & James Rutherford Ms. Dixie J. Ruud Ms. Valerie Ruud RX 2 GO Ryan Family Charitable Foundation Rye Presbyterian Church Lennart A. Saaf Sage Foundation Mr. Anthony P. Sager Mr. Vinson T. Saito Ms. Eva Saketkoo The Saks Philanthropic Fund Abdul Saleh John & Ginger Sall Jose Sama & Julie Johnson Sanders-McClure Family Fund Ms. Joanne D. Sanger Estate of Mariano Santos Roldan, Jr. Sarah & Paul Densen Charitable Foundation Sasaki Associates, Inc. Mr. Brian A. Sassi Mr. Norman Saucedo Mr. & Mrs. Rishi Sawhney Mark & B.J. Schaffer Professor & Mrs. Richard Schlagel Dr. & Mrs. Barton D. Schmitt The Schreiber Family Foundation Jonathan & Sherry Schreiber Howard Schreier Mr. & Mrs. Alan Schulz Ms. Michelle J. Schwartz Mr. & Mrs. Bancroft Scott Tim & Judith Sear Angelika & Gerhard Seebacher Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 © Klavs Bo Christensen/WpN Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe haiti Left: A mother holds her child in front of the remains of their home in Gonaïves after the area was hit by two hurricanes and a tropical storm. Right: Provision of clean water was a top priority for MSF in the aftermath of the storms. Margaret & Contee Seely Mr. & Mrs. John R. Seibold The Seinfeld Family Foundation Mrs. Mary D. Sella The Selz Foundation, Inc. Drs. Clay & Janice Semenkovich Mr. Peter Senter Mr. Aleksanteri Seppala The Sequoia Philanthropic Fund Mr. Somal S. Shah Shah-Domenicali Family Fund Dr. Robin Shanahan * S. M. Shankland & Cynthia Buckley Share Our Strength Ms. Jamie J. Shaw & Ms. Kelley N. Cope Drs. Mark & Marilee Shebuski Sheila Boderick Foundation Mr. Christopher J. Sherry & Ms. Lee R. Stewart Mr. Wallace W. Sherwood Romita Shetty & Nasser Ahmad Mr. & Mrs. Stephen J. Shevlin Mr. Michael Shields Dr. Dana Shires Mr. & Mrs. Jerry L. Shulman Mr. & Mrs. Paul J. Sidenblad The Sidney & Beatrice Albert Foundation Mr. & Mrs. David Siegel Dr. Martin S. Silberberg The Silberman Fund Arnold & Barbara Silverman Dorothy I. Simonetti-Guhl Ms. Beatrice Simpson Sinauer Associates Inc. Siner Charitable Fund Ms. Denise K. Sisson Sisters of Providence Sisters of Saint Francis Murali Sivarajan, MD Dr. David M. Sizemore Ms. Linda K. Slaymaker Mr. Alberto Slikta Sloman Foundation Mr. Nasser Sobhani Ms. Cecilia Soh & Mr. Peter S. Lau Mr. Charles N. Soparkar & Mrs. Susan E. Hairston Mr. Richard M. Sorensen Southern Cross Fund Southland Stone U.S.A., Inc. William C. Spears & Robin MacIlroy Mr. L. Spector Mr. Neil Spidell St. Bernard Academy Brad St. Clair St. Vincent’s Doctors Alumni Association Estate of Janette H. Staffel Mr. & Mrs. Thomas Stege Jeanne Steig Stephen and Deirdre Sheedy Kim Charitable Fund J. T. Stephens Drs. Paul & Tyra Stephens James Sterba & Janet A. Kourany Mr. Fritz Stern Mr. & Mrs. Scott Stern Ms. Nancy R. Stevens Ms. Caroline C. Stewart Mr. Frank J. Stoll Stone Soup Fund The Storper Family Foundation Stotsenberg Foundation Estate of Jane W. Stover Mr. Andrew E. Strakele Mr. Howard Stringer Mr. & Mrs. Michael B. Stubbs Maxwell & Ann Sturgis Dr. Judith P. Sulzberger & Mr. Arthur O. Sulzberger Mr. John D. Summers Stephen Sun, MD, & Jenny H. Kim, MD Charles W. & Cathie L. Sundry Mr. & Mrs. P. V. Suryanarayana Sustainable Growth Advisers, LP Mr. & Mrs. Matthew Sutter Mr. & Mrs. Michael Swier Ms. Emilia Switgall Dr. & Mrs. Michael W. Szpak T. Nash and Gloria M. Broaddus Foundation Alan J. Talbert Mr. & Mrs. Russell E. Talcott Mr. Richard Tambor Mr. Christian Tan Mr. & Mrs. Charles S. Tappan Molly & Robert J. Tarr Peter & Preya Tarsney Mrs. Helga Tarver Mr. & Mrs. James A. Taylor Tom & Judy Taylor Ms. Gillian M. Teichert Mr. & Mrs. William P. Tellini Mr. Bjarne Philip Tellmann Mr. Ben Tench Terri and Rudy Sundberg Family Fund Mr. Eugene V. Thaw Thendara Foundation The Thomas & Bebette Coleman Foundation The Thomas C. McConnell & Latricia Turner Fund Thomas F. Staley Foundation Ms. Bonnie E. Thomson & Mr. Eugene Tillman Thornburg Charitable Foundation Mr. Timothy N. Thornburn Tides Foundation Tiger Global Management, LLC Toadall Fitness Tom Anzalone Charity Fund Toronto Ontario Film Office/ Los Angeles Mr. John F. Torti Dr. Yonina Tova Trenchard Family Charitable Fund John & Louisa Troubh The Trudy Foundation Mrs. Phoebe E. Trueheart Ms. Cynthia Tucker Tuckey & Associates The Turnquist Foundation Turvey Family Foundation United Casing, Inc. Estate of Elton C. Uphoff Dr. & Mrs. Robert Ursprung Terry & Irene Utner * Mr. & Mrs. Raymond C. Utterback Mr. & Mrs. Mark Van Denend Wendy Vanden Heuvel Nicholas & Angeline Van Der Kloot Mr. & Mrs. Stanley Van Hook Robert & Sharon van Zwieten Vaughn Kelly Memorial Fund Mr. James F. Vecchione Ms. Sally S. Venerable Ms. Lenda Vettese * Mr. Alan Vickery Victor & Michele Daubert Family Gift Fund Dr. & Mrs. Donald Vincent Dr. Joachim Vosgerau Mr. & Mrs. Karl Voskuil Mr. & Mrs. Thomas Vredevoogd Dr. Minh Vuong Mr. & Mrs. Andrew Waddell * Dr. & Mrs. Russell A. Wagner George M. Wahab, MD Mr. & Mrs. George S. Walker Walker James & Teresita R. Wallace Fund Mr. David M. Wall & Ms. Maureen Roos The Walter & Ursula Eberspacher Foundation Mr. Timothy R. Walther Mr. & Mrs. Herbert Wang Mrs. Margaret Warren * Ms. Mary C. Warren & Mr. Stanley E. Case Mrs. Lynn Warshow The Waser Family Trust Ms. Mary S. Waterbury 47 Donors in 2008 Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus © Francesca Di Bonito Mrs. Charles H. Watts II Mr. & Mrs. Paul C. Waxlax Barbara S. & J. Dix Wayman Brenda Webster & Ira M. Lapidus Mr. & Mrs. Robert O. Webster Mr. & Mrs. David Weil Dr. & Mrs. Stephen M. Weinstock Ms. Christine Welch Mr. Thomas Welk & Dr. Ariel Lang Well Luck Charitable Trust Mr. David A. Wengert Deborah D. & Douglas West Mr. Mark Westin Estate of Doris E. Weston Mrs. Adele Wexler Mr. Kurt G. Weyland Steve & Bonnie Wheeler Mr. & Mrs. Tim Whipple Erika & Paul White Gloria J. White, MD Jennifer White Dr. & Mrs. William R. White Mr. Gabriel Wick Mr. Henry E. Wieman Wildcat Cove Foundation The William D. Rhodes Foundation William E. Slaughter, Jr. Foundation, Inc. William H. Prusoff Foundation The William H. Wickett Jr. Foundation William H.G. Fitzgerald Family Foundation William M. Hendricks Family Foundation The William Penn Foundation Nina D. Williams, Esq. Mr. Ross G. Williams Mr. & Mrs. Simon Williams Eileen & Joseph Willis The Wilson Fund Dr. Clyde H. & Kathleen M. Wilson Winky Foundation Drs. Carol & Terry Winograd Ms. Elizabeth Winship Mr. Joseph Winski Mr. & Mrs. William Witman Mr. Martin Wolfram Dr. Adele Wolfson & Dr. Dan Seeley Mr. & Mrs. Willard L. Wood Ms. Rhonda Woodard Carolan & Peter Workman The Workzone Charitable Fund Ms. Ellen Wormser Andrew & Blenda Wright Mr. William J. Wulfeck Wuliger Foundation Estate of Hope Yampol Mr. Peter T. Yang Anne K. Yeager, MD, & Alan B. Segal, MD * Drs. K. Lemone & Lerena Yielding Peg Yorkin Bulent R. Zaim, MD, & Isabelle Hertig, MD Mr. David Zarett Dr. Peter Zdankiewicz & Dr. Eleanor A. Berry 48 thailand MSF medical staff treat a child in Huay Nam Khao camp in northern Thailand, where thousands of Hmong refugees have taken shelter. The Hmong were recruited to fight on the US side during the war in Vietnam and Laos. After the war ended, hundreds of thousands of Hmong left Laos. Leland & Marian Zeidler Mr. William Ziegler III Mary & Jeff Zients Mr. Charles A. Zuckerman Dr. Mel Zwissler Legacy Society Anonymous (77) Anonymous from Salisbury, CT Ms. Martha Aarons Ms. Helen Ackerson Mrs. Ruth Adame Michael & Susan Alexander Dr. Lawrence Allen Mr. Jeff Alonzo Ms. Evi Altschuler Mary Stuart Alvord The Armstrong Family Ms. Mary Andrea Arnold Ms. Josette G. Arvey * Warren and Eunice Askov Mr. & Mrs. Arnold Asrelsky Ms. Donna Ayers Anne T. Baglini Ms. Anne Baird * George & Harriet Baldwin Mr. & Mrs. Edward Balkan Ms. Dolores Balkenbush Mr. John J. Ballentine Ms. Lori Banikin Ms. Barbara Barchilon Mr. & Mrs. Arthur Bardos John M. Barker Family Christopher & Samantha Barnum Barbara A Baron, PhD Ms. Elizabeth Barrett Belinda Barrington & Andres Acedo Mr. & Mrs. Thomas R. Baruch Mr. & Mrs. Richard L. Batchelder Mrs. Barbara M. Baumgardner Ms. Anne E. Beckett Mr. Douglas F. Beech Pete & Elizabeth Beglin Ms. Anne M. Behler * Mr. & Mrs. David R. Bell Mr. & Mrs. Floyd Benner Irving & Harriet Berg Mr. David G. Bergman Mr. & Mrs. Keith L. Bergman Laurence Berk, Esquire Ms. Frances Best Ms. Patricia Biasca * Mr. & Mrs. David Biren Dr. Charles A. Bisselle Mr. Ross L. Blake Ms. Mary A. Bland Ms. Linda M. Bolt Mr. George B. Bookman Pat Brandenburg * Mr. Wilmer Brandt Michael Breen * Hazel Briller Joan Lisa Bromberg Emily Brown * Ms. Gaye L. Brown Mr. Thomas Brumbaugh * Mr. Fredric Buch Bruce K. G. Buchner Ms. Maryellen Buckley K.A. Bullington Drs. Robert & Cynthia Burns Mr. Kenneth H. Burrows * Mr. & Mrs. Wallace Burton Ms. Anne C. Bush * Ms. Alice Byers Ms. Barbara Byrne * Ms. Sandy Cademartori Ms. V. Winifred Cairns * James & Charlotte Caldwell Dr. Gerald & Susan Cambria * Mr. & Mrs. J. G. Carlock Mr. Martin Carlsen Ms. Karen Carrier * Ms. Joan Carriere Mr. & Mrs. Robert Case Mr. George C. Cass Diane Lewis Chaney, PhD, MPH Ms. Persis Charles Ms. Beatrice Chauncey Nancy & Pascale Cheche Mr. Irving L. Chortek * Indicates a monthly donor # Indicates in-kind contribution Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation“Doctors Sierra Leone SomaliaBorders South Africa Sri Lankaessential Sudan Swaziland switzerland Uganda Uzbekistan Yemen Without provides care and hope toThailand peopleTurkmenistan at their most vulnerable and in Zambia Zimbabwe the most precarious of situations. The Lloyd A. Fry Foundation is proud to be a supporter of Doctors Without Borders/Médecins Sans Frontières and their Emergency Relief Funds.” Lloyd A. Fry Foundation. Supporter since 1996 Michael & Anna Eddy Mr. & Mrs. Ivan H. Edelfelt Dr. Patricia Taylor Edmisten * Mrs. Beth Edwards Mr. Stuart D. Edwards Mr. Robert Egan Ms. Adrienne R. Eggleston * Mr. Robert Eisner Ms. Margaret Elizares Mr. Kenward Elmslie Joanne and David Emus * Mr. Richard R. Epton * Jon Erikson * Ms. Judy H. Fair-Spaulding * Mr. & Mrs. John Fairval Ms. Rochelle Farkas Ms. Sandra R. Farkas * Margaret B. & Anne Farr Ms. Judith Farrar A. Fattaruso Ms. Margaret T. Ferguson * Susan Ferguson, MD Mr. Lincoln P. Field Mr. & Mrs. Paul Fierro Elizabeth J. Finch Ms. Elizabeth Finkler Mr. William Fisher, Jr. Mrs. N. F. Fliehmann Mr. & Mrs. Clifford Forster Ms. Ella Forsyth & Robert Zieff Jeannette Foss Mrs. Betty R. Foster Mr. Alan Fox Dr. Renee C. Fox Ms. Esther L. Fraats Mr. Lawrence Fraiberg Dr. Marcella Frank Dr. Nancy Franklin Ms. Peg Franklin Mr. & Mrs. Ronald Fraser * Ms. Diane Freedman & Ms. Bernice Hantman Mrs. Marta Freidin Ms. Sylvia S. Friedman Deacon John H. Frohbose Ms. Joan Fromewick Mr. Owen B. Fuqua, Jr. Dr. Phillip F. Fuselier Ms. Sara Rohm Gadd Ms. Linda Gallaher-Brown Emily Garlin Clifton A. Gaskill Renata Gasperi and Donald Frediani Gary L. Gaubatz Ms. Nancy K. Geiser Ms. Sheryl Geisler * B.J. Giacobello Mr. & Mrs. Frank Giglio * Ms. Viola C. Gilbert * Ms. Florence Gilchrist Ms. Mary T. Gill Ms. Judith A. Girard * Mr. Gilbert Glass Jack J. Goggin * Mrs. Caroline Goldsmith Mr. Merrill Goldwyn Mr. Robert Gorden Mr. Bruce Gordon Robert Gould, MD Mr. & Mrs. Donald W. Grace Ms. Elisabeth Grace Mr. & Mrs. Donald Graham Ms. Mary T. Grant Robert & Joan Gravallese Ms. Miriam Greenblatt * Mr. Werner Grob Dr. John T. Groel Ms. Kathleen H. Grover Mrs. Dorothy Guidici John & Gerri Gunn * Ms. Lois E. Gurney Marthena Hackenberg Robert Halper Mr. Roy Hamilton Suzanne M. Hanses, DO Ms. Audrey E. Hargis Mrs. Beth L. Harper * Mr. Omar Hartzler & Ms. Dorothy E. Jones Willard Harzoff Ms. Barbara Haskins * Ms. Jan M. Hayden Luisa Hayes Andree Hayum Ms. J. N. Head * Mr. & Mrs. Helmut R. Heilner Ms. Barbara A. Heizman Ms. Sally Helfman Mr. & Mrs. Stanley Hendel © Jehad Nga Mrs. Jane P. Church Mr. & Mrs. Carl Clark Mr. James Clark Ms. Judith Clark * Ms. Hilda B. Classon Mr. & Mrs. Richard N. Cohen Mr. & Mrs. David Colker * Mr. & Mrs. Wilfred Collette Maryanne Conheim * Mr. David Cooper Mr. Gary F. Cooper Darylee & Samuel Coplin * Constance C. Cornog, MD Richard & Annette Corth Mr. Allen Coulter Dr. Sol I. Courtman Mrs. Fay D. Couyoumjan Marion & Edwin Cox Ms. Julie Creel Ms. Christina Crowley Ms. Jacqueline D’Aiutolo Mrs. Virginia Darvill * Mr. Vern G. Davidson Mr. & Mrs. Gilbert R. Davis Ms. Theresa L. Davis Dr. Zev Davis Ms. Marjorie de Hartog Dr. & Mrs. Michael L. Dean Cynthia J. Deimantas Mr. Burton DeJong Ms. Janet M. Dellaria Ms. Jill D. Delman Mr. & Mrs. Ed Dembowski Ms. Carol Denehy Steve Denner Mr. & Mrs. David Depew * Mrs. Carolyn M. Derr * Mr. Bernard L. Desroches * Dr. & Mrs. Donald Detwiler John A. Dever Wai Chee Dimock * Lynnette Dodds Alexander A. and Rose M. Doska Mr. James K. Downs Susan C. Doyle * Ms. Ruth Draper George Duncan & Sheryl Kelsey Ms. Jean Dunlap Mr. Michael B. Dunne Mrs. Mary Dee Dupont * Anthea C. Durón Mr. Jesse C. & Mrs. Margaret C. Dutra * Ms. Nell B. Dye * Mr. & Mrs. George Easley somalia Extreme insecurity in Somalia led to the deaths of three MSF staff and forced MSF to close three of its projects. However, dedicated Somali staff have remained to operate other MSF projects in the central and southern regions. They are supported by Nairobi-based international staff who visit when security allows. 49 Donors in 2008 Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus Ms. Nancy M. Henley Irene Mosil Hennessey Mr. Peter C. Hereld Ms. Ruthann Hill Mr. & Mrs. Robert Hiller Mr. Edward Hoagland * Dr. Gloria L. Hobbs * Diane L. Hodges Mrs. Betty J. Hoehn Ms. Mary F. Hogan Mr. Henry Holland Albert & Freda Holman Mr. Burt C. Horne, Jr. Ms. Charlotte A. Hubley * Ms. Barbara L. Hudman * Mrs. Philip Hulitar Ms. Leslie A. Hulse Lt. Col. Waltraut M. Hurd, USA RET Bernard V. Hyland, MD Mr. Mark Indenbaum & Ms. Fern McBride Mr. & Mrs. Dennis G. Jaeger Ms. Karla Jaeger Helen A. Jankoski Kenneth F. Jasbeck Ms. Wanda J. Jaworski * Mr. & Mrs. Wendell Jeffrey Mr. Elgin Jenison Judy Jensen & Emil Vogely John & Geraldine Cusenza Family Foundation Janice & Leroy Johnson * R. G. Johnson Mr. & Mrs. Raymond Johnson Mr. & Mrs. Wendell A. Johnson * Mr. Thomas J. Joyce Ms. Elizabeth Jung Norma Kacen * Ms. Lucinda Kahler Mr. James Kaplan Mr. & Mrs. Robert A. Karabinus Gloria Kardong, MD Mr. Roland N. Karlen Mr. George Karnoutsos Mrs. Mary B. Kasbohm Donald G. Kassebaum, MD Mr. Stanley Kasten Ms. Madeleine Kazan Ellen V. Kearns, PhD * Mr. Norman F. Keaton II Ms. Frances V. Kehr Mr. & Mrs. Dean C. Keister Mary E. Kelly Ms. Debbi Kempton-Smith Ms. Elke B. Kerr * Dr. & Mrs. Joseph Kim Dr. & Mrs. Robert Kirk Robert Knudson, MD Ms. Shirley S. Kobran Mr. James Kohn Gabrielle Kopelman Mrs. Reti Kornfeld Ms. Carla M. Koty * Marcelline Krafchick, PhD Mrs. Emma J. Kretlow Ellen B. Kritzman Ms. Alma Krivonen * Ms. Susan Kulick Brett B. Lambert Ms. Betty L. Lanius Mr. & Mrs. Paul Lappe Mr. Paul Lavoie Ms. Jessica Lawrence Mr. & Mrs. Kirk Lawton David R. & Darlene A. Lee * Mrs. Dorothy Lee Ms. Anne Leonard Dona Leonard Lessin Mr. Daniel Levin & Mrs. Audrey Davis-Levin Ms. Erica S. Levin * Sid & Diane Levin Mr. Lewis Mr. & Mrs. Christopher Lewis Raymond West Liden & Patricia Ann Liden Barbara H. Lidz Mr. & Mrs. Joseph Linsalata Shirley Lipsky Ms. Judith List Mr. & Mrs. Lawrence R. Lockhart Ms. Mary P. Logan Mr. Richard B. Logan * Ms. Jane B. Long Dr. Warren LoPresti Mrs. Lois Lowenberg Mr. & Mrs. Christopher Lukas Mr. & Mrs. Robert B. Lutz Eleanor H. Lyall * Ms. Shiela Lyman Dr. & Mrs. Wilbert A. Lyons Patricia MacLean Ms. Mona L. Macphail * Dr. Humra Mahmood * Agnes W. Maixner Mrs. Della M. Majocchi Mr. & Mrs. William MaLarkey Ms. Marilyn Manning * Mr. Victor Margolis * Ms. Melody Marks Linda Marsh * Mr. George Martinek Ms. Diane C. Matheson Mr. Steven Matthysse Henry D. Mayer Ms. Marion R. Mayer Ms. Jeanne Mayers Mrs. Pauline Mayo Ms. Eileen McDonnell * Robert McDonnell Mr. Thomas D. McKiernan Mr. & Mrs. Hugh McLellan Dr. Mary McPherson Mr. John V. Meeks Make a Planned Gift & Join Our Legacy Society By providing for MSF in your estate planning you will help ensure our ability to respond to the challenges we face now and in the future. Each year, many of our loyal supporters join our Legacy Society by naming MSF in a will or trust or as a beneficiary of a life insurance policy, financial account, Individual Retirement Account (IRA) or other retirement plan, charitable gift annuity or charitable trust. As a member of our Legacy Society, you will receive updates about our work around the world and be listed in our Annual Report. For information about MSF’s planned giving program, please call our Planned Giving Officer at 212.655.3771. 50 * Indicates a monthly donor # Indicates in-kind contribution Ms. Charlotte Melichar Mr. E. W. Merry Dr. & Mrs. Thomas F. Mich * Ms. Joan Michaelini Mr. & Mrs. Robert Michlin Mr. & Mrs. Ronald Michlow * Mr. Harold J. Miller Mr. Lawrence B. Miller Lisa H. Miller Merle Miller, MD, FACEP Nancy M. Miller Ms. Louise C. Monack Dr. Louis Montrose & Ms. Caroline Ding Alma C. Moore Mr. Donald W. Moore Mr. John R. Moore Mrs. Alice Moser Ms. Angela M. Moss Ms. Mary F. Mulroney Ms. Helen L. Muniz Mr. Charles F. Murphy Ms. Leila S. Mustachi * Ms. Audrey R. Myers Ms. Susan Napolillo Mildred B. Naugle Carol Netzer Ms. Madeleine G. Newbauer Ms. Barbara W. Newell Mr. Pieter Noomen Gerard Noteboom, MD Ms. Mimi O’Hagan Mr. Robert W. Ohlerking Nora Olgyay Mrs. Lise Olsen Ms. Arlene L. Opria * Ms. Susan O’Reilly Carol Orme-Johnson * Mr. George Osolsobe Mr. Tom Ott & Mr. Peter Bingham * Ms. Pauline C. Pace Ms. Stephanie Pace Mr. William Pagenkopf/Bill Page Prof. Graziella Parati * Ann L. Parker Ms. Ruth Partridge Ms. Verda Patterson Mr. Arthur Paul Ms. Alice Pearlman Mr. Nicholas B. Pease Ms. Mildred Penzer Mr. Jules Perlmutter Ms. Laura C. Perreault Ms. Joyce Perry Barbara Petruzzi Sol D. Pickard, MD Renate R. Plaut, MD * Mr. Albert Podell Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 © Laurent Chamussy/Sipa Press Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe niger Left: In Maradi, a mother takes home a month’s supply of nutrient-rich, ready-to-eat food that will keep her child from becoming malnourished during the “hunger gap” between harvests. Right: In Niger, an MSF medical staff member examines a newborn baby in an ambulance. David and Gaylene Poretti * Ms. Nancy R. Posel Mr. Lawrence Prager Ms. Paula Preuthun * Ms. Mary F. Price Mr. & Mrs. Phil C. Quinn Ms. Mary P. Rabe Mr. & Mrs. George Rainer Captain and Mrs. Edward Rau * Mr. Edward Rawson & Mr. Marshall Rawson Mr. L. Michael Ream Ms. Martha Reddout Mr. & Mrs. Roger Reed Ms. Shelagh Reed * Ms. Nancy Reeves Ms. Pamela Rendeiro Mr. Marc Reshovsky Ms. Florence L. Resnikoff Richard H. Reuper Ms. Madeleine P. Richard Mr. & Mrs. William Richter Ms. Rosalind Rickman Suzanne Bassett Riess Henry G. Ring Mr. & Mrs. F. David D. Roberts Ms. Sally Roby Mr. Robert Rock * Mr. Edwin L. Rogers Ms. Susan Rolle * Ms. Mary Ann Rose Mr. Bernt Rosen Paul L. & Marion J. Ross Ms. June Rounds Ms. Sylvia Rousseve * Mrs. Dorothy K. Rupp Ms. Lois K. Russell Barbara & James Rutherford Ms. Lois T. Sato Mr. Peter Sauer * Mr. Thomas Savignano & Mr. Peter Benson Dr. & Mrs. Ed Sbardella Ms. Marjorie Schell Ms. Susanne Schnitzer Mr. & Mrs. David Schoen Michael and Phyllis Schreiber Mr. John Schreiner & Ms. Heidi Wetzel Ms. Jeanne D. Schwartz Teri Schwartzman Mr. Emanuel Schweid Paul W. Scott, MD Ms. Diana Seay * Mr. Glenn Seime * Ms. Jane E. Selden Rev. & Mrs. Robert C. Seltz Betty Sereno Dr. Burkhard Seubert Mr. Stephen T. Seybold * Dr. Judith Shapiro * Ms. Rachel-Lavine Shayne Ms. Lisa Shea Christine Shields Carol G. Siegel Ms. Susi Silber Mrs. Joan Sillman Ms. Virginia L. Silveira Ms. Ellen T. Simpson Mr. & Mrs. John R. Sims Dr. David M. Sizemore Mr. Joel Slotnikoff Mr. & Mrs. Hendrick N. Smit Mr. Brian J. Smith Ms. Lois Ann Smith * Marga & William Smolin Mr. & Mrs. George Smyth Ms. Cheryl Anne Snyder Mary Solomon, RN * Mr. & Mrs. Alfred Sommer Mr. & Mrs. Glenn A. Sonnedecker Mr. Charles D. Spada Mr. & Mrs. Everett L. Spector Mr. Neil Spidell Stanley Stangren Ms. June C. Starck Ms. Eugenia L. Staszewski Ms. Wanda B. Staszewski Mr. John Stauffer Charles & Julie Steedman Jean L. & Robert A. Stern Ms. Lois W. Stevenson Dr. & Mrs. Harvey W. Stone Mr. Raymond W. Storck Jeanne S. Stovroff Mr. Ralph Strader & Ms. Mary Cook Mr. Walter Straus Ms. Kathleen Sundaram Rev. Thomas J. Sutherland Ms. Kaoru K. Suzuki Mrs. Joan Talbert Mr. Ivor H. Tarr * Ms. Susan Tarr & Mr. Hans G. Proppe Pamela A. Tartaglino * Stella V. Tatlock Ms. Azella Taylor Mr. & Mrs. Alan R. Tepper Dr. Annie Thiel Helmut and Kathleen Thiemann Mr. Lonnie Thomason Ms. Deborah Tibensky & Mr. Jeffrey Rigby Mr. Walter Tingle & Mrs. Thea Holmes Ethel Tobach, PhD Mr. Roy Tribelhorn Mrs. Chau Huyen Trinh * Mr. Joseph Tronolone * Mr. Richard Trotter Ms. Sarah L. Turner Mr. R. Victor Turriziani Ms. Frances M. Ujhazy Ms. Barbara Underwood Bill Utzinger & Kim Parker Ms. Verna P. Valencia * Renato & Eleanor Valente Mr. & Mrs. James N. Van Cleave Ms. Elsie E. Van De Maece * Margaret Van Dolsen Frank & Bertha T. Veresh Mr. Eric Vittinghoff Michael Angelo Vitto * Lise Vogel, PhD Ms. Dina von Zweck The Wadleigh Family Fund Mr. Mark F. Wales Ms. Ann L. Walter Ms. Roxanne Warren * Dr. & Mrs. Ira A. Wasserberg Barbara S. & J. Dix Wayman Mr. & Mrs. Jack West * Ms. Suzanne Westgaard Mrs. Karin White * Mr. Thomas A. White Mr. & Mrs. Warren Michael White Dr. Ron D. Whittaker Dora Wiebenson * W.D. Wilkinson III Faith M. Willcox * Mr. Bill Williams Ms. Rita Willis Ms. Jean M. Wilson Ms. Marianne Wilson Mr. Morton D. Winsberg & Ms. Melanie Simmons Mrs. Jess Witt Mr. Larry J. Wolfson Ms. Rosalind Wood Henry & Karen Work Mr. Arthur Wortman * Mr. Allan Wunsch Ms. Julia Xeros Ms. Julia T. Yang Ms. Sue Yocum Mr. Ali Youssefi Mr. Richard Zimler & Mr. Alexandre Quintanilha Mrs. Michelle Zimmerman Lin Zucconi, PhD Ms. Wendy Zukas 51 Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus © Juan carlos tomasi/msf ethiopia An MSF worker speaks with people waiting in the rain to be seen at an MSF nutrition center in the Oromiya region. Some days, hungry crowds of more than 1,000 lined up to be seen at some of the 60 MSF nutrition centers in southern Ethiopia. In 2008, the US section of MSF spent more than $133 million on emergency and medical programs—an increase of 8.2 percent over 2007—and an additional $12.6 million for program support, advocacy, and communications. For the fourteenth year in a row, MSF-USA allocated more than 85 percent of its expenditures to the organization’s program activities. The year closed with total revenue of $159.2 million and a deficit of $8 million. Over the last 10 years, MSF-USA has implemented a sustainable financial model, ensuring adequate reserves to maintain support for emergency and medical programs and allow for multiyear planning to adjust to the impact of an uncertain economic outlook that will affect fundraising and revenue. FINANCIAL REPORT Statement of Activities and Changes in Net Assets The following summary was extracted from MSF-USA’s audited financial statements. (Figures in these tables are rounded, which may cause slight differences in sums.) ●REVENUES Public Support Contributions and private grants Contributions pledged Total Public Support Other RevenueInvestment Income Unrealized and realized gain (loss) on investments Other revenue 2008 2007 $ 146,752,326 $ 149,604,990 4,762,611 2,531,414 151,514,937 152,136,404 1,959,763 3,666,848 (1,210,922) 211,986 (170,350) 85,918 Grants from affiliates 6,783,600 5,519,317 Total Other Revenue 7,744,427 9,101,733 Total Revenues Excluding Gifts in Kind $ 159,259,364 $ 161,238,137 $ 133,324,284 $ 123,074,640 ●EXPENSES 52 Program ServicesEmergency and medical programs Program support and development 8,980,874 7,567,988 Communications 3,596,109 3,052,501 Total Program Services 145,901,267 133,695,129 Supporting Services Management and general 2,293,299 1,739,997 Fundraising 19,705,258 17,575,590 Total Supporting Services 21,998,557 19,315,587 Total Expenses Excluding Gifts in Kind $ 167,899,824 $ 153,010,716 Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe ●NET ASSETSNet assets at beginning of year $ Increase/ (decrease) in net assets 93,177,606 In-kind asset contribution $ (8,640,460) 84,950,185 8,227,421 - Net Assets at End of Year $ 84,537,146 $ 797,707 $ 93,177,606 $ 616,495 Gifts in Kind (expensed in 2008) - note 1 Management Total Gifts in Kind Expensed 797,707 616,495 Note 1 - In-kind management gifts expensed in 2008 include the estimated fair market value of donated legal services. Statement of Financial Position 2008 ●ASSETS 2008 Cash and equivalent $ Receivables - note 1 $ 21,680,268 Other assets 63,660,384 2007 5,416,427 Total Assets $ 70,543,923 21,954,634 5,294,517 90,757,079 $ 25,500 $ 97,793,074 ●LIABILITIES AND NET ASSETS Grants payable $ Other payables 3,732,413 54,993 2,676,360 Other liabilities 2,462,020 1,884,115 6,219,933 4,615,468 76,434,896 85,888,174 8,102,250 7,289,432 Total Liabilities Unrestricted net assets Temporarily restricted - note 2 Total Net Assets Total Liabilities and Net Assets 84,537,146 $ 90,757,079 93,177,606 $ 97,793,074 Note 1:Receivables for 2008 and 2007 include $14,027,691 and $15,091,947, respectively, in contributions received as of year-end but deposited in the following month of January. Note 2: For 2008 Temporarily Restricted Net Assets include the following: Pledges Receivable - for use in future periods: $6,107,031; Annuity Trusts: $1,789,919 For 2007 Temporarily Restricted Net Assets include the following: Pledges Receivable - for use in future periods: $5,362,553; Annuity Trusts: $1,699,709 2008 Expenses Excluding In-Kind Expenses 87% Program Services 1% Management and General 12% Fundraising MSF-USA is recognized as tax-exempt under section 501(c)(3) of the Internal Revenue Code. A copy of the most recent annual report filed by MSF-USA with the New York State Attorney General may be obtained, upon request, by contacting MSF-USA at 333 Seventh Avenue, 2nd Floor, New York, NY 10001-5004, or the Attorney General’s Charities Bureau at 120 Broadway, New York, NY 10271. A list of all of the MSF offices that received funds from MSF-USA is also available upon request. 53 Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus HOW YOUR SUPPORT SAVESLIVES Guinea-bissau MSF responded to a severe cholera outbreak that affected thousands during the year. Teams working with the Ministry of Health opened a choleratreatment center in Bissau and offered support to 17 additional centers in the Biombo and Oio regions. © MSF © Clara Tarrero/MSF 54 Doctors Without borders ● MEdecins sans frontiEres (MSF) ● US ANNUAL REPORT 2008 Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe Emergency Operation Case Study: Responding to Guinea-Bissau Cholera Epidemic Every day in more than 60 countries around the world, Doctors Without Borders/Médecins Sans Frontières (MSF) responds to humanitarian needs of people affected by armed conflicts, epidemics, malnutrition, natural disasters, and exclusion from health care. Besides helping to purchase vital medical supplies, your donations help get our staff on the ground swiftly, cover costs for training locally hired staff, and provide resources for other crucial activities such as vaccination campaigns and cholera interventions. MSF mounted a three-month response to a cholera epidemic in the West African nation of Guinea-Bissau, one of the world’s five poorest countries. An outbreak of the highly contagious bacterial disease was first detected in May and June. The government declared an emergency in July and requested international assistance. Cholera, endemic to Guinea-Bissau, can spread rapidly through contaminated water due to poor sanitation infrastructure. MSF also responded to a cholera epidemic in the country during 2005. When MSF’s 2008 intervention began in August, nearly 4,000 cases had been reported nationwide, and 93 people had died. Some 13 international and 163 national staff supported the Ministry of Health in outbreak-control measures. Most efforts were placed on surveillance and case management. Teams of coordinators, nurses, logisticians, and epidemiologists took charge of choleratreatment centers, built local capacity, and improved early detection and treatment through systematic patient home visits. In the last weeks of the intervention, the number of cases and fatalities had declined in areas of MSF’s intervention, in part due to the organization’s sanitation and prevention efforts. In total, MSF treated 8,414 patients. This emergency intervention cost $545,147. Expenses are broken down in the table below to give an accurate picture of how money is spent in an emergency response like this one. The table shows that medical treatment, using IV fluid and oral rehydration, is relatively inexpensive compared to the logistics and staffing costs for setting up and running treatment centers. MSF typically keeps large stockpiles of standard treatment kits at the ready for cholera-endemic countries such as Guinea-Bissau. The gambia Senegal ● Farim Gabú ● Cacheu Canchungo ● Mansôa Bissau Bolama ● ● Bafatá Guinea-Bissau ● Buba ● Catió Guinea North Atlantic Ocean 0 0 40 80 km 40 80 ml Actual Costs: Cholera Guinea-Bissau 2008 ●Guinea-Bissau Cholera Project 2008USD Transportation, Logistics & Sanitation $ % 288,691 53 164,624 30 Medical and Nutrition Supplies 65,070 12 Operational Costs (office, supplies) 25,502 4.5 1,259 0.5 545,147 100 International & National Staff Expenses & Training Consultants, Field Support, & Miscellaneous TOTAL $ Table contains unaudited figures, and all numbers are rounded Exchange rate as of Dec 31, 2008: 1.3917 Euro = 1 US Dollar 55 BOARD OF DIRECTORS Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic R Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Rus President Dr. Matthew Spitzer, family physician, joined MSF in 1999, establishing primary care services and training medical providers in Khampa Tibet, southwestern China. He has worked with MSF in Sierra Leone as a field coordinator, with MSFUSA in a project exploring the medical needs of asylum seekers in detention in the New York area, and most recently in Cambodia, where he coordinated MSF’s response to epidemic dengue. Dr. Spitzer worked for 10 years in San Francisco at the St. Anthony Free Clinic and in its affiliated drug rehabilitation program, and this past year worked in the primary care and trauma/treatment areas at San Quentin State Prison. For the last four years, he has been teaching medical students in the case-based curriculum of the UC Berkeley-UCSF Joint Medical Program. Vice President Dr. Unni Karunakara joined MSF in 1995. He has worked in Angola, Azerbaijan, Brazil, Colombia, Republic of Congo, El Salvador, Ethiopia, India, Iraq, South Africa, Sudan, Uganda, and Zimbabwe. Dr. Karunakara worked in the medical department of MSF’s Amsterdam office for several years and was the medical director for MSF’s Access to Essential Medicines Campaign. He is currently deputy director of health for the Millennium Villages Project at the Earth Institute at Columbia University, and he teaches in the Heilbrunn Department of Population and Family Health at Columbia’s Mailman School of Public Health. Democratic republic of congo Crowds of displaced people fled a temporary camp in Kibati, North Kivu province, in October, when fighting continued nearby. MSF provides medical humanitarian assistance throughout North and South Kivu, where ongoing fighting between armed groups has caused massive displacement. 56 Treasurer John Plum is the founding partner of Emery, Kim Global Advisors, LLC, a firm specializing in investment advisory, corporate finance, and money-management services. Prior to founding Emery, Kim, he worked as a managing director for Citigroup Asset Management and as president and chief executive officer for Cititrust and Banking Corporation, Limited, Citigroup’s premier Japanese institutional assetmanagement vehicle. Plum has served on the boards of the American School in Japan, the Japan Chapter of the Association for Investment Management Research, the MIT Alumni Association, the MIT Alumni Fund, and the MIT Alumni Association of Japan. Secretary David Shevlin is an attorney at Simpson Thacher & Bartlett LLP, where he is senior counsel in the Exempt Organizations Group. He advises a variety of international and domestic exempt organizations, including both private foundations and public charities. Shevlin also advises a number of endowed universities, foundations, hospitals, and cultural institutions with respect to the investment of their endowments. He regularly speaks and writes on topics of relevance to private foundations and public charities. Dr. Marie-Pierre Allié joined MSF in 1990. She worked in South Africa, Cambodia, and Iran with the organization before joining the Paris office, where from 1996 to 2001 she oversaw programs in Burundi, Democratic Republic of Congo, Sudan, Mali, Niger, Cambodia, Thailand, Vietnam, Papua New Guinea, and China. Dr. Allié went on to work as a public-health physician in France and served on the Board of MSF France from 2004 to 2007, before rejoining the Paris office as deputy director and then director of operations. She is currently the president of the French section of MSF. Dr. Jonathan Fisher joined MSF in 1995 to work with displaced people in the Democratic Republic of Congo (then Zaire). He went on to work with the International Committee of the Red Cross in Chechnya and Rwanda before joining refugee organizations based in the UK and Turkey as a medical expert on torture. Dr. Fisher joined the Board of MSF in Holland in 2005. Also a lawyer by training, Dr. Fisher is currently working toward a doctoral degree on rights and responsibilities in the field of humanitarian assistance. Rebecca Golden joined MSF in 1995 to work as a financial and administrative coordinator in Angola. She went on to become head of mission and conduct emergency assessments in the Democratic Republic of Congo, Nigeria, and Sierra Leone. Golden is currently a doctoraldegree candidate at Tulane University in New Orleans, focusing on anthropological theories of violence, religion, and gender in the oil-rich Niger Delta, where she was a Fulbright Scholar. BOARD OF ADVISORS Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan Laos ssian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe Dr. Deane Marchbein joined MSF in 2006 to work as an anesthesiologist in MSF’s surgical program in Ivory Coast. She has also worked with MSF in the Democratic Republic of Congo and Nigeria. She was formerly the business manager and chairperson of the anesthesia department as well as the director of the intensive care unit at Lawrence General Hospital in Arlington, Massachusetts. Dr. Marchbein now works at a community hospital satellite of Massachusetts General Hospital and serves on the Board of Directors of the Fanconi Anemia Research Fund. Michael Neuman joined MSF in 1999. He has led or participated in MSF field programs in Central African Republic, Colombia, Chechnya, Ethiopia, Guinea, Ingushetia, Ivory Coast, Kosovo, Palestinian Territories, Sierra Leone, and Sudan. From 2004 to 2006, Neuman worked as a program officer in MSF’s New York office, where he led advocacy efforts related to MSF programs in the Middle East and Central Asia, West and Central Africa, and Sudan. In 2007, he worked in the Paris office managing programs in Central African Republic, Ivory Coast, Colombia, Ethiopia, and the Palestinian Territories. He is currently a freelance journalist based in Paris. Brigg Reilley is an epidemiologist who joined MSF in 1996. He has worked with the organization in Afghanistan, Ethiopia, Honduras, Ivory Coast, Rwanda, Zaire (now Democratic Republic of Congo), Russia, Sudan, and Sri Lanka. Reilley has coordinated MSF programs and responded to epidemics such as malaria, cholera, and HIV/AIDS. From 2002 to 2005, Reilley worked as a program officer in MSF’s New York office. He currently works in infectious disease surveillance for the Indian Health Service in Albuquerque. Richard Rockefeller, MD Chairman of the Board Dr. Sharmila Shetty is a pediatrician who joined MSF in 1999 to work in a hospital for Palestinian refugees in Lebanon. She went on to work for MSF as the medical supervisor of the pediatric ward of a large hospital in Uganda and of an orphanage in Sudan. Dr. Shetty also was a fellow in the Epidemic Intelligence Service Program with the Centers for Disease Control and Prevention, which took her to Liberia, South Africa, and Kenya. She is currently on the faculty of Johns Hopkins School of Public Health in the International Health Department, working on a vaccine initiative. Robert Bookman Creative Artists Agency Meena Ahamed Robert Arnow Don Berwick, MD, PPH Institute for Healthcare Improvement © Dominic Nahr/Oeil Public Dr. Mary Ann Hopkins joined MSF in 1996, providing surgical care to civilians in Sri Lanka. Since then she has joined surgical teams in Burundi, the Democratic Republic of Congo, and Chad. Dr. Hopkins is an attending surgeon and associate professor of surgery at NYU Langone Medical Center, where she is also the director of education in the clinical sciences. Elizabeth Beshel Goldman Sachs Victoria B. Bjorklund, Esq., PhD Simpson Thacher & Bartlett LLP Kathleen Chalfant Daniel Goldring Charles Hirschler Gary A. Isaac, Esq. Mayer, Brown, Rowe & Maw LLP Susan Liautaud Laurie MacDonald Parkes MacDonald Productions Garrick Utley Neil D. Levin Graduate School, SUNY Marsha Garces Williams Blue Wolf Productions Robert van Zwieten 57 Ethiopia © Francesco Zizola Armenia Belgium Bangladesh Bolivia Brazil Burkina Faso Burundi Cambodia Cameroon Central African republic Chad China Colombia Republic of Congo Democratic Republic of Congo Ethiopia france Georgia Greece Guatemala Guinea Guinea-bissau Haiti Honduras India Indonesia Iran Iraq italy Ivory Coast Kenya Kyrgyzstan We Need Yourhelp In 2009 To Make a Donation: 1-888-392-0392 www.doctorswithoutborders.org/ donate/index.cfm Doctors Without Borders 333 Seventh Avenue, 2nd Floor New York, NY 10001-5004 For more information about our programs or ways to make a donation, please call our Donor Services team at 212-679-6800. On behalf of our field staff and the people we assist worldwide, thank you. To Contact Us: Tel: 212-679-6800 Fax: 212-679-7016 www.doctorswithoutborders.org Laos Lebanon Lesotho Liberia Malawi Mali malta moldova Morocco Mozambique Myanmar Nepal Niger Nigeria Pakistan Palestinian Territories Papua New Guinea Russian Federation Sierra Leone Somalia South Africa Sri Lanka Sudan Swaziland switzerland Thailand Turkmenistan Uganda Uzbekistan Yemen Zambia Zimbabwe Art direction & design: © emerson, wajdowicz Studios / nyc / www.designews.com Managing Editor: Sebastian Naidoo Editorial team: Stephanie Davies, Melissa Pracht, Barbara Kancelbaum