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Médecins Sans Frontières, the Rwandan experience, 1982– 97

Throughout the 1990s, Médecins Sans Frontières (MSF) was forced to face the challenges posed by the genocide of Rwandan Tutsis and a succession of major outbreaks of political violence in Rwanda and its neighbouring countries. Humanitarian workers were confronted with the execution of close to one million people, tens of thousands of casualties pouring into health centres, the flight of millions of others who had sought refuge in camps and a series of deadly epidemics. Where and in what circumstances were the MSF teams deployed? What medical and non-medical assistance were they able to deliver? Drawing on various hitherto unpublished private and public archives, this book recounts the experiences of the MSF teams working in the field. It also describes the tensions (and cooperation) between international humanitarian agencies, the crucial negotiations conducted at local, national and international level and the media campaigns. The messages communicated to the public by MSF’s teams bear witness to diverse practical, ethical and political considerations. How to react when humanitarian workers are first-hand witnesses to mass crimes? How to avoid becoming accomplices to criminal stratagems? How to deliver effective aid in situations of extreme violence?

This book is intended for humanitarian aid practitioners, students, journalists and researchers with an interest in genocide and humanitarian studies and the political sociology of international organisations.

Space, identity and power

This volume aims to disclose the political, social and cultural factors that influenced the sanitary measures against epidemics developed in the Mediterranean during the long nineteenth century. The contributions to the book provide new interdisciplinary insights to the booming field of ‘quarantine studies’ through a systematic use of the analytic categories of space, identity and power. The ultimate goal is to show the multidimensional nature of quarantine, the intimate links that sanitary administrations and institutions had with the territorial organization of states, international trade, the construction of national, colonial, religious and professional identities or the configuration of political regimes. The circum-Mediterranean geographical spread of the case studies contained in this volume illuminates the similarities and differences around and across this sea, on the southern and northern shores, in Arabic, Spanish, Portuguese, Greek, Italian, English and French-speaking domains. At the same time, it is highly interested in engaging in the global English-speaking community, offering a wide range of terms, sources, bibliography, interpretative tools and views produced and elaborated in various Mediterranean countries. The historical approach will be useful to recognize the secular tensions that still lie behind present-day issues such as the return of epidemics or the global flows of migrants and refugees.

Sevasti Trubeta

reliant upon humanitarian medicine. But even while residing ‘there’, exotic diseases still pose a threat for the wealthy countries due to both the mobility that interconnects and networks the different parts of the world, as well as the porosity of the borders which abolishes the safe distance between the global North and the global South. This is the explicit message conveyed in the text of the senior editor of biomedical sciences at Encyclopaedia Britannica in the online edition of Britannica: 6 Exotic Diseases That Could Come to a Town Near You. A virus from

in Medicalising borders