WEBVTT 00:33 00:36 [ VO ] A new state appeared on the world map in 2011, South Sudan. 00:36 00:42 [ VO ] It separated from its neighbour, Sudan, after an independence referendum. 00:42 00:50 [ VO ] Since then, armed conflict between the government’s troops and insurgents has never stopped. 00:50 00:54 [ VO ] It is in fact a continuation of a much older struggle between different tribal factions. 00:54:00:00 00:01:08:11 [ Slobodan Miroslavljev, Surgeon ] It's fine for them. Hello. 00:01:08.11 --> 00:01:11.03 [ Dmitry Kuchumov, anaesthetist ] Can you put him in the recovery room? 00:01:13.01 --> 00:01:15.16 [ Dmitry ] Just put him on the bed. 00:01:15:16 00:01:17:01 [ Slobodan ] Ok, it was gunshot wound, abdomen, 00:01:17:00 00:01:22:00 from 15 March, so very fresh. This 11th rib, it's broken, 00:01:22.00 --> 00:01:26.00 so the wound is going directly to the rib, but then it go to the chest, 00:01:26.00 --> 00:01:32.00 and chest tube was placed. It was done colostomy, 00:01:32:00 00:01:35:00 and practically, he is doing well. Okay, we go.  00:01:39.01 --> 00:01:42.02 [ Dmitry ] We're in Kodok, almost on the frontline 00:01:42.03 --> 00:01:46.00 between the opposition and government troops. 00:01:46.11 --> 00:01:49.14 [ Dmitry ] Whenever a military operation starts, 00:01:49.15 --> 00:01:53.02 the patient flow increases dramatically. 00:01:57.02 --> 00:02:04.02 [ Slobodan ] This hospital like a mixture of pediatric, internal, surgical departments, 00:02:04:02 --> 00:02:09:02 --> maternity, everything is put together, I mean, in this corridor. 00:02:09:02 --> 00:02:14:02 --> [ Slobodan ]  I think it's clean, there is no infection. 00:02:14.02 --> 00:02:16.02 [ Slobodan ] You see the face is already here. 00:02:16.02 --> 00:02:18.02 [ Slobodan ] It was the same. It was second degree on the face also.  00:02:20.13 --> 00:02:22.22 [ Dmitry ] Doesn't she need a graft here? 00:02:18.02 --> 00:02:26.02 [ Slobodan ] No, she's not going to be needing a grafting because you see that her legs have already started here. 00:02:26.02 --> 00:02:31.02 [ Slobodan ] You see this? And I think that in 10 days it will be covered, 00:02:31.02 --> 00:02:36.02 everything except this. This is a bit dangerous, this part. 00:02:38.24 --> 00:02:42.24 [ Dmitry ] I was here 5 years ago, the year after independence. 00:02:43.01 --> 00:02:46.14 [ Dmitry ] It was so peaceful, there was no fighting. 00:02:46.15 --> 00:02:50.13 [ Dmitry ] Then God knows what happened, no one was expecting it. 00:02:52.15 --> 00:02:53.13 [ Slobodan ] Who's next? 00:02:53.13 --> 00:02:54.13 [ Dmitry ] Open. 00:02:58.13 --> 00:03:04.13 [ Slobodan ] Because from inside and outside it was really huge wound and it was big, 00:03:04.13 --> 00:03:09.13 big wound, completely soft tissues are missing from the chin. 00:03:09.13 --> 00:03:11.13 [ Slobodan ] It was like, human bite. 00:03:14.13 --> 00:03:16.13 [ Slobodan ] You get the patients, you know that they are war wounded patients. 00:03:16.13 --> 00:03:19.13 [ Slobodan ] Some of them are civilians, injured during the war activities. 00:03:19.13 --> 00:03:23.13 [ Slobodan ] You don't think about this 'Is this soldier or not?' 00:03:23.13 --> 00:03:27.13 [ Slobodan ] You just treat him like any other patients. 00:03:53 00:03:55 [ VO ] The city of Kodok is situated 20 km away from the frontline. 00:03:55 00:04:02 [ VO ] It’s controlled by the opposition troops, which mostly consist of Shilluk tribe members. 00:03:55 00:04:18 [ VO ] The Red Cross hospital is the only facility in the Upper Nile state providing medical aid. 00:04:24.02 --> 00:04:26.05 [ Nurse ] Get up, I said. 00:04:26.06 --> 00:04:28.09 [ Nurse ] Don't sit here! Get up! 00:04:31.01 --> 00:04:35.01 [ Nurse ] Move to the other side. 00:04:36.04 --> 00:04:39.21 [ Nurse ] This place is needed for incoming patients. 00:04:40.08 --> 00:04:42.08 [ Nurse ] Do you need an IV cannula? 00:04:43.03 --> 00:04:46.10 [ Nurse ] Do you need one? [ Doc ] Yes. 00:04:55.17 --> 00:05:00.16 [ Nurse ] She has just had one litre and this is the second one, straight. 00:05:01.10 --> 00:05:05.13 [ Nurse ] She's a little bit better than she was when she came in. 00:05:07.10 --> 00:05:09.07 Hey, buddy! 00:05:09.14 --> 00:05:11.01 [ Dmitry ] How are you? 00:05:11.22 --> 00:05:13.21 [ Dmitry ] Show me your tongue! 00:05:14.08 --> 00:05:16.21 [ Dmitry ] Show me! He showed it. It's ok. 00:05:19 00:05:23 [ Nurse ] These patients have just been brought with severe dehydration, 00:05:23 00:05:24 with a history of diarrhoea and vomiting. 00:05:24 00:05:26 [ Nurse ] And the first thing as you have seen we have done was just to start them on IV fluids. 00:05:26 00:05:28 [ Nurse ] We are expecting more, two more to come.  00:05:35.24 --> 00:05:42.08 [ Dmitry ] Is this the 3rd litre? Maybe a little slower. [ Nurse ] Much better, he is now awake. He wasn't. 00:05:43.01 --> 00:05:46.19 [ Nurse ] When he came in, he wasn't. He couldn't even move. 00:05:47.10 --> 00:05:51.20 [ Dmitry ] Three litres, let him drink. Be careful. 00:05:59.06 --> 00:06:01.17 [ Dmitry ] You have to see the patients. 00:06:01.18 --> 00:06:06.01 [ Dmitry ] They come having had nothing to eat or drink for 3 to 4 days. 00:06:06.02 --> 00:06:11.06 [ Dmitry ] Some patients are so critically ill that they're unresponsive. 00:06:11.07 --> 00:06:14.07 [ Dmitry ] You need to revive them, 00:06:14.10 --> 00:06:18.10 restore their vital functions so that they can undergo surgery, 00:06:19.04 --> 00:06:22.23 otherwise they die in theatre – that happens, too. 00:06:37.13 --> 00:06:39.01 [ Dmitry ] Hey, buddy. 00:06:39.02 --> 00:06:40.15 [ Dmitry ] Hey there, buddy. 00:06:42.17 --> 00:06:45.07 [ Dmitry ] Ask him to lie down on his back. 00:06:46.12 --> 00:06:48.08 [ Dmitry ] My friend, this will... 00:06:48.09 --> 00:06:49.18 [ Dmitry ] Be careful. 00:06:53.13 --> 00:06:55.21 [ Dmitry ] Put your arm here, ok... 00:07:01.16 --> 00:07:05.10 [ Dmitry ] Can you ask him does he want to sleep or is he alright? 00:07:11.08 --> 00:07:14.00 [ Male nurse ]  He said he doesn't want to sleep. 00:07:14.01 --> 00:07:15.20 [ Dmitry ] He doesn't want? [ Male nurse ]  No. 00:07:15.21 --> 00:07:17.18 [ Slobodan ]Let's clean the wound. 00:07:17:18 00:07:18:18 [ Male nurse ] Saline, please. 00:07:30 00:07:38 [ Slobodan ]And from 1999, I'm a surgeon and there was this like fighting with the, 00:07:38 00:07:45 you know, bombing in Serbia and all of the things and we got injured patients 00:07:45 00:07:47 but this is something about. 00:07:47 00:07:51 [ Slobodan ]I don't like to speak much about this. 00:07:51 00:07:57 [ Slobodan ]I've been in some missions in Syria, I've been in Sierra Leone, Freetown, 00:07:57 00:08:03 [ Slobodan ]I've been in Bangui, Central African Republic, and then finally you find yourself with ICRC, 00:08:03 00:08:06 which is dealing with war wounded patients. 00:08:14 00:08:19 [ Slobodan ]I put pins in this position, here, and then we'll turn the arm to put this one.  00:08:19 00:08:20 [ Male nurse ] Okay. 00:08:20 00:08:23 [ Slobodan ]Okay, so we go with this one. Two pins here.  00:08:23 00:08:26 [ Slobodan ]Blade 20. 00:08:30.19 --> 00:08:33.08 [ Male nurse ] It's ok? [ Slobodan ] Yeah. 00:08:38.19 --> 00:08:42.18 [ Slobodan ]Give me this. You go slowly... I need to do this. 00:08:43.01 --> 00:08:46.06 [ Slobodan ]I'm just going to tell you...wait, wait. 00:08:47.08 --> 00:08:50.08 [ Slobodan ]Please turn it really slowly. 00:08:54 00:08:56 [ Dmitry ]If it's a really acute pain, just tell me, we'll give him some. 00:08:56 00:09:01 [ Dmitry ]If it's just touching, it's not very nice, but he can tolerate it.  00:09:10.07 --> 00:09:12.14 [ Patient ] I want to see how they do it. 00:09:12.24 --> 00:09:15.01 [ Patient ] I really want to watch. 00:09:15.03 --> 00:09:17.18 [ Male nurse ] You can see when they're finished. 00:09:29 00:09:31 [ Slobodan ]It happens. I can't say often or not often, it happens, 00:09:31 00:09:35 and in this month I got like twice this situation, 00:09:35 00:09:39 we had 17, 15 patients in one hour. 00:09:39 00:09:43 [ Slobodan ]You have to treat them. Most of them are injured, 00:09:43 00:09:48 so they need surgery in one or two days.  00:09:50.11 --> 00:09:54.12 [ Jonsson Oman Major General, Deputy Governor of Fashoda State ] So, we are the Shilluk in the Shilluk Kingdom. 00:09:55.00 --> 00:10:03.00 [ Jonsson ]Our land was given by Salva Kiir to his people, they are called Dinka. 00:10:04.05 --> 00:10:09.14 [ Jonsson ]That has caused the war between the Shilluk and those Dinkas. 00:10:09.17 --> 00:10:13.16 [ Jonsson ]So instead of settling the problem between two tribes, 00:10:13.17 --> 00:10:16.03 he mobilised the war resources, 00:10:16.04 --> 00:10:20.07 including the army of South Sudan to fight the Shilluk. 00:10:20.09 --> 00:10:22.02 [ Jonsson ]That is our case now. 00:10:22.16 --> 00:10:26.18 [ Jonsson ]We have been continually demanding that our land must be given back to us. 00:10:30 00:10:33 [ Katie ] I'm very sad to leave you. 00:10:33 00:10:35 [ Katie ] It's been an amazing year that I've had here in Kodok, 00:10:35 00:10:39 and working with all of you. You have taught me a lot. 00:10:39 00:10:42 [ Katie ] You've shown me many things and you have a strength 00:10:42 00:10:44 that I've never seen anywhere else in the world. 00:10:44 00:10:51 [ Katie ] And I would also like to welcome Matthew, who is the new Head of Office in Kodok. 00:10:57 00:11:01 [ Matthieu Desselas Red Cross Head, Kodok ] Thank you so much for the welcome. I feel very welcome. 00:11:01 00:11:05 [ Matthieu ] This is a royal welcome, actually. We feel like kings. 00:11:05 00:11:11 [ Matthieu ] I cannot promise that I'll be as great leader as Katie was 00:11:11 00:11:13 but I can promise that I'll do my best.  00:11:21 00:11:23 [ Black man ]  She's now, she's the one who try to put the Shilluk dress. 00:11:23 00:11:24 [ Katie ] Ah! Okay! 00:11:28.10 --> 00:11:32.01 [ Black man ]  The ladies have all prepared this one for her. 00:11:38.19 --> 00:11:40.19 [ Black woman ]  Katie, we miss you today. 00:11:57 00:11:59 [ Black man ]  And this is slow music. 00:12:28 00:12:40 [ Matthieu ] Just we have... Exactly... So we got those for six volunteers, driver, driver 2, and so I guess. 00:12:45 00:12:46 [ Matthieu ] P1. 00:12:49.23 --> 00:12:54.16 [ Black guy ]  This one for the base, and this one for Juba. [ Matthieu ] Ah, the VHF is this one? 00:12:55 00:12:57 [ Matthieu ] Ah, the VHF is this one...Cool. Thanks.  00:12:59.20 --> 00:13:03.15 [ Matthieu ] Alright, we'll be good! Julia Bravo, Julia Bravo. 00:13:03 00:13:18 [ Matthieu ] Yes, sir, this is mobile 13 805 988 leaving Kodok to Aburoch? Aburoch. over.  00:13:19 00:13:25 [ Black guy ]  One hour, next contact in one hour. 00:13:26 00:13:28 [ Matthieu ] Next contact, one hour. One hour, over.  00:13:34.16 --> 00:13:36.08 [ Black guy ]  You have bodyguards! 00:13:36 00:13:43 [ Matthieu ] The bodyguard?  - Yes! - Alright, thanks! You know some kung-fu? 00:14:03 00:14:06 [ Matthieu ] This is a historically known place. 00:14:07 00:14:09 [ Matthieu ] This is the first time when the colonial entreprise of the British and the French 00:14:09 00:14:12 decided to stop and go their separate ways. 00:14:13 00:14:16 [ Matthieu ] And it happened here in the Shilluk Kingdom, 00:14:16 00:14:22 so they had their own culture and sovereignty for many centuries now. 00:14:22 00:14:26 [ Matthieu ] It's very rough terrain, it's a rough climate, 00:14:26 00:14:31 and you have to fight to be able to live in this land, you know?  00:14:37 00:14:42 [ VO ] South Sudan’s soil is so fertile that it can yield a few harvests every year. 00:14:43 00:14:48 [ VO ] However, because of the continuing hostilities, people have no time, even to cultivate the land. 00:14:50 00:14:55 [ VO ] A devastating humanitarian catastrophe is taking hold In several of the country’s states: famine. 00:14:55 00:15:00 [ VO ] For many, the Red Cross hospital is the only place where they can actually lay hands on something to eat. 00:15:26.14 --> 00:15:32.14 [ Regina Agwo Local Resident ] We live in Kodok and its a bad situation. 00:15:33.08 --> 00:15:36.21 [ Regina ] We have a food shortage. 00:15:38.10 --> 00:15:44.24 [ Regina ] If I manage to get food then I'll be able to eat two meals a day, 00:15:45.00 --> 00:15:48.04 one in the morning and one in the evening. 00:15:48.05 --> 00:15:50.18 [ Regina ] If there's not enough food, 00:15:50.19 --> 00:15:54.11 [ Regina ] I'll leave it for my child in the evening. 00:15:54.12 --> 00:15:59.08 [ Regina ] If I find nothing to sell, then we'll have nothing to eat, 00:15:59.09 --> 00:16:03.11 but most of all I'm afraid of the war. 00:16:04.24 --> 00:16:08.00 [ Regina ] People will flee. 00:16:08.01 --> 00:16:10.20 [ Regina ] If fighting starts here in the town, 00:16:10.21 --> 00:16:15.03 everyone will flee and I may be separated from my child. 00:16:15.05 --> 00:16:18.15 [ Regina ] I or my husband, or my child may be injured. 00:16:18.16 --> 00:16:22.20 [ Regina ] I'd have to leave my child here, in the hospital. 00:16:45.09 --> 00:16:49.00 [ Jonsson Oman ] They are normal people, almost 90%, 00:16:49.14 --> 00:16:51.19 [ Jonsson Oman ] They are not concerned about the authority, 00:16:51.20 --> 00:16:54.11 power, about who's doing what in the government. 00:16:54.12 --> 00:16:59.20 [ Jonsson Oman ] They just need security and do their own business, 00:16:59.21 --> 00:17:02.22 cultivation, agriculture, food, doing everything. 00:17:04 00:17:09 [ VO ] In 2013, Salva Kiir, South Sudan’s president and from the Dinka tribe, 00:17:09 00:17:11 disturbed the ethnic balance with the country’s government. 00:17:11 00:17:18 [ VO ] He dismissed the vice president and several Cabinet members all of whom are from the Nuer tribe. 00:17:18 00:17:23 [ VO ] They immediately lead an armed opposition, soon to be joined by the Shilluk tribe. 00:17:25.05 --> 00:17:29.11 [ Jonsson Oman ] Since the beginning of the war many people died, many citizens died. 00:17:29.12 --> 00:17:35.18 [ Jonsson Oman ] I cannot tell you exactly in this area but it could be over 200,000. 00:17:35.22 --> 00:17:40.11 [ Jonsson Oman ] Everyone here's a soldier, even myself. If I can't defend myself, I'll just be killed. 00:17:41.00 --> 00:17:44.06 [ Jonsson Oman ] So many people died because when they made this genocide, 00:17:44.07 --> 00:17:46.09 people are killing according to tribe. 00:17:46.11 --> 00:17:50.07 [ Jonsson Oman ] Everybody in the Shilluk Kingdom is ready to participate in that war. 00:17:50.08 --> 00:17:53.08 [ Jonsson Oman ] Because the war is not a political war. 00:17:54.24 --> 00:17:59.09 [ Jonsson Oman ] Because it's hope to live, hope to remain in your place. 00:18:09 00:18:10 [ Edwin Lalgo, orderly ] Now we're cleaning the wound of the patient. 00:18:10 00:18:24 [ Edwin ] Now we are just putting sugar for the patients. The sugar helps at least to prevent infection and promotes the healing of the wound. 00:18:24 00:18:25 [ Edwin ] It leads to faster healing. 00:18:28 00:18:30 [ Edwin ] And do it just daily dressings for the sugars. 00:18:36.11 --> 00:18:39.00 [ Peter Boll, militant fighter ] I’m not sick, I’m just wounded, 00:18:39.23 --> 00:18:41.23 it’s not a problem, 00:18:42.24 --> 00:18:44.13 at least, not for me. 00:18:45.15 --> 00:18:48.15 [ Peter ]To be a soldier is a good thing. 00:18:49.06 --> 00:18:51.03 [ Peter ]I like it. It’s simple. 00:18:51.04 --> 00:18:52.08 [ Peter ]Very simple. 00:18:53.09 --> 00:18:55.03 [ Peter ]We fight, because. 00:18:55.11 --> 00:18:57.12 it’s war between tribes. 00:18:57.13 --> 00:19:00.03 [ Peter ]They want to invade our land, 00:19:01.17 --> 00:19:04.02 but we won’t let them. 00:19:05.08 --> 00:19:07.15 [ Peter ]This land is ours. 00:19:08.12 --> 00:19:12.02 [ Peter ]Who do we need to give it to? 00:19:12.09 --> 00:19:13.13 [ Peter ]To who? 00:19:13.20 --> 00:19:17.11 [ Peter ]Do you think anyone needs you in a foreign land? 00:19:17.19 --> 00:19:20.09 [ Peter ]That people will accept you? 00:19:20.24 --> 00:19:22.10 [ Peter ]I can’t leave. 00:19:23.03 --> 00:19:25.05 [ Peter ]It’s just impossible. 00:19:26.06 --> 00:19:28.24 [ Peter ]I can't say there’s peace here now. 00:19:29.19 --> 00:19:32.15 [ Peter ]If I say that, it will be a lie, 00:19:32.18 --> 00:19:36.10 peace? I can’t see any peace in the future. 00:19:42.08 --> 00:19:44.05 [ Dmitry ] He disappeared again? 00:19:45.19 --> 00:19:48.10 [ Dmitry ] We should give him an injection about now. 00:19:48 00:19:52 [ Dmitry ] Come, come, come. 00:19:53 00:19:56 [ Dmitry ] So he didn't sleep last night?  00:19:58 00:20:00 [ Male nurse ]  Yeah, he saying before, he didn't sleep. 00:20:01 00:20:02 [ Dmitry ] He didn't manage? Can you hold it? 00:20:03 00:20:04 [ Dmitry ] Ok, it should be very quick, don't worry. 00:20:05 00:20:16 [ Dmitry ] So what we are trying to do, just to inject around this nice structure called sciatic nerve.  00:20:17 00:20:24 [ Dmitry ] Quick procedure, but it will leave him without pain for like 24 hours, probably. 00:20:25 00:20:35 [ Dmitry ] Adrenaline... Oh wow, this is really tough skin.  00:20:39 00:20:46 [ Dmitry ] Okay, injection... Is the pain going down? 00:20:51 00:20:52 [ Dmitry ] Okay, that's it.  00:20:57.18 --> 00:21:01.23 [ Dmitry ] The weather is fabulous, like at a holiday resort. 00:21:02.18 --> 00:21:08.05 [ Dmitry ] If today's like yesterday, it will be about 43 degrees at 4 p.m. 00:21:08.21 --> 00:21:14.07 [ Dmitry ] The temperature in the wards will be about 38 degrees at best. 00:21:29.08 --> 00:21:32.16 [ Dmitry ] He's two years old? She said he's 7 months. 00:21:35.04 --> 00:21:40.06 [ Male nurse ]  The chart says the baby is 2 years old, but he's actually 7 months old. 00:21:40.07 --> 00:21:44.14 [ Woman ] I said before he was 7 months and 7 days old. 00:21:45.22 --> 00:21:48.20 [ Dmitry ] 7 months, 7 days? Is it Kasima Albina? 00:21:51.09 --> 00:21:54.20 [ Life ] Where did you get this, Angar? [ Life ] You gave them to me. 00:21:54.21 --> 00:21:58.06 [ Woman ] Where did you get them? I don't understand. 00:22:00.02 --> 00:22:08.10 [ Life ] Kasima Albina. It says Kasima Albina. [ Life ] The right papers should be inside. 00:22:21.15 --> 00:22:26.03 [ Slobodan ]Give me a blade. 00:22:38 00:22:39 [ Slobodan ]Have you got it? 00:22:57.17 --> 00:23:00.01 [ Dmitry ] What about this lady with the burns? 00:23:00.01 --> 00:23:02.01 [ Dmitry ] Yeah, when can we operate? 00:23:03.14 --> 00:23:05.05 [ Dmitry ] With these burns! 00:23:05.07 --> 00:23:12.08 [ Dmitry ] Yeah, you can do her now, or do we need half an hour for her? 00:23:12.12 --> 00:23:14.06 [ Dmitry ] No, we can do it. 00:23:40.06 --> 00:23:42.13 [ Dmitry ] And she can eat after one hour. 00:23:45.17 --> 00:23:48.17 [ Dmitry ] With a child it's quite hard sometimes. 00:24:11 00:24:14 [ Margaret Othuza, midwife ] You know, when you're losing a lot of fluids, you die. 00:24:14 00:24:17 [ Margaret ] If you're not getting, you're having diarrhoea, 00:24:17 00:24:25 you're having vomiting and the body doesn't have any more fluids, it will just die.  00:24:26 00:24:35 [ Margaret ] Tell her, if she wants to pass stool, she can pass in this one. 00:24:36 00:24:38 [ Margaret ] Okay? Tell her she should not force her. 00:24:38 00:24:45 [ Margaret ] It's not something to force. It just comes. 00:24:45 00:24:46 [ Margaret ] Let her just lie down.  00:24:56 00:24:59 [ Margaret ] I'm a midwife and but I support other departments 00:24:59 00:25:01 like if there is no paediatric nurse, or like now there is no pediatrician, 00:25:06 00:25:09 and the medical doctor was not there, so I also go there.  00:25:14 00:25:15 [ Margaret ] She's saying what? 00:25:17 00:25:18 [ Margaret ] She wants the porridge? 00:25:20 00:25:21 [ Margaret ] Yeah, if she can, no problem.  00:25:26 00:25:28 [ Margaret ] Slowly, slowly, huh? 00:25:46.06 --> 00:25:49.06 [ Girl’s mother ] Come on, swallow it! Swallow it. 00:25:49.14 --> 00:25:53.21 [ Girl’s mother ] Swallow it. Swallow it, I said. 00:25:49.14 --> 00:25:53.21 [ Margaret ] It's ok, ok. Give her, give her. 00:25:54 00:26:01 [ Margaret ] You can hang it there. 00:26:06 00:26:11 [ Margaret ] So you need to explain to them, make sure that they give you one times three. 00:26:17 00:26:20 [ Margaret ] But it's so stressful, but now you have to compose yourself 00:26:20 00:26:27 because if you are so much stressed then you get confused and you're not helping the patient.  00:26:32 00:26:36 [ Margaret ] I'm very happy when I help a patient and the patient gets well and goes home. 00:26:37 00:26:40 [ Margaret ] That's when I.. I'm happy.  00:27:00 00:27:04 [ Matthieu ] We're going to Aburoch. Aburoch is an entirely IDP settlement, 00:27:05 00:27:09 it's only displaced persons that flee, that flew recently from clashes that happened. 00:27:17 00:27:20 [ Matthieu ] A lot of the people are separated across frontlines and they can't cross the front line. 00:27:20 00:27:25 [ Matthieu ] A lot of the people fled without knowing where the husband, 00:27:25 00:27:31 where the child or their mother is, where they are, 00:27:31 00:27:33 if they are captured or if they are alive.  00:27:34 00:27:40 [ Matthieu ] Most of the times, we look for them and it's very difficult to actually reunify families. 00:27:48 00:27:49 [ Matthieu ] So, we got three sat phones.  00:27:50 00:27:59 [ Matthieu ] We will make it a short 3 minutes per person so that the most people possible will be able to make a phone call. 00:28:00 00:28:03 [ Matthieu ] And if you don't manage today, tomorrow we're coming back with a team, 00:28:04 00:28:07 all day again, and you'll be able to make phone calls tomorrow for those who couldn't today.  00:28:08 00:28:10 [ Matthieu ] And only family news to your families, right? We've all understood?  00:28:16.01 --> 00:28:19.02 [ ЛАЙФ ] Hello, hello, granddad. 00:28:20.06 --> 00:28:22.24 [ ЛАЙФ ] How are you? Is Khamis close? 00:28:25.20 --> 00:28:28.22 [ ЛАЙФ ] I can't hear because of the wind. Hello? 00:28:39.06 --> 00:28:41.04 [ Woman ] No one's answering. 00:28:49.09 --> 00:28:54.18 [ Lucia Williams, local resident ] When the shooting started, we fled Vosheluk with our children. 00:28:54.20 --> 00:28:58.15 [ Lucia ] We didn't take anything with us, not even food. 00:28:58.16 --> 00:29:02.04 [ Lucia ] Then there was turmoil, people lost each other. 00:29:02.05 --> 00:29:04.23 [ Lucia ] I saw people being killed. 00:29:05.10 --> 00:29:07.21 [ Lucia ] Only a few reached this camp. 00:29:07.22 --> 00:29:09.21 [ Lucia ] Children went missing. 00:29:10.09 --> 00:29:13.19 [ Lucia ] I still don't know where my son is. 00:29:14.22 --> 00:29:18.11 [ Lucia ] I can't see the end of this conflict. 00:29:23.01 --> 00:29:28.03 [ Man with phone ] I wanted to ask... is Kawat Iago with you? 00:29:31.07 --> 00:29:36.08 [ Man with phone ] Please find him and if you do, tell him his mother is in Aburoch. 00:29:36.09 --> 00:29:44.17 [ Man with phone ] She also wants to know if her sister made it to the refugee camp in Sudan. 00:29:45.05 --> 00:29:49.02 [ Man with phone ] Give everyone my love. Ok, it's all right. 00:29:55 00:30:01 [ Matthieu ] There's no phone coverage as often during a conflict because either communication infrastructure was bombarded or destroyed 00:30:02 00:30:05 or the authorities in charge themselves shut them down 00:30:05 00:30:10 to make sure that no military information comes in and out of the place.  00:30:10 00:30:14 [ Matthieu ] Both sides understand that we're not here to support the opposition, 00:30:14 00:30:18 we're not here to support the government, we're here to help the people during this difficult time.  00:30:27.17 --> 00:30:31.10 [ Woman refugee ] These soldiers don't spare civilians. 00:30:31.13 --> 00:30:35.00 [ Woman refugee ] And we don't know what they want. 00:30:35.01 --> 00:30:38.08 [ Woman refugee ] What they're doing is terrible. 00:30:38.09 --> 00:30:42.15 [ Woman refugee ] They don't treat us like humans in this war. 00:30:42.16 --> 00:30:47.01 [ Woman refugee ] The soldiers split people up. 00:30:47.02 --> 00:30:50.12 [ Woman refugee ] We don't know what to do about it, 00:30:50.13 --> 00:30:53.02 where to go, where to flee. 00:31:02.22 --> 00:31:07.17 [ Obac Dab Padid ] Bring the sticks. And the straw, too. 00:31:07.23 --> 00:31:12.23 [ Refugee ] Maybe we'll finish everything as early as tomorrow? 00:31:13.24 --> 00:31:16.21 [ Refugee ] Put the sticks here and tie them. 00:31:17.09 --> 00:31:19.00 [ Refugee ] Tie them well. 00:31:24.00 --> 00:31:26.17 [ Obac Dab Padid ] We built a small cabin here, 00:31:26.18 --> 00:31:31.09 but we don't know what'll happen to us tomorrow. 00:31:31.10 --> 00:31:34.06 [ Obac Dab Padid ] Soldiers took all our homes, 00:31:34.07 --> 00:31:37.23 everything we owned: grain, cattle, everything… 00:31:38.10 --> 00:31:41.24 [ Obac Dab Padid ] We were afraid they would kill us, so we fled. 00:31:42.00 --> 00:31:44.19 [ Obac Dab Padid ] Some people were killed, 00:31:45.01 --> 00:31:50.10 old people who couldn't flee and so stayed there. 00:31:50.11 --> 00:31:53.22 [ Obac Dab Padid ] We still don't know what happened to them. 00:31:55.24 --> 00:31:59.21 [ Obac Dab Padid ] We never saw them again. No one came back. 00:32:00.15 --> 00:32:04.15 [ Obac Dab Padid ] The soldiers should return to where they came from. 00:32:14.23 --> 00:32:19.16 [ Jonsson Oman ] The situation now is extremely... it's not good. 00:32:19.24 --> 00:32:21.19 [ Jonsson Oman ] There's no food with them. 00:32:21.20 --> 00:32:26.00 [ Jonsson Oman ] You could eat today and you don't know if you'll eat tomorrow. 00:32:26.24 --> 00:32:29.09 [ Jonsson Oman ] Malnutrition in children... 00:32:29.19 --> 00:32:32.18 [ Jonsson Oman ] No activities now in agriculture. 00:32:33.14 --> 00:32:38.08 [ Jonsson Oman ] If this war continues, it would be difficult next year, there is nothing. 00:32:38.12 --> 00:32:41.07 [ Jonsson Oman ] They will still be demanding to be given. 00:32:41.12 --> 00:32:43.05 [ Jonsson Oman ] So there's a real problem. 00:33:05.07 --> 00:33:08.11 [ Slobodan ] You know that she tried to save the kid. 00:33:09.08 --> 00:33:11.20 [ Male Nurse ]  Yeah, she was trying. 00:33:11.21 --> 00:33:14.04 [ Slobodan ] The kid was in the tukul [ hut ]. 00:33:15.14 --> 00:33:17.09 [ Male Nurse ]  The tukul was burning? 00:33:17.10 --> 00:33:21.00 [ Slobodan ] Yes - fire in the tukul and she tried to save the kid. 00:33:22.06 --> 00:33:25.00 [ Slobodan ] And she managed? [ Male Nurse ]  No. 00:33:45.02 --> 00:33:46.19 [ Slobodan ] We need more saline. 00:34:06.22 --> 00:34:10.03 [ Slobodan ] I think it's ready. Plaster? 00:34:17.02 --> 00:34:21.02 [ Slobodan ] She's going to be ok. We discovered It's not infected. 00:34:23.19 --> 00:34:28.22 [ Slobodan ] I'm really happy. I think on Monday... she will be ok. 00:34:45.18 --> 00:34:49.23 [ Dmitry ] Can you speak with her? What's her name? 00:34:49.24 --> 00:34:52.05 [ Male Nurse ]  Niona. [ Dmitry ] Niona? 00:34:54.17 --> 00:34:57.01 [ Dmitry ] Who is taking care of her? 00:34:59.03 --> 00:35:01.18 [ Dmitry ] You take care of her? [ Male Nurse ]  Yes. 00:35:02 00:35:04 [ Dmitry ] Okay, she will alright. She can eat as soon as she will be awake.  00:35:11 00:35:12 [ Matthieu ] Can you hear me?  Do you copy? 00:35:13 00:35:18 [ Matthieu ] This is Kodok base reporting. Operation normal. Affirmative. 00:35:18 00:35:20 [ Matthieu ] Thank you, over and out, bye.  00:35:28.17 --> 00:35:30.18 [ Dmitry ] We work. 00:35:30.24 --> 00:35:36.20 [ Dmitry ] Officially, we have a 5-day work week. 00:35:37.19 --> 00:35:41.00 [ Dmitry ] On Saturdays, we still come to the hospital, 00:35:41.01 --> 00:35:44.17 and Sundays we have off, except for emergencies. 00:35:48 00:35:50 [ Slobodan ] I promised to myself that I will read at least one hour per day. 00:35:50 00:35:57 [ Slobodan ] Maybe it's not so smart to do on Sunday some reading but ok.. at least 00:35:58 00:36:03 [ Slobodan ] I know that every day you should improve something and not only in surgery and medicine, 00:36:03 00:36:06 in every field of the life. It is what I'm trying to tell my kids. 00:36:06 00:36:10 [ Slobodan ] They have every day to be happy, to learn something new. 00:36:10 00:36:17 [ Slobodan ] But you know, it's difficult with the kids to try to explain to them that only this way 00:36:17 00:36:22 you are feeling that you're doing something new and something challenging and then you feel really like, 00:36:22 00:36:27 not old guy who finished everything in his life. 00:36:30 00:36:32 [ Slobodan ] Okay, let's start this, yeah? 00:36:32 00:36:34 [ Dmitry ] Look, somebody put already. 00:36:34 00:36:35 [ Slobodan ] Yeah, the fire, yeah. 00:36:35 00:36:38 We take one to use a… it’s burning! 00:36:38 00:36:42 [ Dmitry ] Yeah, yeah, yeah, I don’t know who.. [ Slobodan ] Put charcoal. [ Dmitry ] Just put extra [ Slobodan ] You need air. 00:36:46.03 --> 00:36:49.08 [ Dmitry ] The responsibilities have been divided up. 00:36:49.09 --> 00:36:53.22 [ Dmitry ] As a surgeon is responsible for cutting, he prepares the meat. 00:37:07 00:37:09 [ Matthieu ] Oh, you're gonna run? Alright, I'm gonna eat.  00:37:16 00:37:19 [ Matthieu ] Ow, baby! That smells good already.  00:37:25 00:37:27 [ Dmitry ] A little moreon this side. 00:37:27 00:37:28 [ Matthieu ] What is this, water?  00:37:28 00:37:29 [ Dmitry ] Yeah, yeah, because it's not nice. 00:37:39 00:37:42 [ Dmitry ] I put them more on the sides, should be fine. 00:37:28 00:37:29 [ Matthieu ] Goat is greasy, huh? Looks good, huh?  00:37:45.24 --> 00:37:49.03 [ Slobodan ] On the outside it burns if it is too strong. 00:37:49.24 --> 00:37:52.23 [ Slobodan ] And from inside it's not... - I hear you. 00:37:53.03 --> 00:37:54.13 [ Slobodan ] Do you want to... 00:37:54.14 --> 00:37:58.15 [ Slobodan ] Finish this and you can try and you will see, if it's good, continue, 00:37:58.16 --> 00:38:00.06 if not, wait a bit more. 00:37:58.16 --> 00:38:00.06 [ Matthieu ] Alright. 00:38:01.01 --> 00:38:05.04 [ Slobodan ] I'm going for short run, then coming back. [ Matthieu ] I should come with you. I should have known. 00:38:05.06 --> 00:38:07.20 [ Slobodan ] Tomorrow. Now you have to be a cook! 00:38:14.10 --> 00:38:15.20 [ Dima with his son ] Hey! 00:38:16.19 --> 00:38:17.24 [ Dima with his son ] Lev! 00:38:19.05 --> 00:38:21.22 [ Dima with his son ] Lev! [ Dima with his son ] Yes, what is it? 00:38:21.23 --> 00:38:24.04 [ Dima with his son ] What are you playing? 00:38:25.15 --> 00:38:27.05 [ Dima with his son ] Counter-Strike. 00:38:28.15 --> 00:38:32.00 [ Dima with his son ] Is that your main game now? Great. 00:38:32.10 --> 00:38:34.24 [ Dima with his son ] Bye-bye! 00:38:35.01 --> 00:38:38.00 [ Dima with his son ] Saying goodbye already? So soon? 00:38:38.01 --> 00:38:40.05 [ Dima with his son ] Where are you off to? 00:38:43.20 --> 00:38:45.06 [ Dima with his son ] Hey Lev... 00:38:45.17 --> 00:38:48.18 [ Dima with his son ] Ok, bye for now. I can't hear a thing. 00:38:48.19 --> 00:38:50.17 [ Dima with his son ] It's the connection. 00:39:12 00:39:19 [ Slobodan ]Unfortunately, here in the field, it's not easy to do some regular training, so you're limited. 00:39:19 00:39:22 [ Slobodan ]There are only a few things you can do. 00:39:22 00:39:26 [ Slobodan ]You can go out, run outside and I can do gym. 00:39:27 00:39:33 [ Slobodan ]I’m running marathons, for 30 years back. 00:39:33 00:39:40 [ Slobodan ]So last four years I am doing triathlons, Ironman, so it's the way of life.  00:39:43 00:39:48 [ Slobodan ]After every marathon, in every competition, Ironman, you feel like you can do everything.  00:39:56 00:39:48 [ Matthew ] Hey! Finally. Is it good? [ Slobodan ] Yeah, look it's all ready. Did you try? [ Matthew ] Yeah, more than tried More than tried?! 00:40:18 00:40:19 [ Matthew ] Anyone?  00:40:37 00:40:38 [ Slobodan ]I have family. My family is in Serbia. 00:40:39 00:40:45 [ Slobodan ]Sometimes you feel like alone and they're missing you, of course and you miss them. 00:40:36 00:40:53 [ Slobodan ]But on the other side, the team is really nice and even in the team is not so big. 00:40:54 00:40:58 [ Slobodan ]Here in the team we have some kind of really nice social life.  00:41:52 00:41:53 [ Slobodan ]This night was cold, actually.  00:41:53 00:41:55 [ British Man ]  I wouldn't say "cold", but it was cooler.  00:41:58 00:41:59 [ Slobodan ]Yeah, it was nice. 00:42:02 00:42:05 [ British Man ]  I got up at 3 o'clock and the moon was so bright it was like daylight.  00:42:12 00:42:13 [ Slobodan ]Hey, how are you? 00:42:13 00:42:15 [ Guy sitting down ]  I'm fine. How are you? 00:42:15 00:42:17 [ British Man ]  Morning guys. How are you today? 00:42:17 00:42:18 [ All guys together ]  Fine.  00:42:24 00:42:26 [ British Man ]  Another beautiful day in Kodok.  00:42:36 00:42:38 [ Matthew ] I'm here looking for a patient that was operated yesterday 00:42:38 00:42:42 with a gunshot wound to the shoulder.  00:42:44 00:42:46 [ Black man ]  He was here, but I don't know. 00:42:52 00:42:53 [ Matthew ] Assalam Aleykum. 00:42:54 00:42:55 [ Matthew ] He started the day before yesterday. 00:42:55 00:42:56 [ Matthew ] Yeah, day before yesterday.  00:42:58.12 --> 00:43:04.14 [ Samir Fafan Youssuf, local resident ] I was wounded when I went to the river to fish. 00:43:04.15 --> 00:43:10.09 [ Samir ] The Dinka on the other side of the river saw me. 00:43:10.10 --> 00:43:15.04 [ Samir ] They told me to get out of the water. 00:43:15.05 --> 00:43:21.12 [ Samir ] I did so, then they started shooting at me... 00:43:23.15 --> 00:43:26.15 [ Samir ] When they started shooting, 00:43:26.16 --> 00:43:31.14 I immediately dove under water as deep as I could, 00:43:31.15 --> 00:43:35.04 and it was God who saved me. 00:43:35.05 --> 00:43:39.00 [ Samir ] I got out and hid in the grass. 00:43:39.13 --> 00:43:42.01 [ Samir ] They thought I was dead. 00:43:42.02 --> 00:43:48.04 [ Samir ] I lay there motionless for two or three hours. 00:43:57 00:44:01 [ Matthew ] The conflict is not far away indeed and we don't rule out the possibility 00:44:02 00:44:06 that Kodok can be attacked. 00:44:06 00:44:10 [ Matthew ] It's a possibility that we're taking seriously 00:44:10 00:44:11 and we have to plan ahead of it. 00:44:19 00:44:23 [ Matthew ] We want to make sure that actually in the first place we will evacuate the patients 00:44:23 00:44:28 with a minimum of staff staying in Kodok, until the last moment, 00:44:28 00:44:31 when indeed we, when there is not enough security guarantees 00:44:31 00:44:34 for our staff to stay there, then we'll evacuate also.  00:44:40.04 --> 00:44:42.23 [ Dmitry ] The rainy season is about to begin, 00:44:42.24 --> 00:44:46.06 when it's impossible to produce anything. 00:44:46.07 --> 00:44:49.16 [ Dmitry ] The roads are washed away, there's no traffic. 00:44:49.17 --> 00:44:55.05 [ Dmitry ] They want to grab as much territory as they can before that happens, 00:44:55.08 --> 00:44:58.19 so it's a time of active hostilities. 00:45:08.16 --> 00:45:11.20 [ Local guy ]  At the moment we are having four in the four vehicles. 00:45:11.21 --> 00:45:14.21 [ Local guy ]  In the five vehicles, we have some patients. 00:45:15 00:45:18 [ Dmitry ] Oh, so many vehicles, wow. Ok.  What was the story? 00:45:20 00:45:22 [ Dmitry ] They received some initial care, yeah? 00:45:22 00:45:28 [ Local guy 2 ] Yes, those are in the hospital, we gave them the first aid, 00:45:28 00:45:32 the debridement, and the dressing.  00:45:34 00:45:37 [ Dmitry ] So, right knee with probable nerve injury. 00:45:39 00:45:42 [ Dmitry ] Where is it? Let me look Ok, soft tissue wound. 00:45:42 00:45:44 [ Dmitry ] So this one ok. Next.  00:45:45 00:45:47 [ Another local ] guy  the chest... Where?  00:45:47 00:45:52 [ Dmitry ] It's not penetrating? Ah, ok, soft tissue... 00:45:55 00:46:03 [ Dmitry ] Next one will be... Let's take him out. 00:46:03 00:46:07 [ Dmitry ] They will manage over there. Let's put this one...  00:46:10 00:46:12 [ Local guy 2 ] Gloves, please. Gloves.  00:46:13 00:46:16 [ Dmitry ] Okay, slowly, slowly.  00:46:17 00:46:20 [ Local guy 2 ] Wait, we'll help you.  [ Dmitry ] Ready? 00:46:20 00:46:22 [ Male Voice ]   Yeah, ready. Let's go. 00:46:22 00:46:24 [ Dmitry ] Okay, 1, 2, 3. Let's go. Slowly. 00:46:25 00:46:26 [ Dmitry ] Come, come, come. Slow down…  00:46:30 00:46:34 [ Dmitry ] Okay, put him here in the shadow.  00:46:40.23 --> 00:46:42.20 [ Man wearing cross ]  I've got 3 who can't sit. 00:46:43 00:46:46 [ Dmitry ] No, but we have only two places for the stretchers in anyway.  00:46:46 00:46:48 [ Dmitry ] So this new one? Not on the list 00:46:50.02 --> 00:46:53.17 [ Local guy 2 ] Yes, he has a femoral fracture. 00:46:54 00:47:01 [ Dmitry ] If he's in pain or not, can you ask if he is?  00:47:05 00:47:09 [ Dmitry ] I'll make him some injection here. So he will not feel his leg. 00:47:10 00:47:14 [ Dmitry ] He will sitting much more quietly. My friend...  00:47:14 00:47:21 [ Dmitry ] Don't worry. It's not painful.  00:47:21 00:47:25 [ Pilot ] So they'll still be on the stretcher while we fly them or are they gonna sit up? 00:47:25 00:47:27 [ Dmitry ] No, yeah, yeah, yeah, he will be sitting. 00:47:27 00:47:38 [ Dmitry ] So two will be stretchers and that will be on the chair.  00:47:40 00:47:43 [ Pilot ] So we need 9 seats at this point, correct?  00:47:46 00:47:48 [ Dmitry ] Yes. Affirmative. 00:47:49 00:47:51 [ Pilot ] Okay that's what we got. Actually we have… 00:47:41 00:47:52 [ Dmitry ]So full house. 00:47:52 00:47:53 [ Pilot ] Yeah. 00:48:00.12 --> 00:48:03.13 [ Margaret ] This is not the time to answer you, my dear. 00:48:11 00:48:12 [ Margaret ] Does she feel like pushing?  00:48:16.23 --> 00:48:20.07 [ Margaret ] Yeah, she's feeling it. [ Nurse ] She feels like pushing. 00:48:31.01 --> 00:48:34.00 [ Female voice ]  She says that pain will come. 00:48:39 00:48:43 [ Dmitry ] So, how we start? From the stretchers first? 00:48:39 00:48:43 [ Dmitry ] Okay, let's put this, let's put him on the flight, yeah. 00:48:43 00:48:44 [ Pilot ] Okay. 00:48:53 00:48:54 [ Dmitry ] So, one by one.  00:48:56 00:48:59 [ Pilot ] Watch your head, watch your head.  You ready for one more? 00:48:59 00:49:00 [ Male voice  ] Okay, one more.  00:49:02 00:49:06 [ Dmitry ] So 2, 6, 9. 00:49:56 00:49:59 [ Margaret ] The baby is coming! Okay, next time she has pain, 00:49:59 00:50:02 let her pull here and here and push, yeah? 00:50:02 00:50:09 [ Margaret ] Look at me, look at me! Cicilia!! Like this... Ok? 00:50:09 00:50:19 [ Margaret ] Not like this. The baby is just here. The baby will be tired now. 00:50:19 00:50:33 [ Margaret ] Okay, help her.  Yes, yes, again. The last one!  00:50:33 00:50:40 [ Margaret ] Again, again, continue! Continue! Let her push, the baby is delaying 00:50:40 00:50:48 [ Margaret ] She's not pushing. Better, push! Push, push, push, push! 00:50:48 00:50:58 [ Margaret ] The baby will be tired. Yes! Yes! 00:50:58 00:51:08 [ Margaret ] Mamma, a baby boy. Let her hold her baby.  00:51:14 00:51:17 [ Slobodan ] These people are strong. They survived in this environment 00:51:17 00:51:26 and then their body can overcome many problems which I believe myself cannot do. 00:51:27 00:51:34 [ Slobodan ] You know, just give them time, they have time to recover, they will recover. 00:51:34 00:51:35 [ Slobodan ] They will recover in the mind, 00:51:35 00:51:41 they will recover in the body, so just continue and never give up even 00:51:41 00:51:44 if the situation is desperate in the beginning.  [ THREE WEEKS LATER, THE CITY OF KODOK WAS ATTACKED BY GOVERNMENT TROOPS. ALL CIVILIANS RUSHED TO FLEE THE CITY. THE HOSPITAL WAS CLOSED. RED CROSS PATIENTS AND STAFF WERE EVACUATED RAPIDLY ]