Original subtitles

The night rain ceased The day is dark

Wake the sky and the earth from their sleep To bring it back...

For all our family members that might not hear this announcement

and the measures to be taken,

please inform them by giving them a phone call.

We must move to a safer place to protect ourselves

from the potential rising waters

during this cyclone.

The emergency.

I don't hope that there is something

evil or dangerous in the world.

But when there is a catastrophe or war...

MSF goes there.

I still remember, from my elementary school,

every time I played, I played the nurse.

I was telling my mother that I will become a doctor.

She was telling me "Ok, you will become a doctor,"

"when the right time comes."

I think that... if I was not a nurse,

I don't know...

We are in a very remote area.

People here are more isolated than others.

This is what I like, to go where the others are not going.

The fact of going closer to patients.

Look, the cyclone has arrived,

there is a lot of rain,

the wind is crazy,

but we have some time before it arrives.

We put our trust in God.

We are in a health center now.

I only saw the cyclone for the first time in 1969.

From then, the cyclone has been repetitive.

Its force can reach up to 120 km per hour...

Its force... There is a pressure.

That is the cause of depression.

And it stops,

and it stops.

If the passage of the cyclone lasts 24 hours,

and it is blowing from the east to the west,

that is 12 hours.

And the opposite direction is also 12 hours blowing in.

If something is standing,

it shakes in two directions and it ends up falling.

The result of the cyclone is a disaster,

because the population becomes poor right away.

There is no more food.

We are eating something we have never eaten before.

All of that is caused by the cyclone. That is the reality.

That is the case of this house.

That is the reason why the houses are destroyed.

But still, there is no powerful weapon you can use to fight against it.

All you can do is waiting for it to stop.

That is the situation with the cyclone. It destroys everything.

All of your animals, your crops, your house...

are all destroyed, ...even the society.

All destroyed.

My goal...

is to see at least 200 kids.

If I see 200 kids, I am satisfied.

I am aware that we are not going to see them all.

That is impossible.

But we are going to do something representative.

We are going to try.

If someone is giving

Something to you

Be quick to say

Thank you indeed

Kids, the fire

It is burning too much

It gives you misadventure

It is burning the house

The fire is a danger

Kids, the fire...

I think that Soavina village is a little bit more particular.

There are places we can reach by walking,

because it is just one hour away.

But here, it is very difficult.

Here, I think that there are

more challenges than in any other place.

The welcoming here is so particular.

You have the impression that the whole village came to welcome us.

You have the feeling that you are the President of the Republic,

when in reality you are just a non-important foreigner

who gives plumpy nut.

Hello. Pardon.

Excuse me, excuse me...

Excuse me...

Excuse me...

Pardon.

Thank you so much.

The microphone?

Good morning everyone. I don't speak Malagasy.

I would like to speak to you a little bit about who are MSF.

It's an NGO dealing with emergencies.

We are here in Madagascar

because of Batsirai cyclone.

And since then, we stayed here.

You may know that in this sub-region, there are cases of malnutrition.

So we will try to do screenings for cases of malnutrition.

If there are children, who are not malnourished but sick,

we are going to see them as well.

We are here today and tomorrow.

Look, you hold here first.

And then you hold if necessary.

You fix it just here, like this.

Like that, that's it. You see?

And you look. How much is this?

98, 99.500...

Write this on their notebook.

99.500.

Do the same for the other one, I want to see.

It was a bit strange, but I was more...

most oriented to pediatrics than to adults.

I don't say that I don't like healing the adults,

but I am more at ease with the little children.

With adults, it's easy, they speak.

The children... You see them, you feel them.

You hold here, but wait, wait.

Look, look.

Look. You are doing like this, and then like this...

Ninety degree angle, not like that.

Bravo! That's it!

Go to the desk over there.

Tell them that they have to get consultation over there.

You have to keep the feet together

and you put force, that's it.

Him, he is ok.

I will go and sit over here to see their scores, ok?

Mamanjary? Is it a boy or a girl?

Grela? Boy or girl?

Grela?

Grela? Who is Grela?

Jasmine! Do you think you can help over there?

Are there many over there?

We have to examine the child.

If there is any health issue,

you have to tell it to the nurse over there.

We know that the forest was abundant before,

and the environment was in order.

But nowadays, the environment is totally destroyed.

Which month is rainy, which month is sunny...

The winter season is getting shorter and the hot season is dominant.

Because in the past when we planted rice,

the rice would be harvested in July or August.

But now these days it's too hot.

The weather is too hot and it keeps changing.

Even for us the farmers how to do the plantation...

We don't know how, because of this climate change.

The wind is changing, the heat is changing.

It looks like the sun is getting closer.

It is getting closer compared to what happened before.

When the season of the plantation came, the elders knew.

The elders knew the weather and the month to plant.

That is the story.

Oh, our beloved fatherland

Oh, good Madagascar.

Our love for you will not leave

For you, for you for ever

Bless you, oh, Creator

The island of our ancestors

To live in peace and joy

Hey, we are truly blessed

Oh, our beloved fatherland

We wish to serve you with the body and heart

Spirit that is ours

You are precious and truly deserving

Bless you, oh, Creator

The island of our ancestors

To live in peace and joy

Hey, we are truly blessed

I believe in life after death.

Everything that is there, all the elements...

the mountains, the sky, the earth, the moon...

There is someone behind.

And if there is someone, this is God.

The plants that are growing, the fruits, it is not by accident.

The geography, the science...

We discover things, but they are already traced.

No one can go against His will.

Can you please hold just the feet. Not the body.

Leave to me the body. Hold the feet.

73.

This makes it... yes, it's 79.

It's ok, it's ok. 79.

Whose is that?

The 79 is not for her.

Is it? For this one, it's the 79.

This one. Whose is that?

Whose is that?

No, the 79 is for this one.

Nadia? Is it Nadia?

79!

Today, I think that we didn't do much.

We could have done more

for the people who came this morning,

but didn't receive treatment.

It was not so nice that they came, but left empty handed.

Yes, this is what I'm saying! if you are sick go over there.

But you need to check the box.

This is it? You should write 155, girl.

155, girl.

155 MUAC, girl.

MUAC, girl.

87'200.

It's ok. 87.200.

93.

93.

I don't know who did that. It's not 104. It's 93.

Excuse me.

Here you are!

When there are kids in pain and I see the mother,

I am putting myself into her position.

I see my own kids.

Excuse me.

Excuse me.

Excuse me.

Pardon.

I need some space to make a consultation for a child here.

37.

I think it's 37.8.

Temperature...

37,3 plus 5 equals...

37 plus degrees Celsius.

I see. We have to see the result of TDR.

Let her know that her child has severe acute malnutrition.

It's a nutritional deficiency.

As she sees the child has a deficiency in vitamins, proteins and nutrients.

And here, when a child is screened and has malnutrition,

we give them a treatment based on therapeutic food.

Which is medicine.

Tell her that it's a medicine it's not biscuits.

Ah, take it, take it...

If the kid eats like that at home, morning and evening,

the child will become like that...

You see the "before" and "after".

When you have a medical follow up of the kid,

you take a picture on the first day and you take another one the last day.

This gives you such a pleasure, and the mother is so happy.

Things don't always go the way we wish they did.

There are challenges, things that are beyond your control.

For example here, in Soavina, we have seen many children.

We knew that we could not see them all.

We cannot do everything.

And also,

the fact of being so far away from your family...

My son started saying: "Mom, all the time..."

"All the time you are outside, you don't stay with us."

"You are taking care of others' children, but you don't take care of us."

Ah, that day it hurt...

It hurt me a little bit.

I said to myself, yes, he is right.

And then I say, "No, he is just a kid".

Where is it?

What is the height?

60 and how much?

77?

-Weight? Weight and...? -I don't know the weight.

Can you send the helper?

Where is the child?

Where is the nurse who is doing the MUAC?

Call her!

He is in a very severe...

Is he ill? Has he diarrhea?

Where is she in all of this!

He is so malnourished!

She has to say that over there.

95!

Tell her...

Everything that the child has as a disease,

she should tell them over there.

Her child is severely malnourished. It is very serious.

-Very? -Very serious.

He can't eat. Tell her...

At home she has to give him the therapeutic food.

Pardon. I'm sorry, but she cannot give it to others.

Only to him! She should respect the treatment.

Or, as soon as the child is ill, his condition is going to be very serious.

This is not good. Tell her. Frighten her!

Her attention is a bit... Tell her that her child is in danger,

if she doesn't give him the therapeutic food, but she shares it with others.

But it is true, he is in a very severe condition.

He is 95!

Less than minus 4.

Tell her!

What is his name?

Fabricio.

How old is Fabricio?

Look, the booklet is rotten. Ah, look!

One year and a half?

Eighteen months.

The booklet... Go over there...

You need to point out all the problems to her, ok?

We say to you we really need help.

There is no more food.

The solution that we should adopt is to reinforce the health system.

Only a healthy body can fight for life.

If you are not healthy, you cannot work.

There is nothing you can do if there is no stable health.

We can never leave the land appointed by our ancestors,

because that is the gift from them.

We have to live here.

Whether it's good or bad here...

we need to find a solution to produce.

That is the situation here.

We cannot immigrate. The elders can never immigrate.

We cannot.

The young generation can immigrate, if they want to go somewhere else.

But us, the elders, can never leave.

So, this is the question, sometimes.

Today, MSF, it's been 17 years that, for example,

have been in my own country.

But it has always been the same situation.

So, that is not the problem. The problem is somewhere else.

The problem is to find out what is causing that.

However, we save lives despite all this.

Sometimes, I feel sorry to say,

we are like the firefighters in some occasions.

The notion of the emergency, I think is what we need to keep.

It is a little difficult to express that.

It is not all the time that you feel you can change something.

We can save lives sometimes, but we cannot change the situation.

That's it.