The situation remains extremely tense and violent in and around several cities in western Ivory Coast, despite the ending of major fighting on March 31 between armed forces in the area.

Many wounded people suffering from gunshot or machete wounds have arrived in hospitals in the western towns of Danané, Man, and Bangolo. MSF surgical teams in Bangolo are supporting the hospital there.
 
“The number of new casualties is extremely disturbing and indicates that violence continues in the area,” said Renzo Fricke, MSF emergency manager.  “Intercommunal tensions are extremely high.”
 
On April 1, 20 injured people requiring surgery were transported to the hospital in Bangolo, where ten people were still waiting to be operated on today.
Access to care is threatened because the ongoing tensions and violence in the area have forced thousands of people to flee from several localities in the west.  Many have fled from the town of Blolequin to Zouian-Hounien.
 
Meanwhile, more than 15,000 displaced persons remain within the confines of the Catholic mission in the western town of Duekoue.
 
"These people are terrorized, and they lack everything, including food,” said Fricke. “They fear for their lives if they leave the confines of the mission to search of food.”
 
MSF medical teams working in the mission’s compound have treated 240 wounded people since March 29; 14 people have been referred to Bangolo Hospital for surgery.
 
Together with the International Committee of the Red Cross, MSF is the only international organization in the west of Ivory Coast providing care to wounded people, addressing other medical emergencies, and attempting to bring medical care to others affected by violence and displacement.
 
The MSF team at Bangolo Hospital has treated 121 wounded people since March 28. Additionally, 45 people have received emergency treatment at the hospital in the town of Man, and 29 at the hospital in Danané, where MSF has donated medical equipment and drugs to help health staff respond to mass casualties. MSF teams working in mobile clinics and fixed health centers in the west treat more than 500 patients per day.
 
In Abidjan, people face enormous difficulties accessing medical treatment amidst ongoing fighting. The MSF team in the Abobo neighborhood continues to treat people that manage to reach the hospital there.  Thirty-seven wounded people were treated on April 1, among them thirty people with gunshot wounds.
 
Fifteen wounded people arrived today at the MSF-supported hospital in the capital, Yamoussoukro.
 
Medical facilities across Ivory Coast can no longer provide medications and they lack basic medical equipment. MSF teams donate supplies when security conditions allow.  The needs are immense and there is great concern for people who cannot receive treatment.