![](https://img.msf.org/Docs/MSF/Media/CMS3/9/3/4/b/MSF39468.jpg)
Nicaragua
Discover how we delivered medical humanitarian assistance in Nicaragua.
![THE DARIEN ROUTE FOR MIGRANTS IN PANAMA THE DARIEN ROUTE FOR MIGRANTS IN PANAMA](https://img.msf.org/AssetLink/564oy37ay73w4772v28410d5fga3e2cg.jpg)
Panama
Read about MSF's activities in Panama
43,100
outpatient consultations2,600
individual mental health consultations180
people treated for sexual violence![Fatal Neglect Chagas Seamus Murphy Fatal Neglect Chagas Seamus Murphy](https://img.msf.org/Docs/MSF/Media/CMS3/0/3/a/f/MSF133157.jpg)
Paraguay
MSF first worked in Paraguay in 2010 and closed its projects in 2013.
![Treating people injured during the protests in Lima Treating people injured during the protests in Lima](https://img.msf.org/AssetLink/82q1on4sojfe5781301n62p5anwtr6s1.jpg)
Peru
MSF teams in Peru have responded to earthquakes and pandemics, such as COVID-19, and have treated marginalised people for HIV.
18,400
outpatient consultations860
individual mental health consultations![COVID-19 Vaccination Response in Puerto Rico COVID-19 Vaccination Response in Puerto Rico](https://img.msf.org/AssetLink/261qp1v703s18826611m2w78xdfod6u5.jpg)
United States of America
MSF provides assistance in the United States during times of national emergency, such as during Hurricane Sandy, or the COVID-19 pandemic.
![Knock-on effect COVID_Caracas Venezuela Knock-on effect COVID_Caracas Venezuela](https://img.msf.org/AssetLink/5uw6c57rv7231ocq3a24g21663763j4m.jpg)