“In the struggle to contain this pandemic, no one should be left behind.”

As I write, COVID-19 has already impacted many countries all over the world and will continue affecting more communities in the coming weeks and months. As this crisis unfolds, we must both bear witness to and support the response where we can and how we can, building on our long experience as an emergency organization and our expertise in responding to major epidemics.

A key priority is to keep our regular medical programs running for the hundreds and thousands of patients we care for and for the extremely vulnerable communities we help around the world.

In most countries where MSF works, we are coordinating with the World Health Organization and ministries of health to see how we can help, both with preventing the spread of the coronavirus caring for potentially large numbers of COVID-19 patients.

Additionally, we are providing training and increasing efforts on infection prevention and control measures for health facilities and the protection of health staff and patients. We are doing our best to maintain services and prepare teams in our programs for what may come. Of particular concern are people who live in precarious conditions where there may be overcrowding, little access to water and sanitation, and a lack of health care services.

We face massive challenges. Travel bans will complicate the travel and placement of experienced international staff where we need them. Ensuring available medical supplies—especially personal protective equipment—for both our regular medical programs and any COVID-19-related responses will be difficult. There are also uncertainties about how this crisis will impact the world’s economies, our own finances, and the capacity of some donors to continue supporting us. But with our energy and the continued support of the MSF community, I am convinced we will find solutions to these issues.

• While our ability to respond to the pandemic on the scale required will be limited, we have started operations or have offered support in several places. In Italy, MSF is supporting four hospitals at the epicenter of the outbreak in the country’s north. Teams are supporting infection prevention and control as well as patient care. In France and Belgium we are going to help provide care for vulnerable groups such as homeless people and migrants.
• In Greece, teams are in contact with the national public health organization to coordinate actions, including health education and care for local residents and asylum seekers with COVID-19. MSF has also repeatedly called for the evacuation of the refugee camps in the Greek islands, especially with the emergence of cases.
• In Hong Kong, MSF teams are providing health education and mental health support for vulnerable groups.
• In Iran, Afghanistan, Kyrgyzstan, and other countries where we work, we have contacted authorities to assess their needs, propose support, and provide guidance when requested.

As we rise to meet these challenges, we must also raise our voices publicly even louder than usual to ensure that vulnerable and invisible populations are not forgotten while COVID-19 grabs all the attention. Even as the Ebola outbreak in Democratic Republic of Congo appears to be coming to an end, there are still multiple crises—including a massive and ongoing outbreak of measles. Even worse, there are people in DRC and many other countries who have no access to health care at all—and who we can’t reach.

We also have to use our influence to promote actions of solidarity. As the virus knows no borders, the collective reaction to this pandemic must also be managed without borders. Supplies must be sent to those most in need. Health workers must be protected so they can sustain the response over weeks and months. Sharing of data, knowledge, resources and health personnel can be game-changers in enabling national health services to cope.

In the race to provide new tools to deal with the disease, the need for diagnostics, effective treatments, and a vaccine cannot become the latest auction for the pharmaceutical industry, sold to the highest bidder. In the struggle to contain this pandemic, no one should be left behind.

COVID-19 is a global health emergency and responding to emergencies is in MSF’s DNA. Taking care of those in need, the sick and vulnerable—that’s what MSF does best. We have brilliant and dedicated teams around the world. With your support, we’re getting down to work and making sure we play our part.