The Pulse: December 2025

Highlights from this issue:

• Feature: Speaking out on the state of Gaza
• Feature: Kiribati: Clean water for community health
• Letter from Sudan: Seeing Sudan's crisis of compassion

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In the face of increasing challenges, the global humanitarian system needs a new approach. 
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Updates on recent MSF activities around the world.
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Despite the ceasefire that came into effect on 10 October 2025, the genocide in Gaza has not stopped. In the month after the ceasefire, more than 300 people were killed, and more than 760 were injured, according to the Gaza Ministry of Health.
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In 2025, the situation was catastrophic for people in many countries, especially for children and pregnant and breastfeeding women. MSF provides nutrition and medical care to treat acute malnutrition, which can easily become life-threatening in children without adequate care. 
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A water, sanitation and hygiene supervisor explains why climate change is the natural enemy of Kiribati and how small actions can have a big impact on people’s lives.
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The scenes change: different ages, genders, faces and stories. But when I look into the eyes of the young ones, of women, even of men on the road of displacement and migration, do you know who I see reflected in their eyes? I see myself. 
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Women's health advisor Clémence Chbat talks about her role in the Sydney-based Medical Unit and working with MSF projects around the world. 
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Hear from people who help make our work possible, and why they support MSF. 
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During the last quarter of 2025, 40 staff from Australia and five from New Zealand covered 45 assignments with MSF. 
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