Javid Abdelmoneim
@DrJavidA
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A doctor without borders | ex NHS | 🇸🇩🇮🇷🇪🇺 👉🏽👉🏽👉🏽👉🏽👉🏽I tweet for me
London
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20yrs of being a doctor.
Am currently hibernating but couldn’t not pop out to mark this day with a 🧵
So what did I get up to since 2003?
Why did I leave the NHS 18months ago?
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I left Gaza the day before yesterday, after 8 weeks of working beside my Palestinian colleagues.
In my first week I witnessed the murder by Israeli forces of two fishermen on the beach, one shot through the neck and one shot through the heart still holding his cast net.
Dr. Javid Abdelmoneim shares his first-hand experience in the overwhelmed Nasser hospital in
#Gaza
as fighting continues to draw closer.
Nasser remains the end of the line for health service in the area.
We continue to urgently call for the protection of Nasser hospital.
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At then end of the interview yesterday,
@amanpour
asked “on the toll it’s taken on you, how are you?”
I was taken by surprise, it’s not possible to answer easily, and so I said “I’m ok”.
But I’m not
“People are expressing to me that they'd rather just die. They're waiting for death. They’ve lost hope. And that's preferable to what they're going through with serial displacements and the lack of safety.”
MSF’s
@DrJavidA
just spent two months in Gaza. Here's what he saw.
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5 days after the start of Ukraine war, UK opened 2 new, safe entry paths for refugees. 1 was for Ukrainians who have British citizen relatives.
12 days after start of
#Sudan
war, UK has sent border control to the airfield to turn away NHS doctors, elderly mothers of citizens
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Only to remind you that Palestinians are human too.
Blood, sweat and burnt flesh smell the same everywhere I’ve worked. Screams of pain and tears of grief are the same too.
This cruelty needs to end now.
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@LibyaLiberty
I was at the Iraq protest in 2003 and today I felt it was easily as big if not bigger.
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I worked in Ukraine last year.
I’m a brown British Muslim immigrant from Sudan and I can recognise differential application of policy when I see one.
Just saying.
#sudan
#ukraine
#refugeeeswelcome
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In my last week, that girl was killed by Israeli military action within the so-called humanitarian zone. She died an unspeakable death.
Between those killings were so, so many others. All avoidable deaths.
Nowhere is safe in Gaza.
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This has been my 7th war with MSF and it has been unique - Iraq, Syria, South Sudan, Ukraine, Tigray, Sudan - the population could move away for safety.
Not so in Gaza.
The opposite in fact. Gazans are herded into a space not fit for survival.
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Six months ago, the highest court in the world ruled that there’s a plausible risk of genocide. Things have not got better since then.
What’s left to say?
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All in all, lots of ups & downs.
I’m sad the NHS is being ground into failure. I couldn’t hack it there.
I have huge admiration for my colleagues & friends still working there under huge strain.
But I’m very happy doing all my other doctor things. Here’s to another 20yrs 🥂
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The health system is all but broken.
Waterborne and hygiene & sanitation related diseases are rife. And now polio, once eradicated in Gaza, presents itself as yet another potential annihilating blow.
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Through it all, my Palestinian colleagues, themselves beleaguered, harassed, serially displaced like the whole population, turn up for work day in day out and ‘carry on’. The very definition of the stiff upper lip.
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@SuellaBraverman
Not a jot about the “lads” who came out to “defend” the Cenotaph after your dog whistle, I see Sue Ellen
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#ImInWorkJeremy
: My consultant, a GP and I on Sunday. And it's my birthday!
http://t.co/aCGrMTMEgT
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@davidschneider
I mean when you’ve lost even Piers Morgan then you really should examine where you’re at, just stop and say sorry. What a tit.
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And I’m TIRED.
Tired of knowing that in this world, as was clear from the Iraq war when I first started with MSF, through to the current Sudan & Gaza wars, that brown people, Muslims, Arabs *people like me* are worth less
I TIRED OF THE INJUSTICE and feel helpless in its face.
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So, over 20 years:
NHS jobs: 8
NHS hospitals worked in: 6 (excluding locum stints in 5 others)
Cruise ships worked on: 4 😂
TV shows made: ~ 25 I reckon 🤷🏽♂️
MSF stints abroad: 11
Wars: 6
Epidemics: 3
Pandemics: 1
Burnouts: 4 (in the 4th now, a different story for later)
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Nothing good happens in comms blackouts.
Tigray last year, Darfur since May.
Now Gaza.
If it wasn’t for Gazans getting their stories out we’d only have CNN/ABC correspondents lying in ditches somewhere outside Tel Aviv to tell us their news
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I stand with
@MSF
in asking the
@UN
security council to reaffirm that hospitals, drs are
#NotATarget
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All this could also be made available to people arriving by boat, who have a legal right to claim asylum irrespective of means of arrival
Nope, they’re brown and black.
Instead, UK gov chooses to demonise asylum-seekers to distract us from corruption & catalogue of failures
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Six months today since war started in
#Sudan
, the weight of indifference and neglect is heavy on my heart.
This little video for MSF only begins to show some of my emotion, deeply rooted in my childhood there.
Sudan, for me, is firmly in “it’s complicated” territory.
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I’m anxious.
Anxious that doing interviews like this exposes me to online hate, lies & bullying.
Anxious because I still react with a start to the sound of (passenger!) planes in the sky.
Because, I returned home to England on the weekend of Islamophobic pogroms…
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I’m carrying a lot of rage.
Rage against the complicit governments of UK, US, Germany, Italy, France, etc… for continuing to supply arms to Israel and provide it with political cover.
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The Confluence. January 2023.
The is the last picture I took in
#Sudan
as I flew back to Ethiopia.
Dad is now safe in Cairo, my cousin stuck at Argeen has gotten through after 4 days waiting there.
The adrenaline/stress is fading.
I think I’m moving into grief…
Dad is on the train to Cairo from Aswan 🙌🏽🙌🏽 with half the party.
The other half have remained at Aswan, in hope that my cousin may be allowed to cross very soon. We just don’t know if he will.
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I’m carrying a lot of grief.
At work, when you smell that much spilt blood, knowing whose it is and why, the avoidable deaths - both as a doctor and as a human I grieve for this immense loss of life.
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I’m carrying a lot of fear.
Fear for how this will end. How many more killed? What of Gaza will be left?
Fear for my Gazan colleagues, healthcare workers, waiting to hear that another has been killed. It’s inevitable I fear.
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Finally, 2023.
What am I doing now?
Well, I’m a trustee of the RCEM since two years ago.
I did 3 months for cholera in Malawi with the WHO, and right now I’m doing 6 weeks of that working from home.
I also squeezed in 1 month with MSF in Sudan in May.
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I went from Haiti to cruise ship doctor via Syrian civil war in the space of 18months.
All painful knees and indigestion. Awful job.
Indignant that so many died horrible deaths and here these people had open access to a doctor for such trivialities, I burnt out with anger.
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@davidschneider
When confronted with that, instead, he reverts to type: bumbles, use “one” and hides behind free speech. A boring cliche we all see through. How dull.
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2009 first time with MSF: 6 months, Basra, Iraq.
Teaching BLS, ALS, ATLS and bringing in triage and mass casualty processes to the DGH ED.
Patient care was single sex. Nurses were under-utilised. The space wasn’t fit for purpose. HUGE job. Epic. And right up my street.
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A must listen.
Uk government: Manufactured crisis, no policy, no plan.
Only anti-public sector, anti-migrant ideology. Corrupt pedagogues. Liars. Bullies. Self-enriching incompetents.
Must we wait for a general election?
'We are just trapping them in a system with no exit.'
Migration policy expert
@ZoeJardiniere
tells
@SangitaMyska
the immigration crisis has been created by the government to be used as a 'campaigning tool'.
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Major incident in London declared by the mayor. Recent incidents accounted for focussed events eg Grenfell, London Bridge. This time it’s city-wide. Much bigger deal.
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It was a bit of a whirlwind after that.
By now I was making TV series for Al Jazeera and BBC. Japan, Brazil, USA, Jordan and many more. 2 BAFTA & 1 Emmy nominations. 2 FPA nominations & 1 FPA win for a film I made in Gaza. It seemed I had a second career as a TV presenter!
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Sudan has a high Caesarian section rate.
Because of the authorities’ ban on surgical supply reaching Khartoum we have already had to close one surgical hospital (Basha’ir) last month.
Our last remaining surgical hospital in Khartoum (Turkish) now has less than one month
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This thread is looong!
Anyway, fast forward to 2019.
I’m still making TV and working in ED. I’m also President of MSF UK and do short stints abroad, sometimes manning the socials. Worked in Mediterranean Sea Rescue and Syria again.
Really enjoying myself, I decide to CESR.
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2022: 2 months Chad, 4 months Ukraine and 5 months Ethiopia.
Mobile clinics in the sun by a river or underground in the Kharkiv metro. Using donkeys for transport or cycling to meetings. I was very happy and knew I could never go back to the NHS again, which was daunting.
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I’ve never seen so many agencies all call out at once. Also coming from most of the chiefs’ personal accounts, not just official organisational accounts.
UN
UNICEF
WHO
OCHA
OHCHR
UNRWA
UN Women
Also-
MSF
ICRC
NRC
Save
Oxfam
MDM
Can’t be clearer:
#gaza
ceasefire NOW
Schools are
#NotATarget
.
Hospitals are
#NotATarget
.
Children are
#NotATarget
.
Civilians are
#NotATarget
.
Humanitarians are
#NotATarget
.
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Super pleased to receive this little token from bosses at
@Imperial_EM
! It’s a small gesture but so uplifting. Thank you! And thanks to every single last
@ImperialNHS
staff everywhere for being such a fab team 🙌🏽🙌🏽 during
#COVID19
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Dad is on the train to Cairo from Aswan 🙌🏽🙌🏽 with half the party.
The other half have remained at Aswan, in hope that my cousin may be allowed to cross very soon. We just don’t know if he will.
They did split up.
Cousin is still at Argeen. All others went on to Aswan.
Beginning to look like he may have to go back to Halfa…very difficult decision to make. Might sit it out another day at Argeen before giving up.
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In 5mins, July in Gaza from my pov
1-supply & fuel woes, health system crippled
2- serial mass casualties in shrinking humanitarian zone, health system broken & threatened by violence
3- health staff & population killed in large numbers, nowhere is safe
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"Making sure boys and girls are equal and confident in their aspirations and beliefs"
#nomoreboysandgirls
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Friend sent me this from London yesterday.
My dad is Sudanese 🇸🇩
My mum in Iranian 🇮🇷
They met and married in Cambridge.
My sister and I are British.
London is my home.
I look foreign in all my three countries, a child of the world.
Today that feels wonderful. 🙌🏽
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Since 2009, I’ve worked in many wars.
First in Basra, Iraq, training in mass casualty, trauma and resuscitation in the general hospital in the run up the first general election.
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While I was away, I found out that I won’t be given security clearances for the new job. GUTTED.
Back to ChelWest ED it was then.
Hang on. I want to do a masters. Got a place at LSHTM/LSE for the HPPF, defer a year and got a job as a cruise ship doctor to save lots of money.
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I didn’t last long.
By July I was signed off sick. I resigned in September and applied to join the MSF emergency desk.
I figured the recurring theme with me has been that I’m happy at MSF, even if it’s tough. I definitely can’t handle the NHS.
Cue all of 2022 abroad…
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I did my house jobs and started surgical training, intending to be a T&O surgeon, with the hope of one day join MSF.
Being a consultant in the NHS was simply never an objective of mine even though we all have it drummed into us that that’s all there is.
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Later that year, I answer MSF’s call to go to West Africa. It turns out to be a huge epidemic.
Ufff this was tough. But, after Haiti, I recognised it now. I let myself cry when I felt like it. A little boy’s death broke my heart.
I made a TV doc about it, which went global.
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Some years back I made
#nomoreboysandgirls
with
@grahamandre
@Outline_TV
@BBCTwo
. I firmly believe there would be less
#SarahEverard
cases and less
#malesuicide
if the national curriculum followed
#genderneutral
teaching principles
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Losing access to our Khartoum warehouse and its contents has life-ending consequences for Sudanese people.
We had just finished allocating 40 tonnes of medical supply to support healthcare throughout the city…
#sudan
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AND as MSF UK President, I have representation & governance duties globally.
One trip takes me back to Haiti where I have to visit our Sexual Gender-Based Violence clinic.
I didn’t know until I got out the car, that it was in my old home! The tears flowed I tell you. HEALING.
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Swiftly followed by MSF: 6 months, Port-au-Prince, Haiti
Clinical lead for ED, internal medicine and ITU in 100-bed hospital in Cité Soleil.
Uffff this was tough. We worked hard, partied harder. 7 days a week.
Now I see that all that alcohol was a negative coping mechanism
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I realised T&O wasn’t for me when I was more interested in sorting out the post-op AF than being in theatre!
So I got a middle grade job in ‘A&E’ as it was called then and did the DTMH at LSHTM, a requirement for joining MSF.
When I applied to MSF, I was rejected.
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Then cholera came…I’d never seen so much avoidable death.
Pic from day 1 and last day. Felt like I’d been run over by MSF.
So before I’d even left Haiti, I got a job in Australia doing HEMS.
When I got home, I got cold feet and cancelled my flight to Oz. Went back to NHS.
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By 2014 I’m feeling up to MSF again: 1month, South Sudan. Helicopter mobile clinics in the civil war.
I get a second wave of enjoying doctoring.
Ebola is declared in West Africa. So few people have Ebola experience that the nurse I’m with is pulled out and sent there. Unusual.
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Whether in a Syrian refugee camp in Jordan, cholera unit in Haiti, Ebola in west Africa: everywhere I’ve been working with MSF Cuban doctors have been there too. World class humanitarianism and solidarity.
#COVID19
Cuban Doctors, some of the best on earth thanks to universal healthcare, answer the call from Italy.
Incredible to see global politics ( Marxist Leninist Carribean island helps European Capitalist heavyweight) melt away when greater things arise.
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Got my London job in Worthing.
REALLY enjoyed ACCS there. Did MRCP, because in those days we were allowed to only do FCEM at the end.
By the end of ACCS I wanted a year out for MSF. Deanery said “run through, or resign your number”.
Resignation letter went in the same day.
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"The doctor of your enemy is not your enemy"
@MSF
@ICRC
presidents write.
#NotATarget
#evenwarhasrules
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Will you watch
@BBCTwo
9pm tonight
#nomoreboysandgirls
? Avoiding pigeonholing children, encouraging the fullest development & learning
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Anyway, 2020. PANDEMIC.
I decided to go full time NHS, because needs must.
First wave ok, second wave not so much, third wave tired.
By summer 2021, come the end of final term as President, I had no joy left at work.
TV has dried up, no longer President, I only had NHS EM
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It’s now 2011, the Arab spring.
I’m hating EM. So I apply successfully to join the UK Foreign Office in the fast stream diplomatic service.
I take “one last MSF stint” in Homs, Syria.
Was too dangerous to go in, so worked from Lebanon. Started up trauma supply networks.
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The UK-based family member could be someone without UK citizenship, just someone settled eg with IDL to Remain or even a refugee themselves
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A really important initiative for patients in my A&E with mental health crisis: a calming green space that’s safe. Please support with a retweet!
@AliceBhand
@xandvt
@mencap_charity
@Botanygeek
Charing Cross Hospital Pop Up Garden - we’re creating a calming green space for patients in our A&E! Please help by retweeting/donating!
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Still standing! V is for vaccine. Happy Thursday night world.
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I put my stethoscope down, resigned, went home. I cancelled my masters.
It was 6 months before I could even conceive of working again.
When I did, I started 1 day/wk in ED again. It’s 2013. I feel good doing trauma in a busy MTC. After 3 months, I find balance at 3 days/wk
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Happened to my family and my friend’s family. NatWest and Barclays.
Were told do with dual nationality (Sudan in our case, Nigeria in his). Seemed defensible because of possible dubious financial flows in those countries BUT what’s that got to do with some Brits in UK??!
We've all known this has been happening - for years. But no one, at least no one who mattered, gave a toss.
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YESSSSSSSSSS you hear it too?!
Priti Patel reckons their investin in testin so that everyone can make a bookin. And they're also investin in policin with lots of fundin and recruitin to handle crime that's evolvin. I think she might be lyin...
#BBCBreakfast
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Allahina. Too late.
We received at call at 02:40hrs local time to mobilise my 80yr old dad to a location outside the city.
He can’t get there alone.
This is why we couldn’t wait for your tardy response. He’s now on a bus to Egypt, with the last of our family.
#sudan
The Government has begun a large-scale evacuation of British passport holders from Sudan on RAF flights. Priority will be given to the most vulnerable, including families with children and the elderly.
I pay tribute to the British Armed Forces, diplomats and Border Force staff
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The service was free to apply and had a free-of-charge helpline.
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My dad was 14yrs old at
#Sudan
Independence. This is living memory. Not history.
British coloniser divide & rule tactics have profound long term implications.
@ tweeters “they’ve had 65yrs to find peace” “it’s not our problem” “don’t want them here using the NHS” watch & learn
What’s happening in Sudan right now is the result of decades of political instability brought by colonization.
Here’s how the United States, Britain and even the Soviet Union each played a role in Sudan's current crisis.
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White privilege comes in many forms.
Commentators & politicians plainly stating their racism, for all the world to see, one which underpins policy & delivers real-world consequences for people experiencing war & occupation?
That hits different. On so many levels.
I cannot.
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Though I technically qualified, they said I should get more experience.
So I went back to my NHS A&E middle grade job.
2006/7 MMC came along. Those in my year were advised not to apply to ST3 but to ST1 instead, in case we’d be forced to Article 13 at the end.
Applied for EM
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My garden right now, with the sun catching the flowers, is so peaceful. Shortly, I have to leave this place to go to work and I know where I’d rather be!
#StayHomeSaveLives
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Today is Father’s Day in the UK.
Here is a Sudanese elder, thankfully safely in UK.
Yes, he’s worn his pages almost entirely away! 😍
Abdelsalaam Abdelmoneim has an enormous amount of privilege affording him safety. My father.
How many Sudanese are not safe today?
#sudan
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@EmmanuelMacron
And what of the 5000 Palestinians under administrative detention?
Where is Ahed Tamimi?
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@Medic_Russell
I couldn’t go on 2 years ago.
I’m in awe of my colleagues who still have the strength to stay.
Kudos 🙌🏽
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He was there *because* of your policies not in spite of them. His death is on UK hands.
Provide safe means for asylum application in France and the smugglers’ business model disappears. It’s not rocket science
@pritipatel
This is an upsetting and tragic loss of a young life.
This horrendous incident serves as a brutal reminder of the abhorrent criminal gangs and people smugglers who exploit vulnerable people.
Working together we are determined to stop them.
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A public service reminder that under this Home Sec the UK has brought in asylum legislation which is illegal as per Geneva Convention, called out as “against both spirit & letter of international law” by UNHCR.
She can get in the bin with her opinions.
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The devastation in Sudan continues and worsens
#Sudan_update
🧒About 3M displaced children make
#Sudan
the largest child displacement crisis
👩🦰Women and girls are being abducted, per
@UNHumanRights
🌽Food insecurity concerns as
#Sudan
is one of the top 4 highest hotspots, per
@WFP
&
@FAO
for more 🔗
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#Sudan
: NHS doctors told they can catch last UK evacuation flights
Wouldn’t have happened if wasn’t on news.
Scrutiny by independent & free press is crucial in a democracy: call gov out, help hold to account.
The Mail, Telegraph etc…? Lackeys.
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“I am not a number. I am a complete planet.”
A couple of days ago his tweet was seen by 6million people.
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In 2016 I spent time with people living in the Calais Jungle and also worked on an MSF Mediterranean Search&Rescue ship. I saw the UK invest in higher walls at the motorway around the camp (see pic) & French police use tear gas and force to deter people from attempting entry /1
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Imagine actually calling “shame on UNICEF” for fulfilling their mandate, which is ‘to protect the rights of every child’.
This is not normal behaviour for a sovereign state.
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I've never had this before! Thank you all for watching. Such an important topic. Tune in next week please!
#nomoreboysandgirls
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@PeterStefanovi2
Yup police have been coming to our A&E daily and performing welfare checks on us too! Much appreciated solidarity
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