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This photo taken on February 23, 2014, and released by Doctors without Borders (MSF, Medecins Sans Frontieres) shows a destroyed medical storage room in the compound of a Doctors without Borders run hospital in the town of Leer, in the northeastern Unity State of South Sudan. Warring fighters in South Sudan have looted hospitals and murdered patients in their beds, cutting life-saving healthcare to hundreds of thousands of people, Doctors Without Borders said on February 26. Thousands of people have left without critical, life-saving care in southern Unity State following the destruction of MSF’s hospital in Leer. Vast parts of Leer have been burned to the ground and the town is now empty of civilians who have fled continued insecurity and are living in terrible conditions in the bush, too terrified to return home. MSF’s 240 locally-hired staff remain hidden in the bush, struggling to treat patients with rapidly dwindling supplies. AFP PHOTO / DOCTORS WITHOUT BORDERS = RESTRICTED TO EDITORIAL USE - MANDATORY Image Credit: AFP

Juba: Sick patients in South Sudan have been shot to death in their beds and medical facilities have been looted and burned to the ground — a dangerous level of disrespect for the country’s strained health care system that is forcing the aid group Doctors Without Borders to examine its operations here.

Doctors Without Borders said on Wednesday that the extreme violence and lack of respect for health care workers shown by warring sides has made the group’s work almost impossible.

Members of the aid group, which is known by its French initials MSF, discovered at least 14 dead bodies in a hospital in the contested city of Malakal over the weekend. Several of the dead bodies had been shot while lying in their beds, the group said. Rebels have been fighting government forces for control of the city, the capital of an oil-producing state.

Group leader Raphael Gorgeu said Doctors Without Borders’ facilities in the towns of Leer and Bentiu have been looted and completely destroyed. He said Doctors Without Borders does not want to leave South Sudan but must look at the safety situation of its workers.

The men carrying out the fighting have shown “absolutely no respect for health care workers,” he said.

“How do you want us to stay to the very last moment with the guarantee that our staff and patients will not be targeted?” he said.

Goregeu said MSF was not planning on pulling out of South Sudan, where 800,000 people are displaced and 3.2 million are in immediate need of food due to fighting that broke out in mid-December. Thousands have died in the violence.

At the end of January thousands of residents fled as fighting broke out in Leer, the home town of rebel leader and former vice-president Riek Machar. MSF, which has worked in Leer for 25 years, evacuated staff while 240 others fled into the bush. They returned this week to find their hospital — a facility that serves 300,000 people — destroyed.

“We don’t want to leave South Sudan, definitely not, but we have to look at things very carefully now,” he said. “It is not the investment we put in but the trust and the respect we put in that is actually put into question.”