Gunfire tore by way of the darkish. Evening after evening, the 44-year-old doctor from Guinea clung to the hope that the besieged metropolis would maintain one way or the other. Then, one morning in late January, the decision got here: he and the remaining worldwide workers needed to be evacuated instantly.
“We took the final flight out,” he recalled.
Hours later, Goma was within the palms of M23. The Tutsi-led insurgent group, backed by neighbouring Rwanda, had simply landed its boldest army victory within the area but.
For many, that will have been the tip of the story: a slender escape, a mission minimize quick. However, because the plane lifted from the runway, he knew he would return. The one query was: how quickly?
Dr Thierno Baldé, 45, led the WHO response in Goma after town fell to M23 rebels in early 2025. (file)
A reluctant interlude
Again in Dakar, the place he heads the World Well being Group (WHO) emergency hub for West and Central Africa, Dr. Balde grew stressed. Reviews of civilian massacres saved trickling out of North Kivu, every new element slicing deeper. The colleagues he had left behind haunted him. With each grim report, his conviction deepened: his place was at their aspect.
Two weeks later, on the day he turned 45, he was tapped to guide the company’s response in japanese DRC. He saved the task from his dad and mom in Conakry, his hometown, to spare them the dread.
“I solely advised them as soon as I used to be already there,” he admitted, nearly sheepishly. His spouse and two kids had lengthy since grown used to watching him vanish into the world’s most harmful crises.
Return to ruins
It took him 5 days to achieve Goma. By then, the airport had been shut and the roads pocked with checkpoints.
The town he discovered was hollowed out. Energy traces had been down, hospitals had been full of the wounded and there was discuss of the streets being affected by our bodies. Worry had settled on each face like ash after a blaze. “In 15 days, every part had modified.”
His workforce was damaged. Some 20 Congolese staffers, gaunt from exhaustion, had been making an attempt to carry town’s fragile well being system collectively. He gave half of them break day to get better, regardless of figuring out each pair of palms was desperately wanted – it was the least he might do.
And but, amid the wreckage, a stroke of excellent fortune: in contrast to most different UN businesses, the WHO warehouses had not been looted. They grew to become lifelines, offering gasoline to energy hospitals, surgical kits for the wounded and cell telephones to coordinate emergency evacuations.
Nonetheless, the numbers had been crushing, with as many as 3,000 useless, based on preliminary reviews. The our bodies wanted to be handled swiftly earlier than illness unfold.
“We needed to bury everybody intensely, in a really particular timeframe,” he stated. The WHO ended up paying native gravediggers to gather the corpses.
Our bodies are being buried with the help of WHO personnel within the aftermath of the autumn of Goma to M23 rebels in early February 2025. (file)
The spectre of cholera
On the day of his return, one other sickness introduced itself: cholera. The primary instances had simply been confirmed in a MONUSCO camp, the place a whole lot of disarmed Congolese troopers and their households had sought shelter after dropping town to the M23 militia. The UN peacekeeping mission’s bases, designed for Blue Helmets, weren’t constructed to accommodate a lot of civilians. Sanitation situations had been dire, and the illness unfold quick.
That evening, Dr. Balde couldn’t sleep.
The following morning, he walked into the camp and noticed sufferers stretched out on the ground. There have been 20 or 30 folks, with just one physician, he remembered. Two had been already useless.
For days, his workforce scrambled to carry again the tide – utilizing chlorine for disinfection, protecting gear, makeshift triage, and workers recruited and skilled on the spot. Vaccines had been rushed in from Kinshasa.
Rumours rippled by way of town
Nonetheless, rumours rippled by way of town.
“Individuals started saying ‘cholera is exploding in Goma and WHO is overwhelmed.’” He, who had come for humanitarian aid, now discovered himself with an epidemic on his palms.
“We needed to fully re-orient ourselves,” he stated. The ghost of one other Haiti, the place the UN performed a job in a cholera outbreak in 2010, hovered over his each choice.
As if on cue, one other illness was spreading. Mpox, as soon as confined to the sprawling camps of displaced folks on Goma’s outskirts, now spilled into the city itself. These camps, house to a whole lot of hundreds uprooted by earlier waves of violence within the area, had been emptied within the chaos of Goma’s fall.
“The sufferers ended up locally,” he defined.
Dr Thierno Baldé (middle left) and colleagues go to a WHO-supported well being centre offering care to the inhabitants round Goma. (file)
Sitting throughout from rebels
Then got here the boys with weapons. One afternoon, they barged into the WHO compound with out warning. Had been they beneath M23 orders, fighters appearing on their very own or mere criminals? It hardly mattered. The workers talked them down, persuading them to depart, however the incident made one factor clear. With out some understanding with the de facto authorities, the company’s work might be compromised in a single day.
So, Dr. Balde sought them out.
“We mustered the braveness and went to satisfy them,” he stated. On the North Kivu governor’s places of work, now run by the rebels, he laid down his WHO “Incident Supervisor” card.
“I advised them Ebola can have an effect on everybody, cholera can have an effect on everybody. We’re right here to comprise them.”
A channel was opened. Fragile, however sufficient.
The price of altruism
There’s a stiff value to pay for serving to others. In Goma, the times blurred collectively. Hours had been spent in fevered conferences and evenings spent alone in a lodge the place closely armed males dined at close by tables.
Throughout Ramadan, with town beneath curfew, he broke the quick every evening with the identical easy meal, town exterior trembling with uncertainty.
When he returned to Dakar two month later, his blood assessments had been a multitude.
“It was an actual private sacrifice,” he stated, “and I’m not even speaking about psychological well being. As a humanitarian, you need to handle your self, too.”
A veteran, nonetheless marked
Dr. Balde isn’t any stranger to catastrophe zones. Skilled in Guinea and Quebec, an affiliate professor on the College of Montreal, he minimize his enamel with the Canadian Crimson Cross in Haiti after the earthquake, then in Guinea throughout the Ebola outbreak. Since becoming a member of WHO in 2017, he has confronted emergency after emergency, together with COVID-19.
I did every part I might to return, however I paid a value.
And but, he admitted, Goma left a mark that few different crises had.
“I did every part I might to return, however I paid a value.”
Within the Senegalese capital, his household bears that value, too. His kids know their father disappears into locations the place the world is breaking up. His spouse has discovered to dwell with the absence.
Nonetheless, when he speaks of these feverish weeks in japanese DRC, one sentence returns repeatedly, insistent and unshaken: “I needed to be there.”
