19/04/2026
SUNDAY NEWS!!📰
A hospital on rails – MSF’s medical evacuation trains in Ukraine
When hospitals near the frontlines become too dangerous or overwhelmed, patients still need care and in Ukraine, that care has sometimes come by train. Since 31 March 2022, Médecins Sans Frontières (MSF), together with Ukrainian Railways, has operated medical evacuation trains to transfer patients from hospitals close to the fighting to
safer parts of the country where treatment is still possible. One of the trains was even equipped to care for patients in need of intensive care. In just over a month, between 31 March and 6 May 2022, MSF evacuated 653 patients, of whom 355 had been injured directly by the war.
These trains are much more than transport. They function as moving hospital wards, staffed by doctors and nurses and equipped with oxygen, monitoring devices, and space for patients on stretchers or in beds. Even during the journey, treatment continues. In 2023, MSF evacuated 1,300 patients by medical train in Ukraine.
One especially powerful example comes from Kherson in October 2023, after a hospital in the region was shelled. MSF evacuated 150 patients, transporting them first by ambulance to the station and then onward by medical train.
During one of these evacuations, MSF doctor Nataliia Pivovar spent 36 hours on board, caring for mostly elderly patients, many of whom had dementia, cerebral palsy, or other neurological conditions.
Some patients were frightened and confused as shelling could still be heard nearby while they were being brought onto the train. Some had hearing impairments and did not understand what was happening, so staff had to calmly reassure them that they were being taken somewhere
safe. In one carriage alone, Nataliia was responsible for nine patients, checking blood pressure, giving medication, and monitoring those who needed oxygen. In a war where hospitals have been damaged and access to healthcare is constantly disrupted, these trains have become a lifeline: carrying patients away from danger while continuing the care they need along the way.
Read more at MSF’s stories and
https://www.msf.org/journey-resilience-36-hours-caring-patients-train