Happy New Year from Coopers

January 2, 2026

Another year has flown by, and we are deeply grateful for the many blessings of 2025. The hospital seems to be on an upswing, our family is doing well, and we have enjoyed good health and security in the region. In this part of the world, giving thanks for health and security is very real—and never something taken for granted.

In January 2025, Eastern Congo was shaken to its core. The rebel group M23 attacked and occupied the major cities of North and South Kivu. The country felt—and still feels—like a house of cards that could topple at any moment. In Ituri, rebel groups continue to rule the countryside, and new ones have emerged. Countless Congolese have been displaced by violence and fear. Despite all the talk, the government seems powerless to protect its population and maintain law and order.

And yet, this small village of Nyankunde has remained peaceful. We have not experienced a major security incident in several years, and for this we are profoundly thankful to God.

The hospital continues to function well, and it has been exciting to see patients coming not only from our immediate region, but also from the provincial capital of Bunia and throughout Ituri. We are known as the place people go when nothing else is working. That reputation is gratifying in one sense, but also frustrating. Many conditions would be far easier to treat if we were the first stop rather than the third or fourth.

One of the conditions that has kept us particularly busy this year is hematemesis—vomiting blood, which is as unpleasant as it sounds. Many of these cases are due to schistosomiasis, a tropical disease. We are the only facility in the region with both the equipment and expertise to perform endoscopy to treat this bleeding, and there are weeks when we do this procedure several times a day. Without proper care, many of these patients would die. Through endoscopic banding and occasional splenectomy, we are able to save many from bleeding to death.

Orthopedic trauma is another major part of our work. We have the capacity to place intramedullary rods and recently received a donation of orthopedic plates and screws. Unfortunately, many patients delay seeking care until all other options are exhausted, turning manageable problems into extremely difficult ones.

We also deal with many complex wounds, which require patience and persistence. These wounds are often complicated by the widespread use of skin-whitening creams. These products contain bleaching agents, steroids, hydroquinone, and who knows what else. They thin the skin, making it fragile and complicating every aspect of wound care. Lindsey once bought some of this cream by mistake and spilled it on the floor. It bleached our cement floor instantly, leaving a white spot that remains to this day. Another group of patients we frequently see are those who have undergone multiple failed operations at other hospitals. After several unsuccessful surgeries, they come to us as a last resort. Common conditions we see are bowel obstructions and fistulas. 

Lindsey cares for complicated hospitalized patients, focusing on intensive and neonatal care. She also oversees community and hospital nutrition projects, including providing baby formula for vulnerable/orphan babies and the operations of an outpatient porridge program in the rural community of Tulabo. Babies are the most vulnerable of her patients, whether it is providing phototherapy for babies with elevated bilirubin or mothers with poor lactation. She teaches Emmanuel three days a week and serves as youth soccer team manager. Emmanuel is prospering in his studies and cross-cultural friendships. We are beginning to see ministry opportunities through youth soccer.

So yes—we are busy. This is good for the hospital. Suffering patients are being helped in the name of Jesus, and young doctors are receiving valuable training and experience. Unfortunately, the growing numbers also reflect a hard truth: healthcare in Eastern Congo remains very poor. The fact that patients are willing to leave a large city—with its hospitals and private clinics—to come to a village for care speaks volumes. Our job is to receive them with kindness and do the very best we can.

As we begin a new year, several prayer requests are on our hearts:

• We are anticipating the launch of a formal surgical training program through PAACS (an organization dedicated to training Christian African surgeons in Africa). This is an exciting new direction and a significant undertaking. We hope to begin in January 2027.

• We will return to the U.S. for a couple of months in the spring so Emmanuel can finish the school year with his class. Please pray for travel, transitions, and meaningful fellowship with churches, friends, and family. We hope to encourage and challenge those we spend time with.

• Pray that God would provide a teacher for our small group of missionary kids. At times it seems impossible—but God is not limited.

• Pray for security in Ituri, Eastern Congo, and throughout the DRC.

• Pray for our missionary team here in Nyankunde. The Staffords will hold down the fort while we are away. We are also welcoming two new medical staff members this year—Ashton and Kelly. Pray for them as they transition from language study into life and work in Nyankunde.

• Pray for us as we wrestle with cynicism and discouragement. Financial challenges are significant, and we continually struggle to help without disempowering those around us.

• Pray for Emmanuel as he lives on the edge between two cultures. Our greatest desire is that Emmanuel would grow in his love for God and desire to serve Him.

Thank you to everyone who has followed our Congo journey. We are entering our 14th year of service here at Nyankunde. Without your support and partnership, none of this would be possible. The road has been bumpy and occasionally dangerous, but God has been faithful. It has been our joy to be part of what He is doing in the world.

With gratitude,

Warren, Lindsey, & Emmanuel Cooper

Nyankunde Hospital, Democratic Republic of Congo

Warrenandlindsey@gmail.com

If you would like to join our ministry team, you can visit the Christian Health service Corps website at:

https://www.healthservicecorps.org/staff/dr-warren-and-dr-lindsey-cooper/

A communication announcement

Greetings faithful readers and friends! We have made a transition to Epistle for our monthly updates, save biannual updates. 

If you are interested to receive our updates by email, you can subscribe to our private blog at: https://coopers-congo.epistle.org/subscribe 

 Warren and Lindsey Cooper

Congo is Bleeding

February 26, 2025

I write as we fly over the barren land of East Africa, Eritrea or Ethiopia probably.  Every time we travel like this across continents, time zones, people groups, and even animal species-I am reminded of how incredibly BIG the world is and how creative God is.  I am also struck with how small I am in this vast world…yet known and loved by God.  We are returning from an encouraging medical conference in Asia.  It was an encouraging time to catch on continuing medical education, network, reconnect with old friends and make new ones, and be challenged to go farther in our walk with Jesus.  

The spiritual teaching this year was on God’s radical LOVE-incarnational, costly, and undeserved.  First Jesus showed up in the everyday experiences at his initiative when his followers needed his encouragement most-like on the road to Emmaus and to help his disciples catch fish (after a night of no success) and invite them to breakfast.  The Lord often comes to us when we could not do it ourselves, a moment of failure, and invites us to rest with Him.  I can appreciate this…not asking his disciples to keep striving but to simply receive from Him.  On second look at this story in John 21:1-14 it seems that Jesus was just kind of waiting for his friends on the shore.  This story began at His initiative to make breakfast. He did not really teach, but rather fulfilled a need they had for re-established fellowship and sustenance.  Was this an act of forgiveness for their denial as if to re-establish friendship?  Can we trust in His timing, admit our brokenness, and rest in His love and being known?  In many ways being able to attend the conference was this for us, a time to receive from the Lord.

We were able to take a couple of days to enjoy the sunny beaches and fresh Asian food.  What a blessing!  We return to DRC feeling refreshed and getting back to everyday life.

 

Congo is Bleeding

Many of you have reached out to us having followed the situation in eastern DRC, of a rebel army M23 (backed by Rwanda) taking over the cities of Goma and Bukavu (in North and South Kivu Provinces) at the end of January.  This is not a new conflict, but a simmering situation for the last 3-4years that has been largely invisible to the world. Recently people have suffered injuries and thousands have lost their lives, around 700,000 people displaced into neighboring countries and regions.  It is desperately sad.  Some friends of ours serving in Goma have been able to continue providing support to Heal Africa Hospital, which has received many injured and displaced peoples and safe haven for street children.  The situation is very complex and we would encourage you to visit Reuters or BBC as news sources.  It seems that much of the current geopolitical conflict relates to control of natural resources.  To use an African parable, when elephants fight, the ants get trampled underfoot.  

We are serving north of this immediate conflict.  We are not immune to what is going on. We watch and pray and support in whatever ways we can.  We appreciate your prayers for us and the many people affected by this.

A Book Recommendation 

I just finished a fantastic book called “Compassionate Love” by Rick Allen with MedSend.  It is full of stories of God’s faithfulness to missionaries who have accepted the call to serve cross-culturally.  It is inspiring and challenging to see how God can use ordinary people who are willing to have an impact.  The last book chapter gives some practical suggestions for how one can discern God’s calling on our lives, beyond the medical field.  It is very helpful and describes well the process that I muddled through in my 20s.

Prayer requests

-Praise for a wonderful medical conference in Asia, for spiritual and professional encouragement for all of us.  It was a huge highlight for Emmanuel.

-We request prayers for the regional war in eastern DRC in the Kivus.  Pray for the many displaced and for the world to react with sanctions and humanitarian assistance.  Pray that the conflict will not escalate any more.  Pray for security in Ituri Province.

-Pray for us as we plan our return to North Carolina this spring and for a profitable end of the school year for Emmanuel.

-Pray for our medical student Paul and the remainder of his time in Congo, for him to discern the calling of God on his life.

Blessings 

Lindsey (for us)

Pray for Goma & A Living Parable

January 27, 2025 

In Goma a few years ago

There has been as escalation of fighting in Goma, North Kivu Province, between M23 and the Congolese army over the last weeks.  The military governor was killed this last Friday.  It became a desperate situation as the rebel army M23 has taken over all roads leading into Goma and other port cities along Lake Kivu.  Over the weekend there were power and water outages with escalation of the conflict.  The news today, January 27th, 2025, is that Goma has been taken over by M23/Rwanda, there is street warfare, and the airport is closed. It is a serious situation and we do not know what the broader implications are. There are many new sources covering the situation namely Reuters, Aljazeera, and BBC.  This is a chronic conflict over mineral rich land.  M23 last overtook Goma briefly in 2012-the conflict which delayed our arrival into DRC.  

This conflict does not affect us directly in Ituri Province, as we do not border Rwanda.  It is a complex situation which has persisted for years.  There are no easy solutions and civilians are suffering and hundreds of thousands are displaced. Pray for Goma and surrounds, for food, water, electricity, and peace. Lord have mercy.

A Living Parable

The beautiful girl in a shining white dress with beads in her braids is called Mavita.  Mavita means ‘War’ in Swahili.  She was born in a time of war and conflict, of flight and displacement in Nyankunde 3 years ago.  Mavita came to the hospital with non-descript fevers and then starting having seizures.  We confirmed that she had meningitis as she was transferred to the ICU.  The day after her ICU transfer I asked her mother if she ever received her vaccine series as an infant.  A quizzical look came over her face, like she was searching for the answer in the dark recesses of her mind.  After a brief pause, she said, “No she didn’t receive anything after birth.  We were on the run and we weren’t stable.”  I nodded in understanding, as I understood this reality.  During the period she described only 2/12 health centers were functioning due to armed conflict.  Maternal and neonatal mortality was at an all-time high.  Women lacked prenatal care.  Vaccine campaigns did not happen and people had difficulty accessing care.  There were roadblocks and people fled violence.  It was a devastating time.  It all made sense- Mavita was an innocent victim of war.  She developed meningitis after not receiving protective vaccines during a time of war.  Mavita is an example of how the vulnerable suffer the most from war and displacement. The effect of war lasts for years and is difficult to quantify, such as an increased incidence of meningitis.  

A Water Project

We were blessed by the visit of our water engineer friend Janet Ausel and her son over New Years. It was the first time that one of Emmanuel's friends has come out to visit. The goal of the visit was to map out the 2km underground water system, determine out how much water the system is capable of producing and how well it is functioning, and to do some water testing. We walked many miles following water lines, measuring flow, and looking at water taps. It was very interesting to have a better understanding of things. The next job is to determine how to improve flow to the system, how to maintain it, and how to plan for possible shortages. It was an encouraging time and we are so grateful for their visit.

Infectious Diseases and Other Challenges

The hospital continues to challenge and keep us busy.  We have seen a rise in vaccine-preventable diseases such as meningitis and tuberculosis…of infectious diseases like hepatitis and HIV.  I am caring for three children with measles at the moment, that's right MEASLES.  One case of measles is a public health emergency and means a high population mortality rate. We are reminded daily that the world is a fallen place and we long for a new earth, not in a depressing, but a UNDENIABLY REAL way.  We often have an opportunity to be present in very important times in peoples’ lives-birth, death, and everything in between.  Not a day goes by that we wonder if what we do matters…but it doesn’t mean that it is always easy.  Hard conversations, blood, and guts and struggling to make things work.  Sometimes it is a painful decision to not operate due to inoperable cancer…sometimes it is too late to stop the bleeding.  

We are fortunate to be able to help orphan and vulnerable babies in our health zone.  This month we began supporting two babies whose mothers died from post-partum hemorrhage.  This hits close to home for me as I experienced a hemorrhage myself after giving birth.  We usually hospitalize these babies for a short period to sort out home care and ensure that they are healthy.  These beautiful babies now receive formula support through the help of the organization Saving Moses, with monthly weight and health checks.  

Honey

Warren harvested honey for us this weekend!  Then began the process of heating, filtering, and filtering again.  It is a labor of love just like it is for the pygmees in the forest.  It has been 6months or so since the last harvest.  Our 12-year old hive is still going strong!  One of the hives that was destroyed by an out-of-control fire two years ago has re-populated with bees and appears to be stocking honey again.  In other news we just harvested over 1 kg of vanilla pods!  

Many prayer and blessings from eastern DRC,

Lindsey

Prayer Requests

-Pray for security to return to North Kivu Province, specifically Goma and surrounds, for security meetings, for access to basic needs. Pray for diplomatic solutions and that this won't turn into a regional, larger-scale conflict.

-Pray for the hospital leadership as they make strategic decisions.  Pray for discipleship of staff physicians.  Pray for the health crises of tuberculosis and other diseases that plague our region. 

-Pray for an upcoming medical conference we plan to attend in February in Asia.  Pray that Emmanuel would have meaningful interactions and for his spiritual development.

-Pray for our little soccer team that has started, for kids to grow in their skills and cooperation.  Emmanuel has been so encouraged by the things he is learning from his Congolese coach.  Pray for his coach, that we could be an encouragement to him.

-Pray for our short-termer Paul that he would be blessed by his time in Nyankunde.  Pray for him as he makes decisions about medical school,