Gang violence surged in Haiti, with a paroxysm of bloodshed leaving at least 150 dead and driving the charity Doctors Without Borders to suspend its operations in the country. Haiti has been racked by armed groups who operate with impunity, unrestrained by a government that controls little of the nation’s actual territory.

As gangs escalate violence in Haiti, the UN Security Council debates upgrading the current security mission to a peacekeeping force despite opposition from Russia and China.

A vital humanitarian organization said it will suspend activities in Haiti’s capital following a “series of threats” by local police.