Insurgency aftermath: massive aid effort needed for Borno State

Insurgency aftermath: massive aid effort needed for Borno State

A humanitarian catastrophe is underway in northeastern Nigeria’s war-torn Borno State, where at least 500,000 people are in urgent need of food, medical care, water, and shelter, the international medical humanitarian organization Doctors Without Borders/Médecins Sans Frontières (MSF) has warned, calling for a major aid response.

As the Nigerian army regains control of towns and villages in the conflict with Boko Haram, the extent of the emergency is becoming more apparent. Many people have been cut off from the outside world for as long as two years. Displaced people now living in towns controlled by the military are entirely dependent on outside aid—with many suffering from malnutrition as food is insufficient.
“Aid agencies must deploy a massive relief operation to respond to this humanitarian emergency,” said Dr. Isabelle Defourny, MSF director of operations.
On June 21, an MSF team observed extremely high levels of malnutrition and mortality in Bama, Borno State’s second largest city. Bama is now a ghost town with just over 10,000 inhabitants living in a camp, and like many parts of Borno State, it is accessible only under army escort.

Nearly 1,500 people—the most vulnerable and sick—were then evacuated by the authorities and food aid increased. Yet MSF has still found that 15 percent of children in the camp suffer from severe acute malnutrition, and there have been about 40 deaths in the last three weeks.

There are almost no young men or teenage boys in the camp in Bama—an indication of the severity of the conflict that the community has endured.

An MSF team arrived in Bama to provide support with medical and nutritional treatment. Their objective is to rapidly reduce mortality and malnutrition among the displaced. The most critical cases will be transferred to Maiduguri. Improving access to water as well as hygiene conditions in the camp is equally urgent.

Yet Bama is only one of many communities in Borno State that are in dire need of aid. Monguno, a town of 150,000 inhabitants—65,000 of whom are displaced—has been without medical care since January 2015. MSF plans to relaunch activities at a hospital in Monguno and treat children with severe acute malnutrition.

“Everything suggests that the situation of people in other towns is just as critical and that they also need food and medical care,” Defourny said.

 Every day, displaced people arrive in the state capital Maiduguri, reporting great difficulty in accessing food in the communities they are fleeing. In addition, there are cases of measles among the new arrivals, indicating that an epidemic is underway.

MSF is conducting other exploratory missions when and where it can, as insecurity is a major issue. Towns such as Bama and Dikwa and other areas close to the front line are vulnerable to attack by Boko Haram, and access is limited.

Meanwhile, with the influx of people to Maiduguri, the city’s hospitals are overwhelmed and have to turn patients away. Recently, six newly arrived children with measles could not be hospitalized and were sent back to a camp, increasing the risk of further infections. An MSF team is working to increase the city’s hospital capacity, Defourny said.

MSF has been working in Maiduguri in Borno State since August 2014. The organization runs two clinics, a nutrition center, and a health center in one camp and provides medical consultations. In recent months, MSF has developed large-scale projects to ensure water supply and acceptable standards of hygiene in camps in Maiduguri and continues to conduct epidemiological surveillance of people living in them. In 2015, MSF carried out more than 116,300 medical consultations, assisted 1,330 deliveries, and treated 6,000 undernourished children.

Additional reports

A catastrophic humanitarian emergency is currently unfolding in a camp for internally displaced people in Borno State, Nigeria, the international medical humanitarian organization Doctors Without Borders/Médecins Sans Frontières (MSF) said.

For several hours on June 21, an MSF medical team was able to access the town of Bama in northeastern Nigeria, where 24,000 people, including 15,000 children of whom 4,500 are under 5, are sheltered in a camp located on a hospital compound.

During those few hours, the MSF medical team discovered a health crisis, referring 16 severely malnourished children at immediate risk of death to the MSF in-patient therapeutic feeding center in Maiduguri, capital of Borno State. A rapid nutritional screening of more than 800 children found that 19 percent were suffering from severe acute malnutrition—the deadliest form of malnutrition.

“This is the first time MSF has been able to access Bama, but we already know the needs of the people there are beyond critical,” said Ghada Hatim, MSF head of mission in Nigeria.

 “We are treating malnourished children in medical facilities in Maiduguri and see the trauma on the faces of our patients who have witnessed and survived many horrors.”

During its assessment, the MSF team counted 1,233 cemetery graves located near the camp which had been dug in the past year. Many of those graves—480—were of children.

“Bama is largely closed off,” said Hatim. “We have been told that people including children there have starved to death. According to the accounts given to MSF by displaced people in Bama new graves are appearing on a daily basis. We were told on certain days more than 30 people were dying due to hunger and illness.”

Since May 23, at least 188 people have died in the camp—almost six people per day—mainly from diarrhea and malnutrition.

Between June 13 and 15, Nigerian authorities and a local NGO organized the evacuation of 1,192 people requiring medical care from the Bama area to the city of Maiduguri. This group of mostly women and children was placed in the “Nursing Camp” internally displaced camp. Of the 466 children screened by MSF medical teams at Nursing Camp, 66 percent were emaciated, and 39 percent of these children had a severe form of malnutrition. Upon assessment, 78 children had to be immediately hospitalized in the MSF feeding center which has inpatient capacity of 86 beds.

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