Growing numbers of refugees from the Central African Republic have been arriving in Cameroon in a dreadful physical condition after spending weeks or months hiding in the bush, struggling to find food and water, and sleeping out in the open, unable to return to the homes they were forced to flee from. The most vulnerable of these refugees are the children, especially those aged under five years. It is heart-breaking to see these rail thin children, clearly in need of sustenance after living on roots and leaves. An estimated 40 per cent of children arrive suffering from malnutrition and for some the journey proves too much, but UNHCR has been helping to save lives in eastern Cameroon. With Médecins Sans Frontières, the refugee agency supports a nutrition centre in Batouri. MSF sends children there from its overwhelmed health clinic in the border town of Gbiti, where some 20,000 of the 80,000 Central African refugees in Cameroon have arrived. The partners are expanding the capacity of the centre, which treats about 100 children. More arrive daily and UNHCR has set up tents to provide shelter for the children and their mothers. Photographer Frederic Noy last week visited Gbiti and Batouri and captured the following powerful images.
Each week 10,000 Muslims cross into eastern Cameroon to escape the violence consuming the Central African Republic (CAR). Many new arrivals report that they have been repeatedly attacked as they fled. The anti-Balaka militiamen have blocked main roads to Cameroon, forcing people to find alternate routes through the bush. Many are walking two to three months to reach Cameroon, arriving malnourished and bearing wounds from machetes and gunshots.
UNHCR and its partners have established additional mobile clinics at entry points to provide emergency care as refugees arrive. The UN refugee agency is also supporting public health centres that have been overwhelmed by the number of refugees and their condition.
Meanwhile, UNHCR has relocated some 20,000 refugees who had been living in the open in the Garoua Bouai and Kenzou border areas, bringing them to new sites at Lolo, Mborguene, Gado and Borgop in the East and Adamwa regions.
Since the beginning of the year, Cameroon has received nearly 70,000 refugees from CAR, adding to the 92,000 who fled in earlier waves since 2004 to escape rebel groups and bandits in the north of their country.
UNHCR staff members Paul Spiegel and Michele Poletto recently travelled to eastern Cameroon and have the following photos to share from their iPhone and camera.
Despite being chased from their homes in the Central African Republic and losing their livelihoods, Mbororo refugees have survived by embracing a new way of life in neighbouring Cameroon.
The Mbororo, a tribe of nomadic cattle herders from Central African Republic, started fleeing their villages in waves in 2005, citing insecurity as well as relentless targeting by rebel groups and bandits who steal their cattle and kidnap women and children for ransom.
They arrived in the East and Adamaoua provinces of Cameroon with nothing. Though impoverished, the host community welcomed the new arrivals and shared their scant resources. Despite this generosity, many refugees died of starvation or untreated illness.
Help arrived in 2007, when UNHCR and partner agencies began registering refugees, distributing food, digging and rehabilitating wells as well as building and supplying medical clinics and schools, which benefit refugees and the local community and promote harmony between them. The Mbororo were eager to learn a new trade and set up farming cooperatives. Though success didn't come immediately, many now make a living from their crops.
Mbororo refugees continue to arrive in Central African Republic - an average of 50 per month. The long-term goal is to increase refugees' self-reliance and reduce their dependency on humanitarian aid.