Disasters

‘It’s not a matter of if, it is a matter of when’: squalid conditions threaten full-scale health disaster for Rohingya refugees in Bangladesh

Aid employees say a serious health disaster is imminent as a consequence of the dearth of fresh water and toilets.

Heavy monsoon rains increase the chance of disease outbreaks, with field doctors reporting an enormous increase in cases of severe diarrhea, especially amongst children.

Kutupalong refugee camp in Bangladesh. The UN has warned of a humanitarian “nightmare” unfolding in camps in Bangladesh, where half 1,000,000 people have found refuge after fleeing unprecedented violence in Myanmar. Photo: AFP
Rohingya refugees face water shortages and a high risk of disease because not enough toilets have been built to handle the greater than 400,000 individuals who have to this point crossed the border from Myanmar’s Rakhine state. Photo: AFP

Nearly day by day torrential downpours send streams rushing through areas where tens of hundreds of individuals openly defecate day-after-day. For some, this cloudy runoff is their only source of drinking water.

The stench hangs within the air on the outskirts of Kutupalong, a camp that already housed tens of hundreds of refugees before the most recent influx caused it to change into a fetid tent city stretching for miles.

At the sector clinic, an extended line of refugees waiting to see the one doctor available stretched behind a tent within the pouring rain.

Dr. Alamul Haque sees greater than 400 patients a day and looked exhausted as he described the growing number of youngsters affected by waterborne diseases.

“Previously, parents would take one or two children with them. Now it’s three to four,” said Haque of the Bangladeshi charity SDI.

“It was raining, so there was human excrement everywhere. There is a high risk of a diarrhea epidemic.”

The UN has warned of a humanitarian “nightmare” unfolding in Bangladeshi refugee camps comparable to the one in Kutupalong. About half 1,000,000 people have taken refuge in camps after fleeing violence in Myanmar that has escalated at an unprecedented rate. Photo: AFP
Rohingya refugees from a shelter in Arakan State, Myanmar, under makeshift tents after arriving at a refugee camp near the town of Teknaf, Bangladesh. Photo: AFP

New groundwater wells are being dug rapidly within the camps that stretch along the Cox’s Bazar district bordering Myanmar.

However, a severe shortage of fresh water stays and the sheer scale of the disaster – described as one in every of the fastest growing refugee crises in years – dwarfs relief efforts on the bottom.

“Every time we go to get water, there are long lines. There are many more people than water,” said one Rohingya man, knee-deep in mud as he dug a latrine into the hillside.

Nearly three-quarters of 1,000,000 liters of water should be trucked into Unchiprang, an enormous hilltop slum with a population of virtually 30,000, day-after-day. However, the roads are virtually impassable, making deliveries difficult.

Further up the coast, within the Nayapara and Leda camps, experts warn that existing water sources will dry up by January. However, sanitation is a more immediate matter.

Toilets replenish as quickly as they’re built, forcing people to defecate wherever they will.

“Hundreds of people line up to use the toilet. It’s a big problem, especially for children,” said Hasina Begum, an elderly Rohingya woman.

“There are other toilets on the hillsides, but they are just regular pits. They are now full and stinking, so no one uses them.

Rohingya refugees bathe in a camp in Cox’s Bazar, Bangladesh. Photo: EPA

The Red Cross says the camps are teetering on the brink of a full-scale health disaster.

Experts say conditions are just right for a disease like cholera to tear through densely populated camps.

“The risk of an outbreak of acute watery diarrhea is real and serious,” said a world health and hygiene expert, who asked to not be named.

“If the present situation stays the identical, I guarantee it. It doesn’t matter if, it matters when.”

There are small signs that efforts to advertise hygiene are working. On a hillside in a newly built shed, Karim Ullah watched employees dig an easy toilet underground – putting the ending touches on a brand new home for 16 members of his family camped distant.

A 56-year-old Rohingya man didn’t want his wife and daughters to make use of the open field and called them only when the bathroom was ready.

“It may be very necessary to have a correct toilet. I hope I can get them here the day after tomorrow,” he said.

This article appeared within the print edition of the South China Morning Post as: fear of a serious epidemic plaguing the Rohingya camps

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