It is beyond hot in the bamboo and plastic shelter that clings to a muddy hillside near the entrance to Hakim Para camp. The roof is a sheet of black plastic, which effectively acts as a heat sink, and the temperature inside must be 110 degrees. A small cooking fire smolders in the corner and the sound of rainfall is steady and loud.
These are definitely not ideal living conditions, but for Shaju* it’s paradise. “Here I have peace,” she says.
Shaju is one of well over half a million Rohingya muslims who have fled persecution in Myanmar, the vast majority of them coming in the past month. They are crowded into a number of temporary settlements along a coastal peninsula on the eastern side of the Bay of Bengal, in Bangladesh. Their home country is just a few short miles away and, until a few days ago, smoke from their burning villages could be seen on the horizon.
Almost everyone I meet has a harrowing story — many of them truly horrific.
“They were shooting at us and dropping bombs from helicopters. People were beheaded. All of our homes were burnt,” according to Rama*, who came here with her extended family of eighteen people. 24-year old Amir* walks up to us, limping slowly, his right calf wrapped in a dirty bandage. “I was inside my home when they came,” he says, referring to soldiers. “They killed my young son and daughter. I was shot.” He speaks in a quiet and matter-of-fact tone. Like so many here, he is obviously traumatized. It emerges that his parents are also dead and he has been unable to locate his wife.
The authorities and agencies tasked with responding to this enormous refugee crisis appear to have managed well so far — but the task is huge. There is only one narrow, traffic-clogged main road accessing the camps, the side lanes clogged with mud and thronged with people. The Bangladeshi army have taken control, in an effort to lesson the chaos. Basic food distributions are under way, simple tube wells have been sunk, and clean water is being trucked in.
What happens next is crucial.
“We know from experience that the potential for a humanitarian catastrophe is very real,” according to Concern’s Emergency Director, Ros O’Sullivan. “With this many people in such confined conditions, the threat of disease is high. And the cyclone season is approaching rapidly, leaving these makeshift shelters extremely vulnerable.”
Nutrition Advisor, Asfia Azim, says there’s a less obvious but almost greater threat. “Twenty per cent of the displaced population are under the age of five, and we’re already seeing really high rates of malnutrition in some of the camps. A handful of rice a day is just not enough for a young child — they need nutrients.” Concern has established an outpatient therapeutic (OTP) program — basically a set of emergency nutrition centers, where children can be screened and parents supplied with sachets of peanut paste to feed them.
A steady trickle of Moms and babies with severe acute malnutrition (SAM) are passing through the centre already — and the numbers are very likely to rise. One little boy had a MUAC — a technical nutrition term based on measurement of the upper arm circumference - of 8.8. Severe acute malnutrion is anything belown 11.5. He refused antiobiotics and vitamin A and was referred immediately to a medical facility.
Sadly, many young children here no longer have parents. One-year-old Shofika* wriggles in her “Dadi’s” arms, the grandmother somber and stricken. “My son and daughter-in-law were murdered,” Laila* tells us. She is now Shofika’s new Mom. Stories of orphaned children abound.
Back up the hill, Shaju nurses baby Noor under her headscarf and stares out the doorway to the distant hills of Myanmar. The little girl was born right here, yesterday. “I have nothing to go back to — everything was burnt,” she states. “My daughter will grow up in Bangladesh.”
*Names of the displaced have been changed
Concern Worldwide has worked in Bangladesh since 1972 and has mobilized an emergency team to work with the Rohingya refugees in Cox’s Bazar. They will be concentrating on nutrition, distribution of food and household items, and water and sanitation.