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As Rohingya refugees flee to
Bangladesh, urgent action is
needed to provide basic needs
Rohingya people who have recently fled Rakhine state, Myanmar, face
overcrowding and lack of access to essential services, as well as mental
stress.
November 19, 2024
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Thousands of Rohingya have arrived in Bangladesh in recent months, and the camps where they are staying are overcrowded, with poor access to food and health care. | Bangladesh 2024 ©
Mohammad Sazzad Hossain/MSF
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Myanmar
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Thousands of Rohingya refugees have arrived in
Bangladesh in recent months after fleeing escalating
violence in Myanmar, while others have been pushed
back or detained while trying to escape.
They now face immense challenges, including overcrowding, lack of access
to essential services, and deteriorating mental health conditions in camps.
Doctors Without Borders/Médecins Sans Frontières (MSF) is urging the
authorities to ensure unhindered and immediate access to humanitarian
assistance, care, and protection for all Rohingya refugees.
Who are the Rohingya?
The Rohingya are a predominantly Muslim ethnic minority who have lived for
centuries in the majority Buddhist Myanmar, mostly in Rakhine state, but were
effectively excluded from full citizenship under the 1982 Myanmar Citizenship Law,
leaving them stateless. In August 2017, a concerted campaign of extreme violence and
killings by the Myanmar military against the Rohingya people forced around 770,000
people to flee to Cox’s Bazar, Bangladesh. Hundreds of thousands have also fled to
countries such as Malaysia, India, and Pakistan, where they remain stateless.
Those who have managed to reach Bangladesh have described to our teams
their horrific journeys, which often include witnessing loved ones dying in
front of them, having to sell their remaining possessions, and being forced
to incur significant debts to cover the risky journey. Others told us how they
desperately tried to cross the border to find safety—a feat that sometimes
took them several days.
Zahir*
Before the violence, I lived a simple life with my family in a small village. We
had a small farm and a modest income, but we were happy. However, in recent
years, violence and instability have become a devastating part of our lives.
In July, the violence reached our village. I was sitting outside with a neighbor
when gunfire suddenly erupted. A bullet struck him, killing him instantly, and I
was hit in the back. With no medical help available [in Myanmar] and fearing for
our lives, we made the heartbreaking decision to leave everything behind. In
the chaos of fleeing, our 3-year-old son was lost in the crowd. Though we
searched desperately, the worsening danger forced us to move on with our
remaining children.
View more
Risk of malnutrition in refugee camps
Access to food is a challenge in the refugee camps of Cox’s Bazar. People who
were already living in the camps say that they are sharing their food rations
and space with newly arrived family members, who don’t have access to
services like shelter, water, and sanitation. They also lack protection from
abuse, exploitation, and neglect, which particularly impacts girls, boys, and
women.
Since July, MSF has seen an increase in the number of children under 5 with
moderate and severe malnutrition. Access to food and health care is almost
nonexistent in Myanmar, so new arrivals are particularly vulnerable to
malnutrition. The persistent under-resourcing of the humanitarian
response has also severely hampered the availability of essential services,
making it difficult for newly arriving Rohingya refugees to access
humanitarian services. Our teams are treating newly displaced Rohingya
refugees in the camps, including critically ill and war-wounded patients
with mortar shell injuries and gunshot wounds.
“People have shared with us that they are afraid to seek assistance as this
might put them at risk of being exploited or even returned to Myanmar,” says
Orla Murphy, MSF country representative in Bangladesh. “Our mental health
teams, in particular, see how people are grappling with the violence they
witnessed back home and how the lack of access to available humanitarian
services has created uncertainty that is further exacerbating their trauma.
We are seeing newly arrived Rohingya patients showing symptoms of stress,
anxiety, and depression.”
Solim*
I was born in Myanmar and grew up with my parents and a large family—six
brothers and three sisters. Now, as I speak, one brother is here in Bangladesh,
another is in Yangon, and I have no idea where the others are. One of my
brothers and two of my sisters are missing. Communication between villages in
Myanmar became impossible and, even now, I have no way of knowing if they
are safe.
Before I left Myanmar, I was repeatedly pressured to join either the Myanmar
military or the Arakan Army [armed opposition group]. Both sides expected
young Rohingya men to fight, as they lacked people for their ranks, but I didn’t
want to be part of that violence.
One night, when our village was surrounded by the army, I escaped with my
younger brother, moving through streams and across hilly areas to take shelter
in a different neighborhood. There was no escaping the conflict though; there
was gunfire, shelling. We went from village to village, always trying to avoid the
crossfire. Eventually, my brother and I hid in the woods for two days, hoping to
stay out of sight.
View more
MSF MENTAL HEALTH ACTIVITY MANAGER AT
KUTUPALONG AND BALUKHALI CLINIC
Shariful Islam
As a mental health professional working with Rohingya refugees, I have
witnessed firsthand the devastating impact of trauma and violence on the
mental well-being of people who have recently fled Myanmar. Each month, our
facilities see over 30 patients who arrive with a variety of mental health
complaints, including complex trauma and post-traumatic stress disorder
(PTSD). Many people with mental health disorders, who were previously stable
in Myanmar, now experience worsening conditions due to a lack of treatment
during their journey.
Among the most pressing mental health issues we encounter are severe
depression and anxiety, compounded by the harrowing experiences these
individuals have endured. When the violence escalated in Myanmar in July and
August this year, we saw a significant increase in patients seeking help. Each of
these patients carry not only the weight of their mental health struggles but
also physical ailments resulting from prolonged exposure to violence and
neglect.
View more
Urgent action is needed
While Bangladeshi authorities have recently committed to addressing the
most urgent needs of Rohingya refugees in the camps, more must be done
immediately. MSF calls for unhindered access to humanitarian assistance,
care and protection for all Rohingya refugees in Bangladesh. We also urge all
relevant authorities to follow international law and ensure that no one is
returned to a place where they face serious harm, including persecution,
torture, or other serious human rights abuses.
* Names have been changed for privacy
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