You are asked to organize a health program for the camp, in which there are about 2000 younger siblings. You are told that there is an epidemic of shigella dysentery, that children are being given ciprofloxacin prophylaxis, and that many babies have died. It is the rainy season, and it is chilly at night. Electricity has not been restored to the earthquake-affected area. You find that sufficient safe water is being trucked in from 50 miles away and deep wells are being dug.
Children appear passive, afraid, and sad.
Those who can walk wander aimlessly. There are no immunization records and no immunization programs. You find several adolescents who are coughing blood and are caretakers for their younger siblings. Ten children and one adult refugee are in each tent. They also note that there is much fighting between older children of the Blue group and those of the Red group.