Beginning in May, tens of thousands of people were forcibly displaced to Mile 91 and its environs from the towns of Makeni, Magburuka, and other surrounding villages. The steady influx of people has resulted in a health crisis because access for aid workers and supplies has been restricted by the extreme insecurity in the area. In just two health clinics during the first half of July, MSF monitored a caseload of 9,000 people, indicating the makings of a health crisis. MSF has seen a rise in the number of patients with bloody diarrhea, many of whom are severely dehydrated. Five of the 10 samples tested were diagnosed as Shigella type 1, which is the most contagious form of diarrhea and can lead to epidemics.
Malnutrition is also a serious problem.
In the last two weeks, a feeding center run by another international aid organization has received 170 severely malnourished and 500 malnourished children. Interviews with mothers revealed that the children had become malnourished since arriving in Mile 91. MSF's research has established that most of the recently displaced people fled because of attacks by government helicopter gunships on their home areas. Atrocities committed by the rebel Revolutionary United Front have also continued to terrorize large numbers of people. Security in Mile 91 remains a considerable constraint and concern.