On Tuesday, January 12, in Munda, in Lower Dir district of the North West Frontier Province in Pakistan, Médecins Sans Frontières (MSF) and the Pakistan Department of Health staff started a measles vaccination campaign for the displaced population under-15 years of age. In three days, 2,100 children were vaccinated by three teams located in different areas around Munda camp. The vaccines and cold chain were provided by the Department of Health, and MSF teams conducted the vaccination.

Since November 2009, new waves of people fleeing violence in the neighbouring Bajaur Agency arrived in Lower Dir, where MSF has been supporting internally displaced families staying in Munda camp and in a building of the market place. Tents were set up to accommodate about 450 families in the camp.

Access to clean water, latrines, and showers were also set up by MSF to help those families, as well as an additional 4,500 people staying in the marketplace, better cope with their critical situation. Basic items such as blankets and cooking kits were distributed as well.

MSF medical teams currently provide free medical care to both displaced and host population of Munda, both of them being directly affected by the conflict. Currently, the displaced population represents up to 40 percent of the total population of Munda.

“In December, we carried out a rapid survey among the families to check their measles vaccination status,” said Dr. Ahmed Mukhtar, medical coordinator for MSF projects in Pakistan. “We found out that very few children had been vaccinated. Within a population weakened by poor living conditions and staying in very crowded places, an outbreak of measles can spread very quickly, and have severe health consequences, especially for children. For this reason, all children between six months and 15 years of age had to be vaccinated as soon as possible.”

The vaccination was finalized within three days, reaching a coverage of 76 percent.

Still, the living conditions of the internally displaced families who sought shelter in the market place continue to be very difficult.

“This building currently shelters more than 4,500 people,” said Dr. Mukhtar. “In an overcrowded space like this one, disease outbreaks can take place such as acute diarrhoea and cholera. Furthermore, the building itself represents a safety hazard, as it is only half built.”

MSF is currently looking into the possibility of opening a new camp in order to address the needs of the displaced.

“There is an urgent need to set up a proper camp for these people,” added Dr. Mukhtar. “This will help us arrange shelters for families, and provide them adequately with access to clean drinking water, latrines, and showers.”

As our teams continue to assist families in Munda that are displaced by the ongoing violence, MSF is likewise concerned about the situation faced by the population staying in neighbouring Bajaur Agency, and is looking to assess their potential medical needs.

Since 1998 MSF has been providing free of charge medical assistance to Pakistani nationals and Afghan refugees suffering from the effects of armed conflicts, poor access to health care and natural disasters in NWFP, FATA, Balochistan, and Kashmir.

MSF chooses to rely solely on private donation for its work in Pakistan and does not accept funding from any government.