Yaoundé/Geneva - The civil war and violence that are tearing apart the Central African Republic (CAR) have lead to the exodus of some 78,000 people, according to the United Nations High Commissioner for Refugees (UNHCR), to Chad, Sudan and Cameroon.

Since 2006, more than 26,000 members of the nomadic Bororo tribe have been forced to take refuge at over 59 sites along Cameroon's eastern border. After a year with insufficient protection and assistance, these populations have fallen into a cycle of vulnerability that, in recent months, has led to a serious deterioration in their medical and nutritional situation.

In the town of Gbiti, in the country's East Province, the results of anthropometric measurements of 771 children between six months and five years of age show severe acute malnutrition of 3.9 percent, as well as moderate acute malnutrition of 7.4 percent. Even more critical figures have been found among five to 10 year olds, with 7.5 percent severe and 16.3 percent moderate.

Given that young children are most vulnerable to malnutrition, these figures simply reflect the worsening food situation of these populations and the delay in sending assistance.

Furthermore, the excessive mortality rates at the sites around Ngaoui, Ndokayo and Gbiti - between three and seven deaths per 10,000 people per day, which is three to seven times higher than the emergency threshold - are alarming and constitute one of the visible signs of the distress of these refugees.

"The situation of these people, who have been neglected for too long, has reached a critical phase in terms of nutrition," stressed Christian Captier, General Director of MSF, during his last visit to the region.

In response to this situation, MSF has begun distributing supplementary food rations in the East Province, where more than 12 tonnes of food have already been distributed to 2,398 recipients (children under the age of 10 and their mothers) across three sites, as an interim measure until the United Nations starts coordinating the general distribution of food.

These food rations are accompanied by active screening and the implementation of a medical and nutritional care strategy for the most urgent cases, in collaboration with Cameroon's Ministry of Public Health in the most critical areas.

MSF expresses its concern and urges humanitarian actors to act as quickly as possible to provide nutritional and medical assistance to these populations, who have been neglected for too long.

MSF has been present in Cameroon since 1984 and works in collaboration with the Ministry of Health on HIV/AIDS projects in Yaoundé and Douala. MSF also has a team at Akonolinga Hospital, for the treatment of a neglected disease - the Buruli ulcer.