Abuja, Nigeria – The humanitarian emergency in northeastern Nigeria is reaching catastrophic levels. A massive relief effort is needed immediately in remote areas as well as in the state capital, Médecins Sans Frontières (MSF) said today.

The desperate living conditions in Borno state show the devastating impact of the ongoing conflict between Boko Haram and the Nigerian military. In several locations, people have sought refuge in towns or camps controlled by the military, and are entirely reliant on outside aid that does not reach them. “Although a nutrition emergency was declared three months ago, there has been a serious failure to help the people of Borno,” said Hugues Robert, head of MSF’s emergency response. “And we are again calling for a massive relief effort to be deployed now.”

On 19 September, MSF teams managed to reach the town of Ngala, where 80,000 displaced people are living in a camp cut off from the outside world. They desperately lack food and healthcare. People are effectively stranded in the camp and cannot leave. A rapid nutritional screening of more than 2,000 children under the age of five found that one in 10 was suffering from life-threatening severe acute malnutrition. People in the camp reported having less than half a liter of water per person per day. MSF teams provided food and medical care and are scaling up assistance.

In nearby Gambaru, MSF teams found more than one in seven children suffering from severe acute malnutrition. The town’s 123,000 residents lack basic food supplies and have no access to healthcare after the town’s only clinic was burnt down. Roads are too dangerous for people to go elsewhere for medical care.

The desperate situation in Ngala and Gamburu matches that in Bama, Banki and Gwoza – all towns which were inaccessible until very recently due to insecurity, and where MSF has since been providing food and medical assistance. But most worryingly, in Maiduguri, where there is no conflict and aid organizations have been able to access the population for the last two years, MSF recorded malnutrition rates in some locations as high as those seen in the conflict zones. More than half of the 2.5 million people living in the state capital have been displaced from other areas of Borno. MSF teams screening children in the Custom House camp found that one in five children are suffering from severe acute malnutrition. The mortality rate is five times higher than what is considered an emergency, with the main cause being hunger.

“So far the aid response has been massively insufficient, uncoordinated and ill-adapted to the needs of people who are suffering the consequences of this crisis,” said Natalie Roberts, MSF emergency programmed manager. “To avert an even greater humanitarian disaster, food and medical care must be delivered now to remote and accessible areas in Borno state. Nigerian authorities have a responsibility to make sure this happens for the sake of thousands who are at risk of imminent death.”