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A Rohingya Muslim boy with others stands in a queue outside a food distribution centre at Balukhali refugee camp 50 kilometres (32 miles) from, Cox's Bazar, Bangladesh, on January 15, 2018. Vaccinations are ramping up against diphtheria in the crowded refugee camps of the Rohingya. Photo: AP

Rohingya children in diphtheria-riddled refugee camps vaccinated as disease returns to Bangladesh

Aid workers are ramping up efforts to vaccinate half a million children against diphtheria in and around Rohingya refugee camps in Bangladesh, the World Health Organisation (WHO) said.

The respiratory disease has killed as many as 31 people and infected about 4,000 since it broke out in November in the camps, which house more than 655,000 Rohingya Muslims who fled Myanmar military operations that began in August.

About 316,000 Rohingya children were vaccinated last month, according to a Sunday statement by the WHO, the United Nations’ health agency. They will need two more doses, spaced a month apart.

In the meantime, health workers are vaccinating another 160,000 Bangladeshi children who live in communities near to refugee settlements in the border district of Cox’s Bazar.

Diphtheria had almost been eradicated in Bangladesh, with only two cases reported in 2016, said Catalin Bercaru, a WHO spokesman in the capital, Dhaka.

When it appeared in the camps in November, “health workers were indeed surprised,” he told the Thomson Reuters Foundation by email.

Since then, there have been suspected cases in nearby communities, he said.

Children are particularly vulnerable to diphtheria, a bacterial infection that causes dead tissue to build up over the throat and tonsils, making it difficult to breathe.

The disease also produces a toxin affecting other organs. Diphtheria is spread through direct contact with infected people or by breathing secretions from their coughs or sneezes.

“One of the main reasons for the emergence of the outbreak is the low routine immunisation coverage in Rakhine state of Myanmar, where the Rohingya population came from,” said Bercaru.

A Rohingya Muslim father plays with his child outside his makeshift tent at Jamtoly refugee camp in Bangladesh on January 15, 2018. Photo: AP

The influx of hundreds of thousands of Rohingya also created perfect conditions for the disease to spread, as the refugees are forced to live in close quarters with poor sanitation and limited access to health care.

The exodus of Rohingya refugees from Myanmar began after a Rohingya militant group launched deadly attacks on Myanmar police and military outposts last August.

A Rohingya Muslim family carry firewood on their head as they walk towards their tent on January 15, 2018. Photo: AP

The military responded with a sweeping counteroffensive that rights groups say have been accompanied by rapes and murders of Rohingya civilians.

Myanmar has rejected accusations of ethnic cleansing, blaming most of the violence on the insurgents.

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