NPR spoke to humanitarian aid researcher Paul Spiegel about his analysis of conditions in the Rohingya camps in Bangladesh — and the outlook for refugees everywhere as the coronavirus looms.
You've been working in humanitarian aid for over 20 years. Have you ever seen anything like this before?Why did you decide to look at the camps near Cox's Bazar specifically?
You have communal latrines as opposed to individual latrines. They're often dirty and not well-kept. The other thing is that people who come to the camp are not in particularly good shape [due to poverty and malnutrition]. They have an overall poor health status and that is ripe for epidemics to occur.There have been outbreaks of diphtheria and measles. So we already know that this is an area where outbreaks will occur.
There are some basic hospitals at the camps, and there are approximately 300 beds or so that are available. But they will be quickly overwhelmed. In terms of intubation and being put on a ventilator [a treatment for severe cases of COVID-19] — I have my doubts if that's going to happen in this situation or in many other situations. I don't think that refugees will have access to that in [the national hospitals of their host countries] if the nationals need it. I think that would be very hard for a government to agree to but I hope I am wrong.A lot of protective gear, a lot more beds.
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