Disease takes its toll in Philippines

Reports of 24 lives lost in unsanitary evacuation centres

MARAWI CITY, PHILIPPINES // Twenty-four people have died and more are feared dead in overcrowded and unsanitary evacuation centres while fleeing the fighting in Marawi City, Philippines health secretary Paulyn Ubial said.

Fighting between security forces and Islamist militants erupted in the southern Philippines city four weeks ago.

Alinader Minalang, the health director for the Lanao del Sur province, which includes Marawi, said 300 cases of diarrhoea had been recorded among the nearly 40,000 people in emergency shelters set up in community halls, gymnasiums and Islamic schools. Many of those who died were elderly and had pre- existing conditions, but at least two of the fatalities were a result of diarrhoea.

“The cause of the increase in diarrhoea cases is sanitation issues and a lack of sources of potable water,” Mr Minalang said.

In the centres, families of up to a dozen people sleep together , and in some places hundreds share a single toilet.

“My children are getting sick. One has diarrhoea and another has an allergic reaction on his skin – the water we have to use here is not good,” said Tarhata Mostare, who was staying with more than 800 people in a high school hall in Iligan City, 40 kilometres from Marawi.

She walked out of Marawi City after delivering her fifth child, and trekked for hours with the infant swaddled in cloth and her own traditional malong, or long skirt, drenched in blood.

“We call him Martial Law,” she said, looking at her baby boy, Sahir.

On the day of Sahir’s birth, May 23, Philippine president Rodrigo Duterte declared martial law across the southern island of Mindanao, vowing to drive out the militants – an alliance of groups that have pledged allegiance to ISIL.

The army said nearly 350 people have been killed in the fighting, including 257 militants, 62 soldiers and 26 civilians. Hundreds are unaccounted for, believed to be hiding in the basements of a city that has been pummelled by government air strikes. Residents have said they have seen 100 bodies in the debris of ruined homes in the battle zone. The mostly Muslim evacuees are eager to return home by the weekend for Eid Al Fitr. But for many, their homes have been devastated by artillery and aerial bombardment.

The army said it was nearing victory, but hostilities will have to be followed by a lengthy cleanup operation – unearthing and disarming unexploded ordnance and scouring for booby traps.