![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/1407140695851.jpg?quality=85&w=2400)
Sittwe, a drowsy town in western Burma, is a shattered place. I was first here five years ago, back when ethnic Rakhine Buddhists sold vegetables next to Muslim Rohingya fishermen. At the time, a Buddhist abbot and a Muslim cleric blessed me in whispers, as both spoke out against the repressive junta that had ruled Burma — also known as Myanmar — for nearly half a century.
Today, Sittwe, like much of the surrounding state of Rakhine, exists in virtual apartheid. There are no Muslims at the market. Their mosques have been bulldozed, even though one state official in late 2012 told me with a smile that nothing had been destroyed, nothing at all. Did he think I could not see the rubble, with torn pages of children’s prayer books underfoot? Evicted from their homes, more than 140,000 Rohingya now live sequestered behind checkpoints. Diseases fester in these crude camps. In June a top U.N. aid official who traveled to Rakhine said she had never before “witnessed [such] a level of human suffering.”
The U.N. estimates that 86,000 people, mainly Rohingya, have fled by boat in the two years since clashes erupted between the majority Buddhist and Muslim populations. In the 1980s, the all-Buddhist military junta stripped most Rohingya of their citizenship, claiming that they were recent immigrants from neighboring Bangladesh. But many Rohingya have lived for generations in Burma. The country is now ruled by a quasi-civilian government praised by the West for its reforms.
Its treatment of the Rohingya — as well as some other Muslim minorities — could be considered close to ethnic cleansing. Meanwhile, as these stark photos by James Nachtwey show, conditions worsen in the Rohingya camps spread out across the salt flats of the Bay of Bengal. The Buddhist abbot in Sittwe, who so inspired me that I brought my children to meet him, speaks now not of the government’s failings but of his hatred of Muslim hordes. A town like Sarajevo, once of two faiths, has cleaved beyond belief.
Hannah Beech is TIME’s China bureau chief and East Asia correspondent.
James Nachtwey is a TIME contract photographer, documenting wars, conflicts and critical social issues. His last essay for the magazine documented Syrian refugees at Za’atari refugee camp in Jordan.
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/1407140695851.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care. Brick kilns operated by Rohingya IDP's. Workers are IDP's. Adults are paid 2,000 kyat per day for about 10m hours of work. Children are paid 1,000 kyat per day. Children in photos are from age 6 to 8 and the oldest is 14. Thek Kay Pyin, 7, an IDP. His father is So Zokorice (small man in white tank top). He was falsely accused of murder and spent 1and 1/2 years in Sittwe Jail, beaten continuously for 8 months before being released without charges against him.Funeral of Ziada Begum, 30, who died of stomach diseasee. Left behind 5 children with no husband.Sham Shi Dar Begum, 18. TB and AIDS. Father died from AIDS. MOther Noor Johan, 50. Has seven daughters, all living in two small rooms in camp.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/140714069589.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care. Brick kilns operated by Rohingya IDP's. Workers are IDP's. Adults are paid 2,000 kyat per day for about 10m hours of work. Children are paid 1,000 kyat per day. Children in photos are from age 6 to 8 and the oldest is 14. Thek Kay Pyin, 7, an IDP. His father is So Zokorice (small man in white tank top). He was falsely accused of murder and spent 1and 1/2 years in Sittwe Jail, beaten continuously for 8 months before being released without charges against him.Funeral of Ziada Begum, 30, who died of stomach diseasee. Left behind 5 children with no husband.Sham Shi Dar Begum, 18. TB and AIDS. Father died from AIDS. MOther Noor Johan, 50. Has seven daughters, all living in two small rooms in camp.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/140714069588.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care. Brick kilns operated by Rohingya IDP's. Workers are IDP's. Adults are paid 2,000 kyat per day for about 10m hours of work. Children are paid 1,000 kyat per day. Children in photos are from age 6 to 8 and the oldest is 14.Funerals. First a 16 year old girl who drank poison. Sevcond a woman who died from stomach disease.A blind beggar on railway tracks between two IDP camps.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/20_burma_rohingye_nachtwey_1463_8918_t.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care. Brick kilns operated by Rohingya IDP's. Workers are IDP's. Adults are paid 2,000 kyat per day for about 10m hours of work. Children are paid 1,000 kyat per day. Children in photos are from age 6 to 8 and the oldest is 14. Thek Kay Pyin, 7, an IDP. His father is So Zokorice (small man in white tank top). He was falsely accused of murder and spent 1and 1/2 years in Sittwe Jail, beaten continuously for 8 months before being released without charges against him.Funeral of Ziada Begum, 30, who died of stomach diseasee. Left behind 5 children with no husband.Sham Shi Dar Begum, 18. TB and AIDS. Father died from AIDS. MOther Noor Johan, 50. Has seven daughters, all living in two small rooms in camp.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/140714069590.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care. Brick kilns operated by Rohingya IDP's. Workers are IDP's. Adults are paid 2,000 kyat per day for about 10m hours of work. Children are paid 1,000 kyat per day. Children in photos are from age 6 to 8 and the oldest is 14. Thek Kay Pyin, 7, an IDP. His father is So Zokorice (small man in white tank top). He was falsely accused of murder and spent 1and 1/2 years in Sittwe Jail, beaten continuously for 8 months before being released without charges against him.Funeral of Ziada Begum, 30, who died of stomach diseasee. Left behind 5 children with no husband.Sham Shi Dar Begum, 18. TB and AIDS. Father died from AIDS. MOther Noor Johan, 50. Has seven daughters, all living in two small rooms in camp.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/1407140695871.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care. Brick kilns operated by Rohingya IDP's. Workers are IDP's. Adults are paid 2,000 kyat per day for about 10m hours of work. Children are paid 1,000 kyat per day. Children in photos are from age 6 to 8 and the oldest is 14.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/36_burma_rohingye_nachtwey_1462_7281.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care. Brick kilns operated by Rohingya IDP's. Workers are IDP's. Adults are paid 2,000 kyat per day for about 10m hours of work. Children are paid 1,000 kyat per day. Children in photos are from age 6 to 8 and the oldest is 14.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/34_burma_rohingye_nachtwey_1462_7399.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care. Brick kilns operated by Rohingya IDP's. Workers are IDP's. Adults are paid 2,000 kyat per day for about 10m hours of work. Children are paid 1,000 kyat per day. Children in photos are from age 6 to 8 and the oldest is 14.Funerals. First a 16 year old girl who drank poison. Sevcond a woman who died from stomach disease.A blind beggar on railway tracks between two IDP camps.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/19_burma_rohingye_nachtwey_1463_83501.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/04_burma_rohingye_nachtwey_14529_0116.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/26_burma_rohingye_nachtwey_14529_0142.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/05_burma_rohingye_nachtwey_14529_06761.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/27_burma_rohingye_nachtwey_14529_14101.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care.Baw Du Ba 2 Camp. Mustawba Khatu, 50 - hepatitis, enlarged liverMa Noor Ul Nisa, 3 1/2 - pneumonia, feverNoor Lang Sering, 25 - TB (girl in foreground, daughter)Sham Shi Dar Begum, 18 - TB, HIV+ (husband died from AIDS) Mother on right, Noor Jahan, 50.MSF had dealt effectively with TYb and HIV. Since the NGO was ejected, people are at risk from lack of medication and a systematic approach to administration of the drugs.In Thek Kay Pyin Pharmacy waiting for treatment from the owner of the pharmacy, who is not a doctor or a pharmacist. Ru Kuma, 10 - worms in stomach. Mother, Bi Bi, 30.Mustawba Khatu - orange blouse, daughter in foregroundNoor Ul Nisa - held by mother, father to leftMa Noor Lang Sering - mother in white scarf, red bag on wall.Baw Du Ba 2 Camp mosque - Friday prayers.Aid goods distributed by UNHCR being sold in market after UNHCR distribution.Fishing boats at low tide.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/29_burma_rohingye_nachtwey_14530_2400.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/09_burma_rohingye_nachtwey_14529_0213.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care.Fishing boatsDapaing IDP Camp:Thein Maung, 46 - HIV+ and AIDS - son, Athassan Ullah, 4MSF had dealt effectively with TB and HIV. Since the NGO was ejected, people are at risk from lack of medication and a systematic approach to administration of the drugs.Ohn Daw Gee, 5Shaw Bi Ullah, 45 - diarrhea, motorbikeKobir Ahmed, 70 - malnutrition due to stomach troubles - twin grandsons Jamal Hussein, Anwar Hussein, 3 - wormsDapaing Hospital:Su Ra Khatu, 70 - fever, stomach ailmentHar Zar Ra Khatu, 70 - suspected TBAbdul Hussein, 65 - suspected TB, paralysis in one legAbdul Salam, 45 - diabetes - wife Shanisida Begum, 22 - baby Noor Harbiba, 3 monthsLatrines at Baw Du Pha 2 Camp.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/30_burma_rohingye_nachtwey_14531_4465.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care. Brick kilns operated by Rohingya IDP's. Workers are IDP's. Adults are paid 2,000 kyat per day for about 10m hours of work. Children are paid 1,000 kyat per day. Children in photos are from age 6 to 8 and the oldest is 14.Funerals. First a 16 year old girl who drank poison. Sevcond a woman who died from stomach disease.A blind beggar on railway tracks between two IDP camps.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/13_burma_rohingye_nachtwey_1463_91381.jpg?quality=75&w=2400)
![Rohingye people, a Muslim population, living in Rakhine State on the northwest coast of Burma have been restricted to their villages and placed in Internally Displaced Peoples (IDP) camps by the Burmese government. They have been the victims of persecution and communal violence by numbers of the Buddhist majority in Rakhine. International NGO's such as MSF have been expelled by the government, leading to a soaring crisis in health care.Fishing boatsDapaing IDP Camp:Thein Maung, 46 - HIV+ and AIDS - son, Athassan Ullah, 4MSF had dealt effectively with TB and HIV. Since the NGO was ejected, people are at risk from lack of medication and a systematic approach to administration of the drugs.Ohn Daw Gee, 5Shaw Bi Ullah, 45 - diarrhea, motorbikeKobir Ahmed, 70 - malnutrition due to stomach troubles - twin grandsons Jamal Hussein, Anwar Hussein, 3 - wormsDapaing Hospital:Su Ra Khatu, 70 - fever, stomach ailmentHar Zar Ra Khatu, 70 - suspected TBAbdul Hussein, 65 - suspected TB, paralysis in one legAbdul Salam, 45 - diabetes - wife Shanisida Begum, 22 - baby Noor Harbiba, 3 monthsLatrines at Baw Du Pha 2 Camp.Photograph by James Nachtwey.](https://api.time.com/wp-content/uploads/2014/07/140714069581.jpg?quality=75&w=2400)
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