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Reprisals, Rape, and Children Burned Alive: Burma’s Rohingya Speak of Genocidal Terror

13 minute read

If the Naf River could talk, which horror story would it tell first?

The narrow waterway marks the border between Burma and Bangladesh. On its western bank is the Bangladeshi province of Chittagong. To the east, Burma’s Arakan state, also known as Rakhine, home to the Buddhist-majority country’s Rohingya people, a Muslim minority described over the years as stateless, friendless and forgotten.

But if the river could remember their stories, it might speak, for example, of the night in late November when Arafa, a 25-year-old Rohingya woman, entered its waters with her five children.

She used to have six. As she talks, sitting on the threshold of a hut in a makeshift refugee camp on the Bangladeshi side of the Naf, she is surrounded by her son and four young daughters. They are a lively bunch, noisy, restless, yet shy, hiding behind their mother’s back or running in and out of the hut, as she recounts what happened to her second son.

He was 8 years old. Sometime around Nov. 22, Arafa says her village was attacked by Burmese security forces. Viewed as illegal immigrants and denied citizenship rights by the Burmese state, the Rohingya have long faced intimidation, oppression and violence at the hands of both Buddhist extremists and the country’s security forces. The last major sectarian spasm was in 2012, when clashes between Arakanese Buddhists and Rohingya Muslims displaced some 125,000 people. Rights activists accused security forces of either standing aside as the violence spread, or actively participating in it.

Read More: Aung San Suu Kyi Can’t, or Won’t, Rein In Burma’s Army

This time, Arafa says, the army’s assault felt different. The security men seemed more determined, more driven, to punish the Rohingya. Their weapon of choice was fire.

Arafa says that the military torched her village. As the flames engulfed her home, she just about managed to escape with her six children. That was when the family was confronted by a Burmese soldier. He snatched the fleeing 8-year-old, separating him from his brother and sisters, and flung him into the blaze.

In the chaos, Arafa lost sight of her husband. But she could not turn back; she had to leave him behind, leave her son’s charred body behind, and mourn on the move.

“I had to save my other children. We had to escape [from Burma],” she tells TIME. “They burned everything.”

For two days, Arafa and her children hid in the forests that skirt the riverbank on the Burmese side, laying low to avoid detection by troops, before boarding a rickety boat that took them to safety across the Naf.

Bangladesh: Myanman Rohingya Refugees Flee to Bangladesh
A patrol of Bangladeshi Border Guards attempts to prevent Rohingya refugees from crossing into Bangladesh from Burma, on the banks of the Naf River, near Cox's Bazar, Bangladesh, on Nov. 22, 2016Anik Rahman/NurPhoto/Sipa USA

They are not alone. Arafa’s family are among the estimated 21,000 Rohingya who have sought refuge in Bangladesh over the past two months, as Burmese forces launched what testimony from refugees, satellite imagery compiled by rights groups and leaked photos and videos from inside Arakan indicate is a horrifyingly bloody crackdown against the million-strong Muslim minority.

The latest troubles began in early October, when police said three border guard posts were attacked by Islamist militants. Nine policemen were killed, with the government saying the attackers belonged to an extremist group called Aqa Mul Mujahidin. A statement from the Burmese President’s office linked them to the Rohingya Solidarity Organization, a militant group long thought to be defunct. The only proof for these claims was the government’s word.

What followed has been described by Burmese authorities as “clearance operations.” Amnesty International, the rights group, calls it “collective punishment”: a ferocious campaign of violent reprisals against an entire people. In addition to arson attacks on Rohingya villages, the military has been accused of raping Rohingya women and conducting extrajudicial killings of Muslims. Helicopter gunships have been used to fire on Rohingya villages.

Satellite imagery released by Human Rights Watch show that more than 800 buildings were destroyed in five different Rohingya villages between Nov. 10 and 18. An earlier set of high-resolution images showed the destruction of more than 400 homes in three villages between Oct. 22 and Nov. 10. The actual number of destroyed buildings could be higher, given the dense tree cover in the area, the rights group says.

Verifying the picture on the ground is impossible, as Burma has sealed off the affected areas. But the news that is coming out suggests that the situation is “getting very close to what we would all agree are crimes against humanity,” says Yanghee Lee, the U.N. special rapporteur on human rights in Myanmar, as the country is officially known.

Read More: Something Shocking Is Happening to Burma’s Rohingya People. Take a Look at This Timeline

“I am getting reports from inside the country and from neighboring places too that things are not as they are being portrayed by the government. We are seeing a lot of very graphic and very disturbing photos and video clips,” she tells TIME. Although unable to independently verify the footage, she says: “We do hear about rape and sexual violence, and even bodies of little kids being uncovered.”

“We can’t verify the numbers of how many have been killed. Many have gone into hiding,” Lee adds, expressing her dissatisfaction with a government-supervised trip to some of the affected areas by a group of foreign diplomats and a U.N. official in early November.

“No one should be satisfied with the trip,” she says. “This was a guided tour. Even though there was a heavy security presence there, people started to come out and try to speak to this delegation. And of course, afterwards, we’ve also heard that there were reprisals. These people were hunted down.”

On Dec. 9, 14 diplomatic missions, including the embassies of the U.S. and France, called on Burma to give humanitarian agencies “full and unfettered access” to northern Arakan, “noting that tens of thousands of people who need humanitarian aid, including children with acute malnutrition, have been without it now for nearly two months.”

The Plight of the Rohingya by James Nachtwey

Children rest at a refugee camp in Bayeun, outside of Langsa, Indonesia, May 20. They were among the 25,000-plus Rohingya Muslim migrants who have fled reported persecution in Burma and Bangladesh this year by crossing the Indian Ocean in search of refugee status in Indonesia and Malaysia. James Nachtwey for TIME
Rohingya and Bangladeshi refugees aboard boats that have been at sea for months off the coast of SE Asia. Landed in port pif Langsa in Aceh, Indonesia, where they were given shelter, food and medical care by Indonesian and international NGO's. The Rohingya have fled political oppression and violence and are escaping g from the bad conditions of concentration camps. The Bangladeshi's are fleeing poverty. by James Nachtwey
Refugees rest at a camp in Bayeun, outside of Langsa, Indonesia. They reached Indonesia after months at sea off the coast of Southeast Asia. James Nachtwey for TIME
Rohingya and Bangladeshi refugees aboard boats that have been at sea for months off the coast of SE Asia. Landed in port pif Langsa in Aceh, Indonesia, where they were given shelter, food and medical care by Indonesian and international NGO's. The Rohingya have fled political oppression and violence and are escaping g from the bad conditions of concentration camps. The Bangladeshi's are fleeing poverty. by James Nachtwey
A mother holds her child at a refugee camp in Bayeun, outside of Langsa, Indonesia, where they were given shelter, food and medical care by Indonesian and international NGOs. James Nachtwey for TIME
Rohingya and Bangladeshi refugees aboard boats that have been at sea for months off the coast of SE Asia. Landed in port pif Langsa in Aceh, Indonesia, where they were given shelter, food and medical care by Indonesian and international NGO's. The Rohingya have fled political oppression and violence and are escaping g from the bad conditions of concentration camps. The Bangladeshi's are fleeing poverty. by James Nachtwey
Refugees rest at a camp in Bayeun, outside of Langsa, Indonesia, where they were given shelter, food and medical care by Indonesian and international NGOs. James Nachtwey for TIME
Rohingya and Bangladeshi refugees aboard boats that have been at sea for months off the coast of SE Asia. Landed in port pif Langsa in Aceh, Indonesia, where they were given shelter, food and medical care by Indonesian and international NGO's. The Rohingya have fled political oppression and violence and are escaping g from the bad conditions of concentration camps. The Bangladeshi's are fleeing poverty. by James Nachtwey
A Rohingya child is registered at a temporary shelter in Indonesia. James Nachtwey for TIME
Rohingya and Bangladeshi refugees aboard boats that have been at sea for months off the coast of SE Asia. Landed in port pif Langsa in Aceh, Indonesia, where they were given shelter, food and medical care by Indonesian and international NGO's. The Rohingya have fled political oppression and violence and are escaping g from the bad conditions of concentration camps. The Bangladeshi's are fleeing poverty. by James Nachtwey
A 2-year-old boy cries as he is being registered at a temporary shelter in Indonesia. James Nachtwey for TIME
Rohingya and Bangladeshi refugees aboard boats that have been at sea for months off the coast of SE Asia. Landed in port pif Langsa in Aceh, Indonesia, where they were given shelter, food and medical care by Indonesian and international NGO's. The Rohingya have fled political oppression and violence and are escaping g from the bad conditions of concentration camps. The Bangladeshi's are fleeing poverty. by James Nachtwey
A refugee receives medical care in Indonesia. James Nachtwey for TIME
Rohingya and Bangladeshi refugees aboard boats that have been at sea for months off the coast of SE Asia. Landed in port pif Langsa in Aceh, Indonesia, where they were given shelter, food and medical care by Indonesian and international NGO's. The Rohingya have fled political oppression and violence and are escaping g from the bad conditions of concentration camps. The Bangladeshi's are fleeing poverty. by James Nachtwey
A refugee gets his head shaved in order to remove lice. James Nachtwey for TIME
Rohingya and Bangladeshi refugees aboard boats that have been at sea for months off the coast of SE Asia. The Rohingya have fled political oppression and violence and are escaping from the bad conditions of concentration camps. The Bangladeshis are fleeing poverty. An abandoned camp allegedly for trafficked Rohingya and Bangladeshis in mountainous jungle on the Malaysian side of the Thai-Malaysian border. Human remains being disinterred from an informal cemetery near the camp.by James Nachtwey
Human remains are being disinterred from an informal cemetery near an abandoned camp for trafficked refugees in the jungle on the Malaysian side of the Thai-Malaysian border. James Nachtwey for TIME
Rohingya and Bangladeshi refugees aboard boats that have been at sea for months off the coast of SE Asia. The Rohingya have fled political oppression and violence and are escaping from the bad conditions of concentration camps. The Bangladeshis are fleeing poverty. An abandoned camp allegedly for trafficked Rohingya and Bangladeshis in mountainous jungle on the Malaysian side of the Thai-Malaysian border. Human remains being disinterred from an informal cemetery near the camp.by James Nachtwey
Malaysian officials find bodies of migrants in an abandoned camp used by smugglers. James Nachtwey for TIME
Rohingya and Bangladeshi refugees aboard boats that have been at sea for months off the coast of SE Asia. The Rohingya have fled political oppression and violence and are escaping from the bad conditions of concentration camps. The Bangladeshis are fleeing poverty. Aboard a Malaysian Navy ship out of Langkawi on routine patrol looking for boats with Rohingyas, in waters neighboring Thailand. None were sighted in Malaysiian waters.by James Nachtwey
Malaysian Navy officers pray on a navy ship out of Langkawi, an island in the Andaman Sea. They are on routine patrol looking for boats with Rohingya refugees in waters neighboring Thailand. James Nachtwey for TIME

The official Burmese response to the allegations of rights abuses has been denial and, reflecting the low opinion many Burmese have of the Rohingya, callous dismissal. When asked by the BBC about claims of rape by the Burmese military, Aung Win, a local politician and chairman of a state investigation into the October border posts attack, couldn’t even keep a straight face. Giggling into the camera, he said soldiers would not rape Rohingya women because “they are very dirty … [They] have a very low standard of living and poor hygiene,” Aung Win said. “They are not attractive. So neither the local Buddhist men or the soldiers are interested in them.”

Meanwhile, the country’s top military man, Senior General Min Aung Hlaing, blames the Rohingya for their woes. Referring to them as “Bengali,” a term which implies that they belong across the Naf in Bangladesh, a Dec. 6 post on his Facebook page said: “The Bengali problems in the northern Rakhine State occurred because of the Bengalis’ failure to abide by the existing laws of Myanmar.” And even as Burmese officials promise to investigate claims of rights abuses, the post seemed to pre-judge the outcome: “Myanmar security forces have never committed any human rights violations such as illegal killing, rape and arson attack.”

“It seems like the same old story [from the Burmese authorities], that these people torched their own houses,” says Lee, the U.N. rights investigator.

Read More: Burma Could Be Guilty Of ‘Crimes Against Humanity’ As Rohingya Crackdown Intensifies

A Human Rights Watch researcher who recently visited the Bangladeshi side of the border, speaking on condition of anonymity so as not to risk losing access to the area, says testimony from recent Rohingya escapees is uniform on this question: “We haven’t spoken to anybody who has told us that the burnings have been done by anyone other than the military.”

Amid the unfolding crisis, one voice has been largely absent — Nobel Peace Prize winner Aung San Suu Kyi, whose National League for Democracy party won a landslide victory in elections in November 2015.

The polls marked Burma’s transition from military dictatorship to its first civilian-led administration in more than half a century. A new military-drafted constitution prohibited Suu Kyi from becoming President, and the generals retained control over Burma’s security apparatus. But she is the nation’s de facto leader, occupying a Prime Minister–like position as Burma’s State Counselor.

Under dictatorship, Suu Kyi’s single-minded determination to challenge the military, the personal sacrifices she made and the years of political detention she endured to bring democracy to her country transformed her into an international human-rights icon. But as northern Arakan burns, she has been proffering bromides about the need for the outside world to be less critical. What’s needed, she says, is a better understanding of the region’s ethnic divisions.

“I would appreciate it so much if the international community would help us to maintain peace and stability and to make progress in building better relations between the two communities [there] instead of always drumming up calls for, well, for bigger fires of resentment, if you like,” she told Singapore’s state-owned Channel News Asia in a rare interview earlier this month. “I’m not saying there are no difficulties, but it helps if people recognize the difficulty and are more focused on resolving these difficulties rather than exaggerating them so that everything seems worse than it really is.”

The Rohingya, Burma's Forgotten Muslims by James Nachtwey

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.
More than 140,000 minority Rohingya Muslims have been forced to live in camps, where disease and despair have taken root. Abdul Kadir, 65, who has a severe stomach ailment and malnutrition, is cared for by his wife in one of the camps.James Nachtwey for TIME
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.
Relatives weep at the funeral of a woman who died at 35 of a stomach disease; she left five children behind. James Nachtwey for TIME
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.
A mourner weeps as she sits by an internee's coffin. The Rohingya lack medical care since most NGOs are now barred from the camps.James Nachtwey for TIME
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.
Two men are seen mourning at the funeral of a woman who died from stomach disease.James Nachtwey for TIME
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.
Internees in one camp operate brick kilns to earn money. Adults are paid about $2 a day; children, half that amount. James Nachtwey for TIME
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.
Thek Kay Pyin, 7, is among the Rohingya Muslims interned in Rakhine state, on the northwest coast of Burma. He is seen here working at a brick kiln where he earns $1 a day.James Nachtwey for TIME
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.
Children working at a brick kiln where they earn $1 a day. James Nachtwey for TIME
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.
Workers at a brick kiln are seen tossing bricks.James Nachtwey for TIME
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.
At the camp, mourners are seen at a funeral for a 16-year-old girl who drank poison. James Nachtwey for TIME
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.
Suffering in the camps continues unabated.James Nachtwey for TIME
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.
Children learning the Quran at a madrassa in one of the camps.James Nachtwey for TIME
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.
A child suffering from malnutrition in one of the camps is held by its mother. James Nachtwey for TIME
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.
At a government-run hospital in Da Paing, a mother watches over her 45-year-old son Abdul Salam, who suffers from diabetes. James Nachtwey for TIME
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.
A child suffering from stomach worms with her mother at a pharmacy waiting for treatment. The owner of the pharmacy is neither a doctor nor a pharmacist but does his best to help people. International NGOs such as Doctors Without Borders have been expelled from the camp by the government, leading to a soaring crisis in health care.James Nachtwey for TIME
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.
Malnutrition among the camps' children is commonplace. In June a top U.N. aid official who traveled to Rakhine said she had never before “witnessed [such] a level of human suffering.James Nachtwey for TIME
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.
Fishermen tend their nets before going out into the Bay of Bengal to fish, one of the main sources of food and livelihood for the Rohingya. James Nachtwey for TIME
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.
A blind beggar on railway tracks between two IDP camps.James Nachtwey for TIME
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.
A boy using an umbrella as a sun shield jumps across a drainage canal behind a row of latrines at Baw Du Pha camp. James Nachtwey for TIME

“She is obviously very reluctant to criticize the military, because she fears that any sort of antagonism towards it could prompt it to assert itself more forcefully,” says Francis Wade, a sometime TIME contributor who has worked in the country, and the author of an upcoming book on anti-Muslim violence and the democratic transition there. “If the military felt that it was losing power to the civilian government, because that government is criticizing it and trying to reign it in, then it might try and reassert its supremacy.”

That dynamic — between a civilian government still consolidating its power and a military machine bent on preserving its influence — has tempered international criticism of Suu Kyi’s stance. “I think the international community is seeing [Burma] in relative terms,” says the U.N.’s Lee. “This is a civilian elected government, it’s been less than a year [since they came to power], let’s give them a little time and space. That’s been the narrative.”

But that view becomes less and less credible as time passes. “Suu Kyi may need more time to maneuver. But she only has five years [the term of the elected government], and already a year is going by,” says Lee.

Adds Wade: “You do have a very difficult relationship between the civilian government and the military, but at the moment, the civilian government is playing into the hands of the military.”

Suu Kyi’s stance is only the latest in a long series of disappointments for Burma’s Muslims. “She’s not doing anything to protect us,” says Yunus, a 30-year-old Rohingya refugee who fled to Bangladesh in November. “We thought there would be a change. But she is the same as everyone else.”

Read More: The Plight of the Rohingya by James Nachtwey

The consequences could be far reaching. “There has traditionally been very little broad support among the Rohingya for armed conflict,” says Wade. “Even when there were several insurgent groups operating there from the mid-1970s to the early to mid-1990s, there was still quite scant support for them, hence they died out quite quickly.” The Rohingya, he explains, have been wary of provoking the Burmese state: “It was recognized quite early on that any sort of armed movement would be collective suicide.”

But the worsening situation in northern Arakan raises troubling red flags, with Daniel Russel, the top U.S. diplomat for East Asia, issuing a stark warning about the potential fallout. “If mishandled, Rakhine state could be infected and infested by jihadism which already plagues neighboring Bangladesh and other countries,” he told the Associated Press on Dec. 3.

For the Rohingya, the crisis doesn’t end on the Burmese side. Yusuf, Arafa and their families managed to escape and reach land in Bangladesh by avoiding detection from both Burmese and Bangladeshi forces. But in the days since, Bangladesh has stepped up patrols along its border with Burma, putting an additional squeeze on the persecuted population. Many refugees have gone missing, after their boasts capsized in the river’s choppy waters.

Rohingya refugee woman with her boy in unregistered Rohingya
A Rohingya refugee woman with her boy in a refugee camp at Teknaf, Bangladesh, on Nov. 27, 2016K M Asad—LightRocket/Getty Images

It is not the first time that the Rohingya have sought shelter across the river. Over the decades, as they fled violence at home, as many as half a million undocumented Rohingya refugees have made their lives in Bangladesh. More than 30,000 registered refugees live in camps near the border. Now Bangladesh says: We can’t accommodate any more people.

“My country is a house. If all the people try to get inside my house, what will happen? I cannot allow all of them,” says Colonel M.M. Anisur Rahman, the deputy director general of Border Guard Bangladesh, the force charged with patrolling the border area.

Bangladesh’s policy, he says, is to push back fleeing refugees. “Of course we are concerned, and if they ask any help regarding food, water and other things, we will provide it. But we cannot provide shelter,” he insists. Those who have slipped in, avoiding detection, will be caught and sent back.”

To this, Du Du Mian, a Rohingya refugee who arrived in Bangladesh more than a decade ago, answers: “The world needs to realize that we have nowhere to go.” His people, he says, have no country. With Burmese soldiers trying to stop them from fleeing and Bangladeshi forces pushing them back, all they have is the Naf, and the Naf, so far, is silent.

— With reporting by A.K.M. Moinuddin / Teknaf and Feliz Solomon / Hong Kong

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