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Between 100,000 and 150,000 refugees fleeing violence have also reached the city of Diffa, Niger. The populations fleeing Nigeria are mainly women, children and the elderly, mostly from the neighboring Nigerian town of Damassak, who cross Lake Chad and the Komadougou River to seek refuge in Nigerien towns and villages, the other side of the border. At the peak of arrivals in Diffa, their number was estimated at between 100,000 and 150,000 people. In December, MSF launched medical activities in this town located in the southeast of Niger, a few kilometers from the border with Borno State and 1,500 kilometers from Niamey, the Nigerien capital. This was to respond to a cholera epidemic. In Diffa and Chatimari, this response centered around the establishment of cholera treatment sites - including tents, latrines, showers, washingdrying areas, waste management areas, as well as preventive oral rehydration points.
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