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Chronic and long-lasting disasters of over 15 days (drought, floods) with protracted impacts on climate features (rainfall patterns, etc.) Secondary sources of information included published peer and non-peer review articles, books, manuals, newspaper articles, letters from civil society organisations and opinion leaders from the public/private sector, comments from political activists, technical reports, press releases, survey data in humanitarian databases such as CE-DAT 9, and information from local, national, and international TV stations. Anderson M, Gerber M. Introduction to humanitarian emergencies. In: Townes D, editor. Health in humanitarian emergencies. Cambridge: Cambridge University Press; 2018. pp. 1–10. [ Google Scholar] Pettersson T, Wallensteen P. Armed conflicts, 1946-2014. J Peace Res. 2015; 52(4):536–550. doi: 10.1177/0022343315595927. [ CrossRef] [ Google Scholar]

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The conflict is having a serious toll on the health of the population. Internally displaced persons and the populace that fled to the bushes are living in unsanitary and unhygienic conditions. There is rampant open-air defecation enabling the possible spread of diseases in the crowded living conditions in the bushes. The most vulnerable are the elderly, pregnant/lactating women, young girls out of school, and children under the age of 5. This article has revealed the conspicuous horrendous consequences of the crisis. The loss of livelihoods and huge displacement of people are exacerbating hunger and poverty especially for the most vulnerable. The dominantly agrarian livelihoods in the region have been seriously affected. Meeting the basic needs of the population like having at least two meals per day is a daunting prospect for the vulnerable population. In consequence, inflation has been soaring due to dwindling outputs and regular interruptions in the supply chain of agricultural products and manufactured goods from other regions of the country. World Bank (2017) Country partnership framework for the Republic of Cameroon for the period FY17-FY21. http://documents.worldbank.org/curated/en/480711490925662402/pdf/CPF-CM-Board-vf-February-28-03062017.pdf. Accessed 24 Sept 2019 AFP (2018) Who are Cameroon’s English-speaking separatists? https://www.nation.co.ke/news/africa/The-Cameroon-English-speaking-separatists/1066-4312292-omwos6/index.html. Accessed 13 Sept 2019IIE (2020) IIE-SRF responds to rise in applications from Cameroon. https://mailchi.mp/iie.org/iie-srf-beaconfebruary2020#Cameroon. Accessed 6 Apr 2020 FAO (2019) Complex emergency. http://www.fao.org/emergencies/emergency-types/complex-emergencies/en/. Accessed 13 Feb 2020 JournalduCameroun . Cameroon: Ambazonia general no pity killed in restive North West region. 2020. [ Google Scholar] Molist J (2017) Assessing volcanic hazard: a review. https://www.oxfordhandbooks.com/view/10.1093/oxfordhb/9780190699420.001.0001/oxfordhb-9780190699420-e-32. Accessed 11 Dec 2019 Disaster Management Centre, Bournemouth University, Dorset, Talbot Campus, Fern Barrow, Poole, BH12 5BB, UK

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Bang H (2012) Disaster management in Cameroon: the Lake Nyos disaster experience. Disaster Prev Manag 21(4):489–506. https://doi.org/10.1108/09653561211256189 Culver A, Rochat R, Cookson S. Public health implications of complex emergencies and natural disasters. Confl Health. 2017; 11(32):1–7. doi: 10.1186/s13031-017-0135-8. [ PMC free article] [ PubMed] [ CrossRef] [ Google Scholar] Krippendorff K. Content analysis. An introduction to its methodology. 2. London: Sage; 2004. [ Google Scholar] A recent mudslide from Mt. Cameroon (March 2020) kept the inhabitants of the neighbouring Buea town extremely worried, given the economic and psychosocial damage that emanated from it. This is just an indication if the possible disaster that can occur in case Mt. Cameroon erupts again. Bang H. Disaster management in Cameroon: the Lake Nyos disaster experience. Disaster Prev Manag. 2012; 21(4):489–506. doi: 10.1108/09653561211256189. [ CrossRef] [ Google Scholar]Mbodiam B (2020) CDC expected to partially resume activities in Q3, 2019. https://www.businessincameroon.com/agriculture/2907-9386-cdc-expected-to-partially-resume-activities-in-q3-2019. Accessed 29 Mar 2020 Craig J (2020) Violence and obstruction: Cameroon’s deepening aid crisis. https://www.thenewhumanitarian.org/news/2020/03/18/cameroon-conflict-aid-crisis. Accessed 2 Apr 2020 DAT is a database established by more than 40 aid agencies containing data from more than 3186 different surveys that serves as a unique source of field data for monitoring the health status of conflict-affected populations. With over 20,000 health indicators, CE-DAT aims to share operational health data collected for planning, monitoring, and evaluation of humanitarian aid. The recommendations challenge Cameroon’s DM frameworks and both internal and external humanitarian actors to embrace and expand their knowledge base on potentially more complex humanitarian crises. Transforming such knowledge into timely risk assessment would better prepare them for a CDE scenario. However, being proactive to prevent human-induced conflict is paramount. Even when mistakes have been made and civil unrest has metamorphosed into armed conflicts, as is the case of the Anglophone crisis, it is wise to speedily resolve them so that the conflicts are not protracted. As the Anglophone crisis persists, the militia groups are gaining more experience at warfare and their diaspora sponsors are mobilising more funds to upgrade the weapons of the separatist fighters. Government’s anticipated military solution to the conflict is, therefore, implausible. We believe there is still enough time to avert a full-blown civil war in the Cameroons if the government can embark on a peaceful path towards resolving the crisis. This can rapidly be achieved through rational, sensible, reasonable, and inclusive political dialogue with the secessionist leaders, mediated by agreed-upon third parties. Duffield M (1994) Complex emergencies and the crisis of developmentalism. Inst Dev Stud Bull 25(4). 10.1111/j.1759-5436.1994.mp25004006.x

The ramification of Cameroon’s Anglophone crisis: conceptual

HRW (2018) These killings can be stopped: abuses by government and separatist groups in Cameroon’s Anglophone regions. https://www.hrw.org/report/2018/07/19/these-killings-can-be-stopped/abuses-government-and-separatist-groups-cameroons. Accessed 23 July 2019 This is a case study research that is qualitative, exploratory, analytical, and descriptive. Case studies elicit knowledge and understanding of complex social and economic issues (Bowen 2009). The study generated primary data from local, national, international, and civil rights/society organisations working in the Anglophone region—government institutional/organisational reports and briefings; memoranda/reports from opinion, political, religious, and business leaders and the separatist leadership; project plans/programmes and open reports from United Nations organisations and international development agencies like UNICEF, GRID, UNOCHA, WFP, UNHCR, UNAIDS, FAO, IOM, DFID, UKAID, and USAID. Footnote 8 The Ordinary (O) Level and Advanced (A) Level are public examinations in Cameroon’s Anglophone region at the end of secondary and high school respectively set and marked by the Cameroon General Certificate of Education (GCE) Board.Environmental (high level of climate-related hazard exposure): rainfall, chronic water scarcity, cyclones, wildfires, floods, and coastal zones