His eyes are glazed and he is clearly struggling to breathe as his mother watches over him. Doctors say he needs an urgent blood transfusion, and order his evacuation to the nearby town of Bassikounou, where international organisations have set up their bases. The little boy is hurried into an ambulance, unresponsive. His mother and family members cram into the back of the car. But despite the doctors' best efforts, the transfusion and treatment come too late. Children always suffer the most in refugee camps and Mberra is no exception. Malaria and malnutrition are preying on the young and vulnerable. Dr Fabien Kabongo from Medecins Sans Frontieres (MSF, Doctors Without Borders) - which warned of "appalling" conditions in the camp earlier this year - says that a lot more needs to be done to improve standards here. "Shelters have been seriously damaged by the rains and with the upcoming colder season, we will see many lung infections if they are not replaced," he says. "And too many refugees still have no shelter at all." There are also issues with registering for food handouts. Some of the refugees who were given food on arrival claim that they have now been taken off the distribution lists.