In Itang, MSF runs an IPD and ITFC located outside the Kule refugee camp (48,000 persons). Respiratory tract infections are the main cause for malnutrition, compounded by very poor watsan and shelter conditions. *** Local Caption *** An estimated (in May 2014) 110,000 South Sudanese have arrived in Gambella region since December 2013. People arrive in a very bad physical status and the conditions in the camps are quite poor (lack of shelter, sanitation).