‘She cries in her sleep’: Deeper crisis looms beneath devastation from Myanmar quake

“I hate earthquakes. Earthquakes took my mother and my aunt away,” five-year-old Khin Yadanar told the UN Children’s Fund (UNICEF), after both her mother and aunt were killed when a brick wall collapsed on them.

Around 6.5 million children were already in need of humanitarian assistance before the earthquake, which compounded existing vulnerabilities resulting from the brutal civil war between multiple armed opposition groups and the military junta which seized power in a February 2021 coup.

Families now face a further threat from flooding and landslides with the arrival of the monsoon season.

Midwives are lifelines

As health services collapsed after the earthquake, “women, especially pregnant mothers, were severely impacted,” said Yu Yu, a midwife in Mandalay, speaking to the UN’s reproductive health agency, UNFPA.

Amidst the chaos, midwives have emerged as frontline heroes. Undeterred by aftershocks and confronting both physical obstacles and emotional challenges, midwives provided hope and life-saving support.

Yu Yu notably recalls the case of one of her patients who suddenly became stranded, unable to reach any medical facilities as she went into labour following the quake.

Without hesitation, Yu Yu rushed to her side: “When I reached her, she was exhausted, overwhelmed by fear and financial insecurity following the earthquake,” she recalled.

On that day, Yu Yu saved both mother and child, as the baby’s umbilical cord had wrapped itself around the infant’s neck.

UNFPA has deployed mobile clinics to ensure that women and girls continue to receive essential healthcare and protection services.

A 10-year-old boy with his parrot on his shoulder at a temporary camp set up in the aftermath of devastating earthquake that struck Myanmar.

Deep trauma

“She cries in her sleep, and I worry something inside her has broken,” said Thida, mother of eight-year-old Thiri, speaking to UNICEF.

Beneath the visible devastation of the earthquake lies a deeper crisis: the profound psychological trauma that young survivors carry.

“I was so scared. My heart was beating so fast – and all I could think about was my parrots and cats at home,” said Thurein Oo, a ten-year-old boy who was praying at a mosque when the tremor struck.

Across earthquake-affected areas, parents are witnessing similar signs of distress in their children – sudden anxiety, emotional withdrawal, and sleepless nights, say UN aid workers.

In response to this growing mental health crisis, UNICEF and its partners have mobilised to provide critical psychological support to affected communities.

Setting up child-friendly spaces, UNICEF aims to promote psychosocial wellbeing, build resilience, and restore a sense of normalcy to children’s routines. Through various activities such as drawing, children learn to cope with their trauma.

“I coloured a picture of my mother,” said Khin, who lost her mother in the quake. “I feel better when I draw.”

Although the physical rebuilding of homes and infrastructure will likely take years, the emotional and psychological toll the earthquake has had on children cannot be left untreated.

“I like coming here,” said Thurein, referring to one of these spaces. “I feel safe, and I made a new friend who also lost his home,” he added.

Earthquake survivors survey the ruins of their homes in Pyinmana, Myanmar following the earthquake there.

Proactive planning

While earthquakes are among the deadliest natural hazards, it is the collapse of buildings that causes the most devastating effects. As such, proactive disaster risk reduction – such as making structures earthquake-resistant – is essential to reducing deaths and economic losses.

Focusing on risk-sensitive urban development, UN-Habitat and the UN office for disaster risk reduction (UNDRR) are also working across Myanmar to mitigate the risks future earthquakes could pose.

While little can be done to prevent natural hazards such as earthquakes from occurring, much can be done to mitigate their effects.

As rebuilding efforts are underway, the UN is dedicated to “ensuring that each step we take makes the rebuilt areas stronger and more resilient than before,” said Anacláudia Rossbach, Executive Director of UN-Habitat.

Myanmar quake: Ongoing aftershocks spread fear

Aid agencies warned on Tuesday that more than 6.3 million people remain in urgent need of support in the worst-affected central areas around Mandalay.

People [are] forced to sleep outside, safe water is scarce, health services are disrupted,” said UN aid coordination office, OCHA, in an appeal for more support from the international community.

The latest aftershock struck late on Sunday night and measured 4.4 on the Richter scale, said UN partner the International Federation of Red Cross and Red Crescent Societies (IFRC).

This is provoking widespread fear within a population already traumatised and also fear within the responders themselves,” said Nadia Khoury, IFRC Head of Delegation in Myanmar, speaking from Yangon.

Millions impacted

While the attention of the international community has faded, dispossessed families still need help rebuilding their lives, said OCHA’s Christina Powell.

The emergency for most is far from over – it is another crisis on top of the challenges already facing the people of Myanmar,” said Ms. Powell. “People told me they are too afraid to go back into their homes, worried they could collapse at any moment with the ongoing aftershocks.”

In badly affected areas including Mandalay and Bago in the south of the country, some communities already suffered unprecedented floods last September. The earthquakes brought another wave of devastation.

Assessments indicate that the quakes damaged or destroyed 55,000 homes in the Central Asian nation, where civil war has raged since a military coup in February 2021.

In Mandalay, OCHA reported that locals have continued to deliver food and household items to people still living on the roadside or in community shelters. But needs are widespread and include shelter, food, personal hygiene kits and even toilets, said OCHA’s Tin Aung Thein.

These people are already vulnerable depending solely on their daily wages. For their recovery, international support is greatly needed.”

Over the last month, IFRC has provided life-sustaining support – including safe drinking water, healthcare, tarpaulins for tents and items for women and children – to more than 110,000 people.

The aid organization has also delivered 250 metric tons of aid and helped distribute over 220,000 litres of safe drinking water to Myanmar every day. Its $121 million appeal is only 15 per cent funded.  

Right to live in dignity

Ms. Powell of OCHA urged the international community to step up and support the population’s right to “live in safety and dignity”.

“Additional and quick disbursement of resources and sustained access to all communities are vital to ensure that the situation does not deteriorate even further,” Ms. Powell insisted. 

World News in Brief: Sudan aid challenges, Myanmar quake update, UN support for victims of sexual abuse

“The UN is gravely concerned about the plight of civilians fleeing Zamzam camp, as well as the dire situation in and around El Fasher, which is in North Darfur,” UN Spokesperson Stéphane Dujarric told journalists at a regular news briefing in New York.

Famine conditions have already been identified in several displacement camps, including Zamzam. However, vital relief efforts have been suspended due to severe insecurity and ongoing violence.

Sudan has been engulfed in a brutal civil war between the military government and paramilitary Rapid Support Forces (RSF) since April 2023. The conflict has claimed thousands of lives and driven over 12.6 million from their homes, including over 3.8 million as refugees into neighbouring countries.

‘Alarming reports’

“We continue to receive alarming reports of serious protection issues, such as arbitrary arrests, harassment and intimidation at checkpoints controlled by the RSF,” Mr. Dujarric said.

According to local sources, further intensification of attacks was reported in and around El Fasher, the capital of North Darfur province. Fighting earlier this month had displaced tens of thousands of people from the region.

“We reiterate that international humanitarian law must be respected,” the UN Spokesperson said, reiterating his call on warring parties to respect international humanitarian law and ensure production of civilians.

Elsewhere in the country, authorities in Northern State reported the arrival of thousands of people from Zamzam camp and Al Malha town in North Darfur, and from Omdurman, near the capital Khartoum.

Mr. Dujarric said that most of those displaced are seeking safety in poorly constructed shelters, while others are being hosted by family or friends. They are relying on just one meal a day and in dire need of food, in dire need of sanitation, water, nutrition, shelter, and every other possible support.

Myanmar: Millions remain in need one month after earthquakes

One month after devastating earthquakes struck Myanmar, more than six million people urgently need aid – with many still too afraid to return to their damaged homes – the UN aid coordination office, OCHA, has said.

At least 55,000 dwellings were destroyed or severely damaged in the worst affected regions, forcing families to live in makeshift shelters exposed to harsh weather and rising protection risks.

Ongoing aftershocks have deepened fears among communities, leaving many unwilling to risk re-entering their homes, OCHA said.

The humanitarian response has so far reached over 600,000 people with clean water, sanitation and hygiene support. In addition, nearly 500,000 people were provided food assistance and more than 115,000 with emergency shelter and critical supplies, said Mr. Dujarric.

“This is a critical moment for the response. Additional and quick disbursement of resources and sustained access to all communities are vital to ensure that the situation does not deteriorate further,” he added, urging support from donors.

UN trust fund supports over 4,300 victims of sexual exploitation and abuse

The UN Spokesperson also reported on Monday that more than 4,300 victims and community members affected by sexual exploitation and abuse linked to UN personnel received vital support last year through a special Trust Fund.

The fund helps close critical gaps in assistance for victims – including psychological, medical and legal services.

It also supports income-generating activities for survivors and children fathered by UN peacekeepers.

The fund is raising awareness on the risks of misconduct among up to 89,000 community members in the Central African Republic, the Democratic Republic of the Congo, Haiti, Liberia, Guatemala and South Sudan.

Since its creation in 2016, the trust fund has mobilized more than $5 million through voluntary contributions from 25 Member States as well as payments withheld following substantiated allegations of sexual exploitation and abuse by UN personnel.

“We continue to appeal to Member States for additional funding for this important work,” said Mr. Dujarric.

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Destitution and disease stalk Myanmar’s quake survivors

The UN World Health Organization (WHO) is just one of the UN agencies working to help the most vulnerable in worst-hit central areas, but much more help is needed.

“When it rains, they can’t sleep, and when the rain stops, they still can’t sleep because they feared the wind might have their only shelter away,” said Dr Thushara Fernando, WHO representative in Myanmar.

In an update from Yangon, the WHO medic warned that the risk of waterborne disease “is becoming a reality” for all those still living under plastic sheeting with stagnant water all around.

A cholera outbreak was already reported in Mandalay just a few months ago.

Survivors “feed their babies, they eat, they drink in their tents; they don’t have even a simple mosquito net to sleep under in the night,” Dr Fernando continued.

“Water sources are contaminated, temporary toilet facilities are overwhelmed, and acute watery diarrhoea has been reported in two areas,” he continued.

Two major earthquakes hit central Myanmar on 28 March killing at least 3,700 people. About 5,100 more were injured and 114 are still missing, according to WHO. The true toll is likely much higher because of underreporting.

Aftershocks continue

Survivors and aid teams have experienced more than 140 aftershocks – some as high as magnitude 5.9 – which have added to widespread trauma and impeded humanitarian assistance.

To help, the UN health agency has delivered around 170 tonnes of emergency medical supplies to help 450,000 people for three months.

WHO is also coordinating more than 220 emergency medical teams in earthquake affected areas and it has launched a targeted dengue prevention initiative in coordination with national and local partners.

This includes the distribution of about 4,500 rapid diagnostic test kits for frontline responders and hundreds of insecticide-treated nets to protect people in the hardest-hit areas, such as Mandalay.

The March 2025 earthquake caused widespread destruction Mandalay.

Critical moment

The WHO medic said that the agency continues to help deliver a range of services, albeit at a “very limited” scale. This includes trauma care, mental health and psychosocial support, along with maternal and child health services and non-communicable disease prevention.

Without urgent, sustained funding, the risks of secondary health crises will erupt,” said Dr Fernando.

Echoing those concerns, the UN Children’s Fund (UNICEF) noted that early signs of acute watery diarrhoea “are already emerging” in worst-hit areas.

Access to food and essential services have been disrupted, causing worsening nutrition conditions, “especially for young children”, the UN agency’s Eliana Drakopoulos told UN News.

“With low immunization coverage and the monsoon approaching, the risk of preventable disease outbreaks is rising fast,” Ms. Drakopoulos added. “Urgent action is needed.”

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