Food insecurity reached an alarming level, the health system was in a state of collapse and schools were forced to close because of violence. Hundreds of thousands of people fled their homes and were at risk as displaced people. Criminal gangs continued to perpetrate abuses, including against children. Sexual and gender-based violence increased. Impunity prevailed as the justice system struggled to function. The USA and the Dominican Republic failed to provide international protection to Haitians fleeing the country and continued forcibly returning them.
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