At least 381 civilians have been killed in attacks carried out by Boko Haram militants in Nigeria and Cameroon since April, according to a report by Amnesty International.

Although the Nigerian military has repeatedly declared that Boko Haram has been “defeated,” the insurgent group has carried out a series of deadly attacks in Nigeria and Cameroon in recent months.

According to Amnesty International, the number of casualties resulting from the resurgence of attacks has more than doubled compared to the previous five months.

“Boko Haram is once again committing war crimes on a huge scale, exemplified by the depravity of forcing young girls to carry explosives with the sole intention of killing as many people as they possibly can,” said Alioune Tine, Amnesty’s director for West and Central Africa.

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