The situation in Bouca has been particularly dire since early September, and fresh clashes in late November prompted the threat against the Catholic mission. Forty-three bodies have been buried in recent weeks in Bouca, about 180 miles (290 kilometers) north of Bangui, the capital, according to the International Committee of the Red Cross.
Hundreds of homes in Bouca have been burned to the ground and those who haven't fled to the Catholic mission have taken shelter in the fields outside town.
"My house was looted and burned by the Seleka forces, and like many here I fled into the bush," says Nathanael Wandji, the director of the local Red Cross in Bouca. "We need to restore peace here quickly. The situation is becoming more and more dramatic."
The area around Bouca is home to a growing Christian militia movement known as the anti-balaka. The fighters armed in some cases only with artisanal hunting rifles rose up earlier this year in opposition to the wave of attacks by Seleka rebels. The rhetoric has taken on an increasingly sectarian tone in a town where Christians and Muslims had lived together in relative peace for generations.
The ex-Seleka forces want to restore order in Bouca and they know that not all Christians support the militias, said Mahadji Maamate, a spokesman for the rebel leader who threatened the church.
"The anti-balaka fighters are against Muslims and they don't want Muslims living among them," Maamate told The Associated Press during a recent visit to Bouca. "They have killed poor Muslims and burned their children."
Outside Bouca, the anti-balaka adorn themselves with talismans or gris-gris to give them spiritual protection from the enemy's bullets. Their weapons are mostly primitive artisanal hunting rifles, though some cart AK-47s stolen from dead Seleka fighters and others have weapons that appear to come from the national army.
Many are motivated by vengeance and say their relatives have been killed by Seleka forces.
"The rebels killed my parents and my wife now it's my turn to kill them," said one anti-balaka fighter brandishing a weapon and who refused to give his name.
The violence first ignited in Bouca on Sept. 9, when Christian militia fighters attacked a Muslim neighborhood, setting homes ablaze. Reprisal attacks were soon launched by the Seleka rebels and among the victims was a humanitarian worker accused of collaborating with the anti-balaka, according to Amnesty International. It is believed to be the single deadliest day of violence confirmed in the northwest since the conflict began, with 115 Christians and 38 Muslims killed in the fighting, Mudge said.
Even as the community maintains an uneasy peace, people are still dying from malaria and other diseases because of a lack of access to health care.
"The fighting in Bouca is indicative of how horrific violence is engulfing the Central African Republic," said Sylvain Groulx, head of mission for Medecins Sans Frontieres, or Doctors Without Borders, in Central African Republic. "We are extremely concerned about the living conditions of the displaced, who are overcrowded in churches, mosques or schools, or living in the bush with no access to health care, food or water. Much more needs to be done and it needs to be done now."
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Larson reported from Dakar, Senegal.
Krista Larson: https://twitter.com/klarsonafrica