An armed group that kidnapped humanitarian workers in northeastern Nigeria five months ago has claimed it killed four hostages, international aid agency Action Against Hunger, AAH said on Friday.

Six people were abducted in July near the town of Damasak, in the state of Borno, where Islamist insurgents operate.

Islamic State in West Africa Province (ISWAP), which split from the militant group Boko Haram that began its insurgency in 2009, has become the dominant jihadist group in the region. The decade-long Islamist insurgency has caused the deaths of some 30,000 people and driven 2 million to flee their homes.

Action Against Hunger said one of its employees, two drivers and three health ministry workers were abducted. In September it said one of the hostages had been killed. On Friday, the humanitarian agency said the group claimed to have killed four of the remaining five hostages.

Another of the hostages was killed in September.

The French aid group said it is “extremely concerned and calls for the immediate release of its staff member, Grace, who remains in captivity.”

“Action Against Hunger condemns these latest killings in the strongest terms and deeply regrets that its calls for the release of the hostages have not been acted upon,” it said.

The organization called for the “immediate release” of its staff member, Grace, who remains in captivity.

The United Nations humanitarian coordinator in Nigeria, Edward Kallon, condemned the killings.

“This is another sad day for the people of Nigeria and the humanitarian community supporting them,” Kallon said in a statement. “Violence against humanitarian actors jeopardizes access to much needed assistance for people affected by the armed conflict,” he added.

The U.N. has described the situation in northeast Nigeria as one of the world’s worst humanitarian crises, estimating that around 7 million people need assistance.

The statement said seven aid workers have been killed since the beginning of the year, among a total of 26 U.N. and aid workers who have lost their lives in the conflict since 2011.