The lack of agricultural knowledge on the part of the former city dwellers made famine inevitable. The rural peasantry were often unsympathetic, or they were too frightened to assist them. Such acts as picking wild fruit or berries were seen as "private enterprise" and punished with death. Labourers were forced to work long shifts without adequate rest or food, resulting in many deaths through exhaustion, illness and starvation. Workers were executed for attempting to escape from the communes, for breaching minor rules, or after being denounced by colleagues. If caught, offenders were taken off to a distant forest or field after sunset and killed. Unwilling to import Western medicines, the regime turned to traditional medicine instead and placed medical care in the hands of cadres who were only given rudimentary training. The famine, forced labour and lack of access to appropriate services led to a high number of deaths.