According to a report by the World Bank in 2011, Camrail ranked relatively high amongst African countries for productivity indicators and was considered a regional leader in terms of implementing a concession to a non-state operator.

[1] The 2016 Eséka train derailment took place on Camrail tracks and the company was under investigation by the government and was sued by relatives of the 79 passengers who died in the crash.

As of May 2014, Camrail operated regular daily services on three routes:[2][3] In 2021, the track including bridges are being upgraded to carry increased bauxite traffic from the Minim, Martap deposits.

A line between Ngaoundéré and Chad's capital city may start around 2026-2027.This will boost Cameroon and Chad's economic trade[4] On 21 October 2016 at approximately 1100 local time, a passenger train derailed close to the town of Eséka.

The train, traveling from the capital Yaoundé to the country's main port and economic hub, (Douala), was crammed with people because of road traffic disruption between the two cities and came off the tracks just before reaching Eséka.