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Health problems related to the internal displacement of people have
been studied mainly in camp settings, and international organisations
have focused on the displaced people. In the early phases of conflicts
and emergencies, however, non-camp settings mixing residents and
refugees are common. On p 878, Aaby et al describe the health
consequences during the recent war in Guinea-Bissau in a non-camp
setting when people left the capital and moved in with residents. The
international agencies targeted only refugees for assistance. Although
resident families comsumed more food than refugee families, resident
children became more malnourished and had a fourfold higher mortality
than the refugee children. When the refugees returned home, nutritional
status improved and mortality declined significantly among both groups.
Owing to changes in disease exposure and treatment practices,
emergencies may thus affect more than displaced people.