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Establishing Underground Medical Clinics in Rural Afghanistan: The International Medical Corps Experience

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Grant support: in part by a grant from the United States Agency for International Development.

▸Requests for reprints should be addressed to Robert R. Simon, M.D.; Department of Medicine, Division of Emergency Medicine, UCLA Center for the Health Sciences, 10833 Le Conte Avenue; Los Angeles, CA 90024.

Ann Intern Med. 1988;108(3):477-480. doi:10.7326/0003-4819-108-3-477
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This excerpt has been provided in the absence of an abstract.

In 1973, and again in 1978, presidents were installed in coups backed by the People's Democratic Party of Afghanistan, a pro-Soviet regime (1). Due to government-sponsored repression, revolts broke out, and Hafezullah Amin, a moderate, assumed power. On December 24, 1979, the Soviet Union invaded Afghanistan, Mr. Amin was killed, and Babrak Karmal was installed as president.

At the time of the Soviet invasion, the population of Afghanistan was 16 million (2). Since the invasion, 1 million persons have been killed, and 5 million are now living in refugee camps in Iran and Pakistan (3). This refugee population is the




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