The delivery of health care is hampered right when hazards and vulnerabilities increase, with general greater risk of illness and death. Economic crisis curtails the budgets of the social sectors and, together with social distress, undermines national capacities. Military operations target water plants and health facilities as means of deliberately hurting civilians. The risk for malnutrition and deficiencies is made worse by the loss of means of production, of food stocks, of commerce and by banditism. Besides violent deaths, injuries and disabilities, displacements of population increase the risk for acute respiratory infections, diarrhoeas, epidemics and parasitic disease. In 1995, war was directly or indirectly affecting 550 million people in 35 countries. Because of war, between the 1980s and early '90s Africa suffered about 5 million excess deaths and economic losses estimated at US $13 billion per year.
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