The amputations were done in Zahedan, the provincial capital near the Pakistan border, where the authorities have faced increasing insecurity because of the Sunni minority in the region.
However, significant challenges still remain as a result of the 2011 refugee influx, increasing insecurity and ongoing food insecurity.
Thirty-five percent of excess child mortality is secondary to malnutrition (Black et al. 2008), a risk factor also expected to worsen with climate change because of increasing food insecurity (McMichael 2001b).
Unocha's interim humanitarian coordinator in CAR, Michel Yao, warns that the increasing insecurity is hampering the work of humanitarian groups.
"That would be the worst possible message to send at a time of increasing fear, insecurity and polarisation.
Aoife McDonnell, of UNHCR, the UN's refugee agency, said that despite border closures and tightened security, increased numbers of refugees were also heading for Jordan from central and northern areas of Syria because of increased instability and insecurity in Lebanon and Iraq, particularly Anbar province, and because of heavy militarisation along the Turkish border.
Increased insecurity, displacement and the break-down of community protection mechanisms have led to increases in violence against women.
The months ahead could be particularly challenging because of increased displacement, pressure on the water table, reductions in WFP general food ration due to insecurity, and the poor harvest in South Darfur.
And the researchers warn of a "significant trend of increasing asthma incidence with increasing perceptions of job insecurity".
Liberals are confident Mr. Obama will prevail because "the vast majority of Americans face increasing economic insecurity and feel the health care system isn't working," said Roger Hickey, a veteran progressive activist who has been in the thick of both the Social Security and health care battles.
