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In Central African Republic, the report notes that humanitarian organisations scaled back activities in the country in the autumn of 2013 despite an increase in needs in the country.
More recently, the Pakistani army's offensive against Taliban militants has caused more than two million people to flee their homes, causing a ten-fold increase in needs in the country.
While they found a reduction in mental health, social and educational needs following admission (particularly aggression, substance misuse, relationships and education), they also noted an increase in needs relating to depression, anxiety problems and Post Traumatic Stress Disorder (PTSD) symptoms.
The increase in needs is due mainly to the addition of 600 000 urban poor, who are struggling to meet their household food needs in the face of rapidly increasing food and basic commodity prices, according to a recent assessment of FAO's Food Security Analysis Unit (FSAU) for Somalia.
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This means a dramatic increase in need, from shelter to water and sanitation, food, medical assistance, education.
"The decline of contributions unfortunately coincides with the increase in need," Mr. Rosenthal said, citing the current economic slump.
Mr. Myers saw an increase in need from 2006 to 2010.
"But there is also a definite increase in need," says Jeremy Ravn, the charity's food bank network director.
Or is it possible that the increase in demand for the attention of a doctor may also come from a genuine increase in need across all age groups?
They don't need us beating them up about commissioning, the shortage of grant funding, or the increase in need outstripping resources.
Tedd Peso, the government-relations manager for the Night Ministry, said he had witnessed the increase in need.
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