This 1968 photograph, captured during the Nigerian-Biafran civil war, depicted the legs of a refugee exhibiting the manifestations of kwashiorkor, which is due to a dietary protein deficiency. Note her swollen feet, and the thin and shiny skin on her knees. See PHIL 7158 for another view of this patient’s condition. The National Communicable Disease Center (NCDC) helped to treat the 500,000 cases of malnutrition, by setting up food distribution centers and clinics in refugee relief camps, surrounding the Nigerian war zone. Protein enriched foods, including dried codfish and powdered milk, were made available to the children suffering with the protein-calorie malnutrition disease called kwashiorkor.