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tramadol vs codeine The toll of the conflict is difficult to determine as the most vicious attacks have taken place in small villages in the remote countryside. About 1 in 10 people have been displaced from their homes, according to international aid group Medecins Sans Frontieres, or Doctors Without Borders. Details only trickle in when survivors make their way to safety and the insecurity in the region makes it impossible for aid groups to determine how many have died. Many of the rebels accused of committing atrocities have been integrated into the national army, rendering the country's security forces unable to combat the cycle of violence.