KAKUMA, Northern Kenya – They shuffle aimlessly in the dust: 50,000 refugees crammed into thousands of huts made from branches, leaves, mud and plastic in the Kakuma camp in Northern Kenya.

Natives of Ethiopia, Somalia, Sudan, Rwanda, Burundi and Uganda, the refugees have fled wars aggravated by drought, yet even here the supply of water is sporadic. They eat once a day from supplies provided by aid agencies. Kakuma is one of the oldest and largest refugee camps in the world and some people have been here since 1991 when it was established.

They don’t like to talk to strangers about their problems, but the roads are lined by placards, erected by aid agencies, with slogans and exhortations that are like windows into the refugees’ pain.

The most graphic reads: “STOP FEMALE GENITAL MUTILATION – IT IS A HEALTH HAZARD (RISK).” The signs are in English, Kenya’s official language, but since the camp’s residents speak a wide variety of regional and native languages, the words are incomprehensible to most refugees.

However anyone can get the message from the disturbing illustration of a woman kneeling with a razor while a mother offers up her infant girl. Female genital mutilation is almost universal in Somalia and common in neighboring countries.

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