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The first-time visitor to Salisbury cannot help but be impressed by the exceptionally clean and modern downtown area. The well-kept parks and spotless boulevards put any city in the United States to shame. Supermarket shelves are well stocked, and the near total absence of beggars makes one wonder if this is in fact part of the African continent. If one stays inside the downtown area and its rich suburbs, one can easily miss the ugly truth that millions of people in this relatively affluent nation are suffering from malnutrition and that whole communities have been destroyed by starvation.