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This report looks at the roots of the catastrophe – why a natural occurrence has devastated the lives of millions – and proposes ways to avert future crises when drought returns to the Horn, as it will with regularity. It argues that we must build community resilience and empower the people of arid lands to rise above the natural hazards that so frequently confront them and calls for governments, donors and humanitarians to take an integrated, longer term approach and address the chronic underlying issues.