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The Washington Post

IRBIL, Iraq For three years, he worked closely with U.S. forces in Iraq. Now Ammar Younes sits in his frigid tent in a camp in Iraqs Kurdish region, using a scalpel to gouge pieces of shrapnel out of his mangled legs as his young children look on.

A trainer in the Iraqi army, the 34-year-old was wounded when Islamic State extremists placed a bomb under his car in Mosul in June, just a week before the northern city fell to the militants. He was forced to flee his hospital bed, still wearing his medical gown, when the city was overrun.

Younes is one of more than 2 million Iraqis uprooted this year by the advance of the Islamic State, an exodus that has compounded this countrys massive displacement crisis.

About 1.7million Iraqis fled their homes for other parts of the country from 2006 to 2008, the worst days of sectarian conflict after the U.S. -led invasion of 2003. Most have yet to return to their homes. Meanwhile, the war in neighboring Syria has spawned more than 3.2million refugees, some of whom have sought shelter in Iraq.

The speed and scale of the latest Iraq crisis have stunned communities, international humanitarian organizations and the Iraqi government, which is poorly equipped to help displaced people as it fights a war against Islamist militants and struggles to balance its books amid diving oil prices. Adding to the misery of the displaced, the winter has set in, sending temperatures below freezing.

Almost half of the Iraqis fleeing their communities this year have crowded into Iraqi Kurdistan, already home to more than 200,000 Syrian refugees.

Seivan Selim/AP Photo In this Dec. 10, 2014 photo, children from Yazidi families displaced by Islamic State group militants warm their hands over hot coals in a partially constructed building in Dohuk, northern Iraq.

With resources scarce, a scramble for survival is underway. The displaced say their sects, ethnicities and whether they have crossed an international border and legally qualify as refugees can determine their level of access to the scant aid available.

Younes has spent more than $2,000 on surgeries to remove shrapnel from his legs. But he said that hes struggling to afford further care and that free clinics lack the specialized treatment he needs.

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Iraq faces new crisis as Islamic State displaces millions