
ALEXANDRIA, Va. — Shafi Amani holds his 3-year-old daughter Yousra outside the Casey Clinic in Alexandria, Va., where they go every couple of weeks for care. She has a tumble of curls and large brown eyes that roll back at times. Her legs are limp, like a rag doll. She can't walk or speak or chew food. The stem of a plastic feeding tube pokes out from her stomach.
Amani carries his daughter into their small apartment just down the street, inside a cluster of red brick buildings. Yousra was a healthy toddler when she and her family fled Afghanistan more than a year ago, taking a dirt road overland to Pakistan. That's where things got worse.