While Americans hastily acquaint themselves with the plight of Afghan refugees, humanitarian workers in neighboring Tajikistan are carrying on their usual busy schedule. Tajikistan has insisted that it will coordinate humanitarian aid and perhaps provide access for relief workers. But the country can hardly provide succor for ill Afghanis; a food deficit and drought have left it in a permanent public health crisis. Medecins Sans Frontieres-Doctors Without Borders, which has worked in Tajikistan since the early