Somalia under the kacaan vs Somalia under anarchy, these are embarrassing numbers from a 21-year-old government, there's a reason there were various rebel groups
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Those numbers are nothing short of nonsensical. Somalia had no "state" or ministry or finance to even hold any sort of financial information let alone vaccinations and health documents.
However, after only briefly looking over that document, the writer had to mention the obvious preface that after the fall of Somalia's state (1991) the situation in the country devolved into a terrible situation.
To any sane and objective observer this is apparent, but I believe your bias towards anarchy and statelessness might be clouding your judgement. Here is a piece of the very document you shared in which the writer agrees that the moryaan barbarians caused nothing but suffering and humiliation on the world wide stage.