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The UN refugee agency (UNHCR) says there has been an "abject denial" around the world of the humanitarian impact of invading Iraq.
The UN faces an enormous task in helping countries such as Jordan and Syria cope with the huge influx of Iraqi refugees, a spokesman said.
He said the international community had to step in to help address their food, health and education needs. Syria says it is home to 1.2m Iraqi refugees, with up to 800,000 in Jordan.
On top of that, almost two million more people are displaced inside Iraq - people who have fled their homes to escape the violence.
That number, too, is steadily growing, the UN says, with some provinces feeling overwhelmed and attempting to close their boundaries to refugees from other areas.
Many Sunni Arab and Shia people have been forced to flee from mixed areas to districts where their respective communities are in the majority.
"There has been an abject denial of the impact, the humanitarian impact, of the war, the huge displacement within Iraq of up to 1.9 million people who are homeless because of the war, and those people who are homeless and never got back to the homes after Saddam Hussein was overthrown."