There is a lack of basic community care structures in small urban communities, where a continued influx of transient residents rely on overburdened, rural-oriented services. Despite the close proximity of modern services for the rest of the population, such services are not available to these people and this produces a debilitating effect on those who continue to live under outmoded forms of care. The gap in services is apparent in the unsanitary conditions; the overextended medical services; the number of orphaned, uneducated and uncared children; the lack of access to vital information; and the virtual absence of social care for young or old. The gap in services and obvious disparity with others dissipates a community's energy, gives it a negative self-image and demoralizes the local people.