This paper studies the economic and health impacts of the 2007 Kenyan Presidential Election crisis. Over the two months of civil conflict that immediately followed the election, we observe sizeable downfalls in income, expenditure, and consumption for a broad segment of the rural population. This suggests households were unable to smooth over the shock. We also find that the crisis increased the likelihood that women who supply transactional sex chose to engage in unprotected sex, increasing the risk of HIV/AIDS transmission. These results suggest that social unrest is an important channel through which political instability can affect long-term outcomes and development.