• Save the Children has found that about 262,500 acutely malnourished children may have died between January and November 2021
  • The organization used data compiled by the UN and evaluated mortality rates for untreated cases of severe acute malnutrition in children under five across eight countries in East Africa
  • Health centre admissions of children suffering acute malnutrition have risen dramatically in 2021, with a 16 per cent increase in the first half of this year from an already high baseline

A new report has found that more than 260,000 children aged under five may have died from extreme hunger or related diseases in East Africa since the start of the year.

Save the Children used data compiled by the UN and evaluated mortality rates for untreated cases of severe acute malnutrition in children under five across eight countries in East Africa.

Using a conservative estimate, the humanitarian aid agency discovered that about 262,500 acutely malnourished children may have died between January and November 2021.

East Africa is currently experiencing the devastating impacts of climate change, with concurrent emergencies like drought and floods across the region leading to mass displacement and severe hunger.

While communities in eastern Kenya, southern Somalia, and Ethiopia are reeling from successive drought, parts of South Sudan remain underwater after three years of unpredictable and excessive rains.

The finding also indicates that health centre admissions of children suffering acute malnutrition have risen dramatically in 2021, with a 16 per cent increase in the first half of this year from an already high baseline.

Severe acute malnutrition is the most extreme and dangerous form of undernutrition. Symptoms include jutting ribs and loose skin, with visible wasting of body tissue, or swelling in the ankles, feet and belly as blood vessels leak fluid under the skin. Currently, less than half of acutely malnourished children (46%) across East Africa are being treated for the condition.

Kenyan children will face more drought seasons in their lifetime

Speaking to the agency, Akuol, not her real name, from South Sudan, said she has struggled to get enough food for herself and her son. The delivery of the humanitarian supplies she usually relies on has recently been hampered by heavy rains.

“There is nowhere I rest comfortably, no food (no grains, no oil) and the house we are living in is like living on the street. I have no one to turn to for help. Sometimes I beg people at the riverside and buy food to eat if I am lucky to get something. We have no food to eat, we wait for humanitarian support, and when it is finished we stay without food. For the period that we are waiting for the next ratio (food distribution), we remain without food and that is how the situation is for us. There is food shortage because when it rains it is difficult for humanitarian food to be brought to us and distributed.”

Kijala Shako from Save the Children said the impacts of the climate crisis has ultimately taken the highest toll on children.

This is despite it being a year that saw the COVID-19 pandemic continue to wreck lives and economies, and conflict kill and displace thousands of families.

“At COP26 last month, high-income countries and historical emitters had the opportunity to support the development of funds to address rapidly escalating loss and damage. Unfortunately, they missed the boat. Today’s shocking figures tell the human story behind what we are calling for.”

He said that deaths from hunger are not inevitable, and we have the tools, skills and experience to reach children and their families before it’s too late.

He added that countries that are bearing the brunt of the climate crisis must be supported for the damage already being done – that they have played a tiny part in creating.

“It is vital that we see the creation of a new climate finance mechanism for loss and damage by 2023. At the same time, we also need to see a drastic reduction in fossil fuels to limit warming temperatures and reduce these kinds of disasters.”

More than 260,000 children aged under five may have died from extreme hunger or related diseases in East Africa since the start of the year/ Unsplash

Failed rain seasons pushing millions of Kenyans to drought

Save the Children is calling on governments to fund humanitarian response plans fully, and support social protection schemes and health and nutrition services for children, including the treatment of acute malnutrition.

Globally, malnutrition is linked to nearly half of all under-five deaths. In 2020, 149 million children were stunted (too short), and 45 million were wasted (too thin). Without fast and decisive action from the global community, an additional 3.6 million children worldwide will become stunted by 2022 and an additional 13.6 million children wasted because of the impacts of the COVID-19 pandemic.

The organization urges donors to prioritize humanitarian cash and voucher assistance for families and focus on the increased risk of violence—particularly gender-based violence—caused by the COVID-19 pandemic.
In addition, only by ending the global conflict, tackling changing climate and food systems, and building more resilient systems and communities will future similar disasters be averted.

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Wanjiku Njuguna is a Kenyan-based business reporter with experience of more than eight years.

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