Famine relief is an organized effort to reduce starvation in a region in which there is famine. A famine is a phenomenon in which a large proportion of the population of a region or country are so undernourished that death by starvation becomes increasingly common. In spite of the much greater technological and economic resources of the modern world, famine still strikes many parts of the world, mostly in the developing nations.
Today, conflict is the biggest famine driver according to the World Food Programme, while climate change and the fallout of COVID-19 are contributing to sharply increasing hunger numbers. Measures to curb the spread of COVID-19 have hit economies worldwide, pushing millions into unemployment and poverty, and leaving governments and donors with fewer resources to address the food and nutritional needs of those most vulnerable. [1] Modern relief agencies categorize various gradations of famine according to a famine scale.
Many areas that suffered famines in the past have protected themselves through technological and social development. The first area in Europe to eliminate famine was the Netherlands, which saw its last peacetime famines in the early 17th century as it became a major economic power and established a complex political organization. A prominent economist on the subject, Nobel laureate Amartya Sen, has noted that no functioning democracy has ever suffered a famine, although he admits that malnutrition can occur in a democracy [2] and he does not consider mid-19th century Ireland to be a functioning democracy. [3]
The bulk of the world's food aid is given to people in areas where poverty is endemic; or to people who have suffered due to a natural disaster other than famine (such as the victims of the 2004 Indian Ocean Tsunami), or have lost their crops due to conflicts (such as in the Darfur region of Sudan). Only a small amount of food aid goes to people who are suffering as a direct consequence of famine.[ citation needed ]
In his book on famine, Fred Cuny stated that "the chances of saving lives at the outset of a relief operation are greatly reduced when food is imported. By the time it arrives in the country and gets to people, many will have died." He went on to say that "evidence suggests the massive food shipments sent to Somalia in 1992 had little impact on the outcome of the famine... and that by the time it arrived in sufficient, steady quantities in the rural areas, the death rate had peaked and was already declining." – Andrew S. Natsios (Administrator U.S. Agency for International Development)
There was a growing realization among aid groups that giving cash or cash vouchers, instead of food is a cheaper, faster, and more efficient way to deliver help to the hungry, particularly in areas in which food is available but unaffordable. [4] In a major endorsement of the approach around 2008, the UN's World Food Programme (WFP), the biggest non-governmental distributor of food, announced that it would begin distributing cash and vouchers instead of food in some areas. [5] [6] Josette Sheeran, the WFP's executive director, described the plan as a "revolution" in food aid. [4]
However, for people in a drought living far from markets or limited access to them, delivering sacks of grain and tins of oil may be the most appropriate way to help. [4] Fred Cuny further pointed out, "Studies of every recent famine have shown that food was available in-country – though not always in the immediate food deficit area. Usually, merchants begin hoarding food as a crisis develops – in conflicts, to keep it from being stolen, in famines, to get higher prices. Even though by local standards the prices are too high for the poor to purchase it, it would usually be cheaper for a donor to buy the hoarded food at the inflated price than to import it from abroad." from memorandum to former Representative Steve Solarz (United States, Democratic Party, New York) – July 1994. The Irish aid agency Concern is piloting a method through a mobile phone operator, Safaricom, which runs a money transfer program that allows cash to be sent from one part of the country to another. Concern donated more than $30,000 for distribution via cellphone to some of Kenya's poorest people so that they can buy local food. [4]
In the past four years[ when? ], Ethiopia has been pioneering a program that has now become part of the World Bank's prescribed recipe for coping with a food crisis and, as a result, it had been seen by aid organizations as a model of how to best help hungry nations. Through the country's main food assistance program, the Productive Safety Net Program, Ethiopia has been giving rural residents who are chronically short of food, a chance to work for food or cash. In addition, foreign aid organizations like the WFP were then able to buy food locally from surplus areas to distribute in areas with a shortage of food. Since then, the percentage of Ethiopians living in poverty dropped to 39 percent in 2006 from 44 percent in 2001, according to the World Bank. [7]
Malnutrition is a medical condition, not just a lack of food. The bodies of severely malnourished humans, especially children, are unable to process regular food. Instead of being fed food such as rice or porridge, patients are fed therapeutic food for up to one month, or until their bodies are able to process traditional foods. There are two main types of therapeutic foods in use: Powdered formulas (F-75, F-100, BP-100) to be prepared with clean water and to be used only under supervision; and ready-to-eat peanut paste formulations (Plumpy'nut, Plumpy'doz, eeZeePaste RUTF) which can be used at home without supervision.
After the malnourished children recover enough to be able to digest complex foods, products containing higher levels of protein can be used to increase muscle growth. Plant protein foods such as textured vegetable protein have been advocated. Besides containing high amounts of protein, they also have a long shelf life and are inexpensive. Also, similar to tofu, plant protein can be manufactured in a more sustainable way than animal protein. This is an important question in areas such as Darfur, where cattle farming contributes to constant destruction of arable farmland. [10] [11]
Today, the Peace Corps, religious groups, and charities feed hungry people all over the world, especially in countries hardest hit by famine. In addition to giving them food, they teach the hungry to grow their own food crops, so that they can feed themselves. In some environments (such as the desert, rocky areas, or cold wastelands) farming is difficult to impossible. Such land is called unarable. This is why famine repeats in those areas. New methods have been invented to grow food crops in these difficult areas. These new methods include: nitrogen fertilizer, hybrid food crops, digging wells, reverse osmosis water processors to turn salty ocean water into fresh water, greenhouses, hydroponics, canal digging, dirt hill walls stacking for protection against wind and dust, mylar insulation, and sustainable agriculture.
Action Against Hunger is a global humanitarian organization which originated in France and is committed to ending world hunger. The organization helps malnourished children and provides communities with access to safe water and sustainable solutions to hunger.
Kwashiorkor is a form of severe protein malnutrition characterized by edema and an enlarged liver with fatty infiltrates. It is thought to be caused by sufficient calorie intake, but with insufficient protein consumption, which distinguishes it from marasmus. Recent studies have found that a lack of antioxidant micronutrients such as β-carotene, lycopene, other carotenoids, and vitamin C as well as the presence of aflatoxins may play a role in the development of the disease. However, the exact cause of kwashiorkor is still unknown. Inadequate food supply is correlated with occurrences of kwashiorkor; occurrences in high income countries are rare. It occurs amongst weaning children to ages of about five years old.
The World Food Programme (WFP) is an international organization within the United Nations that provides food assistance worldwide. It is the world's largest humanitarian organization and the leading provider of school meals. Founded in 1961, WFP is headquartered in Rome and has offices in 87 countries. In 2023 it supported over 152 million people, and is present in more than 120 countries and territories.
In politics, humanitarian aid, and the social sciences, hunger is defined as a condition in which a person does not have the physical or financial capability to eat sufficient food to meet basic nutritional needs for a sustained period. In the field of hunger relief, the term hunger is used in a sense that goes beyond the common desire for food that all humans experience, also known as an appetite. The most extreme form of hunger, when malnutrition is widespread, and when people have started dying of starvation through lack of access to sufficient, nutritious food, leads to a declaration of famine.
Starvation is a severe deficiency in caloric energy intake, below the level needed to maintain an organism's life. It is the most extreme form of malnutrition. In humans, prolonged starvation can cause permanent organ damage and eventually, death. The term inanition refers to the symptoms and effects of starvation. Starvation by outside forces is a crime according to international criminal law and may also be used as a means of torture or execution.
Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is a deficiency, excess, or imbalance of energy, protein and other nutrients which adversely affects the body's tissues and form.
Therapeutic foods are foods designed for specific, usually nutritional, therapeutic purposes as a form of dietary supplement. The primary examples of therapeutic foods are used for emergency feeding of malnourished children or to supplement the diets of persons with special nutrition requirements, such as the elderly.
Plumpy'Nut is a peanut-based paste in a plastic wrapper for treatment of severe acute malnutrition manufactured by Nutriset, a French company. Feeding with the 92-gram packets of this paste reduces the need for hospitalization. It can be administered at home, allowing more people to be treated.
The 2005–2006 Niger food crisis was a severe but localized food security crisis in the regions of northern Maradi, Tahoua, Tillabéri, and Zinder of Niger from 2005 to 2006. It was caused by an early end to the 2004 rains, desert locust damage to some pasture lands, high food prices, and chronic poverty. In the affected area, 2.4 million of 3.6 million people are considered highly vulnerable to food insecurity. An international assessment stated that, of these, over 800,000 face extreme food insecurity and another 800,000 in moderately insecure food situations are in need of aid.
André Briend is a French pediatric nutritionist best known for his 1996 co-formulation of Plumpy'nut, a Ready-to-Use Therapeutic Food (RUTF), with Dr. Mark Manary. Starting in 1994, Briend, who at the time worked at Institut de recherche pour le développement, worked with Michel Lescanne to develop variants of renutrition products in solid form. At the time, the WHO-recommended diet for the treatment of severe malnutrition required clean water, a commodity only available in hospitals in most developing countries. These trial products were ultimately discarded for not meeting the requirements of good shelf-life, pleasant taste, or logistic simplicity. In 1996, inspired by a jar of chocolate spread which had a similar composition of proteins, energy, and lipids as the diet recommended by the WHO, Briend came up with the idea of replacing part of the dry skim milk in the existing recipe with peanut butter and eventually created Plumpy'nut. Briend also served as a medical officer for the Department of Child & Adolescent Health and Development at the World Health Organization.
F-100 and F-75 are therapeutic milk products designed to treat severe malnutrition. The formula is used in therapeutic feeding centers where children are hospitalized for treatment. F-75 is considered the "starter" formula, and F-100 the "catch-up" formula. The designations mean that the product contains respectively 75 and 100 kcals per 100 ml. F-75 provides 75 kcal and 0.9 g protein per 100 mL, while F-100 provides 100 kcal and 2.9 g protein. Both are very high in energy, fat, and protein and provide a large amount of nutrients. Ingredients include concentrated milk powder, food oil, and dextrin vitamin complexes. The formulas may be prepared by mixing with the local water supply. There are other variants like Low Lactose F-75 and Lactose-Free F-75, which are used in case of persistent diarrhea in severe acute malnutrition. F-75 may be cereal-based in place of milk.
Meds & Food for Kids is a nonprofit organization dedicated to treating and preventing child malnutrition in Haiti by producing fortified peanut-based foods. Meds & Food for Kids uses a peanut-based feeding approach called Ready-to-Use Therapeutic Food (RUTF), known as Medika Mamba.
Fill the Cup is a campaign of the United Nations World Food Programme (WFP), the world's largest humanitarian aid agency. In 2009, WFP plans to feed over 100 million people in 77 of the world's poorest countries. "Fill the Cup" aims to use the symbol of the Red Cup to raise awareness of global hunger, specifically involving hungry school children. About 59 million primary school age children attend school hungry across the developing world, with 23 million of them in 45 African countries.
Unimix is an enriched maize and bean flour designed and used to fight malnutrition. It contains maize (corn) flour, soy beans, oil, milk powder, and sugar; plus vitamins and minerals. The standard use is to make into porridge by cooking it with water and having this in addition to whatever other food is available. It can also be used in place of flour to make bread or other foods according to local customs. Humanitarian organizations ship Unimix in large quantities to starving people in order to fight severe malnutrition, especially in children, who need substantial protein to grow.
There were 735.1 million malnourished people in the world in 2022, a decrease of 58.3 million since 2005, despite the fact that the world already produces enough food to feed everyone and could feed more than that.
Citadel spread is a paste made of peanut butter, oil, sugar and milk powder. First developed as a trail food for hikers, a citadel spread resembles common ready-to-use therapeutic food (RUTF) formulations, such as Plumpy'nut.
Undernutrition in children, occurs when children do not consume enough calories, protein, or micronutrients to maintain good health. It is common globally and may result in both short and long term irreversible adverse health outcomes. Undernutrition is sometimes used synonymously with malnutrition, however, malnutrition could mean both undernutrition or overnutrition. The World Health Organization (WHO) estimates that malnutrition accounts for 54 percent of child mortality worldwide, which is about 1 million children. Another estimate, also by WHO, states that childhood underweight is the cause for about 35% of all deaths of children under the age of five worldwide.
In the early months of 2017, parts of South Sudan experienced a famine following several years of instability in the country's food supply caused by war and drought. The famine, largely focused in the northern part of the country, affected an estimated five million people. In May 2017, the famine was officially declared to have weakened to a state of severe food insecurity.
In mid-2021, a severe drought in southern Madagascar caused hundreds of thousands of people, with some estimating more than 1 million people including nearly 460,000 children, to suffer from food insecurity or Kere (famine). Some organizations have attributed the situation to the impact of climate change and the handling of the COVID-19 pandemic in the country.
In the early 1990s, the accepted regimen for severe acute malnutrition — a watery mixture fed through a tube — was 30 years old and was unable to prevent the deaths of 20 to 60 percent of patients in hospitals.