'I just cry': Dying of hunger in Ethiopia's blockaded Tigray

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'I just cry': Dying of hunger in Ethiopia's blockaded Tigray
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Forced starvation is the latest chapter in a conflict where ethnic Tigrayans have been massacred, gang-raped and expelled.

In this photo provided anonymously, a severely malnourished child is treated in an intensive care unit at the Ayder Referral Hospital, where medicines have almost run out and hospital staffers haven't been paid since June, in Mekele, in the Tigray region of northern Ethiopia in Sept. 2021. For months, the United Nations has warned of famine in Tigray and now internal documents and witness accounts reveal the first starvation deaths since Ethiopia's government in June imposed what the U.

He shared with The Associated Press photos of some of the 50 children receiving “very intensive care” because of malnutrition, the first such images to emerge from Tigray in months. In one, a small child with startled-looking eyes stares straight into the camera, a feeding tube in his nose, a protective amulet lying in the pronounced hollow of his throat.

More than 350,000 metric tons of food aid are positioned in Ethiopia, but very little of it can get into Tigray. The government is so wary that humanitarian workers boarding rare flights to the region have been given an unusual list of items they cannot bring: Dental flossers. Can openers. Multivitamins. Medicines, even personal ones.

In the most extensive account yet of the blockade's toll, a humanitarian worker told the AP that deaths from starvation are being reported in “every single” district of the more than 20 in Tigray where one aid group operates. The group had run out of food aid and fuel. The worker, like others, spoke on condition of anonymity for fear of retaliation.

In August, another staffer visited a community in central Tigray and wrote that the number of people at risk of starvation was “exponentially increasing” in both rural and urban areas. In some cases, “people are eating only green leaves for days.” Some toilets in the crowded camps are overflowing because there's no cash to pay for their cleaning, leaving thousands of people vulnerable to outbreaks of disease, a visiting aid worker said. People who ate three meals a day now eat only one. Camp residents rely on the charity of host communities who often struggle to feed themselves.

Now the war is hollowing out the economy, and stomachs. Malnutrition rates are near 30% for children under the age of 5, the U.N. World Food Program said Wednesday, and near 80% for pregnant and breastfeeding women. In mid-September the U.N. issued the first report of its kind showing in red the number of days remaining before cash or fuel ran out for key humanitarian work like treating Tigray’s most severely malnourished. Often, that number was zero.

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