NAIROBI, Kenya – From “emaciated” refugees to crops burned on the brink of harvest, starvation threatens the survivors of more than two months of fighting in Ethiopia's Tigray region.
The first humanitarian workers to arrive after pleading with the Ethiopian government for access describe weakened children dying from diarrhea after drinking from rivers. Shops were looted or depleted weeks ago. A local official told a Jan. 1 crisis meeting of government and aid workers that hungry people had asked for “a single biscuit.”
More than 4.5 million people, nearly the region's entire population, need emergency food, participants say. At their next meeting Jan. 8, a Tigray administrator warned that without aid, “hundreds of thousands might starve to death” and some already had, according to minutes obtained by The Associated Press.
“There is an extreme urgent need – I don't know what more words in English to use – to rapidly scale up the humanitarian response because the population is dying every day as we speak,” Mari Carmen Vinoles, head of the emergency unit for Doctors Without Borders, told the AP.
But pockets of fighting, resistance from some officials and sheer destruction stand in the way of a massive food delivery effort. To send 33-pound rations to 4.5 million people would require more than 2,000 trucks, the meeting's minutes said, while some local responders are reduced to getting around on foot.
The specter of hunger is sensitive in Ethiopia, which transformed into one of the world's fastest-growing economies in the decades since images of starvation there in the 1980s led to a global outcry. Drought, conflict and government denial contributed to the famine, which swept through Tigray and killed an estimated 1 million people.
The largely agricultural Tigray region of about 5 million people already had a food security problem amid a locust outbreak when Prime Minister Abiy Ahmed on Nov. 4 announced fighting between his forces and those of the defiant regional government.
Thousands of people have been killed in the conflict. More than 50,000 have fled into Sudan, where one doctor has said newer arrivals show signs of starvation. Others shelter in rugged terrain. A woman who recently left Tigray described sleeping in caves with people who brought cattle, goats and the grain they had managed to harvest.
Hospitals and other health centers, crucial in treating malnutrition, have been destroyed. In markets, food is “not available or extremely limited,” the United Nations says.
Though Ethiopia's prime minister declared victory in late November, its military and allied fighters remain active amid the presence of troops from neighboring Eritrea, a bitter enemy of the now-fugitive officials who once led the region.
In the towns of Adigrat, Adwa and Axum, “the level of civilian casualties is extremely high in the places we have been able to access,” the Doctors Without Borders emergency official Vinoles said. She cited the fighting and lack of health care.
Hunger is “very concerning,” she said, and even water is scarce: Just two of 21 wells still work in Adigrat, a city of more than 140,000, forcing many people to drink from the river. With sanitation suffering, disease follows.
The Famine Early Warning Systems Network, funded and managed by the U.S., says parts of central and eastern Tigray are likely in Emergency Phase 4, a step below famine.
The next few months are critical, John Shumlansky, the Catholic Relief Services representative in Ethiopia, said.