famines

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April 10, 2026

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April 10, 2026

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"Allow me to break down the facts of hunger as they stand right now. 811 million people are chronically hungry. 283 million are in hunger crises — they are marching toward starvation. And within that, 45 million in 43 countries across the globe are in hunger emergencies — in other words, famine is knocking on their door. Places like Afghanistan. Madagascar. Myanmar. Guatemala. Ethiopia. Sudan. South Sudan. Mozambique. Niger. Syria, Mali, Burkina Faso, Somalia, Haiti and on and on and on. The world has often experienced famine. But when has it ever been so widespread, in so many places, at the same time? Why? Three reasons. First, man-made conflict. Dozens of civil wars and regional conflicts are raging, and hunger has been weaponized to achieve military and political objectives. Second, climate shocks /climate change. Floods, droughts, locusts and rapidly changing weather patterns have created severe crop failures around the world. Third, COVID-19. The viral pandemic has created a secondary hunger pandemic, which is far worse than the first. Shutdowns destroyed livelihoods. Shutdowns stopped the movement of food. Shutdowns inflated prices. The net result is the poor of the world are priced out of survival. The ripple effect of COVID has been devastating on the global economy. During the pandemic, $3.7 trillion in incomes — mostly among the poor — have been wiped out, while food prices are spiking. The cost of shipping food, for example, has increased 3 – 400%. But in places of conflict and low-income countries, it is even worse. For example, in Aleppo, Syria — a war zone, where I just returned from — food is now seven times more expensive than it was 2 years ago. The combined effect of these three — conflict, climate and COVID — has created an unprecedented perfect storm."

- Famine

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"Starvation results from inadequate intake of macronutrients (proteins, fats and carbohydrates). It may be partial or complete. In fasting, all food energy is excluded, whereas in semi-starvation insufficient energy and protein are ingested. Human starvation and semi-starvation result from deprivation of food, not specific nutrients, so both micronutrient and macronutrient deficiencies result, causing clinical disease. The body defends against these deficiencies by triggering hunger, a cognitive state in which there is motivation to eat food. Preliminary results of the long-term effects of semi-starvation were presented at the 9th International Congress on Eating Disorders, held in New York City on May 4-7, 2000.1 Elke Eckert and Scott Crow presented details from the landmark study of Ancel Keys, carried out at the University of Minnesota in the 1930s, and a 50-year follow-up of most of the volunteers alive today. Keys wanted to establish the best way of refeeding people who had starved in Europe as a result of World War II. One hundred men volunteered for his study, in which the effects of a 24-week period of semi-starvation were examined. All of the men had been screened for exceptional physical and psychological health. Of the 40 chosen, 4 dropped out because they could not tolerate semi-starvation: 3 developed binge-eating, 2 began to steal food, 1 suffered severe depression, and 2 were admitted to hospital because of symptoms of psychosis. In the 50-year follow-up, abnormal eating behaviours (although less severe than those just described) and ruminations persisted in all of the 25 volunteers who consented to interview. Eckert and Crow concluded that the effects of hunger are powerful and long-lasting."

- Starvation

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"In the terminal stages of starvation in man, signs and symptoms related to the gastro-intestinal tract are conspicuous features. These are copious and persistent diarrhoea with progressive dehydration and the other effects which follow from the inability to absorb-food and fluid. Observations made by medical men at an earlier period of the war on people in the extreme stages of starvation indicate that the onset of these symptoms almost invariably presages a fatal end, in spite of treatment. The source of this evidence I cannot reveal at present but' corroboration has come from China (Laycock, 1944) and from Bengal (Cuthbertson, 1944). Subsequent speakers will give their experience of starvation in liberated Europe. I confine myself to the physiological basis of the symptomatology and of the method of treatment by intravenous protein hydrolysates. Between 1927 and 1933 I had, with several colleagues, been studying in different animals the functions of the alimentary canal and particularly absorption by the small intestine. Absorption is fundamental to all the other nutritional processes; it is the 'bottle-neck and if it fails then all the other processes fail too. Failure of absorptionseems to me to be the essential lesion in starvation. The experimental evidence I quote points to progressive decline in the efficiency of absorption as the period of fasting is increased; the evidence also suggests that the metabolic processes also suffer."

- Starvation

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"These findings indicate that deprivation of food progressively destroys the digestive, absorptive and protective functions of the alimentary canal and also, it would seem, impairs the metabolic function. The small intestine is the great portal of entry of nutrients into the body and if the essential cells of this viscus are destroved, as they are in extreme starvation, then the administration of food will act merely as an irritant,causing diarrhoea and withdrawal of water from the bodv. Therefore, the aim in such cases should be the restoration of the structure and of the function of the intestinal epithelium. Since this cannot be done by giving food by mouth, suitable "building stones" in appropriate amounts must be given by vein. I would emphasize that amino-acids and not whole proteins, e.g. blood proteins, are required, because we must assume that the ability of the starved organism to break down whole proteins would be seriously impaired. Doubtless blood proteins would help in a general way to maintain the patient's vitality but they could not be expected to provide at the required speed sufficient building stones to effect rapid restoration of the damaged epithelial cells. It follows that sufficient glucose should be given, preferably before the proteins, to cover the body's energy needs so as to prevent the amino-acids administered from being used up for energy purposes. It also follows that sufficient B vitamins should be administered at the same time to cover the oxidation of the glulcose."

- Starvation

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