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Millions of the livestock that provide families with milk, meat, and wealth have died. Even the food to treat hungry people like Salaad’s son is becoming more expensive and, in some places, might run out. Thus, for the first time, a fifth straight rainy season might fail.

An “explosion of child deaths” is coming to the Horn of Africa if the world focuses only on the war in Ukraine and doesn’t act now, UNICEF said on Tuesday.

Famine even threatens Somalia’s capital as displacement camps on Mogadishu’s outskirts swell with exhausted new arrivals. Salaad and her son have turned away from a crowded hospital after arriving a week ago.

They were sent instead to the treatment center for the extremely malnourished where rooms are full, extra beds have been put out and yet some people must sleep on the floor. Mothers wince, and babies wail, as tiny bodies with sores and protruding ribs are gently checked for signs of recovery.

“The center is overwhelmed,” said Mustaf Yusuf, a physician there. Admissions more than doubled in May to 122 patients.

'Drama with no witness'

The international community's sluggish response did not help. At the time, the UN humanitarian coordinator for Somalia described the situation as "a drama without witnesses." The alarms are going off again.

More than 200,000 people in Somalia face “catastrophic hunger and starvation, a drastic increase from the 81,000 forecasts in April,” a joint statement by UN agencies said Monday, noting that a humanitarian response plan for this year is just 18% funded.