NAIROBI, Kenya тАФ In Afghanistan, starving children stream into hospitals. In the Horn of Africa, villagers trek for days across dust-blown wastelands to escape drought-induced famine. In cities from Syria to Central America, families go to bed hungry.
On Monday, a ship carrying grain that left the Ukrainian port of Odesa, the first since Russia invaded Ukraine in February, also carried fragile hopes that it might stem a global tide of hunger. UkraineтАЩs bulging stores hold 20 million tons of grain тАФ trillions of calories trapped, until a diplomatic deal was brokered by Turkey and the U.N. last month. Another 16 grain ships are expected to leave in the coming days, navigating mined waters in the Black Sea.
But experts say that getting Ukrainian grain exports moving again will barely make a dent in a global food crisis that the United Nations secretary general, Ant├│nio Guterres, has warned could last for years.
The scale of the crisis тАФ fueled by wars, the economic devastation of the Covid-19 pandemic and extreme weather often worsened by climate change тАФ is so immense that no single advance would be a silver bullet.
As many as 50 million people in 45 countries are teetering on the brink of famine, according to the U.N.тАЩs World Food Program. In the 20 worst-hit countries, the situation is likely to worsen substantially by the end of the summer, it said.
That suffering is the extreme end of an expanding spectrum of hunger. Across the globe, as many as 828 million people тАФ one tenth of the worldтАЩs population тАФ were undernourished last year, the highest figure in decades, the Food and Agriculture Organization recently estimated.
As for the Ukrainian grain, aid experts say itтАЩs unclear how much will reach hungry people in places like the Horn of Africa, where a four-year drought has left 18 million people facing severe hunger, or Afghanistan, where over half the population doesnтАЩt eat enough.
Just ask Saad Ahmed.
Since the Taliban seized power in Afghanistan one year ago, triggering an economic collapse, life has become a grinding battle for survival, Mr. Ahmed said. He hasnтАЩt paid his rent in five months. He recently sold a carpet to buy food for his six children.
And as he lined up for food aid alongside hundreds of others in a once-wealthy district of the capital, Kabul, Mr. Ahmed said he couldnтАЩt even turn to his relatives тАФ the usual safety net among Afghans.
Our Coverage of the Russia-Ukraine War
тАЬThey have nothing left either,тАЭ he said. тАЬHow can I ask them for help?тАЭ
Funding for emergency aid lags far behind. In Yemen, where 60 percent of the population relies on food aid, aid workers have slashed rations to make them go farther.
тАЬThis is the only country where IтАЩve worked where you take food from the hungry to feed the starving,тАЭ said Richard Ragan, the World Food Program director in Yemen. тАЬYou have to make these choices because you donтАЩt have the resources.тАЭ
Not long ago, the world was on track to eliminate hunger.
Between 2005 and 2014, the number of undernourished people, as measured by the Food and Agriculture Organization, fell nearly 30 percent to 572 million from 806 million. An ambitious goal of eliminating world hunger by 2030, adopted at a summit in 2015, seemed within reach.
But much of those gains came from China and India, where economic booms lifted tens of millions out of poverty. In Africa, where 20 percent of people face hunger, progress was grindingly slow. The hunger figure flatlined for several years, until in 2019 it jolted upward.
Wars and extreme weather events were the primary drivers: a rash of conflicts in Africa and the Middle East, as well as cyclones, droughts and other natural disasters that battered a string of vulnerable countries, mostly near the Equator.
Then in 2020 the Covid-19 pandemic struck, crushing livelihoods and causing food prices to soar. For Blanca Lidia Garrido L├│pez, that meant slashing her familyтАЩs diet.
A single mother of six, Ms. Garrido lives in Guatemala, one of the most unequal countries in Latin America, where she earns a living cleaning houses. As the pandemic progressed, she said in a phone interview, her income collapsed as her clients fell sick or canceled appointments.
Ms. Garrido stopped feeding any meat or chicken to her children, aged 3 to 18. Even eggs and beans became luxuries. тАЬI live day to day,тАЭ she said.
When the U.N.тАЩs count of hungry people climbed back over 800 million last year, some said that 15 years of progress had been undone. (Although as a result of population growth, the proportion of hungry people in the world fell from 12 percent to 10 percent.)
It signaled that chronic hunger тАФ the kind that rarely makes the headlines, yet still scars lives and sometimes ends them тАФ was spreading.
In the village of Afotsifaly, on MadagascarтАЩs southern tip, two-year-old Jenny Andrianandrainy is struggling to walk and showing signs of cognitive damage from malnutrition, doctors say. He is among 50 malnourished children in his district, many of them born at the height of the devastating drought in Madagascar between 2018 and 2021, which wiped out crops and left half a million people hungry.
JennyтАЩs pregnant mother sold twigs and foraged for wild leaves in a desperate bid to feed her family. When Jenny was born, he weighed barely five pounds. Many such children have an increased likelihood of dying before they turn five.
About 13.5 million children in the world are тАЬseverely wasted,тАЭ according to Unicef, the U.N. childrenтАЩs agency. The cost of saving a single life is modest: about $100 for a course of high nutrition food, Unicef says.
Climate change caused by burning fuels is another factor. The world is warming, causing water to evaporate faster from the fields. Changing rainfall patterns can bring either too much rain at the wrong time, or too little when farmers need it.
World powers are blaming one another for the hunger crisis.
On the eve of a visit to Kenya and Somalia last month, Samantha Power, the head of the U.S. Agency for International Development, accused President Vladimir V. Putin of Russia of тАЬwaging a war on the worldтАЩs poorтАЭ through his military campaign in Ukraine. She also criticized China for giving just $3 million to the World Food Program this year when the United States has given $3.9 billion.
RussiaтАЩs foreign minister, Sergei Lavrov, struck back last week, touring four African countries where he blamed the West for soaring food prices. He received a warm welcome in Uganda, a U.S. ally, and in Ethiopia, where millions are threatened with famine in the northern Tigray region.
For others, the Ukraine crisis shows the global community can band together to solve humanitarian emergencies тАФ but only when it wants to.
As of Monday, a United Nations appeal for $2.2 billion in humanitarian aid for Ukraine has been 93 percent filled, according to the United Nations Financial Tracking System. But similarly large appeals for countries like Sudan, Afghanistan and the Democratic Republic of Congo, only received between 21 and 45 percent of requested funds.
In April the head of the World Health Organization, Tedros Adhanom Ghebreyesus, said the disparity raises questions about whether тАЬthe world really gives equal attention to Black and white lives.тАЭ
Ukrainian officials say that if their ships can continue to travel the Black Sea тАФ an uncertain bet in the volatility of war тАФ they can ship 20 million tons within the next four months. But that could also be bad news for vulnerable nations.
Wheat prices have already fallen to prewar levels, but fertilizer prices remain high, said M├бximo Torero, chief economist at the Food and Agriculture Organization, in an interview.
That means a surge of Ukrainian and Russian grain on global markets could depress prices further, benefiting consumers but hurting poor farmers who have already planted their crops using expensive fertilizer, Mr. Torero said.
Moreover, there is no guarantee the Ukrainian wheat, which is being sold on the open market, will go to the neediest nations. The F.A.O. has proposed a new finance facility to help 62 poor countries to access that grain, as well as a global food reserve for aid groups like the World Food Program.
тАЬItтАЩs not that the deal is bad,тАЭ Mr. Torero said. тАЬBut itтАЩs just one dimension of the problem.тАЭ
The machinations of global grain markets seem distant in the packed Doctors Without Borders childrenтАЩs ward in Herat, a city in western Afghanistan near the border with Iran.
One morning in March, doctors clustered around a malnourished one-year-old boy, his body wracked with measles, shortly before he died. Hours later, a seven-month-old girl in a neighboring bed died from the same combination of diseases. Then it was 11-month-old Hajera who started to draw sharp, labored breaths.
тАЬMy angel,тАЭ whispered her mother, Zeinab, as a nurse strapped an oxygen mask to her face and covered her tiny body in a hypothermia blanket.
Hajera survived that night, and the next one too.
But on the third day, she also died.
Reporting was contributed by Lynsey Chutel in Johannesburg; Christina Goldbaum and Yakoob Akbary in Kabul, Afghanistan; Asmaa al-Omar in Beirut, Lebanon; Ruth Maclean in Dakar, Senegal; Jody Garc├нa in Miami; Somini Sengupta in Los Angeles; Oscar Lopez in New York; and an employee of The New York Times in Damascus, Syria.