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Africa, which contributes the least to global warming, bears the brunt.

The recent cuts in foreign aid have not helped. They have had “a huge impact on our work”, said Mohamud Mohamed Hassan, Somalia director for NGO Save the Children.

More than 200 health centres and 400 schools have closed since last year.

Farmers, whose herds and crops have been decimated, describe one of the worst droughts ever recorded in a country where a third of the population already lacked regular meals. Even if the forthcoming rainy season is normal, it will take months for affected populations to recover.

“We cannot afford to actually address all the needs of these people,” said Ali Adan Ali, a Jubbaland official managing the displaced.

At a mobile health clinic supported by Save the Children, the only one still operating for multiple camps in the area around Kismayo, a woman named Khadija tried to feed a high-calorie solution to her severely malnourished one-year-old daughter.

She came to the camp after last year’s drought killed her livestock, but here also “we have nothing to eat”, the 45-year-old said.

A displaced woman holds her malnourished baby in a stabilisation centre for children suffering severe acute malnutrition in Kismayo [Simon Maina/AFP]
A hospital in Kismayo is the only facility in the region capable of treating the most severe cases of malnutrition. But it is turning patients away due to a lack of space and staff.

Every bed is occupied by starving babies, some on ventilators with intravenous drips in their fragile arms. Cases have tripled since last year, and things are only getting worse.

The US-Israel war on Iran has increased fuel prices, affecting food and water supplies.

Those in the camp seek work in construction or cleaning jobs in Kismayo or sell firewood, but the options are limited.

Meanwhile, the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) has had to steadily reduce its Somalia programme from $2.6bn in 2023 to $852m this year, especially since Washington slashed its donations. So far, only 13 percent of this year’s target has been raised.

“It’s a toxic cocktail of factors … Things are really, really desperate,” Tom Fletcher, head of OCHA, told the AFP news agency in an interview last week.

“Often we’re having to choose which lives to save and which lives not to save.”