Photo: WFP/Damilola Onafuwa

3 Things You May Not Know About Famine — and How to Prevent it

World Food Programme
Published November 22, 2021

Dispelling myths around the starvation and disease that could kill 45 million people.

A staggering 45 million people in 43 countries are teetering on the brink of famine, with immediate action needed to avert huge loss of life. In Afghanistan and Yemen, nearly 14 million people are at risk of facing famine-like conditions, with conflict, insecurity and resulting displacement putting people at imminent risk of starvation.

Tragically, lack of resources means the United Nations World Food Programme (WFP) has to reallocate food according to need, as was the case in South Sudan earlier this year. “It is a very painful decision to take from the hungry to give to the starving, but this is the reality,” says Country Director Matthew Hollingworth.

With rising food prices and spiraling currencies also contributing to the crisis, we find ourselves still addressing the issue of famine in the 21st century, amidst a world of plenty. Basic misconceptions of famine also persist, and dispelling these is an important step in better understanding the current plight of millions of people.

3 Myths About Famine

WFP food delivers help people suffering from hunger and famine, worsened by Coronavirus.
Photo: WFP/Adrienne Bolen

Zimbabwe: Rations lined up in drought-hit Rushinga.

1. Famine is chiefly caused by climate disasters

Though famines were once caused mainly by climate shocks such as drought, conflict is the single biggest driver of hunger today. The last officially declared famine was in South Sudan in 2017, clearly fuelled by conflict. To avert famine, we need an end to conflict. Beyond this, the U.N. World Food Programme regards peace as fundamental to ending hunger, with our work in this area recognized by the 2020 Nobel Peace Prize.

WFP distributes food in Burkina Faso, a region prone to famine
Photo: WFP/Mahamady Ouedraogo

Burkina Faso: A food distribution point in Kaya.

Around two-thirds of the U.N. World Food Programme’s lifesaving food assistance goes to people facing severe food crises which are mostly caused by conflict. Where climate change, still a huge driver of hunger, intersects with conflict, and now COVID-19, chaos ensues.

With sufficient funding and access, the U.N. World Food Programme has the expertise, deep-field presence and operational scale to stop famine in its tracks and steer people away from the edge of starvation. We provide immediate food assistance while also fostering longer-term self-reliance through strengthening education, nutrition, livelihoods and social protection systems. We also support governments in anticipating and preventing the threat of extreme hunger that can lead to famine.

Famine in Yemen causes malnutrition in children
Photo: Saleh Bin Haiyan

Yemen: A woman whose 10-month-old boy is suffering malnutrition at a U.N. World Food Programme-supported clinic in Al Dhale.

2. People don’t die until after a famine is declared

By the time famine is declared, it’s too late — people are already dying of hunger. With funding and access in place, however, the U.N. World Food Programme has the expertise to both halt and prevent famine, operating at a huge scale that can steer people away from the edge of starvation and building their resilience to shocks caused by conflict, climate change or disease. Our most powerful tool? Access to, and knowledge of, the most vulnerable people. Two years ago, our largest-ever scale-up of food assistance — from 1 million people in 2015 to nearly 13 million in 2019 — helped avert famine in Yemen, while providing a platform for the broader humanitarian community to strengthen their interventions.

The price of doing nothing in the face of current hunger needs will inevitably be measured in terms of the number of people who die. Then there are the long-term economic consequences such as lost productivity and spiking healthcare costs. The cost of losing the human potential of whole generations is incalculable for what are already the world’s poorest countries.

With six decades of experience, the U.N. World Food Programme is at the forefront of the global famine response and uniquely placed to intervene in today’s most pressing emergencies. The U.N. World Food Programme’s logistics and supply chain capabilities can move huge quantities of food to where they are most needed — in extreme cases using airdrops and airlifts. Our knowledge of the needs of populations facilitates a tailored response with all partners, that can prevent the recurrence of famine.

In South Sudan, famine severely impacts children
Photo: Photo: WFP/Marwa Awad

South Sudan: Children in Akobo East, Jonglei, take a lunch of sorghum with a local fruit — famine was last declared in the country in 2017.

3. During famine starvation is the biggest cause of death

As the World Health Organization puts it, “between starvation and death, there is nearly always disease.” Starvation is an extreme, potentially fatal form of acute malnutrition that weakens the immune system, leaving the body susceptible to infectious diseases such as cholera, malaria, pneumonia and measles. Malnutrition, even in its less extreme form, has long-term effects such as impaired physical and cognitive development, reduced educational attainment and labour productivity, and an increased risk of disease and death.

Famine causes malnutrition in children, such as this child in the DRC
Photo: WFP/Arete/Fredrik Lerneryd

The Democratic Republic of the Congo: A U.N. World Food Programme staffer measures the circumference of a boy’s arm in a routine malnutrition check in Kalemie.

Ensuring people get the right nutrition not only reduces suffering and saves lives — it also prevents long-term health issues. This is particularly important in conflict settings where access to families in need is challenging. That’s why the U.N. World Food Programme works to prevent and mitigate famine through targeted food, nutrition and cash-based assistance. It helps people meet their immediate needs, while also bolstering their longer-term resilience against future hunger crises.

Learn about the countries worst affected by famine.

Learn more about the U.N. World Food Programme’s work in conflict zones.