‘I just cry’: Dying of hunger in Ethiopia’s blockaded Tigray

In this photo provided anonymously, a severely malnourished child is treated in an intensive care unit at the Ayder Referral Hospital, where medicines have almost run out and hospital staffers haven't been paid since June, in Mekele, in the Tigray region of northern Ethiopia in Sept. 2021. For months, the United Nations has warned of famine in Tigray and now internal documents and witness accounts reveal the first starvation deaths since Ethiopia's government in June imposed what the U.N. calls "a de facto humanitarian aid blockade." (UGC via AP)


In parts of Ethiopia’s Tigray region, people now eat only green leaves for days. At a health center last week, a mother and her newborn weighing just 1.7 pounds died from hunger. In every district of the more than 20 where one aid group works, residents have starved to death. 


For months, the United Nations has warned of famine in this embattled corner of northern Ethiopia, calling it the world’s worst hunger crisis in a decade. Now internal documents and witness accounts reveal the first starvation deaths since Ethiopia’s government in June imposed what the U.N. calls “a de facto humanitarian aid blockade.” 


Forced starvation is the latest chapter in a conflict where ethnic Tigrayans have been massacred, gang-raped and expelled. Months after crops were burned and communities stripped bare, a new kind of death has set in. 

UNICEF Nutrition Specialist Joseph Senesie screens children for malnutrition in Adikeh, in the Wajirat district of the Tigray region of northern Ethiopia Monday, July 19, 2021. For months, the United Nations has warned of famine in Tigray and now internal documents and witness accounts reveal the first starvation deaths since Ethiopia's government in June imposed what the U.N. calls "a de facto humanitarian aid blockade." (Christine Nesbitt/UNICEF via AP)


“You are killing people,” Hayelom Kebede, the former director of Tigray’s flagship Ayder Referral Hospital, recalled telling Ethiopia’s health ministry in a phone call this month. “They said, ‘Yeah, OK, we’ll forward it to the prime minister.’ What can I do? I just cry.” 


He shared with The Associated Press photos of some of the 50 children receiving “very intensive care” because of malnutrition, the first such images to emerge from Tigray in months. In one, a small child with startled-looking eyes stares straight into the camera, a feeding tube in his nose, a protective amulet lying in the pronounced hollow of his throat. 


Medicines have almost run out, and hospital staffers haven’t been paid since June, Hayelom said. Conditions elsewhere for Tigray’s 6 million people are often worse. 


The blockade and the starvation that comes with it mark a new phase in the 10-month war between Tigray forces and the Ethiopian government, along with its allies. Now the United States has issued an ultimatum: Take steps to stop the fighting and let aid flow freely, or a new wave of sanctions could come within weeks. 


“The United States is appalled by reports of starvation deaths in Ethiopia,” a State Department spokesperson told the AP, calling the government’s denial of basic needs “indications of a siege.” The spokesperson called for the immediate restoration of “vital services” to Tigray. 


The war began as a political dispute between the prime minister, 2019 Nobel Peace Prize winner Abiy Ahmed, and the Tigrayans who had long dominated Ethiopia’s repressive national government. Since November, witnesses have said, Ethiopian forces and those from neighboring Eritrea looted food sources and destroyed health centers. 


In June, the Tigray fighters retook the region, and Ethiopia’s government declared a ceasefire, citing humanitarian grounds. Instead, the government has sealed off the region tighter than ever, fearing that aid will reach the Tigray forces. 


More than 350,000 metric tons of food aid are positioned in Ethiopia, but very little of it can get into Tigray. The government is so wary that humanitarian workers boarding rare flights to the region have been given an unusual list of items they cannot bring: Dental flossers. Can openers. Multivitamins. Medicines, even personal ones. 


The list, obtained by the AP, also banned means of documenting the crisis, including hard drives and flash drives. Photos and video from Tigray have disappeared from social media since June as aid workers and others, facing intense searches by authorities, fear being caught with them on their devices. Tigray has returned to darkness, with no telecommunications, no internet, no banking services and very little aid. 


Ethiopia’s prime minister and other senior officials have denied there is hunger in Tigray. The government has blamed the Tigray forces and insecurity for troubles with aid delivery. It also has accused humanitarian groups of supporting, even arming, the Tigray fighters. 


The prime minister’s spokeswoman, Billene Seyoum, did not say when the government would allow basic services to the region. The government “has opened access to aid routes by cutting the number of checkpoints from seven to two and creating air bridges for humanitarian flights,” she said in a statement. But medical supplies on the first European Union air bridge flight were removed during government inspection, and such flights cannot carry the large-scale food aid needed. 


In the most extensive account yet of the blockade’s toll, a humanitarian worker told the AP that deaths from starvation are being reported in “every single” district of the more than 20 in Tigray where one aid group operates. The group had run out of food aid and fuel. The worker, like others, spoke on condition of anonymity for fear of retaliation. 


“Currently, there are devastating reports coming from every corner,” the aid group wrote to a donor in August, according to documents shared with the AP. “If no urgent solution is found, we will lose many people due to hunger.” 


In April, even before the current blockade was imposed, the same group wrote to the donor that “reports of malnourishment are rampant,” and that 22 people in one sub-district had starved to death. 


“People’s skin color was beginning to change due to hunger; they looked emaciated with protruding skeletal bones,” the aid group wrote.

By AP

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