A severely malnourished displaced Somali child at southern Mogadishu’s Banadir hospital on Tuesday. Famine could spread across all southern Somalia, but the urgent action needed to avert the catastrophe is being hampered as conflict escalates and rebels maintain a stranglehold on aid. The US has promised to pardon any relief agency whose aid falls in terrorist hands. AFP
The al-Shabaab Islamist insurgent group, which controls much of southern Somalia, is blocking starving people from fleeing the country and setting up a cantonment camp where it is imprisoning displaced people who were trying to escape al-Shabaab territory.The group is widely blamed for causing a famine in Somalia by forcing out many Western aid organisations, depriving drought victims of desperately needed food. The situation is growing more bleak by the day, with tens of thousands of Somalis already dead and more than 500,000 children on the brink of starvation.
Sick parents, sicker children
Every morning, emaciated parents with emaciated children stagger into Banadir Hospital, a shell of a building with floors that stink of diesel fuel because that is all the nurses have to fight off the flies. Babies are dying because of the lack of equipment and medicine. Some get hooked up to adult-size intravenous drips – paediatric versions are hard to find – and their compromised bodies cannot handle the volume of fluid. Most parents do not have money for medicine, so entire families sit on old-fashioned cholera beds, with basketball-size holes cut out of the middle, taking turns going to the bathroom as diarrhoea streams out of them.
“This is worse than 1992,” said Dr Lul Mohamed, Banadir’s head of paediatrics, referring to Somalia’s last famine. “Back then, at least we had some help.” Aid groups are trying to scale up their operations, and the United Nations has begun airlifting emergency food. But many seasoned aid officials are speaking in grim tones because one of Africa’s worst humanitarian disasters in decades has struck one of the most inaccessible countries on earth. Somalia, especially the southern third where the famine is, has been considered a no-go zone for years, a lawless caldron that has claimed the lives of dozens of aid workers, peace keepers and US soldiers, going back to the “Black Hawk Down” battle in 1993, spelling a legacy that has scared off many international organisations.“If this were Haiti, we would have dozens of people on the ground by now,” said Eric James, an official with the American Refugee Committee, a private aid organisation.But Somalia is considered more dangerous and anarchic than Haiti, Iraq or even Afghanistan, and the American Refugee Committee, like other aid groups, is struggling to get trained personnel here.
“It is safe to say that many people are going to die as a result of little or no access,” James said.This leaves millions of famished Somalis with two choices, aside from fleeing the country to neighbouring Kenya or Ethiopia, where there is more assistance. They can beg for help from a weak and divided transitional government in Mogadishu, the capital. Just the other day there was a shoot out between government forces at the gates of the presidential palace. “Things happen,” was the response of Abdiweli Mohamed Ali, Somalia’s new prime minister.Or they can remain in territory controlled by the al-Shabaab, who have pledged allegiance to al-Qaeda and have tried to rid their areas of anything Western – Western music, Western dress, even Western aid groups during a time of famine.Much of the Horn of Africa, which includes Kenya, Somalia, Ethiopia, Eritrea and Djibouti, has been struck this summer by one of the worst droughts in 60 years. But two al-Shabaab-controlled parts of southern Somalia are the only areas where the United Nations has declared a famine, using scientific criteria of death and malnutrition rates.People from those areas who were interviewed in Mogadishu say al-Shabaab fighters are blocking rivers to steal water from impoverished villagers and divert it to commercial farmers who pay them taxes. The al-Shabaab are intercepting displaced people who are trying to reach Mogadishu and forcing them to the Western plot to kill Somali children. Now countless unvaccinated children are dying from measles and cholera as tens of thousands of malnourished, immunity-suppressed people flee the drought areas and pack into filthy, crowded camps.The other day, Kufow Ali Abdi, a destitute herder who lost all his cattle, trudged out of Banadir Hospital, gently carrying a small package in his arms wrapped in blue cloth. It looked almost like a swaddled newborn but it was the opposite. It was the body of his 3-year-old daughter, Kadija, who had just succumbed to measles. “I just hope they can save the others,” he said, referring to his two remaining children, down to skin and bone.The magnitude of suffering could shift the political landscape, which has been dominated by chaos since 1991, when clan warlords overthrew the central government and then tore apart the country. The Transitional federal government – the 15th attempt at a government – is trying to assert itself and beat back the al-Shabaab, and the famine and attendant relief effort could mean an enormous opportunity.“It could be a face-lift for them, an opportunity to deliver services and show they are committed,” said Sheik Abdulkadir, a militia leader. “But if a lot of people die here, people will say it’s the government’s fault.”The famine could affect the al-Shabaab as well, deepening the fissures in their organisation. Al-Shabaab leaders are now beginning to cut their own deals in the face of mass starvation. UNICEF recently delivered a plane load of food and medicine to Baidoa, an al-Shabaab stronghold. In Xarardheere, another al-Shabaab-controlled town and a notorious pirate den, an al-Shabaab commander said in an interview Saturday that he would welcome Western aid organisations despite the anti-Western policies imposed by his leadership, which has been hit by the deaths of several prominent figures recently
Scaring away agencies