The Tigray region of northern Ethiopia stands on the edge of a humanitarian disaster, the UN has said, as fighting escalates and stocks of essential food for malnourished children run out.
The World Food Programme (WFP) said on Friday that it would be distributing its last supplies of cereals, pulses and oil next week to Tigray, where more than 5 million people are estimated to be in need of food assistance.
Fierce clashes between forces loyal to the federal government in Addis Ababa and fighters with the Tigrayan People’s Liberation Front have meant that no WFP convoys have reached Mekelle, the capital of Tigray, since mid-December.
Stocks of nutritionally fortified food for the treatment of malnourished children and women have now been exhausted, the agency said in a statement. Fuel to deliver the last of the essential food supplies is also running extremely low, it said.
It is also increasingly worried about hunger levels in the neighbouring regions of Amhara and Afar, where more than 4 million people are thought to be in need of food assistance.
“We’re now having to choose who goes hungry to prevent another from starving,” said Michael Dunford, WFP’s regional director for eastern Africa.
“We need immediate guarantees from all parties to the conflict for safe and secure humanitarian corridors, via all routes, across northern Ethiopia. Humanitarian supplies are simply not flowing at the pace and scale needed,” he said. “The lack of both food and fuel means we’ve only been able to reach 20% of those we should have in this latest distribution in Tigray. We’re on the edge of a humanitarian disaster.”
Thousands of people are thought to have died in the conflict between the TPLF and forces loyal to the Ethiopian prime minister, Abiy Ahmed, since it began in November 2020. Several million have been forced from their homes.
Health and aid workers say the last few days have been particularly bloody because of a wave of airstrikes, including one on a camp for internally displaced people that is reported to have killed at least 56.
A UN human rights office (OHCHR) spokesperson told Reuters on Friday: “At least 108 civilians have reportedly been killed and 75 others injured since the year began as a result of air strikes allegedly carried out by the Ethiopian air force.”
The Ethiopian government has previously denied targeting civilian sites, and it reacted angrily on Thursday to condemnation of the situation in Tigray by the World Health Organization (WHO) chief, Tedros Adhanom Ghebreyesus, who had accused the authorities of blocking medical supplies to the region.
He told reporters it was “so dreadful and unimaginable during this time, the 21st century, when a government is denying its own people for more than a year food and medicine and the rest to survive”. Tedros is from Tigray.
The government said in response that it had sent a letter to the WHO, accusing him of “misconduct” and of not living up “to the integrity and professional expectations required from his office”.
Through his acts, Tedros had “spread harmful misinformation and compromised WHO’s reputation, independence and credibility”, Ethiopia’s foreign ministry said, according to a statement seen by the Associated Press.
WHO had no immediate response to the claims.
‘We just sleep and hope we don’t perish’: 2m in Tigray in urgent need of food – UN | Hunger
At least 2 million people in the northern Ethiopian region of Tigray are suffering from an extreme lack of food, with the 15-month conflict between rebel and government forces pushing families to the brink, the UN’s emergency food agency has found.
In the first comprehensive assessment the World Food Programme (WFP) has carried out in Tigray since the start of the war, 37% of the population were found to be severely food insecure, meaning they had at times run out of food and gone a day or more without eating.
Families were found to be “exhausting all means to feed themselves”, with 13% of Tigrayan children under five and almost two-thirds of pregnant and breastfeeding women suffering from malnutrition.
“Before the conflict we were eating three times a day but now even once a day is difficult. I was borrowing food from my family but now they have run out. We just sleep and hope we do not perish,” Kiros, a single mother of six children living on the outskirts of the region’s capital, Mekelle, told researchers.
The assessment, which was based on face-to-face interviews with 980 households in accessible parts of Tigray, was carried out from mid-November until mid-December.
However, researchers were unable to travel to areas where fighting is impeding humanitarian access. Moreover, since the assessment was carried out, the needs of the region are thought to have become even more acute as no aid convoy has reached Tigray for about six weeks.
“This bleak assessment reconfirms that what the people of northern Ethiopia need is scaled up humanitarian assistance, and they need it now,” said Michael Dunford, WFP’s regional director for eastern Africa.
“WFP is doing all it can to ensure our convoys with food and medicines make it through the frontlines. But if hostilities persist, we need all the parties to the conflict to agree to a humanitarian pause and formally agreed transport corridors, so that supplies can reach the millions besieged by hunger.”
Across northern Ethiopia, where fighting has raged in the regions of Afar and Amhara as well as Tigray, WFP estimates that 9 million people are in need of humanitarian food assistance, the highest number yet.
In Amhara, hunger has more than doubled in five months, it says. In Afar, where fighting has intensified in recent days between the Tigray People’s Liberation Front and forces loyal to the prime minister, Abiy Ahmed, recent health screening data showed malnutrition rates for children under five were at 28%, far above the standard emergency threshold of 15%.
Since the conflict erupted in November 2020, it has been difficult for the UN and other humanitarian organisations to gauge the level of need in Tigray due to a lack of on-the-ground access and telecommunications. The UN has accused the federal government of preventing food and essential medical supplies from coming into the region in a de-facto blockade. The government denies this.
On Wednesday, the International Committee of the Red Cross (ICRC) said it had made its first delivery of medical supplies to Mekelle since last September. The drugs are understood to have included enough insulin supplies to last about a month, after medics at the Ayder referral hospital raised the alarm over severe shortages.
Dr Tedros Adhanom Ghebreyesus, director of the World Health Organization, recently accused Abiy’s government of imposing a “hell” on Tigray by denying entry to medical supplies.
“It is a huge relief that this first shipment is reaching hospitals,” said Apollo Barasa, health coordinator at the ICRC delegation in Ethiopia. “This assistance is a lifeline for thousands of people, and I can’t emphasise enough how crucial it is that these deliveries continue.”
Asylum applications on rise in EU
The EU Agency for Asylum on Friday said the number of asylum applications in November 2021 was the second-highest in five years, narrowly below the level in September. About 71,400 applications for international protection were lodged in the “EU+” (EU, plus Norway and Switzerland) in November 2021, up by nine percent from October. “This was the second-highest level since 2016,” it said.
Protests flare across Poland after death of young mother denied an abortion | Abortion
Protests are under way across Poland after the death of a 37-year-old woman this week who was refused an abortion, a year since the country introduced one of the most restrictive abortion laws in Europe.
On the streets of Warsaw on Tuesday night, protesters laid wreaths and lanterns in memory of Agnieszka T, who died earlier that day. She was pregnant with twins when one of the foetus’ heartbeat stopped and doctors refused to carry out an abortion. In a statement, her family accused the government of having “blood on its hands”. Further protests are planned in Częstochowa, the city in southern Poland where the mother-of-three was from.
“We continue to protest so that no one else will die,” Marta Lempart, organiser of the protests, told Polish media. “The Polish abortion ban kills. Another person has died because the necessary medical procedure was not carried out on time.” All-Poland Women’s Strike has called on people across the country to picket the offices of the ruling Law and Justice party (PiS) and organise road blockades in the coming days.
Agnieszka was first admitted to the Blessed Virgin Mary hospital in Częstochowa with abdominal pain on 21 December. She is said to have been in the first trimester of a twin pregnancy when she arrived and was in “a good physical and mental shape”, according to her family, who said her condition then deteriorated.
On 21 December the heartbeat of one of the twins stopped and, according to Agnieszka’s family, the doctors refused to remove it, quoting the current abortion legislation. They waited several days until the second foetus also died. A further two days passed before the pregnancy was terminated on 31 December, according to the family.
A priest was then summoned by hospital staff to perform a funeral for the twins, the family said.
The family say that the doctors refused to terminate the pregnancy earlier, citing Poland’s abortion legislation. “Her husband begged the doctors to save his wife, even at the cost of the pregnancy,” Agnieszka’s twin sister, Wioletta Paciepnik, said on Tuesday.
After the termination, Agnieszka was moved from the gynaecological ward and her health continued to deteriorate. Her family suspect that she died of sepsis but the cause of death was not identified in a statement released by the hospital.
Shortly after her death, a statement by her family accusing the hospital of neglect was published on Facebook, alongside a distressing video of Agnieszka’s last days.
Agnieszka’s death marks the first anniversary of the 2021 ruling that declared abortion due to foetal abnormalities illegal. Abortion can now only be carried out in cases of rape, incest or if the mother’s life and health are in danger.
Her death comes after that of a woman known as Izabela last September, who died after being denied medical intervention when her waters broke in the 22nd week of her pregnancy. Her family claim the 30-year-old was refused an abortion or caesarean section and that the hospital cited the country’s abortion laws. An investigation found that “medical malpractice” led to Izabela’s death and the hospital was fined. Soon after, an anonymous man from Świdnica in south-west Poland came forward to share that his wife, Ania, died in similar circumstances in June last year.
While “selective abortion” is possible in the case of a twin pregnancy, it is unclear whether aborting an unviable foetus to save its healthy twin is permitted by the new abortion legislation. The Polish court has not referenced the questions raised by this situation, presented by opposition senators last year, in the new legislation.
“We want to honour the memory of my beloved sister and save other women in Poland from a similar fate,” Paciepnik said in a video appeal. The case is now being investigated by the regional prosecutors in Katowice, who also investigated the case of Izabela.
The family are represented by Kamila Ferenc, from the Federation for Women and Family Planning, who confirmed that an autopsy of Agnieszka’s body has been ordered by the court.
According to a statement from the hospital, Agnieszka tested positive for Covid before her death, although she tested negative twice when first admitted. “We stress that the hospital staff did all the necessary actions to save the patient,” the statement read. The hospital did not respond to the Guardian for a request for comment.
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