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About 375,000 people have been pushed into famine after 30 months of civil war, said the world's top hunger monitor.
The world's top authority on hunger said Monday that a ceasefire in Sudan is needed to "contain the extreme levels of acute food insecurity and acute malnutrition" that have taken hold in the war-ravaged African country as it declared famine has spread to two regions there.
The Integrated Food Security Phase Classification (IPC), a United Nations-backed partnership, said it has detected famine in el-Fasher, the city in North Darfur State that the government's former allied militia, the Rapid Support Forces (RSF), seized last week, and Kadugli town in South Kordofan.
The IPC said at least 20 other areas in Darfur and Kordofan are at risk of famine, but fighting between the RSF and Sudanese government forces has impeded the group's assessments in places like the besieged town of Dilling, where the situation is likely "similar" to that of Kadugli.
"Urgent steps should be taken to allow full humanitarian access and assessment in this area," said the IPC.
In the towns where experts have been able to take stock of the humanitarian disaster—now one of the worst in the world, according to the United Nations—hundreds of thousands of people are facing “a total collapse of livelihoods, starvation, extremely high levels of malnutrition, and death.”
The IPC, which rates hunger on a scale of 1-5, determines that famine has taken hold in places where malnutrition has caused at least two deaths per 10,000 people, or four deaths per 10,000 children under the age of 5; at least 1 in 5 households severely lack food; and at least 30% of children have been found to suffer from acute malnutrition.
In the two regions included in the IPC report Monday, about 375,000 people have been pushed into famine (IPC Phase 5), and another 6.3 million people across the country face are in IPC Phase 4, classified as an "emergency" hunger crisis.
More than 21 million people face acute levels of food insecurity.
Towns near el-Fasher are also at risk of famine, including Tawila, Melit, and Tawisha.
Food supplies have been largely cut off in el-Fasher over the last 18 months as it has been under siege by the RSF, which killed more than 1,500 people in massacres last week as it took over the city.
Nearly 10 million people have been internally displaced by the civil war—the world's largest displacement crisis—with many sheltering in overcrowded public buildings with inadequate access to food as well as sanitation.
More than 19 million people in Sudan are expected to experience acute food insecurity by January 2026 as humanitarian aid groups continue to be blocked from getting supplies to starving households and harvests in Darfur and Kordofan are expected to be "well below average due to insecurity, despite favorable agroclimatic conditions."
Food prices are also expected to remain high and ultimately rise in the first half of next year as stocks decline.
"An immediate ceasefire and humanitarian access are a must to prevent further deterioration and save lives!" said Tedros Adhanom Ghebreyesus, director-general of the World Health Organization.
The IPC said only 21% of people in need currently have access to humanitarian aid, and in Kadugli, the aid group Save the Children said that its food supplies ran out in September as fighting there escalated.
Tens of thousands of people in the town are trapped there as the RSF—which is backed by the United Arab Emirates, whose government has received military support from the US—tries to seize more territory.
The IPC previously declared famine in three refugee camps near el-Fasher and in part of South and West Kordofan provinces, since fighting began in April 2023.
The UN has estimated more than 40,000 people have been killed, but aid groups warn the true death toll is likely much higher.
The International Court of Justice said Monday that it is "taking immediate steps regarding the alleged crimes in el-Fasher to preserve and collect relevant evidence for its use in future prosecutions."
"When there is not enough food, children become acutely malnourished, and then they die slowly and painfully," the CEO of Save the Children told a United Nations Security Council meeting this week.
Inger Ashing, the CEO of Save the Children, delivered an urgent plea for action to end the Israeli-created humanitarian catastrophe in Gaza, which she described in graphic terms.
Ashing told a United Nations Security Council meeting on Wednesday that there can be no doubt that Gaza is facing a full-blown famine that will result in mass starvation unless the international community steps in to end it.
"When there is not enough food, children become acutely malnourished, and then they die slowly and painfully," she said. "This, in simple terms, is what famine is."
Ashing then described how Palestinian children's bodies are eating their own muscles and organs just to stay alive amid systemic hunger imposed by Israel's military blockade.
"Children do not have the strength to speak or even cry out in agony," she said. "They lie there, emaciated, quite literally wasting away."
Cindy McCain, the executive director of the United Nations World Food Program, put out a video statement Thursday morning in which she said that Gaza was "at a breaking point" due to mass hunger.
"Half a million people here in Gaza are starving, and many more are on the edge," she said. "Famine is expected in the coming weeks if food doesn't reach the thousands of starving families here fast enough. The desperation is overwhelming."
McCain emphasized that the World Food Programme can reach these starving civilians and save lives, but added that it first needed "safe routes and sustained access" to Gaza to make it happen.
"We must deliver at the scale this crisis demands," she said.
Ashing and McCain's pleas for action came less than a week after the United Nations-backed Integrated Food Security Phase Classification Initiative (IPC) declared a famine in Gaza that it warned was projected to get even worse in the coming weeks.
"Between mid-August and the end of September 2025, conditions are expected to further worsen with famine projected to expand to Deir al-Balah and Khan Younis," the IPC stated. "Nearly a third of the population (641,000 people) are expected to face catastrophic conditions (IPC Phase 5), while those in emergency (IPC Phase 4) will likely rise to 1.14 million (58%). Acute malnutrition is projected to continue worsening rapidly."
The Gaza Health Ministry has estimated that 317 people in Gaza, including 121 children, have so far died from severe hunger as a result of the Israeli blockade.
While acknowledging that "hunger is a real issue in Gaza," the US ambassador to the UN repeated a debunked claim that the world's leading authority on starvation lowered its standards to declare a famine.
Every member nation of the United Nations Security Council except the United States on Wednesday affirmed that Israel's engineered famine in Gaza is "man-made" as 10 more Palestinians died of starvation amid what UN experts warned is a worsening crisis.
Fourteen of the 15 Security Council members issued a joint statement calling for an immediate Gaza ceasefire, release of all remaining hostages held by Hamas, and lifting of all Israeli restrictions on aid delivery into the embattled strip, where hundreds of Palestinians have died from starvation and hundreds of thousands more are starving.
"Famine in Gaza must be stopped immediately," they said. "Time is of the essence. The humanitarian emergency must be addressed without delay and Israel must reverse course."
"We express our profound alarm and distress at the IPC data on Gaza, published last Friday. It clearly and unequivocally confirms famine," the statement said, referring to the Integrated Food Security Phase Classification's declaration of Phase 5, or a famine "catastrophe," in the strip.
"We trust the IPC's work and methodology," the 14 countries declared. "This is the first time famine has been officially confirmed in the Middle East region. Every day, more persons are dying as a result of malnutrition, many of them children."
"This is a man-made crisis," the statement stresses. "The use of starvation as a weapon of war is clearly prohibited under international humanitarian law."
Israel, which is facing a genocide case at the UN's International Court of Justice, denies the existence of famine in Gaza. Israeli Prime Minister Benjamin Netanyahu and former Defense Minister Yoav Gallant are wanted by the International Court of Justice for alleged war crimes and crimes against humanity, including murder and forced starvation.
The 14 countries issuing the joint statement are: Algeria, China, Denmark, France, Greece, Guyana, Pakistan, Panama, the Republic of Korea, the Russian Federation, Sierra Leone, Slovenia, Somalia, and the United Kingdom.
While acknowledging that "hunger is a real issue in Gaza and that there are significant humanitarian needs which must be met," US Ambassador to the UN Dorothy Shea rejected the resolution and the IPC's findings.
"We can only solve problems with credibility and integrity," Shea told the Security Council. "Unfortunately, the recent report from the IPC doesn't pass the test on either."
Shea also repeated the debunked claim that the IPC's "normal standards were changed for [the IPC famine] declaration."
The Security Council's affirmation that the Gaza famine is man-made mirrors the findings of food experts who have accused Israel of orchestrating a carefully planned campaign of mass starvation in the strip.
The UN Palestinian Rights Bureau and UN humanitarian officials also warned Wednesday that the famine in Gaza is "only getting worse."
"Over half a million people currently face starvation, destitution, and death," the humanitarian experts said. "By the end of September, that number could exceed 640,000."
"Failure to act now will have irreversible consequences," they added.
Wednesday's UN actions came as Israel intensified Operation Gideon's Chariots 2, the campaign to conquer, occupy, and ethnically cleanse around 1 million Palestinians from Gaza, possibly into a reportedly proposed concentration camp that would be built over the ruins of the southern city of Rafah.
The Gaza Health Ministry (GHM) on Wednesday reported 10 more Palestinian deaths "due to famine and malnutrition" over the past 24 hours, including two children, bringing the number of famine victims to at least 313, 119 of them children.
All told, Israel's 691-day assault and siege on Gaza has left at least 230,000 Palestinians dead, maimed, or missing, according to the GHM.