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More than one in four children under the age of five globally live in "severe" food poverty, UNICEF has warned meaning more than 180 million are at risk of experiencing adverse impacts on their growth and development.
"Severe child food poverty describes children who are surviving on severely deprived diets so they're only consuming two or less food groups," Harriet Torlesse, a lead writer of a new UNICEF report published late Wednesday, told AFP.
"It is shocking in this day and age where we know what needs to be done."
UNICEF recommends that young children eat foods daily from five of eight main groups -- breast milk; grains, roots, tubers and plantains; pulses, nuts and seeds; dairy; meat, poultry and fish; eggs; vitamin A-rich fruits and vegetables; and other fruits and vegetables.
But 440 million children under the age of five living in about 100 low- and middle-income countries are living in food poverty, meaning they do not have access to five food groups each day.
Of those, 181 million are experiencing severe food poverty, eating from at most two food groups.
"Children who consume just two food groups per day -- for example, rice and some milk -- are up to 50 percent more likely to experience severe forms of malnutrition," UNICEF chief Catherine Russell said in a statement accompanying the report.
That malnutrition can lead to emaciation, a state of being abnormally thin that can be fatal.
And even if these children survive and grow up, "they certainly don't thrive. So they do less well at school," Torlesse explained.
"When they're adults, they find it harder to earn a decent income, and that turns the cycle of poverty from one generation to the next," the nutrition expert said.
"If you think of what a brain looks like and the heart and the immune system, all these important systems of the body that are so important for development, for protection against disease -- they all depend on vitamins and minerals and protein."
Too much salt, fat, sugar
Severe child food poverty is concentrated in about 20 countries, with particularly dire situations in: Somalia, where 63 percent of young children are affected; Guinea (54 percent); Guinea-Bissau (53 percent) and Afghanistan (49 percent).
While data is not available for wealthy countries, children in low-income households there also suffer from nutritional gaps.
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The report from the UN Children's Fund notes the current circumstances in the Gaza Strip, where Israel's military offensive in response to the October 7 attack by Hamas militants "have brought the food and health systems to collapse."
From December to April this year, the agency collected five rounds of data by text message from families receiving financial aid in the besieged Palestinian territory.