Even though nearly 21 million people are highly food insecure - with some areas of Somalia still projected to face famine - response plans are only 50 per cent funded. 

Fear of famine repeat 

“Despite the intrinsic uncertainty of rainfall forecasts, there is solid certainty about the urgent need for global support and solidarity to avert a Famine (IPC Phase 5) in the months ahead,” said the partners, referring to the humanitarian classification scale for food insecurity. 

Recalling that 260,000 people in Somalia died during the 2011 East Africa drought, with most deaths occurring before famine was declared, they urged the world not to allow this situation to be repeated. 

“Given rising death rates in many areas, the size of the affected population, and the likely duration of the crisis, the cumulative levels of excess mortality could become as high as in 2011. We cannot – and must not – wait for a Famine (IPC Phase 5) to be declared, or for additional rainy seasons to fail, to act,” their statement said. 

Increase in child deaths 

Significant increases in severe acute malnutrition have been observed across the whole Horn of Africa region, the partners reported.  Overall, nearly 7.5 million children under five are estimated to be affected, including 1.85 million who are facing the severest form of the condition.   

Child deaths also have risen. A recent assessment following the Gu rainy season in Somalia, from March to June, found under-five death rates exceeding two in 10,000 a day among four surveyed population groups. 

Multiple disease outbreaks 

More than 23.7 million people are facing daily problems in accessing water, thus increasing their vulnerability to water-borne diseases.  

The situation also forces women and children to travel long distances to fetch water, putting them at heightened risk of violence and exploitation. 

“The drought impacts on health risks are also significant, and multiple ongoing disease outbreaks, including measles and cholera, for which health outcomes are worse when combined with malnutrition, are major public health concerns,” the statement said.  

Some 1.77 million have fled their homes because they face severely limited access to food, water, and other resources.  These people are now internally displaced, and over 40,000 have sought refuge in neighboring countries since the beginning of the year. 

Poor rains expected 

The situation is deteriorating due to the poor start of the October to December rains, particularly in Kenya and southern Somalia, the partners said.  

These areas are expected to receive rainfall totals that are less than 60 per cent of average for the period from 1 October through 15 November, with some affected areas experiencing the poorest start of season on record. 

“Worryingly, there is a broad consensus across meteorological agencies that the probability of continued below-average rains through the remainder of the season is high, resulting in an unprecedented fifth consecutive poor season,” they noted. 

Furthermore, preparations should be made for the likelihood that the March to May rains will also be below average, which would result in a record sixth consecutive poor season. 

Regardless of what happens with rainfall next year, “recovery from a drought of this magnitude will take years, with the extremely high humanitarian needs set to persist and even increase in 2023”, said the partners.