With us was Hakim, a medical doctor who spent six years working as a public health specialist in the central highlands of Afghanistan and, prior to that, among refugees in Quetta, Pakistan. He helped us understand conditions that lead to food shortages and taught us about diseases, such as kwashiorkor and marasmus, which are caused by insufficient protein or general malnutrition.
We looked at UN figures about hunger in Afghanistan which show malnutrition rates rising by 50% or more compared with 2012. The malnutrition ward at Helmand Province’s Bost Hospital has been admitting 200 children a month for severe, acute malnutrition — four times more than in January 2012.
A recent New York Times article about the worsening hunger crisis described an encounter with a mother and child in an Afghan hospital: “In another bed is Fatima, less than a year old, who is so severely malnourished that her heart is failing, and the doctors expect that she will soon die unless her father is able to find money to take her to Kabul for surgery. The girl’s face bears a perpetual look of utter terror, and she rarely stops crying.”
Photos of Fatima and other children in the ward accompanied the article. In our room in Kabul, Hakim projected the photos on the wall. They were painful to see and so were the nods of comprehension from Afghans all too familiar with the agonies of poverty in a time of war.