With the rains failing in 2004, much of the population in Tonj County, in southern Sudan, has virtually nothing to eat. The poor harvest of the staple food - sorghum - was consumed long ago, so for the past few months people have been reduced to eating leaves from trees and diarrhea-inducing nuts.
"It has come to the point where mothers have to make the choice between which child they are going to feed, as they don't have enough for them all," explained MSF medical team co-ordinator, Patrick Murphy. "This is a terrible choice for any mother to have to make."
© James Lorenz/MSF
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"The malnourished babies have sunken eyes and thin discoloured hair," explained Desma Anindo, an MSF nurse at the Paliang feeding centre. "They look like old men... Dying is a matter of days, not months."