are battling severe hunger. endemic poverty, poor agricultural practices and climate changes are cited as some of the causes. ba rely barely able to stand or walk. fighting off the infections that come from a lack of food. more than a quarter of the children in this district of southern madagascar are malnourished. this person is 13 years old and should weigh 45 kilograms, that is only half that weight. these twin girls look like toddlers, but they are actually six years old. their grandmother brought them in this morning for their checkout. it did not go well. despite months of treatment they are still severely