On July 20, 2011, I got a call from Dina Esposito, USAID's Director of the Office of Food for Peace, alerting me of the official declaration of famine in Somalia. That moment, more than a year ago, is still deeply, vividly and painfully with me.
Famines are entirely man-made and have become increasingly rare. In my confirmation hearing, I quoted Amartya Sen's famous words that famines don't happen in democracies. So as the worst drought in 60 years gripped the Horn of Africa last year, it was only in Somalia, racked by 20 years of conflict and instability, and with limited access for humanitarian action, that famine was declared. The United States' commitment and long-term work with Ethiopia, Kenya, and many of their neighbors have reduced the populations' vulnerability to crises like this one and greatly reduced the need for emergency assistance.
In the humanitarian community, famine is a very specific technical term to describe only those most severe food crises that reach three clear sets of conditions. In famine, more than 30 percent of children are acutely malnourished; at least 20 percent of the population consumes fewer than 2,100 calories of food a day; and the mortality rate exceeds two deaths or four child deaths per 10,000 people on a daily basis.
This translates into unforgivable conditions in any country at any time -- yet at this time last year, in parts of southern Somalia, the mortality rate reached as high as six deaths per 10,000 people with one child death estimated to occur every six minutes. These are staggering numbers -- and this marked a tragic, unacceptable, unnecessary loss of life.
Because of lessons learned during the last Somalia famine in the early 1990s, we were able to mount a smart and effective response. Our disaster experts from the Office of U.S. Foreign Disaster Assistance and Food for Peace used market prices and nutritional data to chart a strategy that focused on highly targeted cash and vouchers, attention to market dynamics. We also kept a focus on health programs, knowing that the leading cause of death for children in famines is preventable disease.
USAID worked around the clock in the region and in Washington to ensure strategies, supplies and partners were in place, including creative approaches to address the limited humanitarian access in many parts of Somalia.
By February, famine conditions had abated, thanks to a massive humanitarian mobilization and decent winter rains. However, the situation remains tenuous in Somalia and underscores that as natural disasters continue to strike, it is imperative to address the need for a stable, legitimate government that can meet the needs of the Somalia people. This is a priority of the U.S. government and our international partners.