Hit by the worst drought in 60 years, tens of thousands of people are leaving the rural areas of central and southern Somalia for the war-ravaged capital, Mogadishu, where last week the UN's World Food Programme (WFP) started an airlift operation to deliver to 20 feeding centres.
Despite continuing fighting, with troops of the Transitional Federal Government (TFG) and African Union-led forces battling the Islamic militants of al-Shabaab, more and more people are coming into the city, hoping to find relief from a drought that is affecting 11 million in Somalia alone.
The WFP said it has been able to provide 85,000 meals a day in Mogadishu but with mortar shells frequently hitting civilian areas the TFG military offensive that started last week is likely to hamper the delivery of food.
The UN declared a famine in two southern regions of Somalia on 20 July, but Abdirahman Omar Osman, the Somali government's spokesman, said the emergency is even more serious. Every day about 3,000 people arrive in Ifo, Dagahaley and Hagadera, the three camps at Dadaab in Kenya, which now have more than 380,000 refugees, 100,000 of whom arrived this year.
Barack Obama has said the emergency in east Africa has not had the attention it deserved in the US. Speaking during a meeting with the presidents of Benin, Guinea, Ivory Coast and Niger on Friday, Obama asked Africa to play a bigger role in assisting the people affected by the drought.
The UN's Office for the Co-ordination of Humanitarian Affairs has predicted that famine will spread to all of southern Somalia, parts of which are controlled by al-Shabaab, which banned foreign aid in 2009.
After talks with relief organisations, al-Shabaab has allowed some food to be delivered in the past weeks but so far no regular supplies have reached the areas controlled by the Islamist militants, who are linked to al-Qaida.
Djibouti, eastern Ethiopia and northern Kenya have been badly hit as well. The scale of the crisis has even prompted long-time refugees in Dadaab to join the relief efforts. Mosques and Islamic associations in the camps are collecting food and clothes to give to the newcomers.
"We have also asked the population to give priority to the new refugees at the water points," says Mahmoud Jama Guled, who chairs a section of Ifo camp. He said that in his area one water tank is now serving more than 6,500 families.
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