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		</div><p>Starvation is threatening the survivors of more than two months of fighting in Ethiopia’s Tigray region.</p>
<p>Authorities say more than 4.5 million people there need emergency food.</p>
<p>The first humanitarian workers to arrive after pleading with the Ethiopian government for access describe weakened children dying from diarrhea, empty shops and refugees begging for something to eat.</p>
<p>One new report says parts of Tigray are likely a step below famine.</p>
<p>Mari Carmen Vinoles, the head of the emergency unit for Doctors Without Borders said: “There is an extreme urgent need” to scale up the humanitarian response.</p>
<p>“The population is dying every day as we speak,” she said.</p>
<p>The spectre of hunger is sensitive in Ethiopia, which transformed into one of the world’s fastest-growing economies in the decades since images of starvation there in the 1980s led to a global outcry.</p>
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<p>Drought, conflict and government denial contributed to the famine, which swept through Tigray and killed an estimated one million people.</p>
<p>The largely agricultural Tigray region of about five million people already had a food security problem amid a locust outbreak when prime minister Abiy Ahmed on November 4 announced fighting between his forces and those of the defiant regional government.</p>
<p>Tigray leaders dominated Ethiopia for almost three decades but were sidelined after Mr Abiy introduced reforms that won him the Nobel Peace Prize in 2019.</p>
<p>Thousands of people have been killed in the conflict.</p>
<p>More than 50,000 have fled into Sudan, where one doctor has said newer arrivals show signs of starvation.</p>
<p>Others shelter in rugged terrain.</p>
<p>A woman who recently left Tigray described sleeping in caves with people who brought cattle, goats and the grain they had managed to harvest.</p>
<p>“It is a daily reality to hear people dying with the fighting consequences, lack of food,” a letter by the Catholic bishop of Adigrat said this month.</p>
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<p>Hospitals and other health centres, crucial in treating malnutrition, have been destroyed.</p>
<p>In markets, food is “not available or extremely limited”, the United Nations says.</p>
<p>Though Ethiopia’s prime minister declared victory in late November, its military and allied fighters remain active amid the presence of troops from neighbouring Eritrea, a bitter enemy of the now-fugitive officials who once led the region.</p>
<p>Meanwhile, new satellite images of a refugee camp in the Tigray region show more than 400 structures have been badly damaged in what a research group believes is the latest “intentional attack” by fighters.</p>
<p>The report by UK-based DX Open Network said “it is likely that the fire events of 16 January are yet another episode in a series of military incursions on the camp as reported by (the United Nations refugee agency)”.</p>
<p>The Shimelba camp is one of four that hosted 96,000 refugees from nearby Eritrea when fighting erupted in early November.</p>
<p>The fighting has swept through the camps and two of them, including Shimelba, remain inaccessible to aid workers. Many refugees have fled.</p>
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<p>UN refugee chief Filippo Grandi cited recent satellite imagery of fires and other destruction at the two inaccessible camps as “concrete indications of major violations of international law”.</p>
<p>On Sunday, the UN refugee agency requested access to the camps.</p>
<p>The new report said the satellite images showed “smouldering ruins, blackening of structures and collapsed roofs”.</p>
<p>Neither the UN nor DX Open Network has blamed anyone for the attacks, but the presence of troops from Eritrea has caused alarm.</p>
<p>Mr Grandi noted “many reliable reports and firsthand accounts” of abuses including the forced return of refugees to Eritrea.</p>
<p>Eritrean information minister Yemane Gebremeskel said Eritrea rejects the “forced repatriation of ‘refugees&#8217;”.</p>
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