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THE SIMPLEST DEFINITIONS of the word famine emphasize two features: famines are associated with severe shortages, especially of food, and they are causally associated with hunger and starvation. However, starvation is the characteristic of some people not having enough food to eat. It is not the characteristic of there not being enough to eat. While the latter can be a cause of the former, it is but one of many possible causes.

Another common group of definitions equates mass hunger and starvation with famine. The focus here is on the physiological plight of famine victims—famine is described in terms of inadequate food intake, rather than inadequate food availability. However, famines imply starvation, not vice versa. Starvation is a normal feature in many parts of the world, but this phenomenon of “regular” starvation has to be distinguished from violent outbursts of famine. The distinction between starvation and famine is usually made in terms of the numbers of people affected. It is generally agreed that famines affect sizeable populations over a relatively large area, while starvation afflicts individuals or small groups of people.

A third distinction between starvation and famine is the time contrast. In analyzing starvation in general, it is important to make clear distinctions among three different issues: lowness of the typical level of food consumption, declining trend of food consumption, and sudden collapse of the level of food consumption. Famine is chiefly a problem of the third kind. Thus, extreme, widespread, and catastrophic cases of hunger or starvation should be described as famine. How extreme will be determined by the area, the duration, and the number of people affected, especially in terms of excess mortality.

Characteristics of Starvation

Starvation is a severe reduction in vitamin, nutrient, and energy intake, and is the most extreme form of malnutrition. Malnutrition is a general term for the medical condition of a person or animal caused by an unbalanced diet—either too little or too much food, or a diet missing one or more important nutrients.

Most commonly, malnourished people or animals either do not have enough calories in their diet or are eating a diet that lacks protein, vitamins, or trace minerals. Medical problems arising from malnutrition are commonly referred to as deficiency diseases. Scurvy is a well-known and now-rare form of malnutrition, in which the victim lacks vitamin C.

Common forms of malnutrition include protein-energy malnutrition (PEM) and micronutrient malnutrition. PEM refers to inadequate availability or absorption of energy and proteins in the body. Micronutrient malnutrition refers to inadequate availability of some essential nutrients, such as vitamins and trace elements, that are required by the body in small quantities. Micronutrient deficiencies lead to a variety of diseases and impair normal functioning of the body. Deficiency in micronutrients such as vitamin A reduces the capacity of the body to resist diseases. Deficiency in iron, iodine, and vitamin A is widely prevalent and represents a major public health challenge.

In humans, prolonged starvation (in excess of one to two months) causes permanent organ damage and may result in death. According to the Food and Agriculture Organization of the United Nations, more than 25,000 people living in Asia, Africa, and Latin America die of starvation every day, and more than 800 million people are chronically undernourished. On average, every five seconds a child dies from starvation.

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