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Southern Africa cries for help as El Niño and climate change savage maize harvest

Only half of $600m promised in aid has come

Two-year-old Zeka screams as a health worker measures the circumference of her arm while another holds her legs and presses her flesh. The nurses agree: Zeka has clear signs of edema, a swelling condition caused by extreme hunger.

“She will live, but she needs to go to hospital. The situation in this area is much worse than when we were here just a few weeks ago.

Related: UK aid money spent trying to boost British role in Malawi oil sector

Related: Across Africa, the worst food crisis since 1985 looms for 50 million

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