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Millions of people are suffering in the appalling humanitarian crisis that has gripped Yemen – and the hardest-hit are the very young.

A child is dying every 10 minutes from “preventable causes”, including malnutrition, cholera, diphtheria and – of course – the war itself.

The most vulnerable, those children under the age of five, are being abandoned to �鶹APP�stare death in the face,�鶹APP� according to the United Nations, which said 80% of children are now “in desperate need of aid”.

Huge numbers are at serious risk of stunted growth, which could irrecoverably affect their potential to develop physically and educationally.

A child�鶹APP�s brain is 90% developed by the time they are five. For their brains to develop to the full potential, they need to have the proper care, protection, safety, stimulation and nourishment. Stunting occurs when a child has not had access to these in the formative years.

UN Secretary-General Antonio Guterres yesterday called for an end to air and ground assaults in Yemen, after an escalation of violence among rebel groups who had previously fought together in the ongoing conflict. 

A blockade on humanitarian aid getting in has caused significant shortages of critical supplies, especially food and fuel.

�鶹APP�The Secretary-General calls for the urgent resumption of all commercial imports, without which millions of children, women and men risk mass hunger, disease and death,�鶹APP� said the statement from Guterres.

The directors of the World Health Organization, UNICEF and the World Food Programme said in a joint statement Yemen had also been hit by the “world�鶹APP�s worst cholera outbreak in the midst of the world�鶹APP�s largest humanitarian crisis�鶹APP�. Young children are particularly vulnerable to cholera.

Urgently-needed vaccines to treat 600,000 children and protect them against diphtheria, meningitis, whooping cough, pneumonia and tuberculosis finally started getting through last week.

Geert Cappalaere, UNICEF Regional Director for the Middle East and North Africa, said: �鶹APP�It was our first delivery of humanitarian supplies to Sana�鶹APP�a airport since November 6. It is fair to say that Yemen is one of the worst places on earth to be a child.

�鶹APP�More than 11 million Yemeni children are today in acute need of humanitarian assistance. That�鶹APP�s almost every single Yemeni boy and girl.

�鶹APP�Yemen today is also the country with almost the highest level of malnutrition. What has happened in the last two and a half years throughout Yemen has only exacerbated what was already a very sad reality.

�鶹APP�Today we estimate that every 10 minutes a child in Yemen is dying from preventable diseases. The massive and unprecedented outbreak of acute watery diarrhoea and cholera this year is no surprise. The war in Yemen is sadly a war on children. Close to 5000 children have been killed or seriously injured the last two and a half years alone.�鶹APP�

Two million children have also had their education disrupted and hundreds of schools have been damaged or destroyed.

Two years of conflict between the Saudi-led coalition and Houthi rebels have taken a heavy toll in Yemen, causing millions of people to be displaced, malnourished and fighting deadly diseases. The number of cholera cases is expected to reach 600,000 by the end of the year.

�鶹APP�This is a children�鶹APP�s crisis,�鶹APP� said Bismarck Swangin, a communication specialist for UNICEF . �鶹APP�When you look at the number of children who are staring at death due to malnourishment, and now that is compounded by a cholera outbreak, children are not only being killed directly as a result of the conflict, but more children are at risk and could die from indirect consequences.�鶹APP�

Caroline Anning, senior conflict and humanitarian advocacy adviser for Save the Children, said she was not surprised by the finding that 80% of children need humanitarian aid.

�鶹APP�It tallies with what we see on the ground,�鶹APP� said Anning. �鶹APP�The message we get is this is an off-the-scale humanitarian crisis, much bigger than what we see in Syria, much bigger than in other parts of the world, and it happens in the background almost, it doesn�鶹APP�t get the same amount of attention. 

�鶹APP�What it means for children in Yemen is that there are millions of children going to bed hungry each night. Huge numbers of children are acutely malnourished so they�鶹APP�re too weak to stand up. 

�鶹APP�We�鶹APP�re having mothers who are carrying their acutely malnourished children to clinics on their backs, walking for hours, because they don�鶹APP�t have the money to pay for transport.�鶹APP�

Earlier this year, international donors pledged $2.1 billion in humanitarian aid for Yemen. So far only a third of the money has come in, said the UN. 

Young Yemeni children are also dealing with toxic stress �鶹APP� when exposure to periods of prolonged fear, chronic neglect or abuse, poverty and hunger means a child�鶹APP�s “stress response” goes into overdrive with devastating consequences for their health and development.

Researchers at Harvard University found that the more adverse experiences in childhood, the greater the likelihood of developmental delays and later health problems, including heart disease, diabetes, substance abuse and depression. 

Consultant Clinical Psychologist Dr Rachel Andrew said: �鶹APP�Children who suffer repeated or long term traumatic events, like living through a war, can suffer irreparable harm.

�鶹APP�The vast majority of children will describe dissociating (shutting off or shutting down/ daydreaming) as a survival mechanism. This process allows children (and adults) to take their mind away from atrocities when they don’t have any control. 

�鶹APP�Children also describe feeling ‘on edge’ through the day, easily startled or sensitive to noise, and at night having nightmares or restless sleep. Some will self-soothe through a repetitive noise or action (like rocking). Toxic stress will limit the development of a child across the board.�鶹APP�