LES CAYES, Haiti (AP) — Severe acute childhood malnutrition is expected to more than double this year in Haiti as the country struggles with the coronavirus pandemic, a spike in violence and dwindling resources, a UNICEF report said Monday.

More than 86,000 children under age five could be affected, compared with 41,000 reported last year, said Jean Gough, UNICEF’s regional director for Latin America and the Caribbean.

“I was saddened to see so many children suffering from malnutrition,” she said after a weeklong visit to Haiti. “Some will not recover unless they receive treatment on time.”

Severe acute malnutrition is considered a life-threatening condition.

In a slightly less dangerous category, acute malnutrition in kids younger than five in Haiti has risen 61 per cent, with some 217,000 children expected to suffer from it this year, compared with 134,000 last year.

Overall, UNICEF said, about 4.4 million of Haiti’s more than 11 million inhabitants lack sufficient food, including 1.9 million children.

Gough told The Associated Press during a recent visit to a hospital in the southern city of Les Cayes that UNICEF has only a one-month supply left of a special food paste given to children in need and is seeking US$3 million by the end of June.

Officials said the pandemic also has disrupted health services, with childhood immunisation rates dropping from 28 per cent to 44 per cent, depending on the vaccine. The decrease has led to a rise in diphtheria cases as health workers brace for an expected measles outbreak this year.

UNICEF noted that unvaccinated children also are more likely to die from malnutrition.

Lamir Samedi, a nurse who works at a community health centre in the southern town of Saint-Jean-du-Sud, said the target was to vaccinate 80 per cent of children in the area, but they had yet to reach 50 per cent.

Among the children hospitalised is 11-month-old Denise Joseph, who lay quietly in a crib in Les Cayes after being diagnosed with tuberculosis two weeks ago.

“She never eats,” said her grandmother, Marie-Rose Emile, who is caring for the infant since her mother also is ill. Emile is struggling to provide for the baby, saying she has barely harvested any beans, corn or potatoes this year.

Gough, the UNICEF official, said she was discouraged by the dismal numbers of malnutrition and drop in childhood immunisations. She said more outreach services are needed because not enough people are visiting community health centres.

Among those visiting a health centre for the first time was 27-year-old Franceline Mileon, who brought her young child after hearing a health official with a bullhorn in her neighbourhood announcing that a vaccination program had begun. She sat on a bench, coddling her baby, as she waited for a nurse to weigh her.

Overall, UNICEF said it needs nearly US$49 million this year to meet humanitarian needs in Haiti, adding that little of that amount has been pledged. The agency US$5.2 million of that amount would go toward nutrition and US$4.9 million for health, including childhood immunisations.