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MOGADISHU, Somalia — The World Food Program said Saturday that it is expanding its food distribution efforts in famine-struck Somalia, where the U.N. estimates that only 20 percent of people needing aid are getting it.

Some of those from the outlying regions have walked for days to the capital for help, only for it to be too late. In the pediatric ward in one of Somalia’s best-equipped hospitals, a shriveled baby lies motionless in a crowded ward; a doctor said he weighs less than he did at birth.

Doctors push a feeding tube down the nose of a skeletal 3-year-old, his body covered in sores. Mothers lay their babies between the cots on the floor because there are no beds left.

Banadir hospital lacks equipment, nutritional supplements and even beds, but it’s a refuge most of the families here have walked for miles to get to, carrying children who got weaker by the hour.

Many arrive too late to be saved. Both Ali Abukar, the baby, and Ibrahim Abukar Abdi, the 3-year-old, died shortly after The Associated Press spoke to their mothers.

That is why aid agencies urgently need to increase their efforts to reach families beyond the Somali capital, said Valerie Amos, the U.N.’s top humanitarian official, on Saturday.

Wastelands in the battle-scarred capital are being transformed into makeshift camps as families move in and set up shelters, hoping for help.

“We have to start getting aid out to them to avoid a massive influx of people into the city,” Amos said.

The U.N.’s World Food Program is already getting aid to some areas in southern Somalia that had been inaccessible a month ago, one official said.

“We are expanding our activities in Mogadishu, and we are looking to dramatically increase those activities over the coming days and weeks as the security situation in the city permits,” said Stanlake Samkange, the World Food Program regional director in East and Central Africa.


Numbers

20% U.N. estimate of Somali people in need of aid who are receiving it

12 million People in the Horn of Africa, which includes Kenya, Ethiopia, Djibouti, Eritrea and Somalia, who need food aid

10 People who have died in Somalia this month in shootouts when aid agencies attempted to distribute food

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