The charity, Save the Children has warned that the Horn of Africa is facing an unprecedented triple threat as the region is hit by the coronavirus pandemic, locust swarms and flooding.
The organisation says more than five million children under the age of five are already acutely malnourished and Covid-19 is now affecting the economy and health services.
Vast new swarms of crop-eating locusts are expected in June, and rivers have been swollen by recent heavy rain.
Save the Children has called for urgent international action to help Somalia, Kenya and Ethiopia cope, saying the situation is completely overwhelming.
The charity also warns there is a heightened risk of virus infection in camps for millions of displaced people.
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