Dayton Daily News

As Venezuela collapses, children die of hunger

Since economic crisis began in 2014, deaths have soared.

- Meridith Kohut and Isayen Herrera

SANCASIMIR­O,VENEZUELA — Kenyerber Aquino Merchán was 17 months old when he starved to death.

His father left before dawn to bring him home from the hospital morgue. He carried Kenyerber’s skeletal frame into the kitchen and handed it to a mortuary worker who makes house calls for Venezuelan families with no money for funerals.

Kenyerber’s spine and rib cage protruded as the embalming chemicals were injected. Relatives cut out a pair of cardboard wings from one of the empty white ration boxes that families increasing­ly depend on amid the food shortages and soaring food prices throttling the nation. They gently placed the tiny wings on top of Kenyerber’s coffin to help his soul reach heaven — a tradition when a baby dies in Venezuela.

When Kenyerber’s body was finally ready for viewing, his father, Carlos Aquino, a 37-year-old constructi­on worker, began to weep uncontroll­ably. “How can this be?” he cried.

Hunger has stalked Venezuela for years. Now, it is killing the nation’s children at an alarming rate, doctors in the country’s public hospitals say.

Venezuela has been shuddering since its economy began to collapse in 2014. Riots and protests over the lack of affordable food, excruciati­ng long lines for basic provisions, soldiers posted outside bakeries and angry crowds ransacking grocery stores have rattled cities, providing a public display of the depths of the crisis.

But deaths from malnutriti­on have remained a closely guarded secret by the Venezuelan government. In a fivemonth investigat­ion by The New York Times, doctors at 21 public hospitals in 17 states across the country said that their emergency rooms were being overwhelme­d by children with severe malnutriti­on — a condition they had rarely encountere­d before the economic crisis began.

Parents like Kenyerber’s mother go days without eating, shriveling to the weight of children themselves. Women line up at sterilizat­ion clinics to avoid having children they cannot feed. Young boys leave home and join street gangs to scavenge for scraps, their bodies bearing the scars of knife fights with competitor­s. Crowds of adults storm dumpsters after restaurant­s close. Babies die because it is hard to find or afford infant formula, even in emergency rooms.

“Sometimes they die in your arms just from dehydratio­n,” Dr. Milagros Hernández said in the emergency room of a children’s hospital in the northern city of Barquisime­to.

As the economic crisis began to intensify in 2015 and 2016, the number of cases of severe malnutriti­on at the nation’s leading pediatric health center in the capital more than tripled, doctors say. This year looks even worse.

In Venezuela, extreme malnutriti­on “is directly related to the shortages and inflation,” said Dr. Ingrid Soto de Sanabria, chief of the hospital’s nutrition, growth and developmen­t department.

The Venezuelan government has tried to cover up the extent of the crisis by enforcing a near-total blackout of health statistics, and by creating a culture in which doctors are often afraid to register cases and deaths that may be associated with the government’s failures.

But the statistics that have come out are staggering. In the Ministry of Health’s 2015 annual report, the mortality rate for children younger than 4 weeks old had increased a hundredfol­d, from 0.02 percent in 2012 to just over 2 percent. Maternal mortality had increased nearly fivefold in the same period.

For almost two years, the government did not publish a single epidemiolo­gical bulletin tracking statistics like infant mortality. Then in April, a link suddenly appeared on the Health Ministry’s official website, leading to the unpublishe­d bulletins. They showed that 11,446 children younger than 1 had died in 2016 — a 30 percent increase in one year — as the economic crisis accelerate­d.

The new findings made national and internatio­nal headlines before the government declared that the website had been hacked, and the reports were swiftly removed. The health minister was fired and the military was put in charge of monitoring the bulletins. No reports have been released since.

Doctors are censored in hospitals, too, often warned not to include malnutriti­on in children’s medical records.

But doctors interviewe­d by The Times at nine of the 21 public hospitals said they encountere­d nearly 2,800 cases of child malnutriti­on in the last year alone. Nearly 400 of the children died, the doctors said. President Nicolás Maduro has acknowledg­ed that people are hungry, but he has refused to accept internatio­nal aid, often saying that Venezuela’s economic problems are caused by adversarie­s like the United States, which he says is waging an economic war against his country.

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