At any given time, 45 million children are suffering rom acute malnutrition. From time to time, there is going to be a crisis in the Sahel. Unfortunately, they are cyclical and they occur every two years. That essentially means that a child is going to be malnourished some time in his or her first thousand days. They can also be linked to events such as those going on in Yemen or Syria at the moment. War makes them worse, but the rate of acute malnutrition remains quite stable in those countries.