CARACAS, Venezuela – At a soup kitchen in a hillside slum overlooking Caracas, cooks prepare stewed pork, rice and salad for about 50 children who are weighed and measured while waiting for their meals.

As a volunteer uses a tape measure to check the circumference of a little girl's arm, her mother, Eileen Cabello, expresses alarm. "Look how thin her arm is," she says. "She is nearly 5 but lacks the height and weight of a 5-year-old."

In fact, many kids here are small for their age, reflecting a growing crisis of malnutrition across Venezuela. In a survey published in May 2021, the development group Caritas found that 42% of over 46,000 measurements taken from children in Venezuela's poorest neighborhoods reflect stunting or wasting. That means the children are too short or underweight for their age.

It's a problem that must be dealt with immediately, says Susana Rico, acting director of the United Nations World Food Program in Venezuela.

"If you miss good nutrition up to age 6, most likely you will not develop your full physical and cognitive potential," she says.

She adds that the rising number of malnourished kids spells deep trouble for Venezuela's future.

"If you do not grow up to be as strong and healthy as you were genetically planned to be, you most likely will not be able to produce as much," Rico says, referring to physical abilities. "The same thing goes for your intellectual growth. So the economic effects are felt in 15 years, 20 years, when these children enter the workforce."

In many cases, Venezuelan kids fill up on cheaper foods like bread and cereal because their parents can't afford meat and dairy products, says pediatrician Dr. Lisber Guerra, who treats malnourished kids and is examining a rail-thin boy in her Caracas office.

"A 7-year-old should weigh between 46 and 51 pounds. But he weighs about 39 pounds," says Guerra, who urges the boy's grandmother — and guardian — to put a priority on obtaining more milk and other wholesome foods for him.

Venezuela's food crisis was largely brought on by its authoritarian socialist government, say political analysts. Unlike many other nations plagued by malnutrition, Venezuela is not at war and boasts an abundance of fertile land that could be used to grow food crops. The country also stands atop the world's largest proven oil reserves.

But years of mismanagement and corruption have brought on its worst economic meltdown in history, analysts say. Price controls and the seizure of farms and factories by the government led to food shortages. Hyperinflation made it harder to afford groceries.

To alleviate the suffering, the government says it hands out food to about 7 million Venezuelan households. But the economic crisis, aggravated by U.S. economic sanctions targeting the oil industry, has forced the government to cut back on food aid. When it began in 2016, the food distribution program provided twice-monthly boxes with rice, beans and other staples. In a survey of over 17,000 households last year, however, 60% of recipients said food boxes were arriving once every three months or even less frequently.

All of these factors have led to widespread malnutrition. The U.N. in 2020 published a report estimating that nearly one in three Venezuelans, over 9 million people, was "food insecure." Rico says this means that they were either eating fewer than three meals per day or didn't know where their next meal would come from.

President Nicolás Maduro was initially reluctant to seek outside help. That, analysts say, is due to his government's strategy to use food distribution as a means to coerce and intimidate the population into supporting him, thus strengthening political control over the country. In addition, says Rico of the World Food Program: "It's difficult to accept that the people in your country are in a situation of emergency ... if you are the one who in any way could have prevented it."

In April 2021 Maduro made an exception. He signed an agreement for the World Food Program to hand out meals to about 1.5 million pre-school children and children with disabilities in the poorest areas of Venezuela.

In addition, private charities are stepping up.

At the soup kitchen in the Caracas slum, one of hundreds around the country run by the Venezuelan charity Alimenta la Solidaridad, Minivette Rondón keeps an eye on her 6-year-old twin daughters. She tears up as she recounts sending her girls to bed without supper two or three times a week.

"This never happened before," says Rondón, an unemployed single mom. "It is really painful. They were getting thin, and I mean really thin."

But the twins are among the lucky ones. For the past two weeks they've been eating lunch at the soup kitchen and now, Rondón says, her twins are putting on weight.

Copyright 2022 NPR. To see more, visit https://www.npr.org.

Transcript

ARI SHAPIRO, HOST:

Venezuela controls the world's largest proven oil reserves, so it should be a wealthy country. Instead, years of economic mismanagement have brought massive poverty and food shortages. Venezuela now faces a catastrophe of its own making - widespread malnutrition among the country's children. Reporter John Otis has more.

JOHN OTIS, BYLINE: This is a soup kitchen in a hillside slum overlooking Caracas. Cooks are preparing stewed pork, rice and salad for about 50 children.

UNIDENTIFIED VOLUNTEER: (Speaking Spanish).

OTIS: As the kids wait for their meals, volunteers record their height and weight and use a measuring tape to check the circumference of their arms.

EILEEN CABELLO: (Speaking Spanish).

OTIS: "Look how thin her arm is," says Eileen Cabello, the mother of one little girl being measured. She's nearly 5, but lacks the height and weight of a 5-year-old. In fact, most kids here are small for their ages, reflecting a growing crisis across Venezuela. In a survey last year, the development group Caritas found that 42% of children in the country's poorest neighborhoods suffered from stunting or wasting. That means they're too short or underweight for their ages. It's a problem that must be dealt with immediately, says Susana Rico, who directs the U.N. World Food Program in Venezuela.

SUSANA RICO: If you miss good nutrition up to age 6, most likely you will not develop your full physical and cognitive potential.

OTIS: The rising number of malnourished kids, Rico says, spells deep trouble for Venezuela's future.

RICO: If you did not grow up to be a strong and healthy as you were genetically planned to be, you most likely would not be able to produce as much. The same thing goes for your intellectual growth. So the effects, the economic effects are felt in 15 years, 20 years when these children enter the workforce.

OTIS: In many cases, kids fill up on cheaper foods like bread and cereal because their parents can't afford meat and dairy products, says pediatrician Lisber Guerra, who treats malnourished kids in Caracas.

LISBER GUERRA: (Speaking Spanish).

OTIS: That appears to be the case with this rail-thin boy Dr. Guerra is examining.

GUERRA: (Speaking Spanish).

OTIS: A 7-year-old she weigh between 46 and 51 pounds, she says, but he weighs about 39 pounds.

GUERRA: (Speaking Spanish).

OTIS: Dr. Guerra urges the boy's grandmother and guardian to provide him with more milk and other wholesome foods. Venezuela's food crisis was largely brought on by its authoritarian socialist government. Price controls and the seizure of farms and factories led to food shortages. Hyperinflation made it harder to buy groceries. Most Venezuelans now receive state food handouts, but the country's worst economic crisis in history has forced the government to slash these programs. President Nicolas Maduro was initially reluctant to admit there was a problem and to seek outside help.

(SOUNDBITE OF ARCHIVED RECORDING)

PRESIDENT NICOLAS MADURO: Gracias.

OTIS: But at this ceremony in April, Maduro signed an agreement with the U.N. to hand out meals to 1.5 million pre-school children in the poorest areas of Venezuela. In addition, private charities are stepping up.

(CROSSTALK)

OTIS: At the soup kitchen in the Caracas slum, one of hundreds around the country run by the charity Alimenta la Solidaridad, I meet Minivette Rondon. She's here with her 6-year-old twin daughters.

MINIVETTE RONDON: (Speaking Spanish).

OTIS: She tears up as she recounts sending her girls to bed without supper two or three times per week.

RONDON: (Speaking Spanish).

OTIS: They were getting thin, says Rondon, an unemployed single mom, and, I mean, really thin.

RONDON: (Speaking Spanish).

OTIS: But for the past two weeks, they've been eating lunch at the soup kitchen. And now Rondon says her twins are putting on weight.

For NPR News, I'm John Otis in Caracas. Transcript provided by NPR, Copyright NPR.

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