Tens of millions more people will face acute hunger if the United States-Israel war on Iran, and its reverberations through Iran’s retaliation, continue through to June, the United Nations warned.

“If the Middle East conflict continues through June, an additional 45 million people could be pushed into acute hunger by price rises,” Carl Skau, the deputy executive director of the UN’s World Food Programme (WFP), said on Tuesday.

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“This would take global hunger levels to an all-time record, and it’s a terrible, terrible prospect,” Skau said, with 319 million people, already a historic high, currently acutely food insecure.

The US-Israeli attacks on Iran that began on February 28 have choked up key humanitarian aid routes, delaying life-saving shipments to some of the world’s worst crises.

Skau said shipping costs are up 18 percent since the war began and that some have had to be rerouted.

The extra costs come on top of deep spending cuts by the WFP, as donors focus more on defence, he added.

Hunger crises in Gaza, Sudan

In Gaza, residents are rushing to stockpile dwindling goods as border closures and the Iran war further strain already fragile supplies, with shortages worsening across the besieged enclave as Israel presses on with its genocidal war there.

Israel is set to partially reopen Gaza’s Rafah crossing with Egypt on Wednesday, ending a two-week shutdown that has deepened an already catastrophic humanitarian crisis in the decimated territory.

Israel shut the crossing the same day it and the US launched strikes on Iran, citing “security” reasons.

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The World Health Organization’s regional director for the Eastern Mediterranean warned last week that only about 200 trucks a day were entering Gaza, far short of the estimated daily requirement of 600.

Meanwhile, more than 21 million people in Sudan, nearly half of the population, face acute hunger. Famine has been confirmed in areas where months of fighting have made access for aid workers largely impossible.

In January, the UN warned that aid to Sudan could run out within months unless hundreds of millions of additional dollars are pledged.

Three years of brutal war between the military government and paramilitary Rapid Support Forces have killed tens of thousands of people and displaced 14 million.