“They looked like typical babies to me, but malnutrition is measured by height, weight and a mid-upper arm circumference assessment,” Hamelin said. “There are also levels of malnutrition, but most of the cases we dealt with were severe. Some patients you could see had very tiny arms; it was heartbreaking.” Hamelin remembers a mother who came in with her child, who was between 6 and 8 months old and was born prematurely. In Kenya, it’s typical for a mother to stop breastfeeding at six months, and formula is rarely used to supplement. “Her child had drastically dropped in weight, and we were a little alarmed. But the mother couldn’t afford a lot of extra food, so whatever they were eating
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