More than a quarter-billion people in 58 countries faced acute food insecurity last year because of conflicts, climate change, the effects of the COVID-19 pandemic and Russia’s war in Ukraine, according to a report published Wednesday.

The Global Report on Food Crises, an alliance of humanitarian organizations founded by the UN and European Union, said people faced starvation and death in seven of those countries: Somalia, Afghanistan, Burkina Faso, Haiti, Nigeria, South Sudan and Yemen.

The report found that that the number of people facing acute food insecurity and requiring urgent food aid — 258 million — had increased for the fourth consecutive year, a “stinging indictment of humanity’s failure” to implement UN goals to end world hunger, UN Secretary-General António Guterres said.

While the increase last year was due in part to more populations being analyzed, the report also found that the severity of the problem increased as well, “highlighting a concerning trend of a deterioration.”