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As a food crisis continues to spread and levels of severe acute malnutrition continue to rise in Chad, Doctors Without Borders/Médecins Sans Frontières (MSF) is expanding the number of emergency malnutrition treatment programs it is operating in the country. Even in a normal year, Chad has one of the highest rates of chronic malnutrition in the world. This year is showing signs of being worse than usual. In early 2012, in some areas of the country, rates of global acute malnutrition as high as 24 per cent have already been reported among children under the age of five.