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As El Niño looms and fighting in Sudan rages on, a pair of United Nations agencies on Monday warned that “acute food insecurity is likely to deteriorate further in 18 hunger hot spots” across 22 countries from June to November.

The Food and Agriculture Organization (FAO) and the World Food Program (WFP) delivered that warning in a joint report.

“Afghanistan, Nigeria, Somalia, South Sudan, and Yemen remain at the highest concern level,” the report states. “Haiti, the Sahel (Burkina Faso and Mali), and the Sudan have been elevated to the highest concern levels; this is due to severe movement restrictions of people and goods in Haiti, as well as in Burkina Faso and Mali, and the recent eruption of conflict in the Sudan.”

“Pakistan, the Central African Republic, Ethiopia, Kenya, the Democratic Republic of the Congo, and the Syrian Arab Republic are hot spots with very high concern, and the warning is also extended to Myanmar,” the publication continues. “Lebanon, El Salvador, and Nicaragua have been added to the list of hunger hot spot countries, since the September 2022 edition. Malawi, Guatemala, and Honduras remain hunger hot spot countries.”