Famine is spreading in Sudan due to a war between the military and a notorious paramilitary group that has devastated the country and created the world’s largest displacement crisis, a global hunger monitoring group said Tuesday.

Famine in Sudan has expanded to five areas and will likely spread to another five by May, the global hunger monitor reported Tuesday, while warring parties continue to disrupt humanitarian aid needed to alleviate one of the worst starvation crises in modern times.