Marking a “hideous milestone” in Yemen, the International Committee of the Red Cross said on Thursday that the number of cholera cases in the country has passed one million—a direct result of the U.S.-backed war that has ravaged one of the world’s most impoverished nations.

Eight months after the country’s cholera outbreak began—stemming from water and sanitation systems that have been bombed out of commission by Saudi Arabian airstrikes that receive direct support from the U.S. military—humanitarian agencies have recorded 2,200 deaths from the disease, nearly a third of which were children.

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