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Journal of Economic Surveys, 2025, 29, 1433-1461
Why do famines persist in the 21st century, despite significant advances in agricultural productivity? Throughout human history, famines have been - and continue to be - among the harshest manifestations of destitution. They result from the exacerbation of human vulnerabilities caused by the synergistic interaction
of multiple anthropogenic and natural determinants. Famines are humanitarian emergencies that sharply
increase mortality and/or morbidity among destitute families. This article reviews the academic debate on
the causes of famines. The literature is organized into six main "families" of theories: (i) classical economic
explanations (Smith's and Malthus' theses); (ii) food availability decline approach; (iii) entitlement approach;
(iv) political perspectives (political regime and political accountability approaches); (v) new variant famine
hypothesis; and (vi) systemic explanations. The article identifies the main gaps and limitations in this literature
and highlights relevant development policy implications for reducing extreme food insecurity. The conclusion
drawn is that the persistence of famines is attributableto ongoing mismanagement of significant triggers of
extreme human vulnerability, both at the national and international levels. Extreme poverty, violent conflicts, economic shocks, climate change, governmental negligence, famine crimes, and pandemics contribute to
the complexity of famine and require a comprehensive development strategy.