The Horn of Africa countries of Somalia, Kenya, Ethiopia and Djibouti are on the cusp of yet another expansion of their ongoing humanitarian crisis. While food, medical supplies, and water have been critically short for years, a huge outpouring of aid in response to the 2011 peak in suffering, resulted in many saved lives and an overall improvement in infrastructure. But once again this progress is being threatened. According to a recent Unicef article, “the first raining season of 2012 again brought below average rainfalls, which may negatively affect the mid-year harvest and further delay recovery of soils and livelihoods impacted by 2011 drought.” Those sparse, objective words, while technically accurate, fail to convey the suffering of even one of the 8 million people in dire straits. What will be our response?