"With CARE’s fourth global 'Suffering In Silence' report, we are starting to see a trend of certain countries annually remaining on the list of the most under-reported crises. While we expanded the analysis in 2019 by including Spanish and Arabic online media coverage (in addition to English, French and German), the results are surprisingly similar to previous years: 6 of the 10 crises had already appeared in the ranking at least twice in the past three years; 9 of the 10 crises take place on the African continent. They range from drought to displacement, conflict, epidemics and food insecurity. In order to address these recurrences, we need to ask: what are the factors that contribute to the silent suffering? The duration of a crisis may play a role, along with its effect on, or how it is affected by, international geopolitics. The European Commission defines a forgotten humanitarian crisis as a severe and protracted humanitarian situation in which people receive little to no international aid. In addition, there is a lack of political will to end the crisis as well as a lack of media attention, meaning the crisis develops beyond public perception." (Introduction, page 5)