CAIRO — Famine has spread to two regions of war-torn Sudan, including a major city in Darfur where paramilitary fighters have been rampaging, a global hunger monitoring group said Monday, as the war has created the world's largest humanitarian disaster.

The Integrated Food Security Phase Classification, the leading international authority on hunger crises, said famine has been detected in el-Fasher in Darfur and Kadugli town in South Kordofan province. Twenty other areas in Darfur and Kordofan, where fighting has intensified in recent months, are also at risk of famine, according to the IPC.

El-Fasher had been under siege by the paramilitary Rapid Support Forces for 18 months, cutting off much food and other supplies to tens of thousands of people. Last week, RSF fighters seized el-Fashe

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