The Soviet government and the American Relief Administration concluded an agreement on 20 August 1921 to organize large-scale food relief. The operation fed millions during the famine, demonstrating the consequences of economic collapse and the practical necessity of international cooperation despite political hostility. Relief agencies worked within constraints set by access, logistics and government control.
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The American Relief Administration provided food relief during the 1921–22 famine.
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The Soviet government accepted foreign assistance, which fed millions.