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The body of a single child, wasting away from the lack of the basic fluid that runs in my sink or yours, best captures the way war casualties ripple across time and populations.
War kills in so many ways. These days, Americans are bombarded with images from Gaza and elsewhere of people or broken bodies being ferried on stretchers from the rubble of homes and hospitals, by rescue workers whose thin bodies and stricken faces suggest they are barely better off than those they’re helping. Social media and journalists make us eyewitnesses to emaciated children too weak to cry. And yet, compared with air raids that crush and bloody instantaneously, a slower disaster, more difficult to capture (especially given our made-for-TikTok attention spans), consists of the hours that many people in war zones spend wasting away from infectious diseases of one sort or another.
Let me count a few of the ways.
In Iraq in 2004, three-month-old Ali tries to cry but he’s too weak to make a sound, since his body has been ravaged by diarrhea. Between 2003 and 2007, half of Iraq’s 18,000 doctors left the country due to the deteriorating security situation (with few intending to return). Health facilities had also been bombed out and destroyed. By then, about two-thirds of the deaths of children under the age of five, like Ali, were due to respiratory infections and diarrhea compounded by malnutrition.
Consider what it would do if someone you loved perished because they were born in the wrong place at the wrong time in the storm of war that destroys infrastructure so central to our lives that normally we barely even notice its presence.
In Pakistan in 2017, one of a handful of countries that has yet to eliminate the polio virus, the father of a five-year-old boy is inconsolable when he learns that his son will never walk on his own again. Among displaced people in the Afghan-Pakistani border region where they lived, concerns about counterinsurgency air raids from U.S. and later Pakistani government and opposition forces, security threats toward vaccination teams in conflict-torn parts of that country, and suspicions among parents like that boy’s father that health workers had been sent by the U.S. government to sterilize Pakistani children, all prevented kids from getting the immunizations that they needed.
In Burkina Faso in 2019, three-year-old Abdoulaye dies after contracting malaria while in a shelter for people internally displaced by violence between government forces and Islamic militias. Malnourished and anemic, without direct access to a health clinic, he succumbs to a treatable illness.
In Fayetteville, North Carolina in 2020, as in other military towns across the U.S., rates of sexually transmitted infections like syphilis, herpes simplex, and HIV are among the highest in the country. Bases tend to drive up poverty among civilians by making the surrounding populations dependent on low-wage service work. And stressed-out, war-traumatized American soldiers are more likely to engage in risky sexual behavior that spreads disease among the broader population.
In Ukraine in 2023, a soldier treated for severe burns dies of sepsis, despite being given multiple antibiotics. Doctors found klebsiella, a multi-drug-resistant pathogen, in his body. Despite successful efforts by the Ukrainian government to curb antimicrobial resistance in its population prior to Russia’s 2022 invasion, mounting casualties, along with shortages of supplies and personnel, mean that Ukrainian health workers now try to do whatever they can to keep soldiers alive. In the long term, antibiotic-resistant infections traceable to Ukrainian patients are already beginning to appear in places as distant as Japan.
In May 2025 in the Gaza strip, four-month-old Jenan dies from chronic diarrhea after losing half her bodyweight. She needed hypoallergenic milk formula, but aerial bombardments and blockades of basic food and medical supplies have made that once common product scarce. As anthropologist Sophia Stamatopoulou-Robbins points out, prior to the start of the war between Israel and Hamas in October 2023, cases of diarrhea in young children there averaged about 2,000 per month. In April of the following year, however, such cases already numbered more than 100,000. Likewise, in the decade before the war, there were no large-scale epidemics in Gaza. In just the first seven months of that conflict, however, overcrowding in makeshift shelters, nutritional deficits, shortages of hygiene products—only 1 in every 3 Gazans has soap!—and contaminated water have led to new outbreaks of infectious diseases like measles, cholera, typhoid, and polio, exacerbated by widespread starvation.
At some level, it couldn’t be simpler. War destroys all too many of the modern amenities that make life possible. Preventable illness and death occur even in industrialized settings that are marked by inequality, lack of information, psychological trauma, or just the chaos of combat that hinders long-term thinking. In poor- and middle-income countries like Yemen, Syria, and Nigeria, infectious diseases were already among the top causes of death, even before the outbreak of significant conflicts. Their incidence, however, grew so much worse in wartime, especially among civilians who didn’t have the same access to doctors and medical hospitals as armed groups.
The body of a single child, wasting away from the lack of the basic fluid that runs in my sink or yours, best captures the way war casualties ripple across time and populations. For every soldier who dies in battle, exponentially more people suffer deaths from malnutrition, disease, or trauma-related violence even after battles end. Preventable infections play a large role in this story.
Children are particularly vulnerable to sickness and death in armed conflicts because of their immature immune systems, greater nutritional needs, tendency to succumb more easily to dehydration, and reliance on families who may not even be around to care for them. A study of more than 15,000 armed-conflict events in 35 African countries found that children aged 10 or younger were far more likely to die if they lived within 100 kilometers of a battle zone than they would have in earlier periods of peacetime. Increases in mortality ranged from 3% to about 27%, varying with how many people also died in nearby battles. Strikingly, many more babies under the age of one died annually in the eight years following a conflict’s end than while the battles were going on—infectious disease being a primary killer.
Take Yemen as an example of how war may affect young children and their families over time. Since the start of that country’s civil war in 2015, cholera, a waterborne illness doctors have known how to prevent since 1954, has ravaged the most vulnerable members of that country’s population, particularly children, due to a lack of appropriate sanitation or reasonable access to healthcare. As of December 2017, more than a million people had contracted the disease, nearly half of them children, and more than 2,000 had died of the illness. Compare that to the more than 10,000 Yemenis estimated to have died in direct combat by that time, and you get an idea of how significantly death by illness counts among the casualties of war.
Nearly a decade later, in fact, there are hundreds of thousands of new cases of that illness in Yemen each year and hundreds of annual deaths, making up more than a third of all cases globally. When Rami discovered that his daughters, aged 10 and 7, had cholera, he managed to scrape together the equivalent of about $15 to travel to a clinic so that the family could get lifesaving fluids and information to prevent further cases. Many families like his, however, can’t afford such treatment, forcing all too many of them to delay care or even experience the unthinkable: losing a child.
Consider what it would do if someone you loved perished because they were born in the wrong place at the wrong time in the storm of war that destroys infrastructure so central to our lives that normally we barely even notice its presence. I hope it’s an experience that neither you nor I ever have.
Still, I think about such things every day, as I bet do many of my colleagues connected to the Costs of War Project. When we first launched that project in 2011, Professors Catherine Lutz, Neta Crawford, and I met with experts in armed conflict to discuss how we would cover the issue of war’s health impacts. Repeatedly, they reminded us of how hard it is to talk about war and health without understanding what it’s like for families to be forced to leave their homes in search of safety.
Unsurprisingly, refugees and internally displaced people (IDPs) are uniquely vulnerable to disease and illness. Anyone who has gotten sick while traveling knows that the challenges of getting care are compounded by a lack of knowledge of the community you find yourself in. In the case of today’s more than 122 million war refugees or displaced people, stigma and harassment are frequent travel companions. According to one meta-analysis, more than one-fifth of refugee and IDP women have experienced some form of sexual violence while living in displacement settings. A study of more than 500 immigrants and refugees in Italy found that nearly half experienced physical violence, sexual abuse, harassment, or workplace discrimination.
How did we get to a time when our leaders seem loath to invest in healthcare and don’t even hide their disdain for poor people, a significant number of whom are military personnel and veterans?
The stories that extremist politicians tell about migrants—think of President Donald Trump’s tall tale of supposedly dog- and cat-eating Haitians in Springfield, Ohio—distract us from the social problems such politicians seem unwilling to deal with like loneliness and poverty. Displaced persons lack political clout and voting power in places that host them and, in actual war zones, fighters rarely respect shelters and camps designated for their survival.
For people who flee their homes, the basic boring stuff is lacking, too. Only 35% of refugees have clean drinking water where they live, while less than a fifth of them have access to toilets. Imagine how that would affect all of the higher-order things you value in your life, including gatherings with people you care about, if you couldn’t even find a decent place to wash your hands or brush your teeth!
Most of all, what stands out to me as both a social worker and a scholar of war is how people forced to leave their communities end up losing connections to health providers they trust. I can’t tell you how many individuals I’ve met in clinical and humanitarian settings who had declined to seek care for Covid-19, pneumonia, severe flu symptoms, and other illnesses because they lacked confidence that professionals in their host communities had their best interests at heart.
As Republicans in Congress passed a bill that would deprive millions of Americans of health insurance in the near term, as high-level officials spread disinformation about vaccines for once-eradicated illnesses like measles, and as public health workers and officials face threats of violence, all too many poor Americans are starting to experience the sorts of obstacles to healthcare common in war zones.
Meanwhile, with the Trump administration’s decisions earlier this year to fire at least 2,000 U.S. Agency for International Development workers and freeze foreign aid dollars used (in part) to treat and monitor infectious diseases elsewhere on this planet, the threat that a foreign pandemic might make it to this country has grown considerably.
To quote Senator Joni Ernst (R-Iowa) at a recent town hall with constituents worried about losing healthcare, “We are all going to die.” While that is indeed so, it also matters how. A long life with access to basic services like immunizations and clean water is one of the differences between dying like a human being and dying like one of the wild animals I find in my rural area, infected by bacteria in the water or exhausted from heat exposure.
How, I wonder, did we Americans reach a place where many of us are silent or supportive of a strongman’s $45 million birthday military parade that closed roads to residents and commuters for days? How did we get to a time when our leaders seem loath to invest in healthcare and don’t even hide their disdain for poor people, a significant number of whom are military personnel and veterans?
I’m not sure I know what this country stands for anymore. I don’t know about you, but these days America sometimes feels to me like a treacherous foreign land.
"It would be a catastrophic mistake to be led into a war by the same neocons that claimed the Iraq war would be a cakewalk," warned one group.
Israel is likely preparing to bomb Iran even as the Trump administration works toward a nuclear deal with Tehran, stoking fears of Iranian retaliation against U.S. military bases and other American or allied sites in an already inflamed region, and prompting calls for urgent diplomacy to avoid war.
U.S. and European officials told Western media Thursday that Israel is preparing to unilaterally attack Iran as negotiations between Washington and Tehran draw closer to a preliminary framework for an agreement to curb Iran's nuclear development. The government of fugitive Israeli Prime Minister Benjamin Netanyahu opposes any such deal.
"If this escalates, innocent lives will be caught in the crossfire in Iran and across the region."
American intelligence agencies have periodically concluded over the past two decades that Iran—which has not started a war since the 19th century but supports proxy attacks on Israel—is not developing nuclear weapons.
While President Donald Trump—who has repeatedly threatened to bomb Iran if a nuclear deal is not reached—has publicly opposed an Israeli attack on Iran, numerous observers are warning that Tehran and its proxies would very likely view the U.S. as complicit in any such action.
"If Israel does strike Iran in the next days or hours, and even if they do so in defiance of Trump's warnings, the likelihood that the Iranians will perceive it as an independent act by Israel in defiance of Trump is essentially zero," Trita Parsi, executive vice president of the Quincy Institute for Responsible Statecraft, said Wednesday on social media. "There is no plausible deniability."
Vahid Razavi, an Iranian American advocate for human rights and ethics in technology and founder of ParentsPlea.com, told Common Dreams Thursday that "Israel will only attack Iran with the support and blessing of the United States."
"The 'good cop/bad cop' game that Trump and Israel are playing in the region is a distraction," Razavi added. "There is no substantial difference in U.S. and Israeli policy toward Iran."
Iran has threatened an "unprecedented response" if Israel attacks.
"In case of any conflict, the U.S. must leave the region because all its bases are within our range, and we will target all of them in the host countries regardless," Iranian Defense Minister Aziz Nasirzadeh said Thursday during a televised address.
Nasirzadeh's remarks followed a Wednesday threat by an official from Ansar Allah that the Yemeni rebel group also known as the Houthis is "at the highest level of preparedness for any possible American escalation against us."
"Any escalation against the Islamic Republic of Iran is also dangerous and will drag the entire region into the abyss of war," the unnamed official told Newsweek.
The Trump administration stands accused of war crimes in Yemen amid an escalation of the decadeslong U.S. bombing of the country as part of the so-called War on Terror. Successive U.S. administrations also backed a Saudi-led war on Yemen that has claimed hundreds of thousands of lives, while Israeli and British forces have bombed the country since 2024 in retaliation for Houthi missile attacks on Red Sea shipping and Israel.
Last October, Iran launched a limited missile strike on Israel in response to the assassinations of Hassan Nasrallah, who led the Lebanon-based resistance group Hezbollah, and Hamas leader Ismail Haniyeh. This prompted retaliatory Israeli attacks on targets in and around Tehran, including the headquarters of the elite Islamic Revolutionary Guards Corps.
The prospect of another Israeli attack on Iran prompted the U.S. on Wednesday to order the evacuation of some diplomats from Iraq and call for the voluntary departure of American military families from the region.
Meanwhile, numerous observers stressed the need for a diplomatic resolution to avoid a wider war in the Middle East—and possibly beyond.
"We must face the reality: if this escalates, innocent lives will be caught in the crossfire in Iran and across the region, and at home there may be new, dire threats to the civil liberties of our community," the National Iranian American Council (NIAC) said in a statement Thursday.
"We are working to ensure our leaders hear us loud and clear: We need diplomacy, not catastrophe," NIAC added. "We are organizing multiple actions in the coming days against a potential war and in support of peace and ask for your support to fuel this vital effort."
Former Democratic Ohio state Sen. Nina Turner succinctly said Wednesday: "No war with Iran. No war, period."The U.S., U.K., Canadian, and other governments remain deeply complicit in Israel's atrocities and violations of international law. But the rhetoric is shifting and protest movement is growing louder.
After 20 months of horror in Gaza, political rhetoric in Western countries is finally starting to shift—but will words translate into action? And what exactly can other countries do when the United States still shields Israel from efforts to enforce international law, as it did at the UN Security Council on June 5th?
On May 30th, Tom Fletcher, the UN Under-Secretary-General for Humanitarian Affairs, accused Israel of committing a war crime by using starvation as a weapon against the people of Gaza. In a searing interview with the BBC, Fletcher explained how Israel’s policy of forced starvation fits into its larger strategy of ethnic cleansing.
“We’re seeing food set on the borders and not being allowed in, when there is a population on the other side of the border that is starving,” Fletcher said. “And we’re hearing Israeli ministers say that is to put pressure on the population of Gaza.”
If the so-called international community were really “very, very clear on that,” the United States and Israel would not be able to wage a campaign of genocide for more than 600 days while the world looks on in horror.
He was referring to statements like the one from Finance Minister Bezalel Smotrich, who openly admitted that the starvation policy is meant to leave Palestinians “totally despairing, understanding that there’s no hope and nothing to look for," so that they will submit to ethnic cleansing from Gaza and a “new life in other places.”
Fletcher called on Prime Minister Benjamin Netanyahu to stop this campaign of forced displacement, and insisted, “we would expect governments all over the world to stand for international humanitarian law. The international community is very, very clear on that.”
Palestinians might wish that were true. If the so-called international community were really “very, very clear on that,” the United States and Israel would not be able to wage a campaign of genocide for more than 600 days while the world looks on in horror.
Some Western governments have finally started using stronger language to condemn Israel’s actions. But the question is: Will they act? Or is this just more political theater to appease public outrage while the machinery of destruction grinds on?
This moment should force a reckoning: How is it possible that the U.S. and Israel can perpetrate such crimes with impunity? What would it take for U.S. allies to ignore pressure from Washington and enforce international law?
If impoverished, war-ravaged Yemen can single-handedly deny Israel access to the Suez Canal and the Red Sea, and drive the Israeli port of Eilat into bankruptcy, more powerful countries can surely isolate Israel diplomatically and economically, protect the Palestinians and end the genocide. But they haven’t even tried.
Some are now making tentative moves. On May 19th, the U.K., France, and Canada jointly condemned Israel’s actions as “intolerable,” “unacceptable,” “abhorrent,” “wholly disproportionate,” and “egregious.” The U.K. suspended trade talks with Israel, and they promised “further concrete actions,” including targeted sanctions, if Israel does not end its offensive in Gaza and lift its restrictions on humanitarian aid.
The three countries publicly committed to the Arab Plan for the reconstruction of Gaza, and to building an international consensus for it at the UN’s High-Level Two-State Solution Conference in New York on June 17th-20th, which is to be co-chaired by France and Saudi Arabia.
They also committed to recognizing Palestinian statehood. Of the UN’s 193 member states, 147 already recognize Palestine as a sovereign nation, including ten more since Israel launched its genocide in Gaza. President Emmanuel Macron, under pressure from the leftist La France Insoumise party, says France may officially recognize Palestine at the UN conference in June.
Canada’s new prime minister, Mark Carney, claimed during his election campaign that Canada already had an arms embargo against Israel, but was swiftly challenged on that. Canada has suspended a small number of export licenses, but it’s still supplying parts for Israel’s 39 F-35s, and for 36 more that Israel has ordered from Lockheed Martin.
A General Dynamics factory in Quebec is the sole supplier of artillery propellant for deadly 155 mm artillery shells used in Gaza, and it took an emergency campaign by human rights groups in August 2024 to force Canada to scrap a new contract for that same factory to supply Israel with 50,000 high-explosive mortar shells.
The U.K. is just as compromised. The new Labour government elected in July 2024 quickly restored funding to UNRWA, as Canada has. In September, it suspended 30 out of 350 arms export licenses to Israel, mostly for parts used in warplanes, helicopters, drones, and targeting. But, like Canada, the U.K. still supplies many other parts that end up in Israeli F-35s bombing Gaza.
Declassified UK published a report on the F-35 program that revealed how it compromises the sovereignty of partner countries. While the U.K. produces 15% of the parts that go into every F-35, the U.S. military takes immediate ownership of the British-made parts, stores them on British air force bases, and then orders the U.K. to ship them to Texas for use in new planes or to Israel and other countries as spare parts for planes already in use.
Shipping these planes and parts to Israel is in clear violation of U.S., U.K. and other countries’ arms export laws. British campaigners argue that if the U.K. is serious about halting genocide, it must stop all shipments of F-35 parts sent to Israel–directly or indirectly. With huge marches in London drawing hundreds of thousands of people, and protests on June 17th at three factories that make F-35 parts, activists will keep applying more pressure until they result in the “concrete actions” the British government has promised.
Denmark is facing a similar conflict. Amnesty International, Oxfam, Action Aid, and Al-Haq are in court suing the Danish government and the nation's largest weapons company, Terma, to stop them from sending Israel critical bomb release mechanisms and other F-35 parts.
These disputes over Canadian artillery propellant, Danish bomb-release mechanisms, and the multinational nature of the F-35 program highlight how any country that provides even small but critical parts or materials for deadly weapons systems must ensure they are not used to commit war crimes.
In turn, all steps to cut off Israel’s weapons supplies can help to save Palestinian lives, and the full arms embargo that the UN General Assembly voted for in September 2024 can be instrumental in ending the genocide if more countries will join it. As Sam Perlo-Freeman of Campaign Against the Arms Trade said of the U.K.’s legal obligation to stop shipping F-35 parts,
“These spare parts are essential to keep Israel’s F-35s flying, and therefore stopping them will reduce the number of bombings and killings of civilians Israel can commit. It is as simple as that.”
Germany was responsible for 30% of Israel’s arms imports between 2019 and 2023, largely through two large warship deals. Four German-built Saar 6 corvettes, Israel’s largest warships, are already bombarding Gaza, while ThyssenKrupp is building three new submarines for Israel in Kiel.
But no country has provided a greater share of the tools of genocide in Gaza than the United States, including nearly all the warplanes, helicopters, bombs, and air-to-ground missiles that are destroying Gaza and killing Palestinians. The U.S. government has a legal responsibility to stop sending all these weapons, which Israel uses mainly to commit industrial-scale war crimes, up to and including genocide, against the people of Palestine, as well as to attack its other neighbors.
Trump’s military and political support for Israel’s genocide stands in stark contradiction to the image he promotes of himself as a peacemaker—and which his most loyal followers believe in.
Yet there are signs that Trump is beginning to assert some independence from Netanyahu and from the war hawks in his own party and inner circle. He refused to visit Israel on his recent Middle East tour, he’s negotiating with Iran despite Israeli opposition, and he removed Mike Waltz as National Security Advisor for engaging in unauthorized warmongering against Iran with Netanyahu. His decisions to end the Yemen bombing campaign and lift sanctions on Syria suggest an unpredictable but real departure from the neocon playbook, as do his negotiations with Russia and Iran.
Has Netanyahu finally overplayed his hand? His campaign of ethnic cleansing, territorial expansion in pursuit of a biblical “Greater Israel,” the deliberate starvation of Gaza, and his efforts to entangle the U.S. in a war with Iran have pushed Israel’s longtime allies to the edge. The emerging rift between Trump and Netanyahu could mark the beginning of the end of the decades-long blanket of impunity the U.S. has wrapped around Israel. It could also give other governments the political space to respond to Israeli war crimes without fear of U.S. retaliation.
The huge and consistent protests throughout Europe are putting pressure on Western governments to take action. A new survey conducted in Britain, Denmark, France, Germany, Italy and Spain shows that very few Europeans—between 6% and 16% in each country—find Israel’s assault on Gaza proportionate or justified.
For now, however, the Western governments remain deeply complicit in Israel’s atrocities and violations of international law. The rhetoric is shifting—but history will judge this moment not by what governments say, but by what they do.