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“With global humanitarian needs already at record levels, further escalation of the conflict in the Middle East and wider region will have grave ramifications for crises across the world,” said one advocate.
The US-Israeli war against Iran has unleashed a "triple emergency" that is draining the global humanitarian aid system of resources and putting millions of the world's most vulnerable people at even greater risk, according to a dire warning issued Friday by the International Rescue Committee.
The war has already resulted in the deaths of thousands and the displacement of millions of people in Iran and Lebanon. But the IRC says that the ripple effects of the war are beginning to spread to conflict zones across the world.
The conflict has caused many nations in the region to partially or fully close their airspace, leaving critical cargo stranded.
Meanwhile, Iran’s closure of the Strait of Hormuz in retaliation for US and Israeli attacks has disrupted the flow of more than 20% of the world’s oil exports, sharply raising transport costs and straining budgets that could go toward lifesaving aid.
“Medical aid is highly dependent on international transport,” said Willem Zuidema, Save the Children’s global supply chain director. “The blockage in the Strait of Hormuz, combined with spiking cost for insurance and fuel, is directly impacting patients in our health facilities, at the worst time possible.”
IRC said $130,000 worth of pharmaceutical aid intended for its humanitarian response to the conflict in Sudan has been left stranded in Dubai due to the strait's closure.
According to Save the Children, this delay has put 90 primary healthcare facilities across Sudan at risk of running low on supplies.
More than 400,000 children, the group estimated, could be affected by the inability to receive antibiotics, antimalarial drugs, pain and fever medications, and other treatments.
The group said it has been forced to deliver the aid using the much more costly method of transporting it across Jeddah, where it will be carried by sea freight to Sudan, which the group said could add as much as $1,000-2,000 per container.
The same is true of humanitarian zones in Afghanistan and Yemen, where treatments for thousands of children must now be delivered by air or by land, dramatically raising the costs.
The closure of the strait has also forced many vessels carrying aid to find alternative routes. IRC said its shipping partners have been forced to reroute their operations to instead travel around Africa's Cape of Good Hope, adding up to a month for ocean freight deliveries to war zones on the continent.
"What we are seeing is the war in Iran unleashing a triple emergency," said David Milliband, the president and CEO of IRC.
"First, a surge in humanitarian need, with Lebanon now the most visible humanitarian scar and one of the fastest-growing displacement crises in the world, with over one million people forced from their homes in weeks," he said.
"Second, a global economic shock, as disruptions to food, fuel, and fertilizer markets, putting up to 30% of fertilizer trade at risk, threatens more than 300 million people already facing acute food insecurity," said Milliband, and "third, a system under strain, with more than 60 conflicts stretching diplomatic attention and funding to a breaking point, pushing crises like Sudan and Gaza further down the list of priorities."
Milliband marveled at the priorities of the powers prosecuting the war. He pointed to a recent estimate from the Pentagon that the first six days of the war alone cost $11.3 billion, noting that "just $4 billion is enough to pay for treatment for every acutely malnourished child in the world."
Zuidema said that the "grave ripple effects" caused by the war are exacerbated by the fact that "governments are cutting vital foreign aid budgets."
He called on all parties to the war to cease hostilities and to adhere to their obligations under international law, including allowing the free flow of humanitarian aid.
“There should be no barriers to lifesaving supplies: Exemptions should be put in place to allow humanitarian supplies, fertilizer, and food to be able to move through the Strait of Hormuz,” Zuidema said. “With global humanitarian needs already at record levels, further escalation of the conflict in the Middle East and wider region will have grave ramifications for crises across the world.”
Their report detailed the Rapid Support Forces' "systematic pattern of ethnically targeted killings, sexual violence, destruction, and public statements explicitly calling for the elimination of non-Arab communities."
Independent United Nations human rights experts released a report Thursday detailing allegedly genocidal crimes committed by Sudanese rebels during an October offensive in Darfur, where thousands of people were killed and others tortured, raped, and starved during the capture of el-Fasher.
The Independent International Fact-Finding Mission for the Sudan report, titled Hallmarks of Genocide in el-Fasher, found that "genocidal intent is the only reasonable inference that can be drawn" from the Rapid Support Forces' (RSF) "systematic pattern of ethnically targeted killings, sexual violence, destruction, and public statements explicitly calling for the elimination of non-Arab communities, particularly the Zaghawa and Fur."
According to the mission's report, RSF—a United Arab Emirates-backed paramilitary force that originated from the Janjaweed militias used by the Sudanese government during the previous 2003-05 Darfur genocide—committed at least three genocidal acts as defined by the Genocide Convention: “killing members of a protected ethnic group, causing serious bodily and mental harm, and deliberately inflicting conditions of life calculated to bring about the group’s physical destruction in whole or in part.”
“The scale, coordination, and public endorsement of the operation by senior RSF leadership demonstrate that the crimes committed in and around el-Fasher were not random excesses of war,” said Mohamed Chande Othman, who chaired the expert panel. "They formed part of a planned and organized operation that bears the defining characteristics of genocide.”
A devastating report by the Independent International Fact-Finding Mission for the Sudan, finding that the 18-month starvation siege & subsequent atrocities during the fall of El-Fasher genocide, war crimes, and crimes against humanity.www.ohchr.org/sites/defaul...
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— Tom Dannenbaum (@tomdannenbaum.bsky.social) February 19, 2026 at 7:19 AM
The experts' investigation focused on events in and around el-Fasher—the capital of North Darfur—as RSF militants fought to take the area last October following an 18-month siege that deprived civilians of food, water, medical supplies, and humanitarian aid. The report says the siege “systematically weakened the targeted population through starvation, deprivation, trauma, and confinement."
The RSF captured el-Fasher last October 26. Its fighters ran roughshod over the city and its inhabitants, committing widespread atrocities including mass murder and summary executions, torture, rape, and kidnapping for ransom, according to the UN Human Rights Office, which said that more than 6,000 people were killed over a two-day period.
“We want to eliminate anything Black from Darfur," one RSF fighter allegedly told residents, according to the mission report.
"Is there anyone Zaghawa among you?" one militant is accused of asking. "If we find Zaghawa, we will kill them all."
Another survivor described starvation during the siege: “Life became unbearable. We were eating only... the food for livestock. When there was no more, we ate the skin of the animal. We soaked it in water and ate.”
In one of the worst atrocities of the el-Fasher offensive, RSF fighters massacred more than 460 people at the Saudi Maternity Hospital. One RSF militant recorded himself walking across a floor strewn with dead bodies and gunning down a survivor when they rise up from the pile of corpses.
The UN experts called RSF’s crimes in el-Fasher “an aggravation of earlier patterns” of attacks on other non-Arab communities in Sudan, “but on a far more lethal scale.”
"The body of evidence we collected—including the prolonged siege, starvation, and denial of humanitarian assistance, followed by mass killings, rape, torture and enforced disappearance, systematic humiliation, and perpetrators’ own declarations—leaves only one reasonable inference,” mission member Mona Rishmawi said.
“The RSF acted with intent to destroy, in whole or in part, the Zaghawa and Fur communities in el-Fasher," she added. "These are the hallmarks of genocide."
The Zaghawa and Fur are two of the largest non-Arab ethnic groups in Darfur. Both peoples have historically faced rampant discrimination and were targeted during the 2003-05 genocide. Many had already been forcibly displaced multiple times before the renewal of conflict in the spring of 2023.
That's when rival factions of Sudan’s military government—primarily the Sudanese Armed Forces (SAF) and their erstwhile RSF allies—began battling, with violence subsequently spreading rapidly throughout the northeastern African nation of 46 million people. The SAF has also been accused of widespread war crimes and has been blamed for famine conditions caused in part by its refusal to allow food aid to enter RSF-controlled areas.
The mission report lamented that "no effective measures were taken by any party to protect the civilian population," despite UN experts sounding the alarm as early as November 2023. US officials during the Biden administration were hesitant to accuse RSF fighters of genocide, reportedly because they thought it would spark criticism of then-President Joe Biden's denial of Israel's genocide in Gaza.
The US ultimately declared genocide in Darfur three weeks before Biden left office in January 2025—a determination affirmed by President Donald Trump's secretary of state, Marco Rubio, during his Senate confirmation process.
A group of US House Democrats led by Reps. Gregory Meeks (NY) and Sara Jacobs (Calif.) have called on the Trump administration to block weapons transfers to the UAE as it arms and finances the RSF and provides diplomatic cover for its atrocities.
Last March, Sudan filed a case in the International Court of Justice in The Hague, Netherlands accusing the UAE of "complicity in genocide."
Emirati officials strongly deny such allegations.
"We are seeing years of progress unravel, and more children suffer and die preventable deaths because of these cuts."
President Donald Trump's shuttering of USAID last year will have a long-term negative impact on children throughout the world, according to a report released on Thursday by Oxfam.
In its analysis, Oxfam estimates that a child under the age of five could die every 40 seconds by 2030 thanks to the Trump administration's dismantling of American foreign aid programs.
Oxfam says it's basing its projections on "calculations in [the] Lancet’s impact evaluation and forecasting analysis from last July, which projected "4,537,157 child deaths by 2030."
The report also pointed to estimates from the Institute for Health Metrics and Evaluation (IHME) and Gates Foundation, which calculates "an additional 200,000 child deaths" for children under five last year. This lines up with data published by the Boston University School of Public Health last year estimating over 250,000 child deaths caused by the drastic slashing of foreign aid funding under the Trump administration.
Abby Maxman, president and CEO of Oxfam America, said that "we have run out of words to describe the depths of suffering" caused by Trump's destruction of "the entire global aid system."
"We are seeing years of progress unravel, and more children suffer and die preventable deaths because of these cuts," Maxman added.
The report also highlighted the specific impacts cuts have had in Sudan, the Philippines, and Syria.
Mayfourth Luneta, deputy executive director of the Center for Disaster Preparedness Foundation, an Oxfam partner in the Philippines, said that due to the Trump aid cuts, her organization had to cancel programs across eight communities that were impacted by floods and earthquakes last year.
"The Philippines was hit with the most powerful storms on Earth recorded last year," Luneta said. "Communities were devastated, families were left with nothing."
Shabnam Baloch, country director for Oxfam in South Sudan, described the impact that aid cuts have had on a country that is undergoing a horrific civil war.
"Water borne illnesses are spreading rapidly, starvation is imminent for many, and while needs are rising, lifesaving organizations are working with a fraction of the resources we had in previous years," said Baloch. "Oxfam, along with many other vital organizations, will be forced to scale down our programs without immediate intervention."
Sara Savva, deputy director-general the alliance of the Greek Orthodox Patriarchate of Antioch and All the East and the Department of Ecumenical Relations and Development (GOPA-DERD), an Oxfam partner in Syria, said her organization had "to drastically reduce the scale and scope of our programs for Syrian families and Iraqi refugees residing in Syria" in the wake of the Trump administration's cuts.
"We were notified we will no longer receive funding from the US government, and thousands of people are left without crucial services necessary to rebuild their lives after a catastrophic civil war," Savva said.