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Residents of the besieged city of Fallujah are starving. Iraqi government forces should urgently allow aid to enter the city, and the extremist group Islamic State, also known as ISIS, which captured the city in early 2014, should allow civilians to leave.
"The people of Fallujah are besieged by the government, trapped by ISIS, and are starving," said Joe Stork, deputy Middle East director. "The warring parties should make sure that aid reaches the civilian population."
Since government forces recaptured nearby Ramadi, the capital of Anbar governorate, in late December 2015, and the al-Jazira desert area north of Fallujah in March 2016, they have cut off supply routes into the city, three Iraqi officials said. Tens of thousands of civilians from an original population of more than 300,000 remain inside the city.
Human Rights Watch has not had access to Fallujah, and it is very difficult to get information from the remaining residents because ISIS prohibits the use of mobile phones and the Internet. Residents sometimes manage to catch a cell tower signal at night and are able to respond to some messages, including several that Human Rights Watch relayed via rights activists in Baghdad. Human Rights Watch was recently able to speak with one person in Fallujah and to seven others from the area who are in contact with people there.
Iraqi activists who are in touch with Fallujah families said that people were reduced to eating flat bread made with flour from ground date seeds and soups made from grass. What little food remains is being sold at exorbitant prices. A 50-kilogram sack of flour goes for US$750, and a bag of sugar for $500, whereas in Baghdad, 70 kilometers to the east, the same amount of flour costs $15 and of sugar $40, one Fallujah resident said. In late March 2016, a Fallujah medical source told Human Rights Watch that each day starving children arrive at the local hospital and that most foodstuffs are no longer available at any price.
An Iraqi official in touch with some Fallujah families provided Human Rights Watch with a list of 140 people, many elderly and young children, whom the official said had died over the past few months from lack of food and medicine. The official did not want the names of the dead published for fear that ISIS, which prohibits contacting people outside the city, would punish relatives of the dead.
A new campaign, "Fallujah Is Being Killed by Starvation," has sought to draw attention to the impact of the siege. In one recent video that Baghdad-based activists provided to Human Rights Watch, an unidentifiable woman says she is from Fallujah and that her children are dying because there is no rice, no flour - not even local dates - and the hospital has run out of baby food.
The Facebook account "Fallujah is my city" ("flwj@ mdynty") posted a video on March 23, 2016, showing several lifeless bodies in a body of water. Baghdad-based activists said that it shows a mother who drowned herself and her two children because she could not find food. Another activist from Fallujah, now based in Iraqi Kurdistan, corroborated this account based on information from relatives still in Fallujah.
On March 24, the World Food Programme said that it remained "concerned about the food security situation in besieged Fallujah, [where] many food items were unavailable in markets."
Iraqi government troops and the Popular Mobilization Forces, an auxiliary paramilitary force, are keeping shipments of food and other goods from reaching the city, two Iraqi officials and other sources said. The Defense Ministry, Baghdad Joint Operations Command, and Popular Mobilization Commission did not respond to Human Rights Watch requests for comment.
Civilians inside Fallujah have been unable to leave, Human Rights Watch said. An Iraqi lawyer who has maintained phone contacts with people in the city told Human Rights Watch that on March 22, ISIS executed a man for trying to leave the day before. "He walked straight up to the ISIS checkpoint and told them he wanted to leave because he couldn't take the situation any longer," the lawyer said. "ISIS brought him into town and executed him."
Three people with connections in Fallujah informed Human Rights Watch in late February that ISIS had executed a family trying to leave. Their extended family revolted against ISIS, and ISIS then jailed more than 100 men taking part. A journalist with sources inside Fallujah confirmed that ISIS was preventing people from leaving and punishing those trying to do so. On March 30, the Popular Mobilization Forces said that ISIS had executed 35 civilians in Fallujah for trying to escape.
"Islamic State has shown utter disregard for protecting civilians in conflict," Stork said. "It should not add mass starvation to its miserable record and should immediately allow civilians to leave Fallujah."
Lise Grande, the United Nations deputy special representative in Iraq, said on February 20 that, "people are trying to leave the city but are prevented from doing so." A local official told Human Rights Watch on March 25 that the government had opened three exit routes for civilians in Fallujah to flee the city, which Anbar governor Suhaib al-Rawi repeated in a March 29 report in Al-Sabah newspaper. However, Baghdad-based activists said that ISIS was still blocking civilians from leaving.
The laws of war do not prohibit sieges of a belligerent's military forces. However, they do prohibit starvation of the civilian population as a method of warfare, which is a war crime. Both sides also need to take all feasible steps to evacuate the civilian population from the vicinity of military objectives.
Parties to a conflict are prohibited from attacking objects indispensable to the survival of the civilian population, such as food and medical supplies, agricultural areas, and drinking water installations. They are obligated to facilitate rapid and unimpeded humanitarian assistance to all civilians in need, and may not deliberately block humanitarian aid or restrict the freedom of movement of humanitarian relief personnel.
In 1998, Iraq reported to the International Committee of the Red Cross on its application of the laws of war that, "refraining from the use of embargoes on food and medicine as a weapon by one of the conflicting parties is a fixed and established principle which has been applied by the Iraqi armed forces in armed conflicts."
Civilians in Fallujah have also suffered considerable harm from the fighting, Human Rights Watch said. Government aircraft and artillery have carried out numerous attacks, which Fallujah residents say have killed many civilians. Neighbors reported to one former resident that on November 27, 2015, bombings killed 12 people in his neighborhood, including nine children. On August 13, aerial bombs struck Fallujah's children's hospital, killing several people, a relative of a staff member of the hospital told Human Rights Watch. A medical source in the city, whose information Human Rights Watch could not confirm, said that since January 2014, 5,769 combatants and civilians have been injured and 3,455 killed, roughly one-fourth of them women and children.
"The humanitarian picture in Fallujah is bleak and getting bleaker," Stork said. "Greater international attention to the besieged towns and cities of the region is needed or the results for civilians could be calamitous."
Human Rights Watch is one of the world's leading independent organizations dedicated to defending and protecting human rights. By focusing international attention where human rights are violated, we give voice to the oppressed and hold oppressors accountable for their crimes. Our rigorous, objective investigations and strategic, targeted advocacy build intense pressure for action and raise the cost of human rights abuse. For 30 years, Human Rights Watch has worked tenaciously to lay the legal and moral groundwork for deep-rooted change and has fought to bring greater justice and security to people around the world.
One human rights expert noted that the president's complaint about the drawn-out talks came "even though he is the one who ripped up an entirely effective deal... and in February ended negotiations to start bombing."
US President Donald Trump bombed Iran for the second consecutive night on Wednesday after complaining on social media that Tehran has taken too long on peace negotiations and vowing to respond to the downing of an American military helicopter.
US Central Command said Tuesday that CENTCOM "forces began launching self-defense strikes against Iran at 5:00 pm ET today at the commander in chief's direction, in response to yesterday's downing of a US Army Apache helicopter. The mission is a proportional response to unjustified Iranian aggression."
Trump took to his Truth Social platform just after 7:00 am ET Wednesday, writing that "Iran's Military is a complete and total mess. Much of it, like their Navy and Air Force, doesn't even exist anymore—They have been completely defeated. Iran is all talk and no action. The Bully of the Middle East is DEAD!!! They've taken too long to negotiate a deal that would have been great for them, now they will have to pay the price!!!"
Ken Roth, a visiting professor at Princeton University and the former longtime executive director of Human Rights Watch, noted that Trump's complaint about the drawn-out talks with Iran came "even though he is the one who ripped up an entirely effective deal... and in February ended negotiations to start bombing."
Trump unilaterally ended the Iran nuclear deal negotiated by the Obama administration, formally called the Joint Comprehensive Plan of Action, during his first term. There has been no agreement in place since.
After Trump's strikes on Tuesday night, Iran fired at Bahrain, Kuwait, and Jordan, which all host US troops. The recent exchanges cast further doubt on the ceasefire deal negotiated in April, after the American president's genocidal threat against Iran.
Later Wednesday, CENTCOM announced that US "forces began launching additional self-defense strikes today at 5:15 pm ET against multiple targets in Iran at the commander in chief's direction. The strikes are in response to Iran’s unwarranted and continued aggression."
Drop Site News reported that "as the strikes were announced, Iranian media reported a series of explosions across Hormozgan province, the southern Iranian province that borders the Strait of Hormuz," a key trade route through which Iran has largely restricted ship traffic since Iran and Israel began bombing the country in late February.
As Drop Site detailed:
Trita Parsi, co-founder and executive vice president of the Quincy Institute for Responsible Statecraft and an expert on US-Iranian relations, said, "It appears the US/Israel-Iran war has started again... or perhaps more accurately, it never really ended."
Fox News' Trey Yingst reported on air late Wednesday that "President Trump told me that Iran called him tonight. Top Iranian officials and President Trump spoke directly, according to the commander in chief tonight, as the president was sitting in the Situation Room, and he told me that the Iranians asked them to stop bombing, and the president said to me, 'The bombing will stop shortly.'"
According to Reuters, Iran's media contradicted that reporting, with an unnamed senior Iranian official saying, "Trump's false claim that Iranian officials contacted him is a cover to evade war with Iran."
Asked by Yingst what will happen if the Iranians don't sign a new deal soon, Trump reportedly responded, "We'll bomb the shit out of them tomorrow night."
"Italy is indebted to Cuba," the letter states. "Every day of silence has a cost in human lives."
As of Wednesday, more than 8,000 Italian medical and scientific professionals have signed an open letter acknowledging their indebtedness to Cuban doctors and condemning the tightening of the 65-year US embargo on Cuba by President Donald Trump as he threatens "take" the island.
"Over the decades, Cuba has built a health system that was considered an international model, capable of guaranteeing universal access to care even in limited resource conditions. Since 1963, more than 600,000 Cuban health workers have served in more than 160 countries, including Italy," states the letter addressed to Italian Prime Minister Giorgia Meloni and Health Minister Orazio Schillaci.
"That system is currently in a state of collapse," the letter continues. "Survival in childhood cancers has fallen from 80% to 65% due to the lack of first-line drugs."
The publication notes that "96,000 people—almost 1% of the population—including 11,000 children are on the waiting list for surgery. If the situation does not change, the list could affect 160,000 patients by the end of 2026. Over 300 pediatric surgeries per week are compromised by shortages of drugs, oxygen, anesthetics, and consumables."
"The crisis has its roots in a combination of factors that have progressively worsened," the letter continues. "The tightening of the economic embargo during the first Trump administration, Covid-19, and, since January 2026, the near-total blockade of energy supplies following the Venezuelan crisis have deprived the island of fuel, electricity, and access to international drug and medical device markets."
A report published in April by researchers at the Center for Economic Policy and Research confirmed an “unprecedented increase” in Cuba’s infant mortality rate, which soared 148% between 2018 and 2025.
Report co-author Joe Sammut said that “the blockade has had a particularly dire effect on Cuba’s healthcare infrastructure, with frequent power outages" exacerbated by the US oil blockade "interrupting the use of critical equipment for the treatment of patients, including incubators for premature babies, and ventilators to help sick newborns breathe."
The United Nations General Assembly has overwhelmingly condemned the broader US embargo—which Cuba’s government says has cost the island's economy more than $1 trillion over seven decades—33 times.
"The collapse of a health system is not just a local tragedy: It is a violation of fundamental human rights that requires a response from the global community, beyond any political assessment of the Cuban regime," the Italian letter argues.
"Italy cannot remain indifferent or silent, also because it is indebted to Cuba for the help received during the Covid-19 pandemic and for the current work of Cuban doctors in the Calabria Region to guarantee the functioning of the local health service," the publication adds.
The Trump administration has been pressuring Italy to curb its use of Cuban doctors, who are essential to Calabria's healthcare system.
"It is the duty of the global health community—doctors, researchers, institutions, scientific journals—but also of the civil community to act without ambiguity, in compliance with the fundamental principles of humanitarian law," the letter concludes. "Every day of silence has a cost in human lives."
"What is particularly alarming is that this harm has become persistent across conflicts worldwide, risking the normalization of civilian suffering on a massive scale," said the report's lead author.
While the overall number of civilians killed by explosive weapons decreased by 21% last year, largely due to Israel scaling back attacks on the Gaza Strip and Lebanon in response to ceasefire deals, "the majority—56%—of all global civilian fatalities in 2025 could be attributed to Israeli armed forces, most of which occurred in Palestine," according to an annual report released Wednesday.
The report is the latest publication from the Explosive Weapons Monitor, a research initiative of the International Network of Explosive Weapons, whose members include nongovernmental organizations around the world such as Action on Armed Violence, Center for Civilians in Conflict, Human Rights Watch, Humanity & Inclusion (HI), PAX, and Save the Children.
Based on data from Armed Conflict Location & Event Data as well as Insecurity Insight, the monitor found that there were at least 22,616 civilian fatalities from explosive weapons across 65 countries and territories last year.
In addition to Lebanon and Palestine, the Democratic Republic of Congo, Ethiopia, Iran, Iraq, Myanmar, Somalia, South Sudan, Sudan, Syria, Ukraine, and Yemen were "heavily impacted," the publication says. Countries' armed forces were responsible for the vast majority—85%—of all incidents that reportedly affected civilians or civilian infrastructure last year.
"The number of attacks in which explosive weapons affected humanitarian aid operations, aid workers, and camps increased by 52%," to 2,541, last year—and while they were documented in 17 countries and territories, "about 90% of all incidents were recorded in Palestine," the report notes.
Attacks on education increased by 64%, to 1,416; they occurred in 27 places, but were most common in Myanmar, Palestine, and Ukraine. The report also highlights continued attacks on healthcare facilities and workers (1,272 incidents in 22 places), and on food and water systems (1,082 incidents in 15 places).
"Every destroyed school, hospital, market, water system, or humanitarian convoy represents far more than damaged infrastructure—it represents opportunities lost, futures disrupted, and communities pushed further from recovery," said Alma Taslidžan, HI's disarmament advocacy manager, in a statement.
"Long after the explosions end, civilians continue to live with the consequences of disrupted healthcare, interrupted education, damaged livelihoods, and the daily challenge of rebuilding their lives," Taslidžan emphasized. "For many, the consequences of explosive weapons become part of everyday life and suffering for years to come."
Explore the report's data and view country-specific analysis in a new interactive dashboard:➡️ explosiveweaponsmonitor.org/global-figur...
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— Explosive Weapons Monitor (@weaponsmonitor.bsky.social) June 10, 2026 at 8:29 AM
The report argues that "it remains a critical humanitarian priority" to bring the 2022 Political Declaration on Strengthening the Protection of Civilians from the Humanitarian Consequences Arising From the Use of Explosive Weapons in Populated Areas into greater effect.
The publication also calls out eight countries—Cambodia, Kenya, Morocco, Nigeria, Somalia, South Korea, Turkey, and the United States—that endorsed the declaration but whose armed forces reportedly used explosive weapons that caused civilian harm in 2025.
"The devastating impact of explosive weapons on civilians is both foreseeable and preventable. Yet across numerous conflicts, their continued use has entrenched a pattern of civilian harm that is increasingly treated as routine rather than exceptional," said Katherine Young, the report's lead author and the monitor's research and monitoring manager, in a statement.
"When explosive weapons are used in populated areas, civilians suffer," Young stressed. "What is particularly alarming is that this harm has become persistent across conflicts worldwide, risking the normalization of civilian suffering on a massive scale."
The release of the report comes amid renewed Israeli attacks on Lebanon—which intensified after the United States and Israel launched an illegal war on Iran in February, and have continued despite a new ceasefire agreed to in April—as well as on Palestinians in Gaza and the occupied West Bank.
"This weekend, eight children were reported killed and a further 17 injured in five different locations in the Gaza Strip, while in the West Bank, a 7-month-old boy died after being shot by Israeli forces in the Tel Rumeida area of Hebron," said Edouard Beigbeder, the United Nations Children's Fund (UNICEF) regional director for the Middle East and North Africa, on Wednesday.
"We cannot let this become the new normal—children losing their lives to violence should cause global outrage and must be condemned at every level," he continued. "UNICEF calls on the Israeli authorities to take decisive action to protect all Palestinian children. Authorities must ensure transparent, credible, and robust investigations, as well as accountability whenever children are killed or maimed."
Since the Hamas-led October 7, 2023 attack on Israel, Israeli forces have slaughtered at least 72,991 Palestinians in Gaza—an assault widely condemned as genocide. That includes 981 people killed since the ceasefire reached last October, according to local health officials. Israeli attacks on Lebanon have left thousands more dead, including at least 3,666 since early March, per the Lebanese Ministry of Public Health.