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"This is not a dry spell," said the co-author of a new U.N. report. "This is a slow-moving global catastrophe."
Climate change is driving "some of the most widespread and damaging drought events in recorded history," according to a report published Wednesday on global drought hotspots.
Over the past two years, droughts have fueled increased food insecurity, dehydration, and disease that have heightened poverty and political instability in several regions of the world, according to research by the U.S. National Drought Mitigation Center (NDMC) and the UN Convention to Combat Desertification (UNCCD).
"This is not a dry spell," says Dr. Mark Svoboda, report co-author and NDMC Director. "This is a slow-moving global catastrophe, the worst I've ever seen. This report underscores the need for systematic monitoring of how drought affects lives, livelihoods, and the health of the ecosystems that we all depend on."
The report examined conditions in some of the globe's most drought-prone regions. They found that the economic disruption caused by droughts today is twice as high as in 2000.
In Eastern and Southern Africa, which have been blighted with dangerously low levels of rainfall, more than 90 million people face acute hunger.
Somalia has been hit particularly hard, with 4.4 million, more than a quarter of the population, facing "crisis level" food insecurity in early 2025. Zambia, meanwhile, faced one of the world's worst energy crises last year when the Zambezi River dried up, causing its hydroelectric dams to run critically low.
Other drought-plagued regions have seen wide ranges of ecological and economic disruptions.
In Spain, low levels of rainfall in 2023 devastated olive crops, causing olive oil prices to double. In the Amazon Basin, low water levels caused a mass death of fish and endangered dolphins. The Panama Canal became so depleted that trade vessels were forced to re-route, causing multi-week shipping delays. And in Morocco, Eid celebrations had to be cancelled due to a shortage of sheep.
Recent studies of drought have found that they are increasingly caused not by lack of rainfall, but by aggressive heat, which speeds up evaporation. The areas hit the hardest over the past two years were ones already suffering from the most severe temperature increases. It was also exacerbated by a particularly severe El Niño weather cycle in 2023-24.
"This was a perfect storm," says report co-author Dr. Kelly Helm Smith, NDMC Assistant Director and drought impacts researcher. "El Niño added fuel to the fire of climate change, compounding the effects for many vulnerable societies and ecosystems past their limits."
Though the effects of droughts are often felt most acutely in areas already suffering from poverty and instability, the researchers predict that as they get worse, the effects will be felt worldwide.
In 2024, then the hottest year on record, 48 of the 50 U.S. states faced drought conditions, the highest proportion ever seen. Drought in the U.S. has coincided with a dramatic increase in wildfire frequency and severity over the past 50 years.
"Ripple effects can turn regional droughts into global economic shocks," Smith said. "No country is immune when critical water-dependent systems start to collapse."
The researchers advocated for investments in global drought prevention, but also for broader measures to address the existing inequalities that make droughts more severe.
"Drought has a disproportionate effect on those with few resources," Smith said. "We can act now to reduce the effects of future droughts by working to ensure that everyone has access to food, water, education, health care and economic opportunity."
The researchers also emphasized the urgency of coordinated action to confront the climate crisis.
"The struggles...to secure water, food, and energy under persistent drought offer a preview of water futures under unchecked global warming," said Svoboda. "No country, regardless of wealth or capacity, can afford to be complacent."
"We have already seen in Gaza how the lethal combination of mass displacement, attacks on healthcare, and lack of nutritious food and water can impact children's lives," said Save the Children's Lebanon director.
Israel's invasion and intense bombardment of Lebanon—including recent attacks on hospitals and other medical infrastructure—have sparked a potentially catastrophic health crisis in the country, with cholera and other diseases spreading among the more than a million people who have been displaced over the past month.
Last week, the World Health Organization (WHO) announced that it was working to stem the spread of cholera after Lebanon's health ministry confirmed the country's first known case of the bacterial disease since a deadly outbreak that began in October 2022.
Particularly vulnerable to the worsening public health crisis are the hundreds of thousands of children who have been displaced by Israel's bombing and ground attacks. The United Nations Children's Fund stressed that cholera is a severe threat to kids under the age of 5, the unvaccinated, and those suffering from malnutrition.
The humanitarian group Save the Children said Tuesday that "over 400,000 children forced from their homes by the escalating conflict in Lebanon are at risk of skin diseases, cholera, and other waterborne diseases due to overcrowded, basic conditions in collective shelters and a lack of water and sanitation facilities."
Kamal Nasser El Deen, Save the Children Lebanon's emergency response coordinator, said Wednesday that he has been in "multiple" shelters in which families were forced to wait in long lines to access bathrooms.
"The facilities are inadequate for the number of people, and to make matters worse, the water supply is inconsistent," he continued. "This lack of clean, reliable water creates a significant risk for waterborne diseases. It's heartbreaking to know that these children, already displaced and vulnerable, face the additional threat of illness simply because basic needs like sanitation and clean water aren't being met."
"The international community must act now to prevent a humanitarian catastrophe and exert pressure for an immediate cease-fire."
Jennifer Moorehead, Save the Children's country director in Lebanon, likened the intensifying health crisis to the dire conditions in Gaza, which the U.S.-armed Israeli military has decimated with more than a year of relentless bombings and ground attacks, obliterating the enclave's healthcare system and causing the reemergence of polio. Experts have also warned of a looming cholera outbreak in Gaza.
"Thousands of vulnerable children are now unprotected and with winter just round the corner and temperatures dropping, they will become even more susceptible to diseases such as measles, meningitis, and hepatitis A," Moorehead said of the Lebanon crisis. "We have already seen in Gaza how the lethal combination of mass displacement, attacks on healthcare, and lack of nutritious food and water can impact children's lives. We cannot allow this to happen again. The international community must act now to prevent a humanitarian catastrophe and exert pressure for an immediate cease-fire."
Save the Children's warning came as rescue teams searched the rubble for survivors in the aftermath of an Israeli airstrike that hit across the street from Beirut's main public hospital earlier this week, killing at least 18 people including four children.
"Hussein al-Ali, a nurse who was there when the attack happened, said it took him a few minutes to realize it was not the hospital that was hit. Dust and smoke covered the hospital lobby," The Associated Press reported Tuesday. "The glass in the dialysis unit, the pharmacy, and other rooms in the hospital was shattered. The false roof fell over his and his colleagues' heads."
Some hospitals and clinics operated by humanitarian groups have been forced to shut down due to Israel's military campaign. The New York Times noted that facilities that have not been damaged by Israeli bombings "have been abandoned after staff fled, fearing for their safety."
"The ones that remain operational say they are quickly running out of beds as patients evacuated from other facilities are brought in," the newspaper added.
The WHO said last week that it had verified nearly two dozen attacks on healthcare in Lebanon since mid-September. Those attacks killed at least 72 patients and healthcare workers, according to the U.N. body.
Volker Türk, the U.N. high commissioner for human rights, said Tuesday that he was "appalled" by Israel's strike near Beirut's public hospital.
"Hospitals, ambulances, and medical personnel are specifically protected under international humanitarian law because of their lifesaving function for the wounded and the sick," said Türk. "When conducting military operations in the vicinity of hospitals, parties to the conflict must assess the expected impact on healthcare services in relation to the principles of proportionality and precautions. Any incidents which affect hospitals must be subjected to a prompt and thorough investigation."
"I repeat the U.N.'s call for an immediate cessation to hostilities," he added, "and remind all parties that the protection of civilians must be the absolute top priority."
"Even in the best-case cease-fire scenario, thousands of excess deaths would continue to occur," said the authors of a new report.
In an effort to put "at the front of people's minds and on the desks of decision-makers" the human cost of the U.S.-backed Israeli onslaught in Gaza, scientists on Wednesday said an escalation in the bombardment was projected to kill 85,000 Palestinians in the next six months—which would bring the total death toll to more than 114,000 people, or about 5% of Gaza's population, in less than a year.
Researchers at Johns Hopkins University and the London School of Hygiene and Tropical Medicine completed modeling for a report titled Crisis in Gaza: Scenario-Based Health Impact Projections, estimating the projected "excess deaths"—those above what would be been expected before the war—based on the health data available in Gaza before Israel began its air and ground attacks in October and the data that's been collected in more than four months of fighting.
The potential deaths of 85,000 additional people in the next six months represents the worst of three possible scenarios modeled by the researchers.
If bombing, shelling, and other ground attacks continue at their current pace, the scientists projected the killings of 58,260 Palestinians over the next six months.
The study, which has not yet been peer-reviewed, considers deaths from traumatic injuries as well as infectious diseases, maternal and neonatal health crises, and diseases for which patients have lost access to treatment, such as kidney disease or cancer. With 1 in 4 households in Gaza now facing "catastrophic" levels of hunger, according to the Integrated Food Security and Nutrition Phase Classification, "nutritional status" was named as a risk factor in the study, but the researchers did not include starvation as a potential cause of excess deaths.
In the case of an outbreak of an infectious disease such as cholera—which public health experts have warned could happen due to Israel's near-total blockade on humanitarian aid and a lack of potable water—66,720 people could die if the current level of violence continues.
"Even in the best-case cease-fire scenario, thousands of excess deaths would continue to occur, mainly due to the time it would take to improve water, sanitation, and shelter conditions, reduce malnutrition, and restore functioning healthcare services in Gaza," the study reads.
If an immediate cease-fire were established, the researchers projected at least 6,500 additional deaths, as people would be expected to die of previous injuries or be killed by unexploded ordnance. The deaths of babies and women would also still be expected during and soon after childbirth, as complex care has become unavailable for many due to the collapse of the healthcare system, and undernourished children could die because of their reduced ability to fight off infections like pneumonia.
If a cease-fire began but an outbreak of a disease such as cholera, polio, or meningitis occurred, the scientists projected 11,580 people would die in Gaza between now and August.
Negotiations for a potential truce were underway on Thursday in Israel, where a U.S. envoy arrived as Israeli forces continued to bomb Rafah. About 1.5 million people are currently in the city in southern Gaza, with most having fled Israeli attacks on other cities.
"The decisions that are going to be taken over the next few days and weeks matter hugely in terms of the evolution of the death toll in Gaza," Francesco Checchi, professor of epidemiology and international health at LSHTM, told The New York Times Wednesday.
Despite the U.S. and Israeli governments' persistent claims that the Israel Defense Forces are seeking to eradicate Hamas in retaliation for an attack on southern Israel that it led in October, the United Nations has estimated that about 40% of the people killed in Gaza have been children. This trend would continue, according to the researchers, who projected that 42% of the Palestinians killed in the next six months would be under the age of 19.
Journalist Séamus Malekafzali called the scientists' projections "nothing short of horrific."
Checchi told the Times that the researchers wanted to put the projections "at the front of people's minds and on the desks of decision-makers, so that it can be said afterward that when these decisions were taken, there was some available evidence on how this would play out in terms of lives."