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MIDDLE-EAST CONFLICT

RIPPLE EFFECTs & evolving humanitarian needs


How might this crisis shape humanitarian needs worldwide?

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On 28 February 2026, Israel and the US launched a joint military offensive against Iran, rapidly drawing in regional parties and triggering far-reaching economic and humanitarian consequences. The conflict is generating direct impacts in Iran and Lebanon, and wider disruptions to energy, food, and shipping systems across the globe. Even with a swift resolution, these impacts will likely persist into 2027.  

 

The conflict has fundamentally disrupted global trade and energy systems. Approximately 25% of globally traded oil and around one-fifth of global LNG normally transit through the Strait of Hormuz, which has been largely blocked since hostilities began. Disruptions to energy, fertiliser, and remittance systems continue to negatively impact people across Africa, South Asia, and beyond.

3,469+ 

people killed in Iran

(13 May 2026)

 

1m+

people displaced in Lebanon
(14 May 2026)

400 K  

in need of shelter assistance

1.65M   

refugees are likely to face reduced food access

 

Within ten days of the initial attacks on Tehran, the conflict was already disrupting global trade and energy systems. Approximately 25% of globally traded oil and around one-fifth of global LNG normally transit through the Strait of Hormuz. Disruptions there send shocks through food, fertiliser, and remittance systems that reach communities across Africa, South Asia, and beyond. 

 

RIPPLE EFFECTS

The conflict is generating ripple effects across four interconnected themes. 

Energy and water security 

  • On 17 May, Iran announced plans to restrict Strait of Hormuz access to vessels cooperating with Tehran and to introduce transit fees. Commercial shipping remained largely frozen, with only 10 ships transiting on 16 May.

  • A drone strike on 17 May caused a fire at the Barakah Nuclear Power Plant in the UAE. Authorities confirmed no injuries and no radiological impact, though the source of the strike remains unknown.

  • Iran is reportedly seeking to leverage subsea internet infrastructure beneath the Strait of Hormuz, with proposals to impose fees on submarine cables. Any disruption could trigger global financial, energy, and communications shocks.

  • To circumvent the maritime blockade, Iran has been expanding overland and rail trade routes through China, Pakistan, and Iraq. Rail trade with China has reportedly tripled since the blockade began.

Economy, shipping and food security 

  • War-risk insurance costs have risen five to tenfold as of 10 May, sharply reducing the economic feasibility of shipping operations across the region.

  • In Iran, the price of a basic food basket has increased by 62% between November 2025 and May 2026, with Iranian rice up 173% and chicken up 191%, against an inflation rate of 73.5% in Farvardin 2026. Around 3.2 million displaced people and 1.65 million refugees are likely to face reduced food access, while annual rent inflation in Tehran is estimated at 31.1%.

  • In Egypt, fertiliser prices have risen by 85% and fuel prices by up to 30% since the start of the war, forcing farmers to reduce cultivated land and lay off agricultural workers.

  • In Syria, WFP has cut emergency food assistance from 1.3 million to 650,000 people and halted a bread subsidy programme that previously reached 4 million people daily.

  • In Lebanon, food assistance for Syrian refugees is expected to fall from around 60% to 15% coverage after May 2026. Israeli military operations have affected 18,559 hectares of agricultural land and resulted in the death of 1,848,856 head of cattle, goats, sheep, and poultry.

Conflict and social cohesion 

  • In Iran, reported armed clashes between IRGC and regular army units in multiple cities, alongside detentions of army officers, point to deepening institutional tensions following the death of Ali Khamenei. 

  • Saudi Arabia is advancing a de-escalatory framework, described as a Gulf Helsinki model, built around non-aggression commitments and economic coordination involving Iran and European actors, though its durability remains uncertain. 

 

Humanitarian Needs and Access

  • In Iran, 3,469 people have been killed and 32,314 injured as of 13 May, with around 3.2 million displaced and 400,000 in need of shelter assistance. A 79-day internet blackout and the suspension of most airline operations in Iranian airspace are significantly constraining humanitarian coordination and access.

  • In Lebanon, around 1,049,000 people are displaced, with 2,969 killed and 2,988 injured. A total of 161 healthcare incidents have been recorded, resulting in 110 deaths and 252 injuries among healthcare workers, while 3 hospitals and 42 primary healthcare centres remain closed. More than 31,000 buildings have been levelled and 448 schools remain non-operational due to their use as collective shelters.

  • In Syria, WFP has reduced food assistance coverage to 650,000 people and halted its bread subsidy programme, significantly narrowing the humanitarian safety net for an already food-insecure population.

5 to 10-fold  

 rise in war-risk insurance costs (as of 10 May 2026) 

85%  

increase in fertiliser prices in Egypt  

30%  

of global seaborne urea fertiliser exports come from Gulf states 

20K  

seafarers aboard 800 to 1,000 ships impacted 

Even with a swift resolution to the conflict, the economic and humanitarian impacts will likely persist into 2027

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This report uses descriptive, explanatory, and anticipatory analysis to help decision makers understand the scale of the ripple effects from the war, dividing the impacts into four themes:

- energy and water security

- economy, shipping disruption, and food security

- conflict and social cohesion

- humanitarian needs, gaps, and access.

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