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MIDDLE EAST

Global impacts of the conflict


An assessment of global humanitarian impacts

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On 28 February 2026, Israel and the US launched a military campaign against Iran, drawing in Hezbollah, Iraqi militias, and the Houthis and triggering a region-wide war. Fighting paused with an April ceasefire, and on 18 June the US and Iran signed a Memorandum of Understanding aimed at ending hostilities — though the deal remains fragile, and the situation has since re-escalated. 

 

To help humanitarian planners navigate this uncertainty, ACAPS worked with regional experts to map four scenarios for how the conflict could evolve through the end of 2026, from a durable tactical deal to renewed escalation. 

 

Building on this analysis, our latest report assesses the global humanitarian impacts of the conflict — assessing tracing how disruptions to trade, energy, fertiliser, and remittance flows are compounding needs in already-vulnerable countries, from Syria, Sudan, Bangladesh and Afghanistan. 

HUMANITARIAN RISK: VULNERABILITY AND CONFLICT-RELATED SHOCK EXPOSURE

The map shows countries by humanitarian risk category, based on the overlap between baseline humanitarian vulnerability and exposure to conflict-related shocks. Bubbles show INFORM Severity Index scores, highlighting where high exposure coincides with already severe humanitarian conditions. The ranking should be read as a prioritisation tool, not as a forecast of deterioration.

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SCENARIOS

To help humanitarian planners navigate uncertainty, ACAPS worked with regional experts to map four scenarios for how the conflict could evolve through the end of 2026, from a durable tactical deal to renewed escalation. 

 

Read the report

Released 22 June 2026

 

TACTICAL DEAL

Likelihood: Current baseline (possible) 

 

In this scenario, the US and Iran reach a narrow agreement addressing some of the most acute issues arising from the regional war, but not their causes. The current MoU is a 14-point agreement to ensure freedom of navigation through Hormuz tied to a comprehensive ceasefire, which aims to ease some global economic pressures and tensions in the Gulf. The narrow deal is meant to provide space for comprehensive talks over the core issues of Iran’s nuclear programme and sanctions relief. However, this MoU is likely to be hard to sustain if those talks do not proceed. The 60-day window for negotiations is ambitious considering that the previous US-Iran agreement (the JCPOA) required 20 months of intensive talks. Fulfilling the commitments of the MoU, especially the large financial benefits to Iran, will also face strong political headwinds in Washington. 

 

The scenario’s greatest vulnerabilities are (1) Israeli opposition to a US–Iran settlement expressed via direct lobbying of the Trump administration and a persistent military campaign in Lebanon, and (2) a growing sense in Iran that talks are unacceptably dragging, leading to prolonged economic costs on the regime, and amplified calls from hardliners to use the conflict’s levers to accelerate US action. 

No war, no peace 

 

Likelihood: Medium-high likelihood 

 

In this ‘No War, No Peace’ scenario, the US and Iran continue to extend the MoU’s ceasefire (in reality, more like a truce) without making tangible progress toward a settlement that permanently ends hostilities. As its name suggests, this scenario is likely to be quite ambiguous: sporadic episodes of conflict place stress on the ceasefire, but do not overturn it; progress on the opening of Hormuz moves forward, but confidence in safe passage is not fully restored. 

 

This scenario could well prove pervasive, leaving the region in a tense limbo, and is more likely to transition toward re-escalation than a political settlement because of diverging US and Iranian interests and the constant stress of triggering events, including Israeli attacks on Lebanon and tit-for-tat attacks by the US and Iran. Both sides have an incentive to maintain the appearance of progress while avoiding the substance of a deal, producing a prolonged limbo stable enough to persist but fragile enough to collapse rapidly. 

Re-escalation

Likelihood: Medium likelihood 

 

In this ‘re-escalation’ scenario, the direct US/Israel-Iran conflict resumes, likely accompanied by intensifying fighting in Lebanon and, potentially, Houthi attacks on Red Sea shipping from Yemen. Gulf states return to a defensive crouch and pursue diplomacy, but the UAE at least considers direct action if Iran strikes sensitive infrastructure. Re-escalation, however, does not necessarily entail a return to the maximalist conflict seen in March. The scope and intensity will likely differ, but the key point is that the ceasefire is dissolved and the conflict re-enters an open-ended phase. 

 

While the next round of conflict may be designed by US-Israel as a final salvo, fighting could prove difficult to contain if it reaches a certain threshold. For example, a US ground invasion of Iranian islands or fighting between US forces and Iraqi groups could lead to significant loss of life, leading Washington and Tehran to double down in order to prevent a loss of face at home. 

 

The most plausible trigger leading into this scenario comes from Israel’s actions. A resumption of largescale fighting in Lebanon is the most likely initial trigger, pulling the US and Iran back into direct confrontation as Israeli and Hezbollah exchanges cross a threshold that Tehran feels it cannot ignore. Equally, a miscalculated attack in the Strait of Hormuz, such as an Iranian strike that kills US military personnel, could prompt the Trump administration to resume full-scale war. A second round of fighting would be harder to contain than the first. The IRGC has greater incentive to escalate directly, and Gulf states already demonstrated vulnerability to Iranian strikes in the first round. 

US withdrawal

 

Likelihood: Low likelihood / wildcard scenario 

 

In this scenario, the US simply declares victory and withdraws a substantial portion of the forces it currently has stationed in the region, potentially reducing its regional footprint to below pre-February 2026 levels. Iran would likely claim a strategic victory and attempt to consolidate its control over the Strait of Hormuz, while Israel would likely conduct attacks on Iran and its Axis of Resistance allies. One possibility under this scenario is some kind of renewed UAE–Israeli–Iranian conflict, while another is a push by some Gulf states toward a new regional security architecture. 

 

Under this scenario, the US would effectively declare victory and significantly reduce its military engagement in the region, leaving Gulf states increasingly responsible for managing regional security dynamics independently. A US withdrawal would significantly reshape the regional balance of power and accelerate the emergence of competing regional security architectures. Iran could exploit the reduction in US deterrence to expand political and economic influence through asymmetric tools, maritime leverage, and regional proxy networks. Israel may increasingly pursue unilateral military actions against Iran or Hezbollah in an attempt to prevent the emergence of a post-US regional order perceived as unfavourable to Israeli interests. 

 

The main trigger for this scenario could be the Trump administration’s desire to declare victory before midterm elections. Which sub-scenario emerges – a regional conflict or a push towards regionalised security architecture – will depend on the calculations of Israel and the UAE, on one hand, and other regional players on the other, as well as the approach taken by the new political elite in Iran. 

NEXT STEPS 

Economic recovery and trade normalisation may be uneven, and regional instability volatile. Thus, ACAPS will continue monitoring the conflict’s global humanitarian implications. This includes energy and fertiliser prices, trade disruptions, inflation, remittance flows, humanitarian logistics, funding, and compounding conflict and climate-related risks. The matrix will be reviewed as new data becomes available and country-level information indicates changes in vulnerability, coping capacity, or exposure.

PREVIOUS ANALYSIS

RIPPLE EFFECTS

The conflict is generating ripple effects across four interconnected themes. 

 

Read the report 

Released 20 March 2026

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