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Accountability in care and cash: a call to quantify the costs of war on global health
Journal article   Peer reviewed

Accountability in care and cash: a call to quantify the costs of war on global health

Zhaohui Su, Ruijie Zhang, Francis Mungai Kaburu, Dean McDonnell, Ali Cheshmehzangi, Sabina Šegalo, Junaid Ahmad, Jing-Bao Nie, Claudimar Pereira da Veiga and Yu-Tao Xiang
Postgraduate medical journal, qgag032
29/03/2026
Handle:
https://hdl.handle.net/10523/50404

Abstract

global health health equity war ethics right to health
Wars erode human dignity and global solidarity. Take famine-the worst form of death by starvation en masse-for example. Famine is particularly telling and chilling, as in the modern era, the (almost) famine in Gaza and Sudan is predominantly human-made. In addition to acute consequences like deaths, famine also causes long-term damage to people's physical health and psychological well-being, from their susceptibility to cardiovascular diseases, trauma, and suicidality. A growing body of research also indicates that, largely due to high-definition and high-fidelity media coverage of wars with high definition and fidelity, people living in non-war zones can also face prolonged, yet often overlooked, mental health challenges. While the global health community shoulders the majority of the short- and long-term burden of care and cure in armed conflicts, we often have little power to hold warring parties responsible, not least because politicians' careers are often term-based if not short-lived. Using the famine in Gaza and Sudan as examples, this paper sheds light on the imperative of holding warring parties accountable-in care and cash-for the damage they exert on lives and livelihoods worldwide. Wars might be inevitable (almost), famine, and disregard for human dignity and despair are not.

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