Conflict in Yemen, Syria, DR Congo, the Sahel, and elsewhere is driving food shortages and displacement of people—the UN estimated that 80% of Yemenis require urgent humanitarian aid. Deepening economic crises, such as in Venezuela, are causing hunger and mass migration, and climate change is increasing the risk of natural disasters, famine, and drought.
There were 79·5 million forcibly displaced people by the end of 2019, and access to health care is often poor in these settings; 80% of all refugees live in low-income and middle-income countries with weak health systems.
COVID-19 is exacerbating the inequalities faced by individuals and families in humanitarian crises. With national governments looking inwards and putting their own citizens first, people in need of humanitarian assistance are being neglected. Governments worldwide have introduced travel restrictions, inadvertently stopping aid workers from travelling, and thereby hampering humanitarian responses. In some cases, aid workers already in-country cannot deliver vital services because of government restrictions aimed at protecting their own citizens. Globally, the risk of starvation in some refugee camps because of a lack of access to aid constitutes a bigger threat than the virus itself, according to Amnesty International. Cox’s Bazar in Bangladesh has a population density of 40 000 people per km2, 40 times more than the country as a whole. Isolating confirmed cases is extremely difficult under these circumstances, and personal protective equipment is often difficult to obtain because countries have introduced export restrictions.
Governments are also using the pandemic as an excuse to advance anti-migrant agendas under the flimsy pretext of protecting their citizens from COVID-19. The USA suspended asylum and large swaths of the immigration programme, despite having the highest number of COVID-19 cases in the world. Since March 20, the Trump administration has turned back more than 20 000 migrants at the US border, which is a violation of domestic and international legal obligations.
In Bosnia, local authorities cut off the water supply to migrant populations to force them to move on.
UNOCHA suggests that the global COVID-19 humanitarian response plan will cost US$10·3 billion, but only 20% has so far been pledged. By contrast, in just 2 months, governments spent $10 trillion on economic stimuli for their own economies.