Update—July 19, 2022: With a catastrophic famine looming on the horizon across East Africa, the International Rescue Committee (IRC) has released our first ever Crisis Alert update to our annual Emergency Watchlist, highlighting that over 3 million people could die without urgent international funding. Learn more about the famine threat.

The International Rescue Committee has released its 2021 Emergency Watchlist, a global list of humanitarian crises that are expected to deteriorate the most over the coming year. The triple threat of conflict, climate change and COVID-19 is driving the crises in nearly all Emergency Watchlist countries, threatening famine in several in 2021.

Displaced families, and in particular women and girls, are disproportionately affected by humanitarian crises—and the COVID-19 pandemic is no exception.

“2020 will go down as one of the most turbulent years in history, but the next year will be remembered for how we either helped or turned away from those suffering the most,” says IRC president and CEO David Miliband. “Watchlist 2021 should serve as a wake-up call for policymakers, government leaders, and concerned citizens around the world about the cost of neglecting humanitarian crises—and how they urgently need international attention.”

Learn more about the world's worst crises:

10. Mozambique: Humanitarian needs rise rapidly as insurgency intensifies

Population: 31.3 million
People in need of aid: 1.3 million
2020 Emergency Watchlist position: Unlisted

The number of people in need in Mozambique has nearly doubled as an insurgency grips a country still struggling to recover from two powerful cyclones that struck in 2019. The rapidly escalating conflict in the northern Cabo Delgado province has pushed Mozambique not just onto the Emergency Watchlist for the first time, but straight into the list’s top ten countries of most concern.

A family in Nampula, Mozambique
The ongoing conflict and COVID-19 are likely to continue to harm livelihoods and drive up levels of hunger in Mozambique in 2021.
Photo: Wikimedia Commons

Humanitarian risks in Mozambique in 2021

 

9. Venezuela: COVID-19 compounds years-long economic crisis

Population: 28.7 million
People in need of aid: 7 million
2020 Emergency Watchlist position: 5

The collapse of Venezuela’s oil industry has been a key factor in a deepening economic crisis that has devastated the country’s health system and caused widespread hunger and displacement. COVID-19 restrictions have left Venezuelans stuck in limbo, unable to leave the country to seek safety and services—while lockdowns elsewhere are forcing those who had already left Venezuela to return.

A health worker speaks with a mother holding her baby at a migrant center on the Colombian border with Venezuela, where the IRC is providing medical services.
COVID-19 is deepening Venezuela’s economic and hunger crises, while restrictions aimed at controlling the virus have eliminated many people’s livelihoods.
Photo: Schneyder Mendoza/IRC

Humanitarian risks in Venezuela in 2021

The IRC's crisis response in Venezuela

Launched: 2018. Where we focus with local partners: Maternal health care; sexual and reproductive health care; provision of masks and other COVID-19 protective gear; child malnutrition services; child protection services; gender-based violence prevention and response; cash assistance.

Learn more about the IRC’s Venezuela response and our support for Venezuelans in neighboring Colombia.

 

8. Nigeria: Conflict and famine risk in the northeast

Population: 206.1 million
People in need of aid: 8.9 million
2020 Emergency Watchlist position: 4

Even after a decade of conflict that has uprooted nearly 3 million people and left millions more facing a hunger crisis, violence is still growing in northeast Nigeria. Civilians are bearing the brunt of the conflict; Nigeria was the deadliest crisis for civilians in 2020 out of all 20 Emergency Watchlist countries. It remains a challenging place for aid workers to provide humanitarian assistance.

A mother sits on a hospital bed with her two young children in the Nigeria health center where they were being treated for acute malnutrition,
The IRC is treating children for acute malnutrition and providing other support in Nigeria, where a decade of conflict has left millions facing a hunger crisis.
Photo: T. Saater/IRC

Humanitarian risks in Nigeria in 2021

The IRC's crisis response in Nigeria

Launched: 2012. Where we focus: Primary health, nutrition and reproductive health care; educational support services for out-of-school youth, women’s protection and empowerment; water and sanitation services; economic recovery and development.

Learn more about the IRC's work in Nigeria.

 

7. South Sudan: Recovery from civil war at risk

Population: 11.2 million
People in need of aid: 7.5 million
2020 Emergency Watchlist position: 7

South Sudan’s high Emergency Watchlist ranking is driven by widespread humanitarian needs and a fragile peace deal that could unravel under the additional strain of COVID-19. A new unity government took office in early 2020. It faces the challenge of leading the country’s recovery from civil conflict amid unrelenting violence, an economic crisis, and now an unprecedented pandemic in one of the world’s weakest health systems.

A woman navigates through a marsh in South Sudan, standing and pushing it along with a pole. Many have fled through the swamps to seek safety on "islands" where they live without access to food, clean water or health care.
Persistent conflict, desert locust swarms, an economic crisis, recurrent flooding and COVID-19 are increasing the risk of famine in South Sudan in 2021.
Photo: Kellie Ryan/IRC

Humanitarian risks in South Sudan in 2021

The IRC's crisis response in South Sudan

Launched: 1989. Where we focus: capacity building in state health clinics; training local health workers; nutrition programs; sanitation services; support to survivors of sexual violence; child protection services; human rights training; cash assistance; job and livelihoods training.

Learn more about the IRC’s South Sudan response.

 

6. Burkina Faso: The world’s fastest-growing displacement crisis

Population: 20.9 million
People in need of aid: 3.5 million
2020 Emergency Watchlist position: 8

Just two years ago, Burkina Faso faced virtually no mass conflict or displacement. It entered the Emergency Watchlist for the first time last year and is now ranked at six. The escalating conflict is driving steep increases in humanitarian need and—with the economic impact of the COVID-19 crisis—the risk of famine. Over 1 million people are now internally displaced in Burkina Faso, more than double the number at the start of 2020.

A young girl poses for a portrait in camp for internally displaced people in Barsalogho, Burkina Faso.
The escalating conflict in Burkina Faso is increasingly deadly for civilians and disruptive to health services and education.
Photo: Getty Images

Humanitarian risks in Burkina Faso in 2021

The IRC's crisis response in Burkina Faso

Launched: 2019. Where we focus: clean water; sanitation service support; primary health care, including reproductive health care and child health care.

Learn more about the IRC’s Burkina Faso response.

 

5. Ethiopia: New conflict threatens the region

Population: 115 million
People in need of aid: 21.3 million
2020 Emergency Watchlist position: Listed, unranked

On the Emergency Watchlist for the third year running, Ethiopia enters 2021 with a major confrontation underway in the northern Tigray region between the federal government and the Tigray People’s Liberation Front (TPLF). At the same time, climate change, the biggest locust outbreak in living memory, and the COVID-19 pandemic all drive up the number of people in need to the second highest in the world.

A woman stands in a parched landscape in Ethiopia amid a drought crisis.
Conflict, climate change, desert locusts and the COVID-19 pandemic all further deepen the challenges facing Ethiopia in 2021.
Photo: Tyler Jump/IRC

Humanitarian risks in Ethiopia in 2021

The IRC's crisis response in Ethiopia

Launched: 2000. Where we focus: cash and basic emergency supplies; safe water and sanitation facilities; women and girls’ protection; primary health care; education; livelihoods-related training and job opportunities for youth and vulnerable households.

Learn more about the IRC’s Ethiopia response.

 

4. Democratic Republic of Congo: Unprecedented hunger crisis

Population: 89.6 million
People in need of aid: 19.6 million
2020 Emergency Watchlist position: 2

There are now more people facing a severe hunger crisis in the Democratic Republic Congo than has ever been recorded in any country. Congo ranks in the emergency Watchlist top five for the third year in a row, reflecting persistent volatility in a country that is now in its fourth decade of a major humanitarian crisis. On top of large-scale violence, Congo also has had to grapple with outbreaks of Ebola and COVID-19.

An IRC doctor unloads hand sanitizer and other supplies for a clinic treating Ebola patients.
On top of large-scale violence, the Democratic Republic of Congo also has had to grapple with outbreaks of Ebola and COVID-19. The IRC launched emergency responses to contain the viruses.
Photo: Kellie Ryan/IRC

Humanitarian risks in Congo in 2021

The IRC's crisis response in Congo

Launched: 1996. Where we focus: Health care: containing Ebola and COVID-19 outbreaks, health worker training, rehabilitation of hospitals and clinics, water, sanitation; support for survivors of violence; conflict reduction; economic recovery.

Learn more about the IRC's response in Congo.

 

3. Syria: The deadliest place for humanitarians

Population: 17.5 million
People in need of aid: 13 million
2020 Emergency Watchlist position: 3

The year 2021 marks a decade of conflict in Syria, as violence, displacement and humanitarian needs continue to grow. Syria is also the deadliest country in the world for humanitarians. Attacks on aid workers, civilians, homes and hospitals remain common. Many families have been uprooted multiple times. The health system has been decimated, undermining Syrians’ ability to cope with the challenges of COVID-19.

A family sits inside their tent in Syria after being displaced by violence.
2021 marks a decade of conflict in Syria. Despite its protracted nature the crisis continues to reach new lows as conflict, displacement and needs grow.
Photo: Soulnar/IRC

Humanitarian risks in Syria in 2021

The IRC's crisis response in Syria

Launched: 2012. Where we focus: support for health facilities and mobile health teams with trauma, primary, reproductive, and mental health services; COVID-19 awareness, and infection, prevention, and control training; food and cash distributions; women and children’s protection; early childhood development programs.

Learn more about the IRC’s Syria response.

 

2. Afghanistan: Stalled peace process under threat

Population: 38.9 million
People in need of aid: 18.4 million
2020 Emergency Watchlist position: 6

Afghanistan has risen to second on the Emergency Watchlist because of its high exposure to the triple threats of conflict, COVID-19 and climate change, as well as uncertainty over the stalled peace process between the government and the Taliban. Even after four decades of crises, humanitarian needs in Afghanistan are growing rapidly amid the pandemic and unrelenting violence, with the number of people requiring aid for 2021 nearly doubling compared to early 2020.

Young schoolgirls in Afghanistan hold hands sitting in a ring around a group of classmaters who are dancing.
The IRC works across nine provinces in Afghanistan, reaching over one million people each year with education, protection, water and sanitation, emergency response, and economic recovery programs.
Photo: Stefanie Glinski/IRC

Humanitarian risks in Afghanistan in 2021

The IRC's crisis response in Afghanistan

Launched: 1988. Where we focus: education; child protection; water and sanitation, including hand-washing station installation; support for health facilities; COVID-19 prevention information and training sessions; emergency response; economic recovery; women’s protection and empowerment.

Learn more about the IRC’s Afghanistan response.

 

1. Yemen: Unrelenting conflict and risk of famine

Population: 29.8 million
People in need of aid: 24.3 million
2020 Emergency Watchlist position: 1

Yemen tops the IRC's annual Emergency Watchlist for the third year running. Over five years of major armed conflict, severe underfunding, and now the COVID-19 crisis have pushed the humanitarian response to the brink of collapse in 2020. Eighty percent of the population is in need of aid. Yemenis tell the IRC they worry more about hunger than COVID-19: As the pandemic deepens the country’s economic crisis, and with no political resolution in sight, Yemen faces the risk of famine.

A man sits outside holding his child in his lap in a mountain village in Yemen where an IRC mobile health team provides care to families affected by conflict.
Yemen tops the IRC's annual Watchlist for the third year in a row: a consequence of over five years of major armed conflict and severe underfunding of humanitarian aid.
Photo: Kellie Ryan/IRC

Humanitarian risks in Yemen in 2021

Read more about why Yemen is the country most at risk of humanitarian catastrophe in 2021.

The IRC's crisis response in Yemen

Launched: 2012. Where we focus: primary health facilities; emergency obstetric and newborn care centers; reproductive health care; mobile health teams; a COVID-19 isolation unit; treatment for malnourished children; cash transfers; livelihood programs; women and children’s protection; water and sanitation services; education.

Learn more about the IRC's Yemen response.

World crisis 2021 outlook

The world is facing unprecedented humanitarian emergencies in the coming year. The worst humanitarian crises of 2021 will be in countries failed by world leaders. The global response to the COVID-19 pandemic has left countries affected by conflict and crisis to struggle on their own—and the world’s most vulnerable people are paying the price. The effects of climate change will only exacerbate these crises. The international community must take action now, before decades of hard-won progress on reducing poverty, hunger and disease is lost or even reversed.

The Emergency Watchlist draws on 85 quantitative and qualitative measures, including insights from the IRC’s 30,000 staff and volunteers in over 40 countries globally. For IRC analysis of all 20 countries in our world crisis 2021 list, along with our recommendations for global leaders, download the 2021 Emergency Watchlist report.

You can also test your knowledge of the world's worst crises with our quiz. 

About the IRC’s global crisis response

In 2021, the IRC will have been working for an average of around 15 years in the 18 Emergency Watchlist countries where we have a presence.

The IRC responds to the world’s worst humanitarian crises and helps people whose lives and livelihoods are shattered by conflict and disaster to survive, recover and gain control of their future. In more than 40 countries and over 20 U.S. cities, our dedicated teams provide clean water, shelter, health care, education and empowerment support to refugees and displaced people.

2022 Crisis update

The IRC released our 2022 Emergency Watchlist on December 15, 2021:Read profiles of the top 10 crises the world can't ignore in 2022.

How can I help?

Drought, conflict and disease rob children of the chance to live full, healthy lives. You can help: Give to the IRC and your gift will be tripled.