Ukraine Records Highest Toll From Cluster Munitions for Third Year Running

The latest Cluster Munitions Monitor reports that over 1,200 people have been killed or injured in Ukraine since Russia’s full-scale invasion in February 2022. The actual toll is likely far higher, but it may take years to establish, said Loren Persi, team lead for the report.

Drawing parallels with conflicts in Syria and Yemen, where casualty figures emerged only years later, Persi told journalists in Geneva that a similar pattern could unfold in Ukraine.

Lao legacy

Equally, in Lao People’s Democratic Republic, which Mr. Persi described as the most contaminated country by cluster munitions, “it took decades” before surveys confirmed estimates that many thousands of people had been killed or injured by strikes from cluster munitions, which are generally understood to be a container from which submunitions are scattered.

The civil society publication, backed by UN disarmament research agency UNIDIR, notes Israeli allegations that cluster munitions were used in a ballistic missile attack by Iran in June 2025, and of reported but unverified use of the weapons in Gaza and southern Lebanon.

The report’s other findings note that the de facto forces in Myanmar have used “domestically produced”, air-delivered cluster bombs since around 2022, amid the ongoing civil war.

“Schools have been among the targets in rebel-held areas,” said the Monitor research specialist Michael Hart, highlighting their use in Chin state, Rakhine state, the Saigon region and Kachin state, among others.

Mistaken for toys

Submunitions – or bomblets, as they are also known – cause casualties and damage through blast impact, their incendiary effect and fragmentation. According to UNIDIR, a single attack can involve thousands of individual explosive units which are usually spread over hundreds of square metres.

“These munitions can be air-delivered or surface-launched, and can be used against armour, materiel and personnel,” UNIDIR explained, although it is “very clear…that civilians continue to bear the brunt” of suffering from the cluster emission remnants, Mr. Persi insisted.

As in previous years, children accounted for a high proportion (42 per cent) of casualties from the weapons in 2024, “which they often find interesting, think are toys or come across in play or on the way to school or when working in fields”, Mr. Persi continued.

Funding cuts impact

Funding cuts for humanitarian work have had a negative impact on countries impacted by the explosive weapons.

These include Afghanistan, Iraq and Lebanon, which had “made good progress” in clearing contaminated land, but who now “really struggle with funding…to get the clearance done, hence they slow down”, said Katrin Atkins, senior researcher at Cluster Munitions Monitor.

“Whole programmes” supported by USAID in the past including one in Lau have been discontinued, Mr. Persi noted.

“For decades, [the programme] was essential in providing both first aid in remote areas where there are cluster mine victims, which was clearly there to address the legacy of the bombings of the 60s and 70s,” he explained. “But also, the entire rehabilitation programme, including prosthetics… that was cut and as far as we know, not reestablished in any way.”

In the last 15 years since the Convention on Cluster Munitions, just 10 countries have used the weapons and “all of those are States not party to the international accord”, the Cluster Munition Monitor states.

A total of 18 countries have now ceased production of cluster munitions. All former producers are now States Parties to the Convention, aside from Argentina.

The report notes that 17 countries still produce cluster munitions or reserve the right to do so and none is a State Party to the Convention. They are: Brazil, China, Egypt, Greece, India, Iran, Israel, Myanmar, North Korea, Pakistan, Poland, Romania, Russia, Singapore, South Korea, Türkiye and the United States.

Gaza health system ‘catastrophic’ as hospitals overwhelmed and medicines running out, WHO warns

Fewer than half of Gaza’s hospitals and under 38 per cent of primary healthcare centres are partially functioning – or are doing so at minimal levels – said Dr. Rik Peeperkorn, World Health Organization (WHO) Representative for the West Bank and Gaza.

Bed occupancy in major facilities is exceeding limits by large margins – Shifa Hospital is at 250 per cent capacity, Nasser at 180 per cent, Al-Rantisi at 210 per cent and Al-Ahli at over 300 per cent.

Critical supplies running out

“The critical shortage in medications and consumables continue and have only exacerbated, with 52 per cent of the medicines and 68 per cent of consumables at zero stock,” Dr. Peeperkorn told journalists in Geneva, speaking from Jerusalem.

Hospitals are particularly overwhelmed by injuries from food distribution areas, which are also driving persistent shortages of blood and plasma,” he added, noting that since 27 May, at least 1,655 people have been killed in those areas and more than 11,800 injured.

The crisis has been exacerbated by displacement orders in Gaza City that now place WHO’s own warehouse in an evacuation zone. Hospitals, primary care centres and ambulance facilities are also located inside or near these areas, threatening further disruption to services.

Malnutrition worsening

Hunger and malnutrition are worsening rapidly.

Since the start of 2025, 148 people have died from malnutrition, including 49 children – 39 of them under five years old. Nearly 12,000 children under five were diagnosed with acute malnutrition in July, the highest monthly figure to date, with more than 2,500 suffering from the most severe form.

New threat from meningitis

Disease outbreaks are adding to the pressure.

Suspected meningitis cases reached 452 between July and early August – the highest number since the escalation began. Guillain-Barré syndrome, a rare post-infection disorder, has also surged, with 76 suspected cases since June.

Both conditions are harder to treat due to “zero stocks” of vital medicines, including intravenous immuneoglobulin and anti-inflammatories, Dr. Peeperkorn said.

Access challenges

Access for international medical teams and supplies remains a major obstacle.

Dr. Peeperkorn said that international medics face entry denials, while key items such as ICU equipment, anaesthesia machines and cold chain supplies continue to be held back.

Though WHO managed to bring in 80 trucks of medical supplies since June, he stressed that procedures are slow and unpredictable, with many shipments delayed or denied.

We need multiple crossings into Gaza opened, procedures simplified, and access impediments lifted,” he said. “We hear about more humanitarian supplies being allowed in – but it’s not happening, or it’s happening far too slowly.”