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War, Soil, and Freshwater Systems. Conference Prague, 15–17 October 2026
Ethiopia-Eritrea War / PDF
Environmental and Public Health Consequences of the Ethiopia–Eritrea War, 1998–2000Pre-conference analytical brief
Purpose of this briefThis brief provides a neutral environmental and public-health context for the Ethiopia–Eritrea War of 1998–2000. It is designed for conference participants who need a shared factual background before discussing war-related pollution, soils, freshwater systems, exposure pathways and disease risks. It does not provide a political or legal assessment of the war. The general purpose follows the conference framing: to avoid repeated political introductions and to focus discussion on environmental exposure, public health and long-term recovery.The accompanying background note on the Ethiopia–Eritrea War explains the political geography, chronology and legal-diplomatic context of the conflict. This brief adds the environmental-health layer: how the war affected land, water, rural livelihoods, displacement, mine contamination, health risks and recovery capacity.
1. Conflict and exposure settingThe Ethiopia–Eritrea War was a conventional interstate border war fought mainly from May 1998 to June 2000. The main battlefield zones were located along the Eritrea–Ethiopia border, including the western sector around Badme, the central sector around Zalambessa, Tsorona/Tserona and the Mereb/Mareb River corridor, and the eastern sector around Bure and the route toward Assab.For environmental-health analysis, the important point is that the war was fought largely in rural, semi-arid and highland border environments. These landscapes depended on small-scale agriculture, grazing, seasonal movement, shallow wells, rural roads, river crossings, local markets and fragile land-management systems. The original neutral background note stresses that the direct battlefield geography was concentrated along the border, while the indirect effects — mobilization, displacement, expulsions, economic pressure and family separation — spread much more widely.This means that the war should not be studied only as a military confrontation. It should also be studied as a shock to rural systems of land access, water access, food production, mobility and public health.
2. Main environmental pathwaysThe environmental consequences of the war were not limited to direct battlefield contamination. They included several interacting pathways:• trench construction, artillery positions and shelling damaged soils and altered local drainage;• tanks, vehicles, fuel residues, scrap metal, military waste and abandoned fortifications created local contamination risks;• landmines and unexploded ordnance restricted access to farmland, grazing areas, rural roads, settlement sites and water points;• displacement concentrated people and livestock in areas not designed to absorb them;• rural water infrastructure was damaged, neglected or made inaccessible;• markets, transport routes and cross-border movement were disrupted;• households lost livestock, stored food, tools, income earners and access to safe land;• long-term border militarization delayed return, reconstruction and mine clearance.The most useful analytical concept for this case is land denial. In many affected areas, environmental damage was not only chemical pollution. It was the transformation of fields, grazing areas, rural roads, water points and former settlements into dangerous or inaccessible spaces. UNMEE’s mine-action summary notes that, in Ethiopia, the 2004 Landmine Impact Survey estimated that landmines and unexploded ordnance affected almost two million people in about 1,500 communities. This helps explain why land access remained a public-health and livelihood issue long after major fighting ended.
3. Soil, land use and explosive remnants of warThe Ethiopia–Eritrea War left a legacy of landmines, unexploded ordnance and battlefield debris. These hazards affected both human safety and the use of land. Farmers, herders, children, road workers, returnees and reconstruction workers were especially vulnerable.Soil-related effects included cratering, trench systems, erosion around defensive positions, abandoned military sites, damaged settlements, metal contamination from munitions and vehicles, and possible local fuel or lubricant residues. However, the available literature does not support broad claims about measured chemical contamination across the whole conflict zone. For conference discussion, the evidence is stronger for mine and ERW contamination, land denial, displacement and livelihood disruption than for quantified toxic exposure.This distinction is important. The Ethiopia–Eritrea case should not be presented as an industrial toxic-disaster case unless site-specific evidence is available. It is better understood as a rural border-war case in which soil damage, explosive hazards, restricted land use and livelihood recovery were closely connected.Later mine-action reporting confirms the long-term character of this problem. A GICHD case study on Ethiopia reported that more than 1.9 million people and 1,492 communities were affected by landmines, with Tigray, Afar and Somali regions among the most heavily mine/ERW-affected areas. The same source reported 16,616 mine/ERW casualties recorded by the Ethiopia Landmine Impact Survey, with many incidents involving people engaged in farming and herding activities. In Eritrea, the Landmine and Cluster Munition Monitor reports a total known number of 5,299 mine/ERW casualties, including 2,522 killed and 2,777 injured.
4. Freshwater and sanitationFreshwater systems were affected through displacement, damaged or inaccessible water points, neglected rural infrastructure, blocked roads, pressure on wells and seasonal water sources, and the concentration of displaced people and livestock.In arid and semi-arid borderlands, even small disruptions to wells, pumps, river crossings, canals, grazing routes or fuel supply can have major health consequences. A water source does not need to be destroyed in order to become unavailable. It may become inaccessible because of mines, insecurity, military restrictions, lack of spare parts, lack of fuel, or the absence of trained personnel.The most relevant public-health pathways include reduced access to safe drinking water, increased distance and danger in water collection, overcrowding around limited water points, deterioration of hygiene and sanitation, higher risk of diarrhoeal disease, stress on host communities, and loss of livestock water access.The humanitarian record after the war confirms the importance of water and sanitation. OCHA’s 2001 Consolidated Inter-Agency Appeal for Eritrea stated that by mid-2000 approximately 1.6 million Eritreans were affected by war, drought or a combination of both. This is relevant because drought and war interacted: displacement, water scarcity and damaged livelihoods reinforced each other.
5. Displacement, food security and livelihoodsDisplacement was one of the central humanitarian consequences of the war. Border communities fled shelling, occupation, insecurity, mine danger, destruction of homes and loss of livelihoods. Return was often delayed by mined areas, damaged infrastructure, lack of services, closed or militarized borders and uncertainty over land access.Food-security effects were produced through several mechanisms:• loss of farmland access;• loss of livestock;• interruption of planting and harvesting;• destruction of homes and stored food;• disruption of markets and transport;• family separation;• loss of labour due to military mobilization;• reduced purchasing power;• weakened state capacity to invest in health, water and rural recovery.The Internal Displacement Monitoring Centre later noted that many displaced people in Eritrea had returned or been resettled, but border tensions remained and durable solutions were not always clear. This matters for environmental-health analysis because return is not the same as recovery. People may physically return to an area where mines, damaged infrastructure, lost livestock, poor water access, missing documents or lack of services still make normal life impossible.
6. Child health and long-term developmental effectsOne of the strongest areas of empirical research on this war concerns child health. The study “Wars and Child Health: Evidence from the Eritrean–Ethiopian Conflict” uses household survey data from Eritrea to estimate the effect of exposure to the 1998–2000 war on children’s health. It found that children exposed to the conflict had worse health outcomes, including lower height-for-age indicators.This is highly relevant for the conference because it connects war exposure, displacement, nutrition, disease risk, household impoverishment and child development. The Ethiopia–Eritrea case shows how conflict can become biologically visible years later in child growth outcomes. In this sense, environmental and public-health damage should not be measured only by immediate deaths or visible destruction. It can also appear later in the bodies of children who experienced war during critical periods of growth.
7. Health services and disease riskThe war affected public health through direct trauma, mine injuries, displacement, malnutrition, communicable-disease risk and disruption of basic services. Compared with later conflicts in northern Ethiopia, the available evidence is less focused on a complete regional collapse of healthcare. The stronger analytical frame is disruption and unequal access: displaced and border populations were exposed to reduced services, unsafe movement, damaged infrastructure, loss of income and poor living conditions.Key health consequences included:• trauma injuries from combat and shelling;• amputations and disability from mines and unexploded ordnance;• maternal and child health risks in displaced settings;• malnutrition and child growth impairment;• diarrhoeal disease risks linked to water and sanitation stress;• mental-health consequences of bombardment, displacement, family separation and loss of home;• long-term disability and rehabilitation needs.The public-health importance of the war is therefore not limited to battlefield medicine. It includes the indirect health burden created when people lose safe land, water, livestock, documents, income, mobility and access to basic services.
8. Civilian protection, documentation and health vulnerabilityThe war also produced expulsions, deportations, family separation, property loss and nationality insecurity. These issues matter for public health because loss of documentation and citizenship security can reduce access to housing, work, medical care, education, land rights and humanitarian assistance.The original background note emphasizes that many affected individuals experienced the war as a loss of home, citizenship security, documentation and social belonging, not only as exposure to combat. For conference purposes, this is important because health vulnerability can be administrative as well as biological or environmental. A person who loses documents, land rights or the right to return may also lose access to the systems that protect health.
9. Post-war “no war, no peace” periodThe Algiers Agreement ended large-scale fighting, but it did not quickly resolve the practical problems of border life. Physical demarcation stalled, the border remained militarized, cross-border movement was restricted, and many communities continued to live with uncertainty, mine danger, limited trade and blocked access to land or relatives.This long “no war, no peace” period is highly relevant to environmental-health recovery. Mine clearance, return, land rehabilitation, water-system repair, local trade, grazing mobility, documentation, family reunification and public-health normalization all depend on more than a ceasefire. They require safe access, functioning institutions and long-term local cooperation.This is one of the central lessons of the Ethiopia–Eritrea case: legal settlement, military ceasefire and ecological recovery operate on different timelines.
10. Evidence limitationsThe environmental and public-health record of the Ethiopia–Eritrea War is uneven. The legal record, displacement record and mine-action record are stronger than the record on measured soil chemistry, freshwater contamination or long-term ecological monitoring.Researchers and speakers should therefore distinguish between:• documented mine and ERW contamination;• plausible but unmeasured local contamination from fuel, scrap, munitions and military waste;• direct battlefield damage;• indirect environmental damage through displacement, land denial and infrastructure breakdown;• acute health impacts;• long-term developmental impacts, especially in children;• humanitarian estimates and peer-reviewed empirical findings.The most cautious formulation is that the war created serious environmental-health risks through landmines, unexploded ordnance, damaged rural infrastructure, displacement, water and sanitation stress, livelihood loss and child-health impacts, while specific claims about chemical contamination require local evidence.
11. Relevance for conference discussionThe Ethiopia–Eritrea War is useful for comparison with other conflicts because it represents a distinct type of war-related environmental-health damage: an interstate border war in fragile rural landscapes.Its key lessons are:• environmental harm may appear as land denial rather than visible industrial pollution;• mines and unexploded ordnance can turn land, roads and water points into long-term health hazards;• displacement can overload water and sanitation systems even far from the front line;• war can harm child health through nutrition, disease, stress and household impoverishment;• a ceasefire does not automatically restore environmental or public-health systems;• legal settlement and ecological recovery operate on different timelines.