The Horn of Africa faces critical security and climate risks. Persistent droughts have precipitated the onset of food insecurity and waterborne disease, while heavy rain events such as Cyclone Sagar have caused widespread flooding, mudslides, and wind damage. These challenges are increasing in severity against a backdrop of changing demographic trends—including rapid population growth, increased migration, and urbanization—and power struggles both within and between countries in the region.  

In 2004 I was honored to be interviewed for The Lancet medical journal’s “Lifeline” series. I had just come away from a disastrous short tenure as the interim minister of health in Iraq following the 2003 war. I had support from former Secretary of State Colin Powell to rapidly mitigate and recover the war-related destruction of essential public health infrastructure and protections required as occupiers under Articles 55 and 56 of the Geneva Conventions that follow every war.

Heads of state gathered in New York for the September 19 United Nations Summit on Refugees and Migrants will reaffirm principles of international law, pledge to treat asylum seekers more humanely, and promise to improve coordination between humanitarian and development organizations.