War is often discussed in the language of strategy, geopolitics, and military capability. Analysts debate borders, alliances, and weapons systems. Yet these discussions frequently overlook one of the most vulnerable populations in any conflict: people living with disabilities.
According to the World Health Organization, approximately 16% of the global population lives with some form of disability. In conflict zones, that percentage can be even higher because war itself produces injuries, trauma, and long-term impairments. Despite this, disabled civilians are rarely centred in discussions about humanitarian response or evacuation planning.
For many civilians, survival in war depends on the ability to move quickly: to flee bombings, cross borders, or reach shelters. For disabled people, the elderly, and those with chronic illnesses, this mobility cannot be assumed.
People who rely on wheelchairs, mobility aids, carers, or medical equipment often face severe barriers during emergencies. Hospitals may be destroyed or overwhelmed. Electricity needed for medical devices may fail. Medication supplies can disappear within days. Accessible transport is rarely available in evacuation corridors.
The result is that many disabled civilians are left behind when cities empty.
Humanitarian organisations have repeatedly warned that disabled people are among the least likely to escape conflict zones and among the most likely to experience severe deprivation during displacement.
Disability does not exist in isolation; it is deeply connected to infrastructure and social support systems.
In stable conditions, disabled individuals rely on:
accessible healthcare systems
medication supply chains
caregivers and support networks
accessible housing and transport
electricity and assistive technologies
War dismantles these systems rapidly. When hospitals are damaged, roads blocked, or supply chains interrupted, survival becomes precarious for those whose daily life depends on consistent care.
For individuals requiring dialysis, insulin, oxygen support, or specialised medication, even short disruptions can become life-threatening.
Displacement creates an additional layer of vulnerability. Refugee camps and temporary shelters are rarely designed with accessibility in mind. Basic facilities such as toilets, water points, and sleeping areas may not accommodate people with mobility impairments or sensory disabilities.
The United Nations has repeatedly highlighted that disabled people are often excluded from humanitarian planning, meaning their needs are addressed only after crises escalate.
As a result, disabled refugees frequently experience:
limited access to aid distribution points
isolation from community support networks
higher exposure to neglect or exploitation
reduced access to information about evacuation or assistance
These risks compound the already difficult realities of displacement.
International law recognises that disabled people require additional protection in crisis situations.
The Convention on the Rights of Persons with Disabilities obliges states to ensure the safety and protection of persons with disabilities in situations of armed conflict and humanitarian emergencies.
Similarly, humanitarian principles embedded in the Geneva Conventions emphasise the protection of civilians, including those unable to defend themselves.
However, implementation remains uneven. In many conflicts, disability is still treated as an afterthought rather than a central humanitarian concern.
For those of us living with disability, watching images from war zones can feel deeply personal. When we see elderly civilians being evacuated from rubble or injured people transported through chaotic streets, we recognise how fragile survival can be when infrastructure collapses.
The question that emerges is simple but unsettling:
What happens to those who cannot run?
War exposes a fundamental truth: independence is often an illusion sustained by functioning systems. When those systems disappear, vulnerability becomes visible.
Addressing disability in conflict requires more than sympathy. It requires structural planning.
Humanitarian responses must include:
prioritised access to medication and medical equipment
accessible communication systems during emergencies
These measures are not optional additions; they are essential to protecting millions of civilians whose lives depend on them.
War does not only destroy buildings and infrastructure. It reveals the inequalities embedded within societies.
Disabled civilians, the elderly, and those requiring ongoing care often face the greatest risks when violence erupts. Yet their experiences remain largely absent from mainstream conversations about conflict.
If humanitarian responses are to be truly just, they must begin by recognising a simple reality:
In war, the people who cannot run are often the ones left behind.