We will return you to the pre-industrial age.
- The US. Secretary of State, James Baker, 9 January 1991.21
The sanctions regime was both a prelude and a complement to the 1991 war. The US-led coalition has left Iraq in an apocalyptic state,22 and the sanctions have ensured that the country will not be out of crisis for decades.
In just 42 days, coalition forces carried out 118,000 airstrikes, dropping more than 170,000 bombs weighing nearly 88,000 tons, including thousands of depleted uranium bombs, over 800 targets, mostly from Iraqi infrastructure and industrial facilities. This amount of explosive power was equivalent to seven Hiroshima atomic bombs. In addition to tens of thousands of Iraqi soldiers who were killed by shelling in the desert, burned with napalm in trenches, thousands buried in mass graves, and some even buried alive, an estimated 113,000 Iraqi civilians were killed before the end of the war, 60% of whom were children.23
The US targets included a huge number of civilian facilities that had nothing to do with the invasion of Kuwait. These encompassed power plants, water purification facilities, reservoirs, sewage treatment plants, bridges, roads, railways, train stations, bus stations, telephone networks, wireless installations, oil wells, pipelines, refineries, food, textile, and car assembly factories, universities, schools, hospitals, dispensaries, places of worship, archaeological sites, as well as nearly 20,000 houses, apartments and housing units. The total cost of the destruction in Iraq was estimated at USD 190 billion.24
The war technically destroyed all the essential elements necessary for a modern society to sustain life, leaving the Iraqi government incapable of performing its daily state functions. Subsequently, the sanctions were imposed, further hindering any attempts to address this dire situation. Immediately after the end of the war, the government initiated an infrastructure repair campaign, which achieved "unexpected success" within three months. However, these efforts were far from sufficient. By the end of the war, Iraq's electricity generation capacity had plummeted to less than 4% of its previous levels, access to potable water had decreased by 75%, and half of its telephone lines were irreparably destroyed. The absence of electricity meant that medicines could not be refrigerated, hospitals could not operate effectively, and the lack of water purification and sanitation facilities led to the rampant spread of waterborne diseases. Additionally, the distribution of food heavily relied on trucks and functional roadways. Recognising that this catastrophic situation persisted throughout most of the embargo, the extent of the calamity inflicted upon Iraq becomes evident."25
The combination of war and sanctions resulted in the undoing of nearly half a century of development and improvements in living standards. By the late 1980s, Iraq had achieved one of the highest per capita food rates in the region, with a high enrolment rate of children in elementary education. In the late 70s, Iraq even received a UNESCO award for its successful campaign aimed at raising the female literacy rate to 85%. Furthermore, 93% of the population had access to healthcare, and significant progress had been made in eradicating communicable diseases through widespread vaccination.26
However, towards the end of the 90s, quality of life indicators experienced a significant decline across all levels. The Iraqi government's food ration system, recognised by the FAO, served as the only safeguard against widespread famine. Shockingly, in the first year of sanctions, approximately 11,000 Iraqis succumbed to starvation. The average calorie intake per capita plummeted by almost half, and the rations provided were deficient in vital nutrients and proteins.27
By 1998, one-third of Iraqi children suffered from chronic malnutrition and weighed only a fraction of the expected weight for their age. Additionally, an alarming 70% of Iraqi women suffered from anaemia.28
It came as no surprise that diseases associated with malnutrition and transmitted through water and food, such as cholera, typhoid and malaria, as well as cancers, especially leukaemia, were spread as a result of radioactive contamination from depleted uranium and other toxic chemicals used during the war.29 Iraq's devastated health sector was ill-equipped to deal with such crises. Refrigerated drug stocks were destroyed, and domestic production of medicines, which constituted 25% of total consumption before the war, ceased. The capacity to utilise medical equipment was severely limited, and even basic medical supplies like cotton, gauze and syringes became inaccessible. By 1995, the number of surgeries performed had declined to less than a third of pre-war levels. In 1998, one-third of hospital beds had to be closed, and over half of the medical equipment was non-functional.30
All this coincided with violent economic and social collapse. The prohibition on oil exports during the initial five years of sanctions deprived Iraq of its most essential source of hard currency, leading to a severe devaluation of the currency, rampant inflation, and a GDP contraction of nearly one-eighth. By 1995, the value of the Iraqi dinar had depreciated by 5,000%, resulting in an average monthly income equivalent to two US dollars. Food prices had skyrocketed by 4,500%, and households' purchasing power was only 5% of what it had been before August 1990.31 As state revenues dwindled and wages lost their value, one-third of the Iraqi army soldiers were laid off, over 12,000 teachers resigned, and many professionals fled the country. Desperate families resorted to selling furniture, electrical appliances, clothes and even parts of their homes, such as windows, doors and concrete blocks. When there was nothing left to sell, theft, prostitution, and violent crime surged rapidly."32
As a result, a terrible amount of people died. In 1999, the Iraqi government declared that two million Iraqis had died from sanctions, half of them children. UNICEF noted that at least half a million children under five have died due to sanctions.33 The number of deaths from sanctions caused great controversy, as the US had long questioned Iraqi estimates – considering that a country so broken is supposed to maintain accurate statistical capabilities – as well as UN estimates.34 But the most conservative of these estimates paints an extremely grim picture of what happened.