More than 80,000 people were displaced in Yemen in the first week of September as Houthi rebels seized the western coast, including the strategic Mokha port, and the UN said the numbers are likely under-reported because access is difficult and many of those who fled are hard to reach. More than 11,442 households, or about 80,000 people, were displaced between September 3 and 9, when the surge in fighting first began, according to UN figures. The machinery of war keeps moving. Civilians keep running.
The State Monopoly on the Coast
The Houthi rebels seized Mokha port on Thursday and the entire west coast fell under their control a day later. Warring parties in Yemen are reluctant to resort to diplomacy to ease the highest tensions seen in at least four years, particularly along the west coast of the country. A source close to peace negotiations said there was anger after calls for the warring sides to cease hostilities. "The government, and the Houthis, did not want to hear anything about not going to war. I think everyone is in a war mood these days," the source said. That mood lands on ordinary people first, as it always does.
Doctors Without Borders, or MSF, said its hospital in Aden is preparing for "mass casualties" arriving from the front lines. The medical charity said it has already been facing "challenges in referral pathways for patients" emanating from Mokha General Hospital, where about 30 healthcare workers remain to keep essential services running despite the instability. MSF said the situation was highly uncertain and stressful for both residents and its teams, with those remaining at the hospital now providing a crucial lifeline for people still in the city. The front lines may be drawn by armed groups, but the waiting rooms fill with everyone else.
Aid, Triage, and the Human Cost
MSF teams are currently also in Al Jumhuriyah Educational Hospital in the de-facto capital Aden. Medical needs extend well beyond treating people wounded in the fighting, with staff continuing to provide maternity and paediatric care, as well as treatment for cholera and other illnesses. "The needs are high and go far beyond trauma care," the organisation said. "Their work is saving lives." In a country where armed factions and authorities compete for territory, even basic care becomes a fragile exception rather than a guarantee.
MSF said it was looking at ways to reinforce its team in Mokha but that doing so was difficult because of the uncertain security situation. "Since the beginning of the hostilities we've received more than 30 yo 40 wounded patients coming from Bab Al Mandeb with burns, orthopedic cases and many soft tissue injuries," said the programme manager for Yemen, Marc Schakal. Civilians, soldiers and members of the Yemeni government military are among the injured, he added. The categories change. The bodies don’t.
The fighting comes during the biggest declared wave of US-Iran tit-for-tat attacks on Gulf shipping since the war began in late February while the Houthi expansion along Yemen's Red Sea coast came with direct guidance from Iran's Islamic Revolutionary Guards Corps, as it seeks to open a new front in Iran's war with the US, Yemeni government, Iranian and regional sources said. Iran told the Houthis last week to escalate their attacks on Saudi Arabia and promised more funding, weapons and senior officers to help them do so, two Iranian sources told The National. Another set of patrons, another set of commanders, another round of ordinary people paying the bill.
War by Proxy, Hunger by Design
As Tehran's leadership celebrated a "great victory" for its allies in Yemen, a former British ambassador in the country said the capture of Mokha amounted to a failure by the US to see the Yemeni front as integral to the Iran war. The Yemeni civil war, during which hundreds of thousands of people died from fighting and famine, began in 2014 after the Houthi takeover of the capital Sanaa and has been paused under a ceasefire since 2022. But that truce broke down last month, with the Houthis effectively joining the wider war their Iranian allies have waged since being attacked by the US and Israel. The slogans come from capitals. The hunger stays local.
More than 22 million people require humanitarian assistance in Yemen, while 5.2 million are internally displaced and 18.3 million are acutely food-insecure, according to UN data from March. Recent hostilities are only set to make matters worse. The UN can count the wreckage. It can’t stop it.