Located in the north of Africa between Algeria and Egypt, Libya has a population of about 7.5 million people, most of them concentrated in urban, coastal cities like Tripoli and Benghazi. The World Health Organization (WHO) identified cholera and polio as very high risk diseases to impact Libyans in 2025. Other non-communicable diseases such as cancer are also threatening many individuals because of how expensive and difficult it is to get treatment. Here are the top three factors affecting health and safety, including access to health care and diseases impacting Libya.

1. Climate and Changing Weather Patterns

Libya is one of the world’s most arid countries. It witnesses periods of extreme heat, droughts and violent rain and dust storms. These acute weather conditions compromise health and safety, as access to potable water becomes more scarce and food insecurity spikes.

In September 2023, cyclone Daniel made a bad situation worse in terms of diseases impacting Libya, with flooding and damages to already deteriorating infrastructure including health and care facilities in Derna. Water contamination and lack of sanitation were top reasons for health concerns as storms also destroyed two dams upstream of the city. In the immediate aftermath of the storm, medical professionals were most concerned about potential cholera and acute watery diarrhea (AWD) outbreaks. As of October 3, 2023, the National Center for Disease Control (NCDC) reported 1,905 cases of AWD.

2. Sudanese Migration 

A war-torn Sudan has led many to flee and seek refuge in its neighboring countries. Since April 2023, cities like Al Kufra in Eastern Libya saw an influx of somewhere close to 500 Sudanese migrants passing through each day. Such a high number of refugees has led to issues like overcrowding, especially in settlements, which in turn could lead to an increase in diseases impacting Libya. 

Those arriving from conflict zones are often in ill-health. Be it communicable diseases or in poor mental-health, many have not had access to vaccinations or other preventative treatments that could avoid medical emergencies like outbreaks. Officials like WHO are most concerned about a cholera epidemic, though tracking its spread will prove difficult for lack of testing facilities and resources.

3. The Government

Since the 2011 Revolution, Libyans have witnessed waves of political fragmentation, tension and violence. The persistent conflict caused years of neglect in the health care system, ultimately resulting in inconsistent health care services for Libyans.

Opposing governments and factions fighting for power have divided the country, making it difficult, if not impossible, to coordinate with health care professionals and NGOs on the ground to establish clinical practice guidelines that would prevent outbreaks and efficiently combat diseases impacting Libya. 

Then, in April 2025 the Internal Security Agency (ISA) based in Tripoli announced the shutdown of headquarters of 10 major NGOs, including MSF, for compromising Libya’s social demographic and for promoting values that go against Libyan identity. MSF reported at least six known casualties in the weeks since it had to pull its aid, and expect the order to have more consequences on their patients that they will not be able to track due to loss of contact.  

Who’s Helping?

After Cyclone Daniel, organizations such as UNICEF, the Red Cross, the World Food Programme (WFP) and the International Medical Corps (IMC) sent immediate relief. This included, for example, renovating 25 health facilities, training more than 1,100 health care providers and distributing food to more than 15,000 people. 

Though the 10 humanitarian organizations ordered to leave Libya in April 2025 have not been allowed to return to date, there are still other groups present in the country. The International Medical Corps (IMC), for example, provided more than 27,000 medical consultations and helped countless refugees back on their feet as of July 2025. The European Union (EU) continues to fund aid in correspondence with WHO, Première Urgence Internationale and the IMC. In 2025, the EU funded €3 million in response to mass Sudanese migration. 

Given the inconsistency in health care provisions, NGOs on the ground are doing significant work for Libyans and refugees. There is still much work to do. Providing medical aid and investing in care facilities is just scratching the surface. Without addressing the climate crisis, the lack of accommodation for refugees and government fragmentation, health and safety will remain compromised and diseases impacting Libyans will continue to risk lives. 

– Brittany Buscio

Brittany is based in Montreal, Canada and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr