Case Study: The Burundi Refugee Emergency (January 2026)

Background and Context

The ongoing conflict in the eastern Democratic Republic of Congo (DRC) has triggered a severe humanitarian crisis in neighboring Burundi. Since early December 2025, when the M23 rebel group intensified operations and seized the town of Uvira in South Kivu province, over 100,000 Congolese civilians have fled across the border seeking safety.

The Crisis

Over 100,000 Congolese refugees have fled to Burundi since early December when fighting intensified near the border and rebels seized the town of Uvira. The UNHCR has now confirmed 53 deaths among these refugees, with 25 people dying from cholera and six from anemia and malnutrition-related complications.

Dire Living Conditions

Transit centers have exceeded capacity by nearly 200 percent in some locations UN Television, creating catastrophic conditions. Refugees face food shortages, limited drinking water, precarious hygiene, and inadequate shelter, with many sleeping in torn tents or under open sky Sosmediasburundi. MSF teams are treating an average of 200 patients daily and providing 25,000 liters of water per day at one transit site alone Doctors Without Borders.

Disease Outbreaks

42 percent of malaria tests at one site came back positive Doctors Without Borders, and confirmed cases of cholera and measles have been reported. The severe overcrowding and lack of clean water and sanitation are fueling these outbreaks.

The Broader Context

This refugee influx is driven by renewed fighting by the M23 armed group in South Kivu province. South Kivu’s governor described the situation as “misery” and “a crisis completely forgotten by the international community and media”.

The UNHCR is appealing for $47.2 million over four months to assist displaced people in the DRC and refugees in neighboring countries. Congo’s government says it’s providing humanitarian assistance including food, medicines, and non-food items to displaced Congolese in Burundi.

This crisis highlights the compounding vulnerabilities facing refugees: fleeing violence only to face hunger, disease, and inadequate shelter in already strained host communities.

The Crisis Unfolds

As of January 10, 2026, the UN Refugee Agency (UNHCR) has confirmed 53 deaths among refugees in Burundi, representing a mortality rate that signals catastrophic living conditions:

Confirmed Deaths:

  • 25 deaths from cholera outbreak
  • 6 deaths from anemia and malnutrition-related complications
  • 22 deaths under investigation

Living Conditions:

  • Transit centers operating at nearly 200% capacity in some locations
  • Critical shortages of food, clean water, and shelter
  • Many refugees sleeping in torn tents or completely exposed to elements
  • Inadequate sanitation facilities accelerating disease transmission

Health Crisis:

  • Cholera outbreak spreading rapidly due to contaminated water
  • Malaria infection rate of 42% at some sites
  • Confirmed measles cases
  • Medical teams treating approximately 200 patients daily at single locations
  • Severe malnutrition, particularly affecting children and vulnerable populations

Root Causes

Immediate Trigger: The M23 armed group’s seizure of Uvira and intensified fighting in South Kivu province forced mass displacement. The conflict disrupted local economies, destroyed infrastructure, and made staying untenable for civilian populations.

Systemic Factors:

  • Decades of cyclical violence and instability in eastern DRC
  • Competition over natural resources in mineral-rich regions
  • Weak governance and limited state capacity to protect civilians
  • Regional political dynamics involving multiple armed groups
  • Historical ethnic tensions exacerbated by resource scarcity

Response and Challenges

International Response:

  • UNHCR appealing for $47.2 million over four months
  • Médecins Sans Frontières (MSF) providing medical care and water (25,000 liters daily at one site)
  • DRC government leading humanitarian mission with food, medicines, and supplies

Critical Gaps:

  • South Kivu Governor Jean Jacques Purusi characterized the crisis as “completely forgotten by the international community and media”
  • Burundi, already one of the world’s poorest countries, lacks capacity to adequately host such large refugee influxes
  • Funding appeals remain significantly underfunded
  • Limited media coverage reducing public awareness and donor pressure

Key Lessons

This crisis exemplifies several recurring patterns in refugee emergencies:

  1. Speed of deterioration: Conditions can become life-threatening within weeks when displaced populations overwhelm local infrastructure
  2. Disease as secondary disaster: Cholera, malaria, and measles thrive in overcrowded, under-resourced settings
  3. Vulnerability of host countries: Burundi’s limited resources mean it cannot absorb shocks without substantial international support
  4. Forgotten crises: Conflicts in Central Africa often receive minimal international attention compared to crises in other regions

Outlook: Projections and Scenarios

Short-Term Outlook (1-3 months)

Most Likely Scenario: Continued Deterioration

The humanitarian situation is expected to worsen before it improves. Without immediate, substantial intervention, several factors will compound:

  • Death toll will rise: Current mortality rates, particularly from cholera, suggest deaths could reach several hundred within weeks if disease outbreaks aren’t controlled
  • Malnutrition worsens: Food shortages will lead to increased severe acute malnutrition, especially among children under five
  • Disease spread: Cholera and measles outbreaks may expand beyond refugee populations into Burundian host communities
  • Continued displacement: If fighting persists in South Kivu, additional waves of refugees may cross the border

Critical Intervention Points:

  • Immediate establishment of cholera treatment centers
  • Emergency water and sanitation infrastructure
  • Measles vaccination campaigns
  • Food distribution scaling up significantly
  • Shelter improvements before rainy season intensifies

Medium-Term Outlook (3-12 months)

Scenario Planning:

Optimistic Scenario (20% probability):

  • Peace negotiations produce ceasefire in eastern DRC
  • International funding meets UNHCR appeal
  • Refugee conditions stabilize, mortality rates decline
  • Voluntary repatriation begins by mid-2026
  • Requires: Major diplomatic breakthrough and sustained donor engagement

Base Case Scenario (60% probability):

  • Conflict continues at varying intensities
  • Partial international funding (40-60% of appeal)
  • Refugee population remains in Burundi long-term
  • Deaths continue but at reduced rate with improved interventions
  • Chronic humanitarian crisis with periodic acute phases
  • Integration challenges emerge as displacement becomes protracted

Pessimistic Scenario (20% probability):

  • Major escalation in DRC conflict
  • Refugee numbers double to 200,000+
  • Cholera becomes epidemic across border region
  • Severe funding shortfall
  • Regional destabilization as crisis spreads
  • Host community tensions increase

Long-Term Outlook (1-5 years)

The crisis is likely to transition from acute emergency to protracted displacement situation, a pattern seen throughout the Great Lakes region for decades.

Expected Developments:

  • Permanent refugee settlements replace emergency transit centers
  • Education and livelihood programs become necessary
  • Second generation of displaced children grows up in exile
  • Environmental degradation around settlements from deforestation, water usage
  • Potential for social tensions between refugee and host communities over resources

Regional Implications:

  • Eastern DRC’s mineral wealth continues attracting armed groups
  • Cyclical displacement becomes norm
  • Neighboring countries (Uganda, Rwanda, Tanzania) face similar pressures
  • Regional economic development hampered by persistent insecurity

Structural Challenges:

  • International attention wanes as crisis becomes “chronic”
  • Funding transitions from emergency to development aid (often less generous)
  • Political will for comprehensive DRC peace process remains elusive
  • Climate change exacerbates resource competition, potentially fueling future conflicts

Impact on Singapore

Direct Impacts

1. Humanitarian and Diplomatic Engagement

Singapore, as a responsible international actor and UN member state, faces several considerations:

Multilateral Obligations:

  • As a non-permanent member of the UN Security Council (if elected in future), Singapore would engage with DRC peace and security issues
  • Potential support through UN peacekeeping mission contributions (financial or personnel)
  • ASEAN’s emphasis on multilateralism creates expectation for constructive engagement

Humanitarian Assistance:

  • Singapore Cooperation Programme could provide technical assistance in areas of expertise (public health, water management, urban planning for refugee settlements)
  • Financial contributions through established channels (UNHCR, Red Cross, humanitarian funds)
  • Medical teams deployment through SAF Medical Corps or Singapore Red Cross
  • Historical precedent: Singapore has provided humanitarian aid to disaster-affected regions globally

Current Context:

  • Singapore’s foreign aid budget is modest compared to Western donors but strategically deployed
  • Focus typically on ASEAN region and countries with bilateral relationships
  • African engagement primarily through economic rather than humanitarian channels

Realistic Assessment:

  • Direct Singapore government involvement likely limited to modest financial contributions through multilateral channels
  • Unlikely to deploy personnel given geographic distance and limited strategic interest
  • May participate in broader UN or Commonwealth initiatives

2. Economic and Trade Considerations

Minimal Direct Impact:

  • Singapore-DRC bilateral trade is negligible (under $50 million annually)
  • Singapore-Burundi trade essentially non-existent
  • No significant Singaporean business presence in affected region
  • DRC mineral resources (cobalt, copper, coltan) enter global supply chains but not directly through Singapore

Indirect Supply Chain Considerations:

  • DRC produces ~70% of world’s cobalt (critical for batteries, electronics)
  • Prolonged conflict could disrupt cobalt mining, affecting global tech supply chains
  • Singapore’s electronics manufacturing sector could face input cost increases
  • However, DRC’s mining regions (Katanga, Lualaba) are distant from South Kivu conflict zone
  • Impact likely minimal unless conflict spreads significantly

3. Migration and Refugee Policy

No Direct Refugee Flow:

  • Geographic distance makes Singapore completely inaccessible to Congolese refugees
  • No historical migration pathway between Central Africa and Southeast Asia
  • Zero probability of spontaneous refugee arrivals

Policy Precedent Considerations:

Singapore maintains a restrictive approach to refugee acceptance:

  • Not a signatory to 1951 Refugee Convention or 1967 Protocol
  • No legal framework for asylum or refugee status determination
  • Refugees present in Singapore (mainly from Myanmar) are handled through UNHCR
  • Approach prioritizes sovereignty, social cohesion, limited land space

This crisis has no implications for changing Singapore’s refugee policy because:

  • No pressure for direct resettlement
  • No regional spillover effects
  • Crisis reinforces existing position that refugee protection is primarily responsibility of first asylum countries and UNHCR

Indirect and Systemic Impacts

1. Global Governance and Multilateral System

Stress on UN System:

  • Multiple simultaneous humanitarian crises (Ukraine, Gaza, Sudan, Syria, Myanmar, DRC) strain global humanitarian financing
  • Competition for donor attention and resources
  • Singapore’s interest in effective multilateralism means system degradation is concerning

Implications for Singapore:

  • Demonstrates limitations of international community in preventing/responding to crises
  • Reinforces Singapore’s emphasis on self-reliance and strong national institutions
  • May influence Singapore’s positions on UN reform, peacekeeping effectiveness
  • Validates investment in robust national defense and comprehensive security

2. Regional Security Lessons

Southeast Asian Context:

Singapore’s strategic community may draw parallels and lessons relevant to regional security:

Conflict Drivers:

  • Resource competition (DRC minerals / South China Sea resources)
  • Ethnic tensions (Great Lakes region / diverse Southeast Asian societies)
  • Weak state capacity (DRC government / varying ASEAN state strength)
  • Armed group proliferation (DRC militias / insurgencies in Thailand, Philippines, Myanmar)

Singapore’s Regional Concerns:

  • Rohingya crisis in Myanmar shows Southeast Asia faces similar displacement challenges
  • Over 1 million Rohingya refugees in Bangladesh, hundreds of thousands in Malaysia, Thailand, Indonesia
  • ASEAN lacks effective mechanisms for crisis response
  • Singapore’s approach: burden-sharing through ASEAN mechanisms, humanitarian assistance, but no refugee resettlement

Policy Reinforcement:

  • Crisis validates Singapore’s emphasis on ASEAN centrality and regional solutions
  • Demonstrates importance of conflict prevention over crisis response
  • Reinforces value of strong institutions, rule of law, inter-ethnic harmony

3. Development and Fragility Discourse

Singapore’s Development Model:

The DRC crisis provides counter-example to Singapore’s development success:

Contrasting Trajectories:

  • Both are small countries by population compared to regional neighbors
  • DRC possesses vast natural resources; Singapore has none
  • Singapore achieved stability, prosperity through governance, rule of law, strategic planning
  • DRC exemplifies “resource curse” where mineral wealth fuels conflict rather than development

Implications:

  • Validates Singapore’s emphasis on governance, human capital, institutional strength
  • Used in Singapore’s development cooperation programs with other countries
  • Reinforces messaging that geography and resources matter less than policy and institutions

4. Climate and Environmental Security

Longer-term Connections:

While not primary driver of current crisis, climate change intersects with conflict dynamics:

Climate-Conflict Nexus:

  • Eastern DRC experiencing changing rainfall patterns, agricultural stress
  • Resource scarcity (water, arable land) exacerbates competition
  • Climate shocks can trigger displacement, which fuels conflict
  • Refugee influxes stress water, sanitation, environmental resources in host areas

Singapore’s Vulnerability and Interest:

Singapore faces distinct climate risks (sea level rise, water security, heat stress) and has invested heavily in climate adaptation. The DRC crisis illustrates how climate change acts as “threat multiplier”:

  • Reinforces Singapore’s position that climate adaptation is security imperative
  • Validates investment in water security (desalination, NEWater, comprehensive water management)
  • Demonstrates that climate impacts extend beyond direct environmental effects to conflict, displacement, regional instability
  • May influence Singapore’s climate diplomacy and positions in international negotiations

5. Health Security

Disease Surveillance and Response:

The cholera outbreak among Burundi refugees has implications for Singapore’s public health approach:

Global Health Interconnectedness:

  • Infectious disease outbreaks anywhere can spread globally through travel
  • Cholera, while rare in Singapore, remains endemic in parts of Africa and Asia
  • Other diseases in refugee settings (measles, malaria, tuberculosis) pose global health risks

Singapore’s Health Security Posture:

  • Robust disease surveillance systems
  • Strong border health screening
  • Comprehensive vaccination programs
  • Quick outbreak response capabilities (demonstrated during COVID-19, SARS)
  • Regional leadership through WHO Western Pacific Region

Crisis Reinforces:

  • Value of investment in public health infrastructure
  • Importance of global health security frameworks
  • Need for international cooperation on disease control
  • Connection between humanitarian crises and global health risks

Strategic Takeaways for Singapore

1. Self-Reliance Validation: Crisis demonstrates that international community cannot reliably protect vulnerable populations, reinforcing Singapore’s emphasis on strong national defense and comprehensive security.

2. Governance Premium: Stark contrast between DRC’s state fragility and Singapore’s institutional strength validates development model emphasizing rule of law, meritocracy, and effective governance.

3. Regional Focus: Geographic distance and zero direct impact confirm wisdom of Singapore’s foreign policy prioritizing Southeast Asian stability and ASEAN-centric approach.

4. Multilateral Engagement: While direct impact is minimal, crisis stresses global humanitarian system that Singapore has interest in maintaining, suggesting continued modest support through UN channels.

5. Comprehensive Security: Demonstrates how conflicts create cascading humanitarian, health, environmental, and regional security effects, validating Singapore’s whole-of-government approach to security.


Conclusion

The Burundi refugee crisis represents a tragic but unfortunately familiar pattern in Central Africa’s Great Lakes region. For the 100,000+ refugees facing disease, hunger, and inadequate shelter, the situation is desperate and demands immediate international action.

The outlook suggests prolonged displacement with potential for significant deterioration in the short term if cholera and other disease outbreaks aren’t quickly controlled. Medium to long-term prospects point toward protracted displacement rather than rapid resolution.

For Singapore, impacts are minimal and indirect. Geographic distance, negligible economic ties, and absence of migration pathways mean no direct effects. However, the crisis offers relevant lessons for regional security, validates Singapore’s development and governance model, and reinforces existing policy approaches to multilateralism, self-reliance, and comprehensive security.

Singapore’s most appropriate response involves modest financial contributions through established multilateral humanitarian channels, potential technical assistance in areas of expertise, and diplomatic support for peace processes through international forums. The crisis serves primarily as a reminder of the fragility of states with weak institutions and the importance of conflict prevention, effective governance, and regional cooperation—all central to Singapore’s own strategic outlook.