In May 2025, the World Health Assembly adopted resolution WHA78.28, asking the WHO to update its evidence on how nuclear war would affect health, health systems, food security and the environment. WHO’s last major assessments date from the 1980s and early 1990s, and since then science has advanced on nuclear winter, famine risk and the collapse of essential services. To deliver the update, which is due to the Assembly in 2029, WHO is establishing an Expert Working Group spanning radiation health, trauma care, infrastructure, food systems, mental health and disaster response. Our presentation to the expert panel found:
• Non-combatant islands like NZ may not be hit directly, but trade isolation could still cause destruction across food, energy, transport and digital systems
• NZ’s modelled harm exceeds NZ$1 trillion, more than twice annual GDP, and rose once experts discussed impacts across sectors
• Islands can feed themselves in a nuclear winter, but liquid fuel is the critical weakness, and no governance structures exist to manage the risk
• Four suggestions to the UN Panel: count non-combatant harm, commission end-to-end modelling, support natinoal and regional assessments, and resource mitigation