Our findings showed a significant causal association between sanctions and increased mortality. We found the strongest effects for unilateral, economic, and US sanctions, whereas we found no statistical evidence of an effect for UN sanctions. Mortality effects ranged from 8·4 log points (95% CI 3·9–13·0) for children younger than 5 years to 2·4 log points (0·9–4·0) for individuals aged 60–80 years. We estimated that unilateral sanctions were associated with an annual toll of 564 258 deaths (95% CI 367 838–760 677), similar to the global mortality burden associated with armed conflict.

“We think the price is worth it.” - Madeleine Albright