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How do attacks on power infrastructure affect civilians in Ukraine?

Energy strikes in Ukraine hurt civilians through cold and infection, not just power loss, and legal analyses call the campaign systematic and unlawful.

Updated 2 hours ago5 min readVersion 2
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Covers: The documented effects of strikes on Ukraine's electricity grid on civilian life, including power, heating, water and healthcare access, displacement and health outcomes. It does not cover military tactics, battlefield operations or attribution debates beyond what official reports state.

Also answers: What happens to civilians when Ukraine's power grid is attacked? · Impact of Russian strikes on Ukraine's power infrastructure on civilians · How do power outages in Ukraine affect people? · Ukraine grid attacks civilian harm

The short answer

Interpretation AI-prepared starting map

Strikes on Ukraine's electricity and heating infrastructure have documented effects on civilians that go well beyond the immediate loss of power. A survey of 2,311 households across 24 oblasts during the winter of 2022–2023 found respiratory infections in 75.2% of participants and cold injuries in 3.76%, rising to 10% among older adults; cold injuries were…123

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Photo: Odile

At a glance

The picture in numbers

Live · updated just now

Survey of 2,311 households in 24 oblasts, winter 2022–2023

75.2%

75 in every 100

of surveyed households reported respiratory infections1
Survey of 2,311 households in 24 oblasts, winter 2022–2023

3.76%

4 in every 100

of surveyed households reported cold injuries1
Survey of 2,311 households in 24 oblasts, winter 2022–2023

10%

10 in every 100

of older adults reported cold injuries1
At least three people were killed in the same attack

600,000 people

people left without power after one overnight strike3

The evidence behind it

5 sources
  • Other studies and data4
  • Background1

Published in 2025 and 2026

Sources on this page by kind and year
SourceKindYear
Russian strikes leave 600,000 without power in Ukraine, Zelensky saysBackground2026
Machine learning reveals drivers of cold-related illness during energy infrastructure attacks in Wartime Ukraine.Other studies and data2025
Weaponizing Winter: Energy Infrastructure, Coercive Strategy, and Civilian Vulnerability in the Russia-Ukraine WarOther studies and data2026
Targeting Through Deprivation: Russia’s Attacks on Ukrainian Energy and Nuclear Infrastructure — An International Humanitarian Law PerspectiveOther studies and data2026
PROTECTION OF CIVILIAN INFRASTRUCTURE IN CONTEMPORARY ARMED CONFLICTS: A HUMANITARIAN LAW STUDY ON ATTACKS AGAINST WATER AND ENERGY FACILITIES IN GAZA AND UKRAINEOther studies and data2025

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In brief

  1. Cold and infection, not just darkness, are the measured civilian health effects: in one winter survey, 75.2% of participants reported respiratory infections and 3.76% reported cold injuries, rising to 10% among older adults.1

    Evidence-backed
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  2. Older adults, larger households and people in areas under Russian control appear most exposed to cold-related harm.1

    Evidence-backed
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  3. The campaign is described in the legal literature as systematic, winter-timed and nationwide, aimed at electricity and heating, with civilian impact increasing in winter.42

    Evidence-backed
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  4. A single night's strike can leave hundreds of thousands without power: one attack left 600,000 people without electricity and killed at least three.3

    Evidence-backed
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  5. Legal analyses argue the campaign cannot be justified as targeting dual-use objects and may generate individual criminal responsibility, while cautioning that cumulative and strike-specific assessments answer different questions.24

    Evidence-backed
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Quick questions from connected pages

What it means for you

Which fits you?

Pick the situation closest to yours. Each answer says what it rests on.

If you are an older adult living in an area subject to energy strikes

the survey evidence points to the highest measured risk of cold injury (10% among older adults), so cold-injury prevention is the priority the study itself highlights.1

Evidence-backed

If you live in a larger household

the survey found larger households reported more respiratory infections, so respiratory illness is the effect to watch for rather than cold injury alone.1

Evidence-backed

If your household's financial stability or heating arrangements are precarious

both were predictors of respiratory infection in the survey, which is the outcome most widely reported by participants.1

Evidence-backed

If you are assessing the legality of a specific strike rather than the campaign as a whole

the legal literature argues strike-specific analysis under the military objective test is needed, and that cumulative strategic and IHL assessments are not substitutes for it.4

Evidence-backed

If you are comparing Russian and Ukrainian energy-targeting campaigns

one study warns the comparison is difficult because targets, civilian exposure and assessment standards differ.4

Evidence-backed

If you are looking for the scale of a single incident

the only figure here is from one night's strike — 600,000 people without power and at least three killed — and it does not indicate how long the outage lasted.3

Evidence-backed

The full explanation

Interpretation AI-prepared starting map

Strikes on Ukraine's electricity and heating infrastructure have documented effects on civilians that go well beyond the immediate loss of power. A survey of 2,311 households across 24 oblasts during the winter of 2022–2023 found respiratory infections in 75.2% of participants and cold injuries in 3.76%, rising to 10% among older adults; cold injuries were more common in areas under Russian control and were predicted by age, region, anxiety and household size, while respiratory infections were predicted by age, household size, financial stability and heating practices. Legal analyses of the campaign describe it as systematic, winter-timed and nationwide, arguing it produces civilian suffering intended to pressure the population, and that it cannot be reconciled with the dual-use doctrine. Individual strikes can be large: one overnight attack on "critical" infrastructure left 600,000 people without power and killed at least three, according to Ukraine's president and emergency services.123

What this rests on5 independent sources
  • Evidence 18
  • Interpretation 1

The full story · 3 chapters

01

What the strikes do to power, heating and daily life

AI summary:Strikes hit critical power and heating infrastructure, causing outages and deaths, with civilian harm rising in winter.

Evidence-backed

Evidence-backed: Attacks hit "critical" infrastructure, and the effects are felt as outages: after one overnight strike, Ukraine's president said 600,000 people were left without power, while emergency services reported at least three people killed.3

Evidence-backed

Evidence-backed: Analyses of the campaign describe it as systematic, winter-timed and nationwide, targeting electricity and heating power stations, and note that attacks on power and heating systems increase civilian impact particularly during winter.42

Evidence-backed

Evidence-backed: The harm is not limited to electricity. A legal study of attacks on water and energy facilities examines the 2023 attack on the Dnipro Hydroelectric Power Plant alongside the destruction of clean water systems in Gaza, and argues that such attacks on facilities that directly affect civilian survival expose a gap in explicit legal protection.5

02

Health effects on civilians

AI summary:A winter survey found high rates of respiratory infections and cold injuries, with older adults and Russian-controlled areas most affected.

Evidence-backed

Evidence-backed: In a survey of 2,311 households across 24 Ukrainian oblasts during the winter of 2022–2023, respiratory infections affected 75.2% of participants and 3.76% reported cold injuries — a figure that rose to 10% among older adults. Larger households reported more respiratory infections, and areas under Russian control reported higher rates of cold injury.1

Evidence-backed

Evidence-backed: The same study found that respiratory infections were predicted by age, household size, financial stability and heating practices, while cold injuries were predicted by age, region, anxiety and household size. The authors describe it as the first study to apply machine learning to the health impacts of cold-related events following energy infrastructure attacks in an active conflict zone, and highlight older adults as especially vulnerable.1

Before you go

What to remember

Try to recall each hidden figure before you reveal it. Remembering, not rereading, is what makes it stick.

  1. Cold and infection, not just darkness, are the measured civilian health effects: in one winter survey, of participants reported respiratory infections and 3.76% reported cold injuries, rising to 10% among older adults.

  2. A single night's strike can leave hundreds of thousands without power: one attack left people without electricity and killed at least three.

  3. Older adults, larger households and people in areas under Russian control appear most exposed to cold-related harm.

This answer keeps changing

When new evidence or a better source comes in, this page is updated (it's on version 2, last changed 2 hours ago). Follow it to be told when that happens.

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  1. 1
    Machine learning reveals drivers of cold-related illness during energy infrastructure attacks in Wartime Ukraine.
    Scientific reports (Marvi et al.)Published Dec 31, 2025Checked Oct 14, 2026
    “We surveyed 2311 households across 24 Ukrainian oblasts during the winter of 2022–2023. One adult per household provided data on demographics, winter preparations, housing, heating, and access to services. Machine learning models were used to predict respiratory infections, symptoms, and cold injuries, based on sociodemographic and household factors. Respiratory infections affected 75.2% of participants, and 3.76% reported cold injuries, rising to 10% among older adults. Larger households experienced more respiratory infections, while areas under Russian control reported higher rates of cold injury. Key predictors of respiratory infections included age, household size, financial stability, and heating practices; cold injuries were predicted by age, region, anxiety, and household size. This is the first study to apply machine learning in examining the health impacts of cold-related events following energy infrastructure attacks in an active conflict zone. Our findings underscore the vulnerability of older adults and the widespread burden of respiratory infections, highlighting the need for targeted cold injury prevention in conflict-affected and cold-climate regions.”
  2. 2
    Targeting Through Deprivation: Russia’s Attacks on Ukrainian Energy and Nuclear Infrastructure — An International Humanitarian Law Perspective
    International conference KNOWLEDGE-BASED ORGANIZATION (Bodescu & Petrache)Published Jun 1, 2026Checked Oct 14, 2026
    “This paper develops a single-case study, with three embedded units of analysis, to test the hypothesis that these attacks constitute a method of indirect targeting of the civilian population: they aim to produce sufficient suffering to decouple popular support from the political authority and war aims of the Ukrainian State. The case is examined through the lens of the 1949 Geneva Conventions, the 1977 Additional Protocol I, customary international humanitarian law, and the Rome Statute. Open-source evidence from United Nations (UN), International Atomic Energy Agency (IAEA), International Energy Agency (IEA) and World Bank sources is triangulated to establish a factual pattern on the “reasonable grounds to believe” standard. The paper argues that the systematic, winter-timed and nationwide character of the campaign cannot be reconciled with the dual-use doctrine and generates individual criminal responsibility, consistent with the International Criminal Court arrest warrants issued in 2024 against senior Russian commanders.”
  3. 3
    Russian strikes leave 600,000 without power in Ukraine, Zelensky says
    BBC NewsPublished Oct 14, 2026Checked Oct 14, 2026
    “Ukraine's president says "critical" infrastructure was hit overnight, while emergency services say at least three were killed.”
  4. 4
    Weaponizing Winter: Energy Infrastructure, Coercive Strategy, and Civilian Vulnerability in the Russia-Ukraine War
    ˜The œregional tribune. (Shahid & Baker)Published Aug 30, 2026Checked Oct 14, 2026
    “Three embedded sub-units are analysed (attacks on electricity and heating power stations in Ukraine, nuclear safety and legal issues at the Zaporizhzhia Nuclear Power Plant, and Ukrainian strikes against Russian oil power stations). The results show that the line of reasoning about Ukraine's energy system is a punishment/attrition/leverage line instead of capitulation. Official reporting reveals that attacks against power and heating systems enhance civilian impact, particularly during the winter season. The study establishes that the term “dual-use” should not substitute the Article 52 military objective test and that Article 56 precautions should be more specifically considered for nuclear facilities. It concludes that direct comparison of Russian and Ukrainian energy-targeting campaigns is challenging due to differing targets, civilian exposure, and assessment standards. Strategic and IHL assessments are strongest when viewed cumulatively rather than as substitutes for strike-specific legal analysis.”
  5. 5
    PROTECTION OF CIVILIAN INFRASTRUCTURE IN CONTEMPORARY ARMED CONFLICTS: A HUMANITARIAN LAW STUDY ON ATTACKS AGAINST WATER AND ENERGY FACILITIES IN GAZA AND UKRAINE
    International Journal of Economic Technology and Social Sciences (Injects) (Frahma)Published May 29, 2025Checked Oct 14, 2026
    “Contemporary armed conflicts exhibit increasingly complex patterns of attacks on vital civilian objects, including water and energy infrastructure. This study critically examines the legal protection of non-military civilian facilities such as hydroelectric power plants, reservoirs, and clean water systems from the perspective of International Humanitarian Law (IHL). Using a literature review method based on Human Rights Watch reports and international journal articles published since 2022, the research explores two primary case studies: the 2023 attack on the Dnipro Hydroelectric Power Plant in Ukraine and the destruction of clean water systems in Gaza during 2023–2024. The analysis reveals that both attacks potentially violate fundamental IHL principles, such as distinction and proportionality. Furthermore, the study identifies a normative gap in the explicit protection of vital civilian facilities that directly impact civilian survival. These findings underscore the urgent need for stronger enforcement and normative reform within international legal frameworks to ensure the protection of civilian infrastructure in times of conflict.”

How it changed

Published 1 time since Oct 14, 2026.

  1. Version 2Oct 14, 2026Live now

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The brief is open about what's uncertain. These are the specific gaps that new material would fill.

  • “Health effects on civilians” rests on one independent source

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Open questions

  • Do the health patterns seen in the winter of 2022–2023 — high respiratory infection rates and cold injuries concentrated among older adults — hold in later winters and in areas not covered by that survey?

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  • How long do outages last after strikes, and how do they translate into losses of heating, water and healthcare access for specific communities?

    No answers yet

  • How many people leave their homes because of loss of power or heating, and where do they go?

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  • What do official investigations and courts conclude about responsibility for specific strikes, as distinct from the cumulative legal assessment of the campaign?

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