People at the decision-making level should make better plans for robust and equitable future river-basin management. People on the ground in rural areas will vote with their feet, as they have done in Africa ever since the origin of humans in Africa. Migration will not be controllable; it's driven by needs and desire.

In a world with business as usual, in other areas like East Africa where there will be increased rainfall, different health factors will play a role in increased death rates; in this case an increase in malaria.