Shire became a major centre for
internally displaced people (IDPs) and humanitarian aid distribution during the Tigray War. Soon after the
Northern Command attacks, when armed fighting started in the federal–Tigrayan conflict, thousands of people fleeing from the fighting to the west arrived in Shire. In December 2020, when Shire was controlled by the ENDF, Shire residents accepting wheat as food aid were required to sign for twice the amount that they received, or else receive no food. Much of the wheat was transported by the EDF to Eritrea. From 4–8 March 2021, 5,000 IDPs arrived. Oliver Behn of
Médecins Sans Frontières described the new arrivals as being "in very bad conditions ... very exhausted, dehydrated, skinny". In March, Shire was considered to be a humanitarian base, with 16,000 IDPs hosted in three schools converted into camps. One refugee described having "survived on just leaves for a month while she hid in a forest". By June 2021, Shire was the town in Tigray Region hosting the highest number of
IDPs, out of the total estimated 1,950,000 IDPs at the time. ==Shelling and looting==