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More than 818,000 Sudanese and Chadians have fled Darfur and converged on the 37 entry points in eastern Chad. Chad is the country most affected by the crisis in Sudan, with 45.7% of Sudanese refugees and thousands of new arrivals every week. These refugees live in numerous formal and informal camps in 09 health districts in the provinces of Ennedi East, Ouaddaï, Sila and Wadi-Fira. In the camps, access to essential health services In the camps, access to essential health services is disrupted due to difficult physical access and limited human and material resources. Malaria, acute respiratory infections, malnutrition and malnutrition and watery diarrhoea remain the most common pathologies. This humanitarian situation is exacerbated by epidemics of dengue fever, measles chickenpox and hepatitis E. A total of 7,291 people have been injured and treated with the support of MSF-F, PUI, the ICRC and an international emergency team deployed by the UN deployed by the WHO. In recent days, new fighting has been reported in Sudan, which could lead to new arrivals, particularly at the entry points of Tiné and Birak in the province of Wadi Fira. As the rainy season approaches in less than a month's time, the health situation will be very worrying because of the torrential rains (Ouadi), which are making it difficult to move temporary watercourses. The WHO will no longer have access to certain sites.The WHO will no longer have access to certain sites to provide a coordinated health response to the various public health events that may occur in these areas. Pre-positioning of health kits, including cholera kits, in the districts affected by the crisis will take place before the rains arrive.