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Over 856,905 Sudanese and Chadians have fled Darfur, converging on the 32 entry points in eastern Chad. Chad is the country most affected by the crisis in Sudan, with 45.6% of Sudanese refugees and thousands of new arrivals every week. These refugees live in numerous formal and informal camps located in 09 health districts spread across the provinces of Ennedi Est, Ouaddaï, Sila and Wadi-Fira. In the camps, access to essential health services is disrupted by difficult physical access and limited human and material resources. Malaria, acute respiratory infections, malnutrition and watery diarrhoea remain the most common pathologies. This humanitarian situation is exacerbated by epidemics of measles, chickenpox, hepatitis E and yellow fever.
Since the start of the crisis, 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 WHO. The humanitarian situation in Sudan continues to deteriorate as conflict escalates in Khartoum, Sennar, Darfur and Kordofan states.
Access to humanitarian aid is difficult due to insecurity, restrictions on movement imposed by the authorities, and the seasonal rise in water levels continues to affect humanitarian activities. The health situation is very worrying because of the torrential rains, which are making it difficult to move around due to temporary watercourses (Ouadi), making it impossible to carry out operations, access health facilities, evacuate patients, transport samples to the laboratory, and so on. WHO has difficulty accessing certain sites to provide a coordinated health response to the various public health events that may occur in these areas. WHO has pre-positioned health kits, including cholera kits, in the districts affected by the crisis in eastern Chad