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Sudan

Sudan: Health Emergency, Situation Report, 31 October 2024

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KEY FACTS AND FIGURES:

  • 14.7M In need of health assistance
  • 4.9M Targeted for assistance
  • 10.9M Internally displaced
  • 3.1M Refugees
  • $86 M Required by WHO
  • 57% Funded

HIGHLIGHTS

  • After 18 months, the conflict in Sudan continues to rage, trapping the population in a nightmarish cycle of violence, deprivation, displacement, hunger, disease and death.
  • Civilians and civilian structures, including health facilities, were attacked in escalation of clashes in parts of Al Jazirah State since 20 October 2024, leading to an influx of displacement. By 30 October, 135,405 individuals have fled to Kassala, Gedaref and River Nile states.
  • Since the start of the conflict in April 2023, WHO has verified 119 attacks on health care that have led to 189 deaths and 140 injuries. 10 of these attacks took place in October 2024 leading to 6 deaths and 15 injuries.
  • Cholera has spread to 11 states with 29,147 cases and 852 deaths (CFR 2.9%) reported as of end of October 2024. WHO, with the Ministry of Health and partners, is responding to the outbreak.
  • Oral cholera vaccination campaigns in priority localities have reached 5.3 million people.
  • Using crossline and cross-border routes, WHO has been distributing medical supplies, including medicines, diagnostic supplies and cholera and nutrition kits to assist the lifesaving operations of health facilities in Sudan. As of 31 October 2024, WHO supplied 900 metric tons of supplies across the country

SITUATION OVERVIEW

Over 18 months of conflict in Sudan have led to a severe regional emergency as over 3.1 million people displaced from Sudan are sheltering in neighboring countries whose system is not robust enough to absorb the influx. Another 10.9 million people are internally displaced within Sudan, many of them twice and thrice within the last 18 months as conflict spread to localities that were hosting them or driven by flooding and extreme constraint of access to food. Sheltered in overcrowded displacement sites or with communities, the displaced are at high risk of disease outbreaks and face severe limitation of access to health care and other basic services. WHO, leading the Health Cluster, coordinates the humanitarian health response, targeting 4.9 million of the 15 million people in urgent need of health assistance as outlined in the 2024 Sudan Humanitarian Needs and Response Plan (HNRP).

Despite requiring $178.6 million for the health response, only 73% of the funding has been secured as of 25 October 2024. The situation is exacerbated by a cholera outbreak affecting 11 states, and widespread malnutrition and acute food insecurity, with some areas facing famine. WHO has enhanced disease surveillance, rapid response, case management and vaccination efforts but stresses the need for increased funding, sustained access to localities requiring urgent health assistance, and the protection of health care. An immediate ceasefire is crucial to mitigate the humanitarian crisis and avert disease and death among the most vulnerable in Sudan.