Sudan: Humanitarian Update, 23 August 2023 [EN/AR]

HIGHLIGHTS

• More than 4.5 million people have been displaced inside and outside Sudan due to the conflict that erupted on 15 April between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF).

• Nearly 76 per cent of the people internally displaced are from Khartoum.

• Recent clashes between the SAF and RSF in Nyala, South Darfur, have displaced an estimated 50,000 people.

• Measles, whooping cough, acute watery diarrhoea, dengue fever and malaria have been reported in various states.

• More than 33,000 people have been affected by torrential rains in Northern State.

SITUATION OVERVIEW

As the conflict between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) continues across the country, civilian displacement and humanitarian needs continue to steadily increase.

To date, more than 4.5 million people have been displaced inside and outside the country due to the conflict that erupted on 15 April. More than 3.6 million people have been displaced internally as of 22 August, according to the International Organization for Migration Displacement Tracking Matrix (IOM DTM). People have been displaced across all 18 states. The majority are in River Nile, Northern, East Darfur, Sennar and White Nile states. Nearly 76 per cent of internally displaced people (IDPs) are originally from Khartoum. In addition, more than 947,000 people have crossed the border into neighbouring countries as of 21 August, including Central African Republic, Chad, Egypt, Ethiopia and South Sudan, according to the UN Refugee Agency (UNHCR).

At least 498 children in Sudan, and likely hundreds more, have died from hunger, including two dozen babies in a state orphanage, as critical services run out of food or close, according to a recent statement by the international NGO Save the Children (SC). Since the start of the conflict in mid-April, SC has been forced to close 57 nutrition facilities, leaving 31,000 children across the country without treatment for malnutrition and related illnesses. In the remaining 108 facilities that are still operational, therapeutic food stocks are running critically low. In May, Sudan's only factory for manufacturing "Plumpy'Nut", key to treating malnutrition in children, was burned to the ground. The factory had been producing around 10,000 tons of Plumpy’Nut paste every year, which was used by aid agencies such as SC, the World Food Programme (WFP) and UNICEF. Even before the conflict, existing stocks in the country were nearly exhausted and could not be restocked due to funding shortages.

In Gedaref State, SC reported that at least 132 children died from malnutrition between April and July, 36 per cent of whom were admitted to one state hospital. The hospital has reported a significant increase in cases of malnutrition, especially among children recently displaced from Khartoum and living in squalid camps. In White Nile State, at least 316 children, mostly under the age of five, died from malnutrition or associated illnesses between May and July, and more than 2,400 children with severe acute malnutrition (SAM) – the deadliest form of malnutrition – were admitted to nutrition facilities since the beginning of the year.

An estimated 50,000 people (10,000 families) were displaced by renewed clashes between the SAF and RSF from 11 to 17 August in Nyala Town, the state capital of South Darfur State, according to IOM DTM. People fled their homes in Al-Mazad, Tayba, Seka Hadeed, Al-Jabal, Neil, Karrari, Musa and Texas neighbourhoods to Hai Al-Jeer, Al-Nahda, As Salam, Derwa and Kangho neighbourhoods within the town. Others took refuge in As Salam, Al Serief, Otash and Kalma displacement camps, with additional people fleeing to Tulus, Buram, As Salam and Damso localities. There are also reports of people arriving in Shia'ria locality and Ad Du’ayn Town in East Darfur and in Al Fasher Town in North Darfur. At least 60 people have been killed and 250 others injured during the fighting, according to IOM. Staff at the Turkish Hospital – which is already understaffed – are reportedly struggling to cope with the influx of wounded people, and humanitarian partners on the ground report that medical supplies are running low. Gathering information from Nyala Town in recent days has been challenging, as communication towers have reportedly been damaged during the fighting, and the electricity and water systems in the town are no longer functioning.

Clashes between the Sudan People’s Liberation Movement-North (SPLM-N) Al Hilu faction and SAF continue to be reported in South Kordofan. On 14 August, clashes took place in Kadugli Town, the state capital of South Kordofan State, reportedly forcing at least 6,700 people to flee to neighbourhoods in the west of the town, according to the government’s Humanitarian Aid Commission (HAC) in South Kordofan. This number has yet to be verified. During the clashes, two humanitarian compounds and many public buildings were hit by stray bullets. Humanitarian staff have been advised to restrict their movements in Kadugli Town. Due to the insecurity, aid workers travelling from other areas are not able to reach the town. Humanitarian food stocks in Kadugli Town have been depleted, and attempts to bring in more supplies have failed due to insecurity along the road from Dilling to Kadugli and due to the blocking of the road into the town by the SPLM-N. The last food distributions for three months were in May and will last families until the end of this month. Other humanitarian stocks in Kadugli, especially health and nutrition supplies, are also running low. Fighting between the SPLM-N Al Hilu faction and SAF has been ongoing and escalating in the state since 17 June. To date, nine out of 17 localities have been affected by the clashes, resulting in the displacement of more than 69,400 people.

Climate change has made Northern State very vulnerable to torrential rains and flash flooding. On 5 August, heavy rainfall affected six out of the seven localities in the state, including Merowe, Al Golid, Ad Dabbah, Dongola, Al Burgaig and Halfa. According to the HAC in Northern State, about 6,670 families (some 33,400 people) were affected by heavy rains, storms and flash flooding. About 1,580 homes were destroyed, 5,090 homes were damaged, 59 public facilities were affected, and 4,672 latrines were either destroyed or damaged.

So far, the HAC has distributed 20 tents, 40 blankets, 50 sleeping mats and 50 plastic sheets, while the Civil Defence has distributed 20 plastic sheets. The Zakat Chamber provided 100 bags of flour and some cash. The Ministry of Investment provided oil, and the Sudanese Red Crescent Society (SRCS) provided 150 blankets, 50 plastic sheets and 30 kitchen sets. Humanitarian partners need additional supplies to support those affected by the heavy rains and flooding. Outstanding needs include emergency shelter and non-food item (NFI) kits for 3,000 people; tools and equipment for vector control, as vector-borne diseases increase during the rainy season; 20,000 chlorine tablets for water purification; 100,000 plastic sacks; 50 water pumps; 100 first aid kits; 3,000 hygiene kits; and 3,000 mosquito nets.

The Health Cluster has reported suspected measles outbreaks in White Nile, Blue Nile, Gedaref, Kassala, Aj Jazirah, West Kordofan, River Nile, North Darfur and Red Sea states. The World Health Organization (WHO) has reported 3,046 suspected measles cases, with 84 associated deaths. Most of the cases are from White Nile and Blue Nile states. In White Nile, health partners are meeting weekly to update and monitor the response, and a vaccination campaign for children under five years of age is planned. The Federal Ministry of Health (FMoH) has reported 16 cases of suspected pertussis (whooping cough) in River Nile, Kassala and Red Sea states. In South Kordofan, 308 acute watery diarrhoea (AWD) cases and seven related deaths have been reported by health partners, while 23,743 AWD cases have been reported in Blue Nile, White Nile, Red Sea, Kassala and Gedaref States. In Red Sea State, 11 dengue fever cases have been confirmed. In Blue Nile, River Nile, White Nile, South and North Darfur, Red Sea, Kassala and Aj Jazirah states, 280,965 clinical cases of malaria and three associated deaths have been reported. In Port Sudan, 50 heat stroke cases, including 13 associated deaths, have been reported.

Trucks loaded with nutrition, health, and water, sanitation and hygiene (WASH) supplies destined for Nyala Town have remained in Ad Du'ayn Town, the capital of East Darfur, since 14 August due to the fighting, and planned distributions by the UN Children’s Agency (UNICEF) have been postponed. There are concerns that continued fighting will cause the already precarious humanitarian situation in the state to deteriorate and heighten the health, nutrition, sanitation and food security needs of the vulnerable. Meanwhile, some areas could become inaccessible if roads become impassable during the ongoing rainy season.