Attachments
The security situation in Sudan remains critical, with ongoing violent clashes between the armed groups since April 2023. Major urban centers, including Khartoum, Omdurman, and Al Fasher, have experienced intense fighting, resulting in over 20,000 civilian deaths by September 2024. By July 2024, more than 143,000 people had fled Al Fasher, and hundreds of thousands were displaced nationwide. In September alone, 385,000 individuals were forced to leave their homes due to the ongoing violence. The humanitarian situation in Sudan is worsening, with civilians trapped, hospitals under attack, and critical shortages of food and medicine. Darfur, especially El Fasher, faces severe violations, famine in parts of Darfur and South Kordofan, and flooding that has caused more deaths and displacement. A cholera outbreak has led to 19,378 cases and over 590 deaths by late September 2024, worsened by the collapse of services and rising lawlessness. By the end of September 2024, 659,073 individuals had crossed into South Sudan via the Wunthow/Joda border in Renk County, with 82,691 arriving in the past three months. Renk now hosts 58,898 people, 77% integrated into the local community and 23% in transit centers. The influx, including many children, elderly, and women, highlights urgent needs for shelter and food. Onward transportation to Maban has been halted due to impassable roads from Renk to Maban. Although river transport to Malakal and Yambio continues, the number of arrivals in Renk exceeds the capacity of the current Onward Transportation Assistance (OTA) process, resulting in prolonged stays for many in Renk.
Chad has registered 640,593 Sudanese refugees and 213,339 Chadian returnees since the onset of the conflict. A rapid assessment by Relief International in August 2024 revealed significant gaps in healthcare and WaSH services. Tiné’s eight health centers, serving 40,000 people, have only one doctor and one midwife and face severe shortages of medical supplies, including oxygen extractors, birthing kits, and vaccines. Frequent medication stockouts and limited WaSH facilities pose serious health risks to refugee and host communities. The rainy season has destroyed several roads and bridges, making many areas, including Koukou in Sila and Bédaya in Mandoul, inaccessible to humanitarian aid. From July 2024, flooding has affected 1,688,439 people and caused 487 deaths. The Salamat region, which has long struggled with seasonal outbreaks of cholera and hepatitis E, has been severely impacted by flooding this year and remains prone to outbreaks of waterborne diseases due to inadequate sanitation and poor access to clean water.