
Cholera Is Spreading Rapidly in Darfur in the Worst Outbreak in Years
The group, also known as Medecins Sans Frontieres, or MSF, said that hte outbreak was the worst the North African country has seen in years.
As of Monday, a total of 99,700 suspected cases and more than 2,470 related deaths have been reported in Sudan since the cholera outbreak began in July 2024, according to MSF.
While some vaccination campaigns that kicked off at the time managed to contain the disease, more people have been infected over the past few months because of poor hygiene measures and large numbers of people being displaced amid intensified fighting in the Darfur and Kordofan regions.
The civil war erupted in April 2023 in Khartoum before spreading across the country. The fighting between the Sudanese military, its allies, and rival paramilitary group Rapid Support Forces, or RSF, has killed more than 40,000 people, displaced as many as 12 million, caused disease outbreaks and pushed many to the brink of famine.
The World Health Organization describes cholera as a 'disease of poverty,' because it spreads where there is poor sanitation and a lack of clean water. The diarrheal disease is caused when people eat food or water contaminated with the bacterium Vibrio cholerae. It is easily treatable with rehydration solutions and antibiotics, but in severe cases the disease can kill within hours if left untreated.
Heavy rains worsened the situation by damaging sewage systems and creating stagnant water that became contaminated.
'The situation is most extreme in Tawila, North Darfur state, where 380,000 people have fled to escape ongoing fighting around the city of El Fasher, according to the United Nations,' MSF said Thursday.
The medical group added that Tawila Hospital was overwhelmed by around 400 cholera patients earlier this month, when it only had the capacity for 130 people. Many had to be treated on the floor.
'Overcrowding of the camps and the catastrophic hygiene condition are key factors,' Sylvain Penicaud, MSF project coordinator in Tawila, North Darfur, told The Associated Press by phone. Recent displacement fueled by the fighting is another contributing factor to the outbreak.
People are forced to take water from contaminated sources such as community wells that are 'extremely dirty.' The hygiene situation in Tawila is dire, he said.
MSF plans to launch a vaccination campaign in Tawila as soon they receive 400,000 doses of cholera vaccine in coordination with WHO.
North Darfur's capital city, el-Fasher, and its surrounding areas have seen repeated waves of violence recently. On Monday, the RSF attacked the famine-stricken displacement camp of Abu Shouk outside the city, killing 40 people and wounding at least 19 people.
On Monday, the RSF denied targeting civilians in el-Fasher, but didn't mention attacks in Abu Shouk camp in a statement on its Telegram channel. The paramilitary accused Islamic Movement militias and 'mercenaries of the armed movements' of endangering the lives of civilians and using them as 'human shields in a desperate attempt to hinder' forces' advancements.
'The Rapid Support Forces reaffirms its commitment to continuing to open safe corridors for the departure of civilians from El Fasher to other, safer areas,' the group said.

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The Mainichi
13 hours ago
- The Mainichi
Heat and thirst drive families in Gaza to drink water that makes them sick
DEIR AL-BALAH, Gaza Strip (AP) -- After waking early to stand in line for an hour under the August heat, Rana Odeh returns to her tent with her jug of murky water. She wipes the sweat from her brow and strategizes how much to portion out to her two small children. From its color alone, she knows full well it's likely contaminated. Thirst supersedes the fear of illness. She fills small bottles for her son and daughter and pours a sip into a teacup for herself. What's left she adds to a jerrycan for later. "We are forced to give it to our children because we have no alternative," Odeh, who was driven from her home in Khan Younis, said of the water. "It causes diseases for us and our children." Such scenes have become the grim routine in Muwasi, a sprawling displacement camp in central Gaza where hundreds of thousands endure scorching summer heat. Sweat-soaked and dust-covered, parents and children chase down water trucks that come every two or three days, filling bottles, canisters and buckets and then hauling them home, sometimes on donkey-drawn carts. Each drop is rationed for drinking, cooking, cleaning or washing. Some reuse what they can and save a couple of cloudy inches in their jerrycans for whatever tomorrow brings -- or doesn't. When water fails to arrive, Odeh said, she and her son fill bottles from the sea. Over the 22 months since Israel launched its offensive, Gaza's water access has been progressively strained. Limits on fuel imports and electricity have hampered the operation of desalination plants while infrastructure bottlenecks and pipeline damage choked delivery to a dribble. Gaza's aquifers became polluted by sewage and the wreckage of bombed buildings. Wells are mostly inaccessible or destroyed, aid groups and the local utility say. Meanwhile, the water crisis has helped fuel the rampant spread of disease, on top of Gaza's rising starvation. UNRWA -- the U.N. agency for Palestinian refugees -- said Thursday that its health centers now see an average 10,300 patients a week with infectious diseases, mostly diarrhea from contaminated water. Efforts to ease the water shortage are in motion, but for many the prospect is still overshadowed by the risk of what may unfold before new supply comes. And the thirst is only growing as a heat wave bears down, with humidity and temperatures in Gaza soaring on Friday to 35 degrees Celsius (95 degrees Fahrenheit). Searing heat and sullied water Mahmoud al-Dibs, a father displaced from Gaza City to Muwasi, dumped water over his head from a flimsy plastic bag -- one of the vessels used to carry water in the camps. "Outside the tents it is hot and inside the tents it is hot, so we are forced to drink this water wherever we go," he said. Al-Dibs was among many who told The Associated Press they knowingly drink non-potable water. The few people still possessing rooftop tanks can't muster enough water to clean them, so what flows from their taps is yellow and unsafe, said Bushra Khalidi, an official with Oxfam, an aid group working in Gaza. Before the war, the coastal enclave's more than 2 million residents got their water from a patchwork of sources. Some was piped in by Mekorot, Israel's national water utility. Some came from desalination plants. Some was pulled from high-saline wells, and some imported in bottles. Every source has been jeopardized. Palestinians are relying more heavily on groundwater, which today makes up more than half of Gaza's supply. The well water has historically been brackish, but still serviceable for cleaning, bathing, or farming, according to Palestinian water officials and aid groups. Now people have to drink it. The effects of drinking unclean water don't always appear right away, said Mark Zeitoun, director general of the Geneva Water Hub, a policy institute. "Untreated sewage mixes with drinking water, and you drink that or wash your food with it, then you're drinking microbes and can get dysentery," Zeitoun said. "If you're forced to drink salty, brackish water, it just does your kidneys in, and then you're on dialysis for decades." Deliveries average less than three liters (12.5 cups) per person per day -- a fraction of the 15-liter (3.3-gallon) minimum humanitarian groups say is needed for drinking, cooking and basic hygiene. In February, acute watery diarrhea accounted for less than 20% of reported illnesses in Gaza. By July, it had surged to 44%, raising the risk of severe dehydration, according to UNICEF, the U.N. children's agency. System breakdown Early in the war, residents said deliveries from Israel's water company Mekorot were curtailed -- a claim that Israel has denied. Airstrikes destroyed some of the transmission pipelines as well as one of Gaza's three desalination plants. Bombardment and advancing troops damaged or cut off wells -- to the point that today only 137 of Gaza's 392 wells are accessible, according to UNICEF. Water quality from some wells has deteriorated, fouled by sewage, the rubble of shattered buildings and the residue of spent munitions. Fuel shortages have strained the system, slowing pumps at wells and the trucks that carry water. The remaining two desalination plants have operated far below capacity or ground to a halt at times, aid groups and officials say. In recent weeks, Israel has taken some steps to reverse the damage. It delivers water via two of Mekorot's three pipelines into Gaza and reconnected one of the desalination plants to Israel's electricity grid, Deputy Foreign Minister Sharren Haskel told The Associated Press. Still, the plants put out far less than before the war, Monther Shoblaq, head of Gaza's Coastal Municipalities Water Utility, told AP. That has forced him to make impossible choices. The utility prioritizes getting water to hospitals and to people. But that means sometimes withholding water needed for sewage treatment, which can trigger neighborhood backups and heighten health risks. Water hasn't sparked the same global outrage as limits on food entering Gaza. But Shoblaq warned of a direct line between the crisis and potential loss of life. "It's obvious that you can survive for some days without food, but not without water," he said. Supply's future Water access is steadying after Israel's steps. Aid workers have grown hopeful that the situation won't get worse and could improve. Southern Gaza could get more relief from a United Arab Emirates-funded desalination plant just across the border in Egypt. COGAT, the Israeli military body in charge of humanitarian aid to Gaza, said it has allowed equipment into the enclave to build a pipeline from the plant and deliveries could start in a few weeks. The plant wouldn't depend on Israel for power, but since Israel holds the crossings, it will control the entry of water into Gaza for the foreseeable future. But aid groups warn that access to water and other aid could be disrupted again by Israel's plans to launch a new offensive on some of the last areas outside its military control. Those areas include Gaza City and Muwasi, where much of Gaza's population is now located. In Muwasi's tent camps, people line up for the sporadic arrivals of water trucks. Hosni Shaheen, whose family was also displaced from Khan Younis, already sees the water he drinks as a last resort. "It causes stomach cramps for adults and children, without exception," he said. "You don't feel safe when your children drink it."


Yomiuri Shimbun
2 days ago
- Yomiuri Shimbun
Cholera Is Spreading Rapidly in Darfur in the Worst Outbreak in Years
CAIRO (AP) — Cholera is spreading rapidly in Darfur, killing 40 people and infecting more than 2,300 over the past week alone because of water shortages and a collapsed health care system have left communities vulnerable amid the ongoing war in Sudan, Doctors Without Borders said in a report Thursday. The group, also known as Medecins Sans Frontieres, or MSF, said that hte outbreak was the worst the North African country has seen in years. As of Monday, a total of 99,700 suspected cases and more than 2,470 related deaths have been reported in Sudan since the cholera outbreak began in July 2024, according to MSF. While some vaccination campaigns that kicked off at the time managed to contain the disease, more people have been infected over the past few months because of poor hygiene measures and large numbers of people being displaced amid intensified fighting in the Darfur and Kordofan regions. The civil war erupted in April 2023 in Khartoum before spreading across the country. The fighting between the Sudanese military, its allies, and rival paramilitary group Rapid Support Forces, or RSF, has killed more than 40,000 people, displaced as many as 12 million, caused disease outbreaks and pushed many to the brink of famine. The World Health Organization describes cholera as a 'disease of poverty,' because it spreads where there is poor sanitation and a lack of clean water. The diarrheal disease is caused when people eat food or water contaminated with the bacterium Vibrio cholerae. It is easily treatable with rehydration solutions and antibiotics, but in severe cases the disease can kill within hours if left untreated. Heavy rains worsened the situation by damaging sewage systems and creating stagnant water that became contaminated. 'The situation is most extreme in Tawila, North Darfur state, where 380,000 people have fled to escape ongoing fighting around the city of El Fasher, according to the United Nations,' MSF said Thursday. The medical group added that Tawila Hospital was overwhelmed by around 400 cholera patients earlier this month, when it only had the capacity for 130 people. Many had to be treated on the floor. 'Overcrowding of the camps and the catastrophic hygiene condition are key factors,' Sylvain Penicaud, MSF project coordinator in Tawila, North Darfur, told The Associated Press by phone. Recent displacement fueled by the fighting is another contributing factor to the outbreak. People are forced to take water from contaminated sources such as community wells that are 'extremely dirty.' The hygiene situation in Tawila is dire, he said. MSF plans to launch a vaccination campaign in Tawila as soon they receive 400,000 doses of cholera vaccine in coordination with WHO. North Darfur's capital city, el-Fasher, and its surrounding areas have seen repeated waves of violence recently. On Monday, the RSF attacked the famine-stricken displacement camp of Abu Shouk outside the city, killing 40 people and wounding at least 19 people. On Monday, the RSF denied targeting civilians in el-Fasher, but didn't mention attacks in Abu Shouk camp in a statement on its Telegram channel. The paramilitary accused Islamic Movement militias and 'mercenaries of the armed movements' of endangering the lives of civilians and using them as 'human shields in a desperate attempt to hinder' forces' advancements. 'The Rapid Support Forces reaffirms its commitment to continuing to open safe corridors for the departure of civilians from El Fasher to other, safer areas,' the group said.


Yomiuri Shimbun
2 days ago
- Yomiuri Shimbun
Malnourished Kids Arrive Daily at a Gaza Hospital as Netanyahu Denies Hunger
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The U.N. says nearly 12,000 children under 5 were found to have acute malnutrition in July — including more than 2,500 with severe malnutrition, the most dangerous level. The World Health Organization says the numbers are likely an undercount. The past two weeks, Israel has allowed around triple the amount of food into Gaza than had been entering since late May. That followed 2 1/2 months when Israel barred all food, medicine and other supplies, saying it was to pressure Hamas to release hostages taken during its 2023 attack that launched the war. The new influx has brought more food within reach for some of the population and lowered some prices in marketplaces, though it remains far more expensive than prewar levels and unaffordable for many. While better food access might help much of Gaza's population, 'it won't help the children who are severely malnourished,' said Alex DeWaal, executive director of the World Peace Foundation at Tufts University, who has worked on famine and humanitarian issues for more than 40 years. When a person is severely malnourished, vital micronutrients are depleted and bodily functions deteriorate. Simply feeding the person can cause harm, known as 'refeeding syndrome,' potentially leading to seizures, coma or death. Instead, micronutrients must first be replenished with supplements and therapeutic milk in a hospital. 'We're talking about thousands of kids who need to be in hospital if they're going to have a chance of survival,' DeWaal said. 'If this approach of increasing the food supply had been undertaken two months ago, probably many of those kids would not have gotten into this situation.' Any improvement is also threatened by a planned new Israeli offensive that Netanyahu says will capture Gaza City and the tent camps where most of the territory's population is located. That will prompt a huge new wave of displacement and disrupt food delivery, U.N. and aid officials warn. Preexisting conditions The Gaza Health Ministry says 42 children died of malnutrition-related causes since July 1, along with 129 adults. It says 106 children have died of malnutrition during the entire war. The ministry, part of the Hamas-run government, is staffed by medical professionals and its figures on casualties are seen by the U.N. and other experts as the most reliable. The Israeli military Tuesday pointed to the fact that some children who died had preexisting conditions, arguing their deaths were 'unrelated to their nutritional status.' It said a review by its experts had concluded there are 'no signs of a widespread malnutrition phenomenon' in Gaza. At his press briefing Sunday, Netanyahu spoke in front of a screen reading 'Fake Starving Children' over photos of skeletal children with preexisting conditions. He accused Hamas of starving the remaining Israeli hostages and repeated claims the militant group is diverting large amounts of aid, a claim the U.N. denies. Doctors in Gaza acknowledge that some of those dying or starving have chronic conditions, including cerebral palsy, rickets or genetic disorders, some of which make children more vulnerable to malnutrition. However, those conditions are manageable when food and proper medical treatments are available, they say. 'The worsening shortages of food led to these cases' swift deterioration,' said Dr. Yasser Abu Ghali, head of Nasser's pediatrics unit. 'Malnutrition was the main factor in their deaths.' Of 13 emaciated children whose cases the AP has seen since late July, five had no preexisting conditions — including three who died — according to doctors. Abu Ghali spoke next to the body of Jamal al-Najjar, a 5-year-old who died Tuesday of malnutrition and was born with rickets, which hinders the ability to metabolize vitamins, weakening bones. In the past months, the boy's weight fell from 16 kilograms to 7 (35 pounds to 15), said his father, Fadi al-Najjar, whose lean face showed his own hunger. Asked about Netanyahu's claim there was no hunger in Gaza, he pointed at Jamal's protruding rib cage. 'Of course there's famine,' he said. 'Does a 5-year-old child's chest normally come to look like this?' Skin and bones Dr. Ahmed al-Farra, Nasser's general director of pediatrics, said the facility receives 10-20 children with severe malnutrition a day, and the numbers are rising. On Sunday, a severely malnourished 2-year-old, Shamm Qudeih, cried in pain in her hospital bed. Her arms, legs and ribs were skeletal, her belly inflated. 'She has lost all fat and muscle,' al-Farra said. She weighed 4 kilograms (9 pounds), a third of a 2-year-old's normal weight. Doctors suspect Shamm suffers from a rare genetic condition called glycogen storage disease, which changes how the body uses and stores glycogen, a form of sugar, and can impact muscle and bone development. But they can't test for it in Gaza, al-Farra said. Normally, the condition can be managed through a high-carbohydrate diet. Her family applied a year ago for medical evacuation, joining a list of thousands the WHO says need urgent treatment abroad. For months, Israel slowed evacuations to a near standstill or halted them for long stretches. But it appears to be stepping up permissions, with more than 60 allowed to leave in the first week of August, according to the U.N. Permission for Shamm to leave Gaza finally came this week, and on Wednesday, she was heading to a hospital in Italy.