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Sudan: Rapid scale up of response needed
In one of the world’s worst crises for decades, Sudan is facing a colossal, man-made catastrophe, one year after the start of the war between the government-led Sudanese Armed Forces (SAF) and the paramilitary Rapid Support Forces (RSF), says a statement by MSF international.
It is a matter of life or death for millions of people to urgently enable safe humanitarian access. As governments, officials, aid organisations, and donors meet on 15 April in Paris to discuss ways to improve the delivery of humanitarian aid, Médecins Sans Frontières (MSF) is making an urgent call for them to immediately scale up the humanitarian response.
Millions of people are at risk, yet the world is turning a blind eye as the warring parties intentionally block humanitarian access and the delivery of aid. The United Nations (UN) and member states must redouble their efforts towards negotiating safe and unhindered access, and to scale up the humanitarian response to prevent this already desperate situation from deteriorating any further.
“People in Sudan are suffering immensely as heavy fighting persists —including bombardments, shelling and ground operations in residential urban areas and in villages — and the health system and basic services have largely collapsed or been damaged by the warring parties,” says Jean Stowell, MSF head of mission in Sudan. “Only 20 to 30 per cent of health facilities remain functional in Sudan, meaning that there is extremely limited availability of healthcare for people across the country.”
Every day we see patients dying because of violence-related injuries, children perishing due to malnutrition… Despite all this, there is an extremely disturbing humanitarian void.
In areas close to hostilities, MSF teams have treated women, men and children injured by stray bullets and in the fighting, including shrapnel wounds, blast and gunshot injuries. Since April 2023, MSF-supported facilities have received more than 22,800 cases of trauma injuries and performed more than 4,600 surgeries, many of them related to the violence which occurred in Khartoum and Darfur. In Wad Madani, a town surrounded by three active frontlines, we currently see 200 patients per month with violence-related injuries.
According to the UN, more than eight million people have already been forced to flee their homes and been displaced multiple times, and 25 million – half of the country’s population – are estimated to need humanitarian assistance.
“Every day we see patients dying because of violence-related injuries, children perishing due to malnutrition and the lack of vaccines, women with complications after unsafe deliveries, patients who have experienced sexual violence, and people with chronic diseases who cannot access their medicines,” says Stowell. “Despite all this, there is an extremely disturbing humanitarian void.”
Although MSF works in good cooperation with the Ministry of Health, the Government of Sudan has persistently and deliberately obstructed access to humanitarian aid, especially to areas outside of their control. It has systematically denied travel permits for humanitarian staff and supplies to cross the front lines, restricted the use of border crossings, and established a highly restrictive process for obtaining humanitarian visas.
“Today, our biggest challenge is the scarcity of medical supplies,” says Ibrahim*, an MSF doctor working in Khartoum. “We’ve run out of surgical equipment, and we are on the brink of stopping all work unless supplies arrive.”
Khartoum is a city that has been under blockade for the past six months. A similar situation has been impacting the city of Wad Madani since January.
In RSF-controlled areas, where many different militias and armed groups also operate, health facilities and warehouses were frequently looted in the first months of the conflict. Incidents such as carjackings happen on a regular basis, and medical workers, particularly from the Ministry of Health, have been harassed and arrested.
In hard-to-reach areas like Darfur, Khartoum or Al-Jazirah, we often find ourselves the only, or one of the few, international humanitarian organisations present. The needs far exceed our capacity to respond. Even in more accessible areas such as White Nile, Blue Nile, Kassala and Gedaref states, the overall response is negligible: a drop in the ocean.
One example is the catastrophic malnutrition crisis in Zamzam camp in North Darfur, where there have been no food distributions from the World Food Programme since May 2023. Almost a quarter (23 per cent) of children we screened there in a rapid assessment in January were found to have acute malnutrition – seven per cent were severe cases. Forty per cent of pregnant and breastfeeding women were suffering from malnutrition, and there was a devastating mortality rate across the camp of 2.5 deaths per 10,000 people per day.
We’ve run out of surgical equipment, and we are on the brink of stopping all work unless supplies arrive.
“The situation in Sudan was already very fragile before the war and it has now become catastrophic,” says Ozan Agbas, MSF Emergency Operations Manager for Sudan. “In many of the areas where MSF has started emergency activities, we have not seen the return of the international humanitarian organisations that initially evacuated in April last year.”
Khadija Mohammad Abakkar, who had to flee her home in Zalingei, Central Darfur, in search of safety, recounts how difficult it was to survive without humanitarian assistance: “During the fighting, there was no access to healthcare or food in the camp. I sold my belongings to earn some money for food.”
While these are difficult conditions in which to operate, the response should have increased, not diminished, especially in the areas where access is possible. Increased efforts are urgently needed by all humanitarian organisations to find solutions to these problems and scale up activities across the country.
“The United Nations and their partners have persisted in self-imposed restrictions on accessing these regions,” says Agbas. “As a result, they have not even pre-positioned themselves to intervene or establish teams on the ground when opportunities arise.”
MSF calls on the warring parties to adhere to International Humanitarian Law and the humanitarian resolutions of the Jeddah declaration by putting in place mechanisms to protect civilians and to ensure safe humanitarian access to all areas of Sudan without exception – including stopping blockages. MSF also calls on the UN to show more boldness in the face of this enormous crisis and to focus on clear results related to increasing access so that they actively contribute towards enabling a rapid and massive scale-up of humanitarian assistance. MSF also urges donors to increase funding for the humanitarian response in Sudan.
*Name changed to protect identity.
MSF currently works in and supports more than 30 health facilities in 10 states in Sudan: Khartoum, Al Jazirah, White and Blue Nile, Al Gedaref, West Darfur, North, South and Central Darfur, and Red Sea. Our teams have also recently intervened in Kassala. We run activities in both SAF- and RSF-controlled areas. We provide trauma care, maternal care and treat malnutrition alongside other healthcare services.
News
New rescue vessel Aurora 2: Sea-Watch’s response to political blockades of civilian sea rescue
Sea-Watch is putting a new rescue vessel into service: With the Aurora 2, the organization is responding to the repeated detentions of civilian rescue ships by the Italian authorities. Now, Sea-Watch will remain operational even when one of its ships is detained. While one ship is blocked in port, the other will be available to carry out rescue missions. The far-right government’s strategy of limiting rescue operations through arbitrary detentions has therefore failed.
Julia Winkler, spokesperson for the organization Sea-Watch:
“Italy is detaining rescue ships to stop people from being rescued. With the Aurora 2, we are making sure this strategy fails. If one of our vessels is detained, the other will be ready to save lives. By expanding our fleet, we are fighting back against the far-right Italian government’s efforts to obstruct civilian search and rescue at sea.”
In the Mediterranean, speed is a matter of life and death. Every distress case is a race against time. That is why Sea-Watch operates not only the large vessel Sea-Watch 5 but also a smaller, faster ship—the Aurora. The Aurora reaches top speeds of up to 25 knots, allowing it to quickly reach people in distress at sea. With the Aurora 2, the organization is now specifically expanding its operational capabilities.
The acquisition of the Aurora 2 is a direct response to the far-right Italian government’s policy of systematically detaining civilian rescue ships. Since 2023, the Meloni cabinet has detained civilian sea rescue ships in port more than forty times. As a result, the entire civilian fleet has lost more than 900 days of operational time. The Aurora has also been blocked five times already. Italian courts subsequently overturned the rulings on several occasions. However, by the time the respective court decisions were issued, the Aurora had lost a total of 113 days of operational time.
With the Aurora 2, Sea-Watch is specifically countering this strategy. If one of the ships is detained, the other can continue to set sail and rescue people in distress at sea. In this way, the organization ensures its independence from bureaucratic blockades and guarantees the continuation of its rescue operations.
The detentions of civil search and rescue vessels are politically motivated and cost lives. The Mediterranean is one of the deadliest borders in the world. More than 34,000 people have been reported dead or missing since 2014. The actual number is estimated to be significantly higher. With its new ship, the Aurora 2, Sea-Watch can continue to quickly rescue people from drowning — even if one of its ships is blocked by the far-right Italian government.
Sea-Watch is part of the Justice Fleet, an alliance whose members are committed to upholding human rights and international maritime law. Its members refuse to comply with instructions provided for in the so-called Piantedosi Decree that conflict with international law and human rights obligations and are primarily intended to hinder rescue operations. As a result, their vessels are regularly detained by the Italian authorities. In recent months, Italian courts have overturned detention orders imposed on several Justice Fleet vessels in summary proceedings. Rulings on the overall legality of the Decree are still pending.
News
Sea-Watch strongly criticises EU response following attack on Sea-Watch 5

In response to the attack on the Sea-Watch 5 on Monday, 11 May 2026, the European Commission stated at its press conference on Wednesday, 12 May 2026, that EU cooperation with Libyan actors “prevented further violence.” Sea-Watch condemns this portrayal as a grotesque distortion of reality. Without the political, financial, and operational support of the EU, the so-called Libyan coast guard would neither possess boats nor the necessary infrastructure to operate at sea.
Julia Winkler, spokesperson for Sea-Watch:
“The EU has been working closely with actors in Libya for years, who are accused of committing the most serious crimes against people on the move, equipping them and enabling their operations at sea. Against this background, claiming that this very cooperation prevents violence is an absurd distortion of reality and is nothing short of cynical.”
A Commission spokesperson responded to questions regarding the violent attack on the Sea-Watch 5 on Monday, 11 May 2026, stating that it cannot be determined how many further attacks may have been prevented precisely due to consistent engagement (from 4:39). After the crew had rescued people in distress in international waters, Libyan militias opened fire and threatened to forcibly return the ship and those on board to Libya.
The attackers identified themselves as so-called Libyan Coast Guard. During the attack, the vessel involved was accompanied by the Murzuq 662 – a Bigliani-class ship handed over by Italy in June 2023 to Libyan actors as part of the EU–Libya cooperation framework SIBMMIL. Later the same day, the Sea-Watch 5 was also followed by the Ras Jadir 648, another vessel transferred by Italy to Libyan actors in May 2017.
Despite mayday calls being issued, neither Germany nor Italy, nor the EU naval mission EUNAVFOR MED IRINI provided assistance at sea on the day of the attack. On the contrary, on the same day the EU emphasised its intentions to expand cooperation and funding for Libyan actors in eastern Libya. These groups have been documented for years as responsible for torture, sexual violence, and kidnappings of people on the move. Without European support, such structures would not be operational in their current form.
For years, Sea-Watch and international organisations, including the United Nations, have documented serious human rights violations by Libyan militias and coast guard units with which they are closely linked. The political and legal responsibility of European actors is subject to ongoing international legal scrutiny. In 2022, the European Center for Constitutional and Human Rights filed a criminal complaint against senior representatives of the EU and its Member States for alleged crimes against humanity in connection with the EU–Libya cooperation.
News
Court annuls 20-day administrative detention imposed on Ocean Viking
SOS MEDITERRANEE has welcomed the recent decision of the Court of Chieti in Italy, which fully annuls the 20-day administrative detention imposed on the Ocean Viking in November 2023, together with the related fine and all associated sanctioning measures.
On 15 November 2023, Italian authorities detained the Ocean Viking in Ortona for 20 days and imposed a financial penalty under Decree Law No. 1/2023, known as the “Piantedosi Decree”. The case relates to a rescue operation conducted on 11 November 2023 in the Libyan Search and Rescue Region, during which our rescue ship rescued 34 people from a boat in distress after repeated unsuccessful attempts to obtain effective coordination from the Libyan maritime authorities.
In its first instance decision, the Court clearly confirmed that the Ocean Viking’s rescue operation was lawful, and that the captain “was faced with the necessity to intervene without delay” to protect human life. It also underscored the absence of effective coordination by the Libyan authorities, recognizing that the Ocean Viking was “the only vessel to intervene” to fulfill the duty to rescue at sea.
The judgment also reaffirmed that international maritime obligations under the UNCLOS, SOLAS and SAR Conventions prevail when human lives are at risk, and that sanctions cannot be imposed where state coordination is absent or inadequate. The decision recalls the Italian Constitutional Court’s ruling n°101/2025, which confirmed that national laws on sea rescue must comply with international law. In other words, no national law can be in contrast with the duty of saving lives at sea.
“This ruling confirms what we have consistently stated since November 2023: the Ocean Viking acted in full compliance with international maritime law and in the clear fulfilment of its maritime obligations,” said Soazic Dupuy, Director of Operations at SOS MEDITERRANEE. “Humanitarian rescue organisations must never be penalised for doing what authorities fail to do: ensuring timely and effective rescue for people in distress.” she concludes.
2026 is already among the deadliest years of the last decade. People continue to go missing at sea while the Italian government doubles down on efforts to prevent Search and Rescue NGOs from operating. This week, the Senate began discussing a new migration package that includes Provisions aimed at preventing Search and Rescue NGOs from entering Italian waters, yet another attempt to obstruct lifesaving operations.
On Saturday 16th, the captain of the Sea-Watch 5 was accused of facilitating irregular migration after completing a rescue operation following which the Libyan Coast Guard opened fire.
Despite repeated court rulings confirming the legality of civil rescue operations, Search and Rescue NGOs continue to face legal and administrative harassment for saving lives at sea. People in distress cannot wait for justice while lifesaving assistance is obstructed for political purposes.
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