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Sudan: Aid teams cite huge challenges in tackling new cholera outbreak

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© UNOCHA/Ala Kheir Women waiting for aid distribution in Wad Madani, Sudan.
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Protecting war-weary people in Sudan from a second deadly cholera outbreak is proving a huge challenge for aid teams after more than 16 months of heavy fighting, combined with flooding and ongoing access obstacles, they reported on Friday.

“The needs are huge in Sudan; we are talking about people dying of hunger, we have conflict, we have protection issues, we have displacements on a daily basis; the needs are just huge,” compounded by several weeks of heavy rainfall, said Kristine Hambrouck, UNHCR Representative in Sudan.

Famine ‘ongoing’
In addition to cholera, famine is still “ongoing” in Zamzam camp near El Fasher town, according to the UN World Health Organization (WHO). It said that 658 cases have been reported since the latest outbreak was declared on 12 August, with 28 deaths. The last outbreak of cholera in May saw more than 11,300 cases and at least 300 deaths.

Underscoring the dire humanitarian situation across Sudan, WHO also warned that at least 12 of Sudan’s 18 states now face three or more disease outbreaks of cholera in addition to malaria, measles and/or dengue.

Yet despite the urgent need for lifesaving healthcare interventions, the UN health agency said that resources and local capacity to detect and respond to outbreaks remain limited, particularly in hard-to-reach areas such as the Darfurs and Kordofan states.

Kassala, Gedaref, Jazirah at risk
Meanwhile, the UN refugee agency’s Ms. Hambrouck warned that cholera is spreading in areas hosting internally displaced people uprooted by the violence and those from other countries, in particular Kassala, Gedaref and Jazirah states.

“We have seen quite large numbers of cholera cases in Kassala; Kassala is an important area for us, it hosts a large number of refugees, but also internally displaced. So far, we have 119 cholera cases in three refugee sites in Kassala and five refugees have passed away regretfully of the disease.”

The UNHCR official highlighted the difficulty of trying to address this latest emergency in Sudan, where fighting between rival militaries erupted in April 2023 over a proposed transition to civilian rule, following a military coup in 2021 and the 2019 ousting of long-time President Omar Al-Bashir.

“This is just one (challenge), one on top of all the other ones that we somehow have to reprioritize and make sure that investments are being made,” she said, emphasizing that in refugee camps and displacement sites, “people live on top of each other” and are “hugely overcrowded with the movements of Sudanese (and) also refugees from Khartoum, from Wad Madani, from the Darfurs” to Kassala.

“All these areas have become hugely overcrowded, the water systems that were in place do not have the capacity to respond, it really needs massive investments,” she insisted.

Vaccine success
An initial vaccination campaign has successfully protected more than 50,000 people from cholera, with hundreds of thousands more doses on the way.

“The vaccination campaign already started and we used the 51,000 doses that were already in the country,” said Dr Shible Sahbani, WHO Representative in Sudan. Speaking from Port Sudan, he confirmed that the inoculation campaign concluded in Kassala state on Thursday.

“We were aiming to reach the 97 per cent of the target population,” he said, adding that the UN health agency has also secured the approval to procure an additional 455,000 doses of cholera vaccine – “good news in the middle of this horrible crisis”.

© UNOCHA/Alimbek Tashtankulov A family displaced by conflict settle at an IDP gathering site in Aj Jazirah, Sudan.
Elsewhere, aid access problems have continued to interrupt the humanitarian response. “We are still facing some obstacles and some challenges, either because there is a miscommunication between the decision-makers and those who are on the field, or because there are other issues. Of course, this is in addition to other challenges due to floods and the quality of the roads,” Dr Sahbani said.

Echoing that message, the UN aid coordination office, OCHA, said that the 15 trucks that crossed into Sudan from Chad via the Adre crossing earlier this week were “a step in the right direction”.

But transport conditions remain difficult because of the rainy season said spokesperson Jens Laerke, who underscored the importance of ensuring that aid trucks can continue to cross there “and secure a steady flow of food, nutrition, water, sanitation, hygiene and medical emergency supplies for people in more than a dozen areas at risk of famine”.

Seeds of hope
Vital farming supplies including seeds are among the supplies being transported into Darfur, the OCHA spokesperson noted. “This is an important point, because they need to plant before the rainy season ends. Boosting food production in Sudan is one of the most effective ways to address the overwhelming hunger crisis, which is only worsening after more than 16 months of conflict.”

Since the start of the conflict in Sudan, more than 10.3 million people have been driven from their homes inside Sudan or in neighbouring countries, according to UNHCR.

It emphasized that the humanitarian situation and funding levels for the lifesaving aid response were “already precarious” before the latest cholera outbreak, and that funds are urgently needed to support an expansion of cholera treatment centres and other health facilities, additional health staff and increased stocks of intravenous fluid and medicines.

Response plan frustrated
Of the $1.5 billion required by UNHCR and other partners for the Regional Refugee Response Plan to provide assistance in countries bordering Sudan, just 22 per cent has been received. The inter-agency response inside Sudan is only 37 per cent funded.

“I think the funding levels are extremely challenging and do not allow us to address all the needs, both in Sudan, as well as across the border. So, this really, it really requires an international effort to make sure that we can stabilize at least this cholera situation,” said Ms. Hambrouck.

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ICC confirmation of 17 charges against El-Hishri draws praise from rights groups

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Photo: Marnette
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Human rights organisations and migrant rights advocates have welcomed the International Criminal Court’s (ICC) decision to confirm all 17 charges against Osama El-Hishri, describing it as a landmark step towards justice for victims of abuses committed at Libya’s notorious Mitiga Prison.

The ICC’s confirmation of the charges clears the way for El-Hishri to stand trial over allegations linked to murder, torture, sexual violence and other crimes allegedly committed against detainees at the prison in Tripoli.

Reacting to the decision, migrant distress network Alarm Phone described the ruling as “historic” for survivors of crimes committed at Mitiga Prison.

“The International Criminal Court confirmed all 17 charges against El-Hishri. This is a historic decision for survivors of crimes committed at Mitiga prison in Libya,” the organisation said in a statement posted on X.

Alarm Phone also echoed calls by refugee advocacy group Refugees in Libya, saying the prosecution should mark the beginning of broader efforts to hold perpetrators of abuses in Libya accountable.

Similarly, Sea-Watch International hailed the ICC’s decision, noting that the confirmation means the case will now proceed to trial.

The organisation alleged that El-Hishri was a senior member of Libya’s Special Deterrence Force (SDF/RADA) militia and headed parts of Mitiga Prison, where migrants and refugees were subjected to severe human rights violations.

“The ICC confirmed all 17 charges against El-Hishri today. The case is going to trial,” Sea-Watch International said.

It added that people on the move detained at Mitiga Prison had been subjected to murder, torture and sexual violence, describing the prosecution as an important step in addressing longstanding impunity for abuses against migrants in Libya.

Activist Yousef Ismail also welcomed the court’s decision, saying it represented the kind of justice victims had long demanded.

“This is the real number; this is the truth we seek. We always speak of justice and respect for human rights. The International Criminal Court has fairly proven 17 charges against the so-called ‘Hashri,’ the rapist and the gatekeeper of Mitiga,” he wrote on X.

The ICC’s decision has been widely viewed by rights advocates as a significant milestone in efforts to secure accountability for crimes allegedly committed against migrants and refugees held in Libya’s detention system.

Campaigners, however, stressed that the prosecution of El-Hishri should not be the end of international efforts, urging authorities to investigate other individuals allegedly responsible for serious human rights violations in Libya’s detention facilities.

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Expert raises questions over UNHCR’s strategic direction after new leadership appointments

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A former Head of Policy Development and Evaluation at the UN Refugee Agency (UNHCR), Jeff Crisp, has suggested that the organization’s newly announced leadership appointments could signal a shift in its priorities away from refugee protection and asylum toward humanitarian assistance and development.

Reacting to the appointments in a post on X, Crisp said the selection of the agency’s new senior officials “suggest that the agency might be going to focus on humanitarian assistance & development issues rather than refugee protection & asylum.”

He added that his concerns were reinforced by UNHCR’s support for the European Union’s Pact on Migration and Asylum.

“A suspicion strengthened by UNHCR’s endorsement of the EU Pact on Migration & Asylum,” Crisp wrote.

His comments came shortly after United Nations Secretary-General António Guterres announced the appointments of Tressa Rae Finerty as Deputy High Commissioner for Refugees, Antón Leis García as Assistant High Commissioner for Operations, and Edem Wosornu as Assistant High Commissioner for Protection.

UN High Commissioner for Refugees Barham Salih welcomed the appointments, saying the three officials bring extensive experience in humanitarian affairs, international cooperation and refugee protection. They are expected to assume their duties in the coming weeks.

Crisp’s remarks reflect concerns held by some refugee rights advocates and migration experts who have argued that UNHCR faces increasing pressure to balance its traditional mandate of protecting refugees and defending the right to asylum with expanding responsibilities in humanitarian response, development cooperation and migration management.

The appointments come at a time when the agency is grappling with record levels of forced displacement worldwide, shrinking humanitarian funding and increasingly restrictive asylum policies in many parts of the world.

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Conflict, displacement fuel Ebola outbreak in Eastern DR Congo, NRC warns

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The Norwegian Refugee Council (NRC) has warned that the ongoing Bundibugyo Ebola outbreak in the Democratic Republic of Congo (DRC) is spreading in communities already devastated by years of armed conflict, displacement and inadequate access to basic services, urging the international community to step up funding and political support for the response.

In a statement, NRC’s Country Director in DR Congo, Eric Batonon, said the outbreak was unfolding in Ituri province, the current epicentre of the epidemic, where thousands of displaced people have spent years living in overcrowded shelters with poor sanitation and limited healthcare.

According to Batonon, prolonged violence by armed groups competing for control of land and mineral resources has forced millions from their homes, while the humanitarian crisis has received insufficient attention from donors and the international community.

He said these conditions had created an environment in which Ebola has been able to spread rapidly, contributing to the rising number of infections.

Batonon stressed that infection prevention and control measures must remain central to the response, adding that affected communities should play a leading role in shaping response strategies.

He said building trust and engaging directly with local populations would be critical to containing the outbreak, arguing that Ebola can only be effectively controlled when community priorities guide public health policies.

The NRC said it has intensified its Ebola response in eastern DRC through community awareness campaigns and preventive health measures. The organisation is establishing handwashing stations, distributing hygiene supplies and supporting efforts to reduce the risk of infection in affected communities.

It also said its teams are working to minimise disruptions to children’s education by helping schools operate safely during the outbreak.

In addition, NRC staff are assessing the impact of the epidemic on internally displaced persons in Ituri as well as neighbouring North and South Kivu provinces, where many people continue to live in overcrowded camps with inadequate sanitation facilities.

The findings, Batonon said, will help shape humanitarian interventions for some of the country’s most vulnerable populations.

The NRC noted that DR Congo has appeared on its annual list of the world’s most neglected displacement crises every year over the past decade, reflecting what it described as persistent international neglect of the humanitarian situation in the country’s east.

Batonon called on donors to provide flexible and sustained funding while increasing political engagement to ensure the Ebola response can outpace the spread of the disease and address the underlying humanitarian conditions that have worsened the outbreak.

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