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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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New rescue vessel Aurora 2: Sea-Watch’s response to political blockades of civilian sea rescue

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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.

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Sea-Watch strongly criticises EU response following attack on Sea-Watch 5

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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.

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Court annuls 20-day administrative detention imposed on Ocean Viking

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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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