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Sudan: Continued fighting in El Fasher leaves civilians trapped

24 Jun 24

Sudan: Continued fighting in El Fasher leaves civilians trapped

Massive destruction in health facilities - South Hospital. Caption
Massive destruction in health facilities - South Hospital.

Hospitals continue to be attacked and no outside help can reach El Fasher due to the intensity of the violence nine days after the UN Security Council called for an end to the fighting. Médecins Sans Frontières / Doctors Without Borders (MSF) is one of the few international humanitarian organisations still present in the city.

On the night of Friday 21 June, Rapid Support Forces (RSF) shelling hit the pharmacy of the MSF-supported Saudi hospital in El Fasher. A pharmacist was killed while on her shift, and the pharmacy building was damaged. Although the hospital remains open and is still treating patients today, it has been damaged and is only partially functional.

More supplies are urgently needed to continue to treat the wounded, and a further attack is feared due to the continued fighting close by. Yesterday one person was killed just 200 metres away from the hospital and a third person was killed close to MSF’s staff accommodation. The total number of people injured on Friday is not known.

Access to healthcare in jeopardy

“In El Fasher we are seeing a cycle of offensives and counterattacks where hospitals are not being spared and the warring parties are failing in their responsibilities to protect civilians,” said Michel-Olivier Lacharité, head of MSF’s emergency operations.

“Since the fighting began six weeks ago, over 260 people have been killed and over 1,630 wounded – these figures include women and children. We do not know if hospitals are being deliberately targeted, but their protection is an imperative that must be respected. Civilians are trapped and cannot leave. Their lives must be protected and they must be able to receive treatment if they need it.

"Saudi hospital... has become the only health facility in the city with surgical capacity... Now, its ability to keep its doors open is also in jeopardy."

Michel-Olivier Lacharité
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Head of MSF’s emergency operations

“This is the second time Saudi hospital has been impacted since the fighting began, and the eighth time a hospital has been hit in the city over the past six weeks. Two weeks ago, the Ministry of Health was forced to close South Hospital after it was attacked a fifth time. Prior to that, the paediatric hospital was forced to close due to damage caused by an SAF airstrike.

“As a result of these incidents, Saudi hospital – which was previously a specialist maternity hospital – has become the only health facility in the city with surgical capacity and the ability to treat the wounded. Now, its ability to keep its doors open is also in jeopardy.

“We urgently need to bring in more supplies and more personnel to be able to respond to this crisis, but the fighting is preventing us from being able to enter. As well as protecting civilians and hospitals, we urge the warring parties to enable safe access so that we can continue to provide life-saving assistance to people in El Fasher and those in Zamzam camp where there is still a catastrophic malnutrition crisis and where unknown numbers of people have fled since the fighting began.”

At MSF's out-patient department in Batil refugee camp Gandhi Pant, a nurse, escorts a patient with a possible appendicitis to a waiting ambulance. 

Batil is one of three camps in South Sudan’s Upper Nile State sheltering at least 113,000 refugees who have crossed the border from Blue Nile state to escape fighting between the Sudanese Armed Forces and the SPLM-North armed group. Refugees arrive at the camp with harrowing stories of being bombed out of their homes, or having their villages burned. The camps into which they have poured are on a vast floodplain, leaving many tents flooded and refugees vulnerable to disease. Mortality rates in Batil camp are at emergency levels, malnutrition rates are more than five times above emergency thresholds, and diarrhea and malarial cases are rising.

Help us prepare for the next emergency

MSF and the crisis in Sudan

On Saturday 15 April 2023, intense fighting broke out across Sudan with a wave of gunfire, shelling and airstrikes.

The violence between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) has trapped millions of people in the middle of an unexpected conflict. Many have been forced to flee their homes while access to essential services such as healthcare has become increasingly difficult.

Médecins Sans Frontières / Doctors Without Borders (MSF) teams already working in Sudan have been responding to the crisis since its first moments.