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Sudan: MSF appeals for civilians to be spared in El Fasher

27 Oct 25

Sudan: MSF appeals for civilians to be spared in El Fasher

Displaced civilians arrive at Tawila, North Darfur, from besieged El-Fasher. Image taken in 2024. Caption
Displaced civilians arrive at Tawila, North Darfur, from besieged El-Fasher. Image taken in 2024.

Médecins Sans Frontières / Doctors Without Borders (MSF) appeals for civilians' lives to be spared in El Fasher, Sudan’s North Darfur capital, and for civilians to be allowed to flee to safer areas. 

Given the ethnic-based violence spiking across Darfur for over two years and the large-scale massacres committed in Zamzam when the camp was taken last April by the Rapid Support Forces (RSF) and their allies, we are deeply alarmed that this could happen again in El Fasher.

Our medical teams, working 60 kilometres away in Tawila, admitted dozens of patients coming from El Fasher earlier today into the town’s overwhelmed hospital. 

During the night of 26 to 27 October, around 1,000 people from El Fasher arrived by truck at the entrance of Tawila where we set up a health post to provide emergency care and refer patients in the most critical condition directly to the hospital. 

So far today, about 300 people were treated at the health post and 130 sent to the emergency room of the hospital, including 15 requiring life-saving surgery.

For now, many more people appear to remain trapped in and around El Fasher and we stand ready to respond to further mass influx of displaced and injured people in Tawila.

Shocking levels of malnutrition

Last week, over 1,300 people fleeing El Fasher arrived by truck in Tawila on 18-19 October adding to the large numbers of forcibly displaced persons already in Tawila. 

Among these new arrivals, MSF screened 165 children under five years old and found that 75 percent were acutely malnourished, including 26 percent severely. 

This shocking rate is a testament to the horror unfolding in El Fasher, where famine has been spreading as the RSF have been attacking and besieging the area for more than 500 days, preventing food and aid from reaching the starving people at all costs. 

With soaring prices, community kitchens shutting down, shelled and depleted markets and humanitarian aid blocked, people have had almost no access to food.

As violence rages in West Darfur, wounded people are coming in waves to Adré hospital in Chad, where they are being treated by MSF and  Ministry of Health teams. At least 242 wounded were received on 15 June alone, and 348 on 16 June.

Our work saves lives

MSF in Sudan

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. Sudan now has the world's largest displacement crisis, with millions forced to flee their homes, while access to essential services such as healthcare has become increasingly difficult.

MSF teams already working in Sudan have been responding to the crisis since its first moments.