View of Ajwal Refugees Camp in White Nile State. Sudan, July 2023. © Ahmad Mahmoud/MSF
Patients wait for medical checkup at Doctors Without Borders clinic in Ajwal Refugees Camp. Sudan, July 2023. © Ahmad Mahmoud/MSF
Um Sangour, a camp meant to host about 30,000 people, now houses over 70,000. The needs are huge and growing in the overcrowded camps. “The most common illnesses impacting the community here, especially children under the age of five, are suspected measles, pneumonia, and malnutrition,” says Ali.
“The death toll was already high when we arrived. We received an average of 15 to 20 suspected measles cases daily, with six recorded deaths in the first week. Tragically, most of these were children under the age of five. We partnered with the Ministry of Health, who provided us with resources to set up an isolation centre to provide these children with the necessary care," Ali continues.
Today we conduct an average of 300 to 350 consultations daily, including 30 to 40 cases of suspected measles. We also have a delivery room for pregnant women and assist one to two births per day and conduct about 20 to 30 follow-ups (antenatal care services) for pregnant women. Our routine immunisation services include 30 to 40 children per day.Ali Mohammed Dawoud
For several weeks Doctors Without Borders has been advocating with the local health authorities to mobilize available measles vaccines, already in the country, to carry out a mass vaccination of children across White Nile. At the same time, in order to scale up medical and relief activities we need a significant increase of staff, including additional international specialists, as the teams working on the ground are already overstretched and exhausted.
The current conflict has left Sudan without lab capacity to identify disease outbreaks. Across the border in Renk and Malakal, South Sudan, a measles outbreak has been confirmed among people who fled the conflict. Over 100,000 people are estimated to have already crossed the border from Sudan to South Sudan.
A Doctors Without Borders doctor looking after children inside measles isolation unit at Um Sangour Refugees Camp, White Nile State. Sudan, July 2023. © Ahmad Mahmoud/MSF
Among the measles patients that Doctors Without Borders treats and screens in Malakal, over 90 per cent are unvaccinated, indicating that there has also been a disruption in routine vaccination programmes in Sudan.
“My niece is suffering from fever and diarrhoea, and she's also vomiting,” says Philip (name has been changed), a young man waiting with his sister and her daughter at one of the clinics in White Nile state. “Although she was prescribed medication, we couldn't find it at the pharmacy. Unfortunately, there's a severe shortage of medication here. Measles—it's taking lives swiftly. The fever is proving lethal. If someone falls sick in the morning, they often don't survive until the evening.”
Elsewhere at the clinic, a pregnant woman, Hamida (name has been changed), waiting with her sick child describes the other challenges people face.
There was intense bombing in our neighbourhood. My family of eight and I fled Khartoum two months ago. Here, our situation is challenging because we're new arrivals, and we haven't received any assistance. We've struggled to secure food. So far, we've only received plastic sheets. Numerous people are waiting for food and shelter materials; there is no space for shelters. The conditions are incredibly difficult; many people are living outdoors because they lack proper shelter. The water here is unclean, leading to sickness among the residents. If you drink the water, you’ll have diarrhoea and start to vomit.Hamida, a patient
The annual rains have already started, which may lead to a rise in waterborne diseases such as cholera and malaria, which is endemic to the area.
In the overcrowded camps people have few options to provide for themselves or their families, relying on assistance. Some have been supported with food from refugees and relatives living in the camps before the escalation of conflict.
A Doctors Without Borders doctor looking after children inside measles isolation unit at Um Sangour Refugees Camp, White Nile State. Sudan, July 2023. © Ahmad Mahmoud/MSF
As more people arrive, there is an urgent need to scale up assistance, including nutritional support and provision of shelter, food, clean water, sanitation and measles vaccinations to curb an outbreak. This urgently requires more staff, including staff experienced in managing such crises and emergencies, and securing shorter supply routes directly to White Nile state from abroad.
In just over three months of intense fighting in Sudan, more than 3 million people have been forced to leave their homes to save themselves and their families from conflict (UNOCHA). More than 2,1 million have been displaced by conflict, seeking refuge within Sudan. According to the International Organization for Migration, some of the highest numbers of displaced people are sheltering in White Nile state along with West Darfur, River Nile and the Northern states.
