PORT SUDAN: The ongoing civil war in Sudan has provoked one of the world’s worst humanitarian crises in decades, the international chief of the medical charity Doctors Without Borders said Thursday.
War has raged for more than a year between the regular military under army chief Abdel Fattah Al-Burhan and the paramilitary Rapid Support Forces led by his former deputy Mohamed Hamdan Dagalo.
“Sudan is one of the worst crises the world has seen for decades... yet the humanitarian response is profoundly inadequate,” said Christos Christou, international president of Doctors Without Borders (MSF).
“There are extreme levels of suffering across the country, and the needs are growing by the day,” he said in a post on social media platform X.
The conflict, which began in April 2023, has resulted in tens of thousands of deaths and displaced more than nine million people — the world’s worst internal displacement crisis — according to the United Nations.
Both sides have been accused of war crimes including deliberately targeting civilians, indiscriminate shelling of residential areas and blocking humanitarian aid, despite warnings that millions are on the brink of starvation.
Rights groups and the United States have also accused the paramilitaries of ethnic cleansing and crimes against humanity.
MSF’s intervention is the latest in a series of dire warnings over human suffering in Sudan. Last week, as it pledged another $315 million in aid to the country, the United States warned of historic famine in the country.
The US ambassador to the United Nations, Linda Thomas-Greenfield, told reporters hunger in Sudan could reach levels unseen since the famine in Ethiopia in the early 1980s when as many as 1.2 million people died.
UN agencies have also repeatedly warned of the perilous humanitarian situation in the country, and famine, amid repeated international calls for a ceasefire.
In an interview with AFP on Wednesday, Filippo Grandi, the head of the UN refugee agency, said humanitarian access to the country remained woefully inadequate, despite a “little bit of progress in the last few weeks.”
“We are asking all the parties to give access to humanitarians because our presence there is insufficient to help the people in need, and especially to bring the food and the other supplies that are needed for people that otherwise risk starvation,” he said during a visit to Juba in South Sudan.
UN estimates say that five million people inside Sudan suffer extreme hunger, with food lacking also in neighboring countries where two million Sudanese have fled.
Repeated US-led efforts to end the conflict have failed, with many observers concluding that the warring generals each think they can win on the ground.
A number of foreign powers have supported rival forces. Sudan expelled diplomats from the United Arab Emirates on allegations of fueling the RSF, while Egypt, Turkiye and Iran have backed the army.
Recent fighting in El-Fasher, the last city in Darfur outside RSF control, has killed more than 220 people, according to Doctors Without Borders.
The UN Security Council on Thursday demanded that the RSF halt the siege, with all countries voting in favor except Russia, which abstained.
Sudan’s UN ambassador Al-Harith Idriss Al-Harith Mohamed on Tuesday criticized the UAE in the middle of a Security Council meeting, accusing the Gulf state of fomenting conflict in his country, a charge rejected by the Emirati envoy.
Talks last year in the Saudi port city of Jeddah, brokered by the United States and Saudi Arabia, only briefly paused fighting and a US push to restart the process has been unsuccessful.
Sudan one of world’s ‘worst crises’ in decades: medical charity
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Sudan one of world’s ‘worst crises’ in decades: medical charity
- Grandi said that although he had “seen a little bit of progress in the last few weeks,” much more action was needed to improve access
- The global community had to continue lobbying for aid access, he said
Israeli army takes journalists into a tunnel in a Gaza city it seized and largely flattened
- Israel and Hamas are on the cusp of finishing the first phase of the truce, which mandated the return of all hostages, living and dead, in exchange for Palestinians held by Israel
- Hamas has said communication with its remaining units in Rafah has been cut off for months and that it was not responsible for any incidents occurring in those areas
RAFAH, Gaza Strip: One by one, the soldiers squeezed through a narrow entrance to a tunnel in southern Gaza. Inside a dark hallway, some bowed their heads to avoid hitting the low ceiling, while watching their step as they walked over or around jagged concrete, crushed plastic bottles and tattered mattresses.
On Monday, Israel’s military took journalists into Rafah — the city at Gaza’s southernmost point that troops seized last year and largely flattened — as the 2-month-old Israel-Hamas ceasefire reaches a critical point. Israel has banned international journalists from entering Gaza since the war began more than two years ago, except for rare, brief visits supervised by the military, such as this one.
Soldiers escorted journalists inside a tunnel, which they said was one of Hamas’ most significant and complex underground routes, connecting cities in the embattled territory and used by top Hamas commanders. Israel said Hamas had kept the body of a hostage in the underground passage: Hadar Goldin, a 23-year-old soldier who was killed in Gaza more than a decade ago and whose remains had been held there.
Hamas returned Goldin’s body last month as part of a US-brokered ceasefire in the war triggered by the militants’ Oct. 7, 2023, attack on southern Israel in which 1,200 people were killed and hundreds taken hostage. Israel’s retaliatory offensive has killed more than 70,000 Palestinians, according to Gaza’s Health Ministry, which operates under the Hamas-run government. The ministry does not differentiate between civilians and combatants, but says roughly half the dead have been women and children.
Israel and Hamas are on the cusp of finishing the first phase of the truce, which mandated the return of all hostages, living and dead, in exchange for Palestinians held by Israel. The body of just one more hostage remains to be returned.
Mediators warn the second phase will be far more challenging since it includes thornier issues, such as disarming Hamas and Israel’s withdrawal from the strip. Israel currently controls more than half of Gaza.
Israeli Prime Minister Benjamin Netanyahu is set to travel to Washington this month to discuss those next steps with US President Donald Trump.
Piles of rubble line Rafah’s roads
Last year, Israel launched a major operation in Rafah, where many Palestinians had sought refuge from offensives elsewhere. Heavy fighting left much of the city in ruins and displaced nearly one million Palestinians. This year, when the military largely had control of the city, it systematically demolished most of the buildings that remained standing, according to satellite photos.
Troops also took control of and shut the vital Rafah crossing, Gaza’s only gateway to the outside world that was not controlled by Israel.
Israel said Rafah was Hamas’ last major stronghold and key to dismantling the group’s military capabilities, a major war aim.
On the drive around Rafah on Monday, towers of mangled concrete, wires and twisted metal lined the roads, with few buildings still standing and none unscathed. Remnants of people’s lives were scattered the ground: a foam mattress, towels and a book explaining the Qur’an.
Last week, Israel said it was ready to reopen the Rafah crossing but only for people to leave the strip. Egypt and many Palestinians fear that once people leave, they won’t be allowed to return. They say Israel is obligated to open the crossing in both directions.
Israel has said that entry into Gaza would not be permitted until Israel receives all hostages remaining in the strip.
Inside the tunnel
The tunnel that journalists were escorted through runs beneath what was once a densely populated residential neighborhood, under a United Nations compound and mosques. Today, Rafah is a ghost town. Underground, journalists picked their way around dangling cables and uneven concrete slabs covered in sand.
The army says the tunnel is more than 7 kilometers (4 miles) long and up to 25 meters (82 feet) deep and was used for storing weapons as well as long-term stays. It said top Hamas commanders were there during the war, including Mohammed Sinwar — who was believed to have run Hamas’ armed wing and was the younger brother of Yahya Sinwar, the Hamas leader who helped mastermind the Oct. 7 attack. Israel has said it has killed both of them.
“What we see right here is a perfect example of what Hamas did with all the money and the equipment that was brought into Gaza throughout the years,” said Lt. Col. Nadav Shoshani. “Hamas took it and built an incredible city underground for the purposes of terror and holding bodies of hostages.”
Israel has long accused Hamas of siphoning off money for military purposes. While Hamas says the Palestinians are an occupied people and have a right to resist, the group also has a civilian arm and ran a government that provided services such as health care, a police force and education.
The army hasn’t decided what to do with the tunnel. It could seal it with concrete, explode it or hold it for intelligence purposes among other options.
Since the ceasefire began, three soldiers have been killed in clashes with about 200 Hamas militants that Israeli and Egyptian officials say remain underground in Israeli-held territory.
Hamas has said communication with its remaining units in Rafah has been cut off for months and that it was not responsible for any incidents occurring in those areas.
Both Israel and Hamas have accused each other of repeated violations of the deal during the first phase. Israel has accused Hamas of dragging out the hostage returns, while Palestinian health officials say over 370 Palestinians have been killed in continued Israeli strikes since the ceasefire took effect.










