How floods, hunger and disease are making Sudan’s humanitarian disaster worse

Patients suffering from cholera receive treatment at a rural isolation centre in Wad Al-Hilu in Kassala state in eastern Sudan, on August 17, 2024. (AFP)
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Updated 26 August 2024
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How floods, hunger and disease are making Sudan’s humanitarian disaster worse

  • Beleaguered African nation’s collapsing healthcare system ill-prepared to face unfolding perfect storm of crises
  • Diseases will spread owing to lack of clean water, shortage of medicine and people with weakened immune systems

LONDON: Sudan’s prolonged conflict has brought devastation, but this year a new enemy has emerged: torrential rains and floods, killing over 100 people and reigniting a deadly cholera outbreak.

The situation has sparked a public health emergency in the violence-wracked African nation, where waterborne diseases like cholera, exacerbated by floods and poor sanitation, continue to surge.




A child suffering from cholera receives treatment at a rural isolation centre in Wad Al-Hilu in Kassala state in eastern Sudan, on August 17, 2024. (AFP)

The World Health Organization reported over 11,327 cholera cases and 316 deaths since June 2023, but the real numbers are likely higher. Haitham Mohamed Ibrahim, Sudan’s health minister, officially declared a cholera outbreak on Aug. 17, just a day after the WHO report.

“Cholera is caused by bacteria that are transmitted through contaminated water and the fecal-oral route,” said Dr. Zaher Sahloul, president of the medical NGO MedGlobal. “There are hundreds of new cholera cases in southeastern states, worsened by the recent torrential rains and floods.”




Damaged trucks burried in the mud after the collapse of the Arbaat Dam, 40km north of Port Sudan following heavy rains and torrential floods on August 25, 2024. (AFP)

Sudan’s history with cholera runs deep. A 2017 outbreak infected over 22,000 people within two months, killing at least 700. Today, a worsening humanitarian crisis driven by conflict has led to a resurgence of diseases, including dengue fever and meningitis.

Heavy rains have flooded conflict zones including Al-Jazirah, Khartoum and Darfur, contaminating water sources and amplifying the spread of disease.

IN NUMBERS

  • 11,327+ Cholera cases from June 2023 to August 2024.
  • 316+ Deaths from cholera during the same period.

(Source: WHO)

The rain, forecast to continue into September, has killed 114 people and displaced thousands already weakened by war and acute food shortages, according to Sudan’s Health Ministry.

Floods have displaced 20,000 people in 11 of Sudan’s 18 states since June, according to the International Organization for Migration. The Nile and Kassala states, near Eritrea, have been particularly hard-hit.

Sahloul cautioned that cholera would continue to spread due to the collapse of Sudan’s healthcare system, lack of clean water, and a shortage of medicine.

The fighting between the Sudanese Armed Forces and the paramilitary Rapid Support Forces, which broke out on April 15 last year, has claimed at least 15,000 lives and displaced 12 million people. Out of them, nearly 2 million are now refugees in three neighboring countries — Chad, Egypt and South Sudan.

The violence has decimated the healthcare system, with about 70 percent of hospitals in conflict zones no longer operational.

The humanitarian crisis in Sudan has been the largest in the world for many months now. More than half of the country’s 45 million people need urgent relief aid. Some food security specialists fear that as many as 2.5 million people could die from hunger by the end of this year.




The violence has decimated the healthcare system, with about 70 percent of hospitals in conflict zones no longer operational. (MSF)

In addition to cholera, Sudan faces another health crisis: the spread of mpox, formerly known as monkeypox. The WHO has declared a public-health emergency following the rapid spread of a new clade of mpox in eastern Democratic Republic of the Congo and neighboring countries.

“The emergence of a new strain of mpox, clade 1, its rapid spread, and the reporting of cases in several neighboring countries are very worrying,” Tedros Adhanom Ghebreyesus, the WHO director-general, said in mid-August.

Sahloul of MedGlobal, which has been providing essential aid in Sudan, cited the “regional increase in mpox cases and the spread to nearby Central and East African countries, including Uganda,” which borders Sudan, as the main reason for the declaration.




Workers gather to kickstart a hygiene and sanitation campaign initiated by health authorities in Sudan’s eastern city of Gedaref on August 24, 2024, to combat the spread of disease in the country. (AFP)

The virus, which causes flu-like symptoms and blistering rashes, can be deadly if left untreated. Sudan’s limited health infrastructure is already struggling to cope with multiple disease outbreaks, placing the country and its neighbors at risk.

With a fatality rate of 3.6 percent, clade 1 “is a dangerous disease caused by a virus that is from the same family of now-extinct smallpox,” Sahloul said.

“Like cholera, mpox is an infectious disease that spreads in an environment of displacement, crowding, and lack of access to personal hygiene and clean water.”

He added: “The spread of mpox in overcrowded camps and regions with poor sanitation could have catastrophic consequences.”




Sudanese already displaced by conflict, rest under a blanket at a makeshift campsite they were evacuated to following deadly floods in the eastern city of Kassala on August 12, 2024. (AFP)

Sahloul said both cholera and mpox “can undermine health security regionally and internationally, and may spread quickly to neighboring countries like Egypt, Libya, Eritrea, Ethiopia, Somalia and South Sudan.”

The situation is especially concerning as “many of these countries have their own separate crises.”

Against this alarming backdrop, the international community has been calling for a ceasefire to allow humanitarian aid to reach the affected areas in Sudan.

The US opened talks in Switzerland on Aug. 14 aimed at easing the human suffering and achieving a lasting ceasefire. The talks were co-hosted by Saudi Arabia and Switzerland, with the African Union, Egypt, the UAE and the UN completing the so-called Aligned for Advancing Lifesaving and Peace in Sudan Group (ALPS).

According to an AFP report, an RSF delegation showed up but the SAF were unhappy with the format and did not attend, though they were in telephone contact with the mediators. The talks ended on Aug. 16 without a ceasefire but with progress on securing aid access on two key routes into the country.




People receive treatment at the Bashair hospital in Sudan's capital on September 10, 2023. (AFP)

The reopening of the Adre crossing from Chad is a key development for aid organizations. The crossing is the most effective route for delivering relief supplies into Sudan, where millions are in dire need of food, clean water, and medical care.

“The reopening will enable the entry of aid needed to stop the famine and address food insecurity,” said a joint statement from the five countries. The statement called on Sudan’s warring parties to coordinate with humanitarian groups to ensure aid reaches the most vulnerable people.

Sudan’s hunger crisis has left more than 25.6 million people vulnerable to infections, according to the UN. The breadbasket regions of Al-Jazirah and Sennar along the Blue Nile have been devastated. People there are going hungry for the first time in generations, according to a recent BBC report.

It says starvation is worst in Darfur, especially in El-Fasher, the only city in the region still controlled by the army and its local allies.

With limited access to clean water and sanitation, many Sudanese — especially in refugee camps — are at high risk of contracting cholera, mpox and other diseases. “The combination of displacement, crowding, and lack of clean water creates a perfect storm for outbreaks,” said Sahloul.




Sudan’s history with cholera runs deep. A 2017 outbreak infected over 22,000 people within two months, killing at least 700. (AFP)

UNICEF has reported that more than 17.3 million people in Sudan currently lack access to safe drinking water, while the International Federation of Medical Students Associations estimates that 829,000 deaths annually are linked to diseases caused by contaminated war and poor standards of sanitation and hygiene.

As Sudan grapples with cholera, mpox and a humanitarian catastrophe, the country’s people await an end to the violence that continues to fuel this public health disaster.

 


How Israeli land grabs are redrawing the map of Palestine’s Jordan Valley

Updated 59 min 39 sec ago
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How Israeli land grabs are redrawing the map of Palestine’s Jordan Valley

  • A major incursion in Tubas caused damage and displacement, but residents say a planned 22-km barrier poses bigger threat
  • Israel calls the “Scarlet Thread” wall a security measure; activists say it’s a land grab severing the Jordan Valley

LONDON: Israeli raids are not new to Tubas, a Palestinian governorate in the northern West Bank’s western Jordan Valley. But fears of de-facto annexation have intensified since November, after land confiscation orders were issued for a planned barrier dubbed the “Scarlet Thread.”

On Nov. 26, Israeli security forces, backed by a helicopter that reportedly opened fire, sealed off the governorate and raided Tubas City and nearby towns, including Tammun, Aqqaba, Tayasir and Wadi Al-Fara — home to more than 58,000 people.

The operation involved drones, aircraft, bulldozers and curfews, according to the UN Office for the Coordination of Humanitarian Affairs, OCHA.

At least 160 Palestinians were injured, OCHA said, while homes and infrastructure sustained extensive damage. The raids also displaced residents and disrupted essential services, including water supplies.

A man stands okn the ruins of a Palestinian building destroyed on the day of an Israeli raid in Tammoun, near Tubas, in the Israeli-occupied West Bank, on May 15, 2025. (REUTERS)

In Al-Fara refugee camp, OCHA noted, Israeli forces seized at least 10 residential buildings, forcing at least 20 families to flee, and detained and interrogated dozens of Palestinians before withdrawing.

The Palestinian Detainees’ Affairs Society said 29 young men were detained in the camp and later released, with the exception of one.

Israeli military and internal security officials described the operation as part of a broad “counterterrorism” campaign.

Locally, however, concerns have grown not only over the scale of the assault but also its timing, which coincided with new land confiscation orders in the Jordan Valley.

Ahmed Al-Asaad, the Tubas governor, said the Israeli military has issued nine land confiscation orders to carve out a 22-kilometer settlement road that would isolate large areas of the Jordan Valley and extend to within 12 kilometers of the Jordanian border.

Israeli soldiers take part in an operation in Tubas, in the Israeli-occupied West Bank, on November 26, 2025. (REUTERS/Mohamad Torokman)

Although the orders were signed in August, Al-Asaad told Arab News that Palestinian landowners were not notified until Nov. 21, nearly three months later, and were given insufficient time to appeal.

An Arabic-language notice obtained by Arab News via WhatsApp from Mutaz Bisharat, a Palestinian official overseeing Jordan Valley affairs in Tubas, stated that the Israeli military ordered the confiscation of Palestinian land “for military purposes.”

Signed by Avi Bluth, head of the Israeli military in the West Bank, on Aug. 28, the order took effect “on the date of its signing” and remains in force until Dec. 31, 2027.

It instructed those “in possession of the lands” to remove all equipment and vegetation within seven days. It also said objections could be filed within seven days of the notice’s publication date through Israeli liaison offices.

Al-Asaad said landowners were given “only one week” to file objections, noting that two days fell on a weekend, while four days coincided with curfews during the first raid and two more during a second large-scale incursion.

“As a result, residents were unable to prepare land ownership documents,” he said.

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Palestinian landowners were invited on Dec. 3 to tour the land earmarked for confiscation. The seven-day appeal window, Al-Asaad said, was counted from the day of that tour.

But on Dec. 1, Israeli forces launched another large-scale operation, a day after withdrawing from the nearby Tammun. The three-day raid imposed an open-ended curfew on Tubas City and surrounding towns, according to OCHA.

During the operation, forces blocked five main roads with earth mounds, three in Tubas City and two in Aqqaba, as well as several secondary roads, severely restricting movement for about 30,000 Palestinians.

At least eight residential buildings were converted into military posts, forcibly displacing at least 11 families, OCHA said in a Dec. 4 situation update.

The land earmarked for confiscation under the “Scarlet Thread” project covers about 1,160 dunams, 85 percent of which is privately owned by residents of Tubas and Tammun, The Times of Israel reported, citing an X post by Israeli civil rights activist Dror Etkes.

Dunam is a unit of land area equal to 1,000 square meters or 0.1 hectares.

The Israeli military told the newspaper that the project was introduced based on a “clear military need” to prevent arms smuggling and “terror attacks.”

Etkes rejected that justification, saying the real aim was to “ethnically cleanse” the land between the proposed barrier and what Israel calls the Allon Road to the east, an area of about 45,000 dunams, with residents ultimately forced out.

On Dec. 1, the Israeli newspaper Haaretz reported that the army was preparing to build a new separation wall deep inside the occupied West Bank, in the heart of the Jordan Valley. The wall would stretch 22 kilometers and span 50 meters in width, cutting Palestinians off from tens of thousands of dunams of land.

According to the report, the project would require demolishing homes, agricultural buildings, wells, water lines and trees along the route.

It would also encircle the herding community of Khirbet Yarza, isolating about 70 residents who depend on several thousand sheep for their livelihood, and separate agricultural and pastoral communities from their lands, similar to what the separation barrier in the western West Bank has done.

Palestinians say the plan, if implemented, amounts to annexation of the northern West Bank.

“New notices have been issued, pursuant to the military orders, for the seizure of citizens’ lands in the areas of Tubas and Tammun, for the purpose of removing homes and agricultural projects, including greenhouses, sheds, and sheep pens,” Bisharat told Arab News.

He said authorities also ordered the removal of a 5-kilometer water pipeline.

“This decision will effectively end the Palestinian presence and agriculture on more than 22,000 dunams of cultivated land and lead to the displacement of more than 60 families,” he added.

While the Israeli military says the land is being seized for a road and barrier, Bisharat argues the true objective is annexation.

“These notices are issued under the pretext of opening a road and constructing the separation wall in Buqeia and the Jordan Valley,” he said. “But through these notices, the (Israeli) occupation is waging a war against the Palestinian presence in all residential communities, and against all farmers and agricultural projects.”

He added that Israel’s plan involves a “50-meter-wide corridor, along with a wall, gates and an earthen trench,” measures he described as “a new border demarcation” that would separate the Jordan Valley from the rest of the governorate.

“This is an annexation process,” he said. “As a result, we will be left without borders, without water, and without Palestine’s food basket, and will lose approximately 190,000 dunams of land.”

Al-Asaad echoed those warnings, saying Israel’s plans amount to de-facto annexation.

“The new settlement plan, under which the occupation forces intend to establish an apartheid separation wall, will separate the Jordan Valley from Tubas governorate and confiscate areas estimated at hundreds of thousands of dunams,” he said. “This constitutes a plan to annex the Jordan Valley.”

He warned the project would inflict severe political, economic and agricultural losses, undermine prospects for a Palestinian state and isolate Tubas from its eastern border with Jordan under 12 km of Israeli control.

By Dec. 12, around 1,000 dunams of Palestinian land have been reportedly confiscated. The UN Human Rights Office described Israel’s military road project as “another step towards the progressive fragmentation of the West Bank.”

“This is the most fertile land in the West Bank and the road is likely going to separate Palestinian communities from each other and the Palestinian farmers in Tubas from … land they own on the other side of the planned barrier,” said Ajith Sunghay, head of the OHCHR’s office in the Occupied Palestinian Territory.

Immediately after the seizure orders were issued, Al-Asaad said, local authorities submitted an initial objection through the Northern Jordan Valley file and the Colonization and Wall Resistance Commission, collected powers of attorney and land deeds, and coordinated with land departments to document ownership.

“We continue to work on submitting objections through attorney Tawfiq Jabarin,” he added, reiterating that curfews and military operations severely limited their ability to complete the legal file.

Etkes, however, dismissed the objection process as meaningless, saying Israel’s judiciary would reject the appeals.

Still, Tubas residents say they will continue to resist. Al-Asaad said officials plan to internationalize the issue, urging the Palestinian Foreign Ministry to organize tours for diplomats and raise the case in international forums.

“We will mobilize local and international media to expose the danger of a plan that would seize half the governorate’s land and destroy the two-state solution,” he said.

IN NUMBERS:

188 Palestinians killed in occupation-related violence in the West Bank since January 2025.

45 Children accounted for nearly a quarter of the above-mentioned victims.

(Source: UNRWA)

Jabarin, a Palestinian lawyer and human rights activist representing landowners, submitted an initial objection in late November, according to the Al-Quds Al-Arabi newspaper.

He argued that Jordan already shares a secure border with the Jordan Valley and that an internal wall would not prevent arms smuggling.

He said Palestinian communities are the ones who need protection from repeated settler attacks.

The developments in Tubas come amid a broader West Bank escalation following the Hamas-led Oct. 7, 2023, attack on southern Israel from Gaza and the devastating Israeli military retaliation.

Israel has sharply restricted movement, erecting new checkpoints and sealing off communities.

Since January, Israeli forces have intensified operations, killing dozens and displacing tens of thousands. The campaign began in Jenin refugee camp on Jan. 21, dubbed “Operation Iron Wall,” and expanded to Tulkarem and Nur Shams, displacing at least 32,000 people in January and February alone, according to UN figures.

Human Rights Watch said on Nov. 20 that Israel’s forced expulsions in West Bank refugee camps amount to war crimes and crimes against humanity — allegations Israel denies.

The UN says large-scale operations in Jenin and Tubas governorates affected more than 95,000 Palestinians between Nov. 25 and Dec. 1.

All of this has unfolded alongside accelerated settlement expansion and rising settler violence.

So far this year, OCHA has documented 1,680 settler attacks across more than 270 communities — an average of five per day — with the olive harvest season marked by widespread assaults on farmers, trees, and agricultural infrastructure.

In a landmark decision in July 2024, the International Court of Justice ruled that Israel’s occupation of the Palestinian territories is unlawful.

The Court also ruled that Israel must “immediately and completely cease all new settlement activities, evacuate all settlers, stop the forcible transfer of the Palestinian population, and prevent and punish attacks by its security forces and settlers.”

UN experts in 2025 referred to this advisory opinion to criticize ongoing settlement expansions and military operations as violations of international law.