Doctors Without Borders halts activities at Sudan’s Zamzam camp due to heavy fighting

Patients line up outside MSF's clinic in Zamzam camp. (Doctors Without Borders/Médecins Sans Frontières)
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Updated 25 February 2025
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Doctors Without Borders halts activities at Sudan’s Zamzam camp due to heavy fighting

  • The escalation made it “impossible” for the group to provide life-saving humanitarian needs to thousands of displaced people in the area

CAIRO: Doctors Without Borders on Monday halted its operations in Sudan’s famine-stricken Zamzam camp due to an escalation of attacks and fighting in the vicinity.
The international medical aid group, also known by its French name Médecins Sans Frontières and acronym MSF, said fighting between the Sudanese military and its rival paramilitary the Rapid Support Forces intensified in the camp, located in North Darfur.
The escalation made it “impossible” for the group to provide life-saving humanitarian needs to thousands of displaced people in the area, it said in a statement, adding it had suspended all activities in Zamzam, including at its field hospital.
“Halting our project in the midst of a worsening disaster in Zamzam is a heart breaking decision,” said Yahya Kalilah, the group’s head of mission in Sudan.
Kalilah said that being close to violence, experiencing great difficulty in sending supplies, dealing with the “impossibility” of send experienced staff, and the uncertainty around routes out of the camp, left MSF with “little choice.”
Sudan plunged into war when fighting began in April 2023 between the military and the RSF after simmering tensions. As a result of fighting in the capital, Khartoum, and spread to the other parts of the country. The conflict that killed more than 24,000 people, forced over 14 million people out of their homes, and created famine across various parts of the country.
The fighting in Zamzam ramped up on Feb. 11-12, according to the MSF. The field hospital received 130 wounded patients, most suffering from gunshot and shrapnel wounds.
The MSF facility in Zamzam can’t provide trauma surgery for those in critical conditions as it was originally established to address the significant malnutrition crisis unfolding in the camp.
Kalilah said that 11 patients died in the hospital, including five children, because staff couldn’t treat them properly or refer them to the local hospital in El Fasher, the regional capital. Access to water and food in the area has been more compromised because of the fighting, according to the MSF. The central market has been looted and burnt.
Zamzam camp hosts around 500,000 people and has seen displaced families newly arriving from the areas of Abu Zerega, Shagra, and Saluma, who told MSF teams of abuses in villages and roads in the El Fasher locality that include killings, sexual violence, lootings, and beatings.
“In January and December, two of our ambulances carrying patients from the camp to El Fasher were shot at,” Kalilah said. “Now it’s even more dangerous and as a result, many people, including patients requiring trauma surgery or emergency caesarean sections, are trapped in Zamzam.”


First rain of autumn falls in Iran’s capital, but the drought-ravaged nation needs far more

Updated 58 min 34 sec ago
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First rain of autumn falls in Iran’s capital, but the drought-ravaged nation needs far more

  • Water service reportedly goes out for hours in some neighborhoods of Tehran, home to 10 million people

TEHRAN: Rain fell for the first time in months in Iran’s capital Wednesday, providing a brief respite for the parched Islamic Republic as it suffers through the driest autumn in over a half century.
The drought gripping Iran has seen its president warn the country it may need to move its government out of Tehran by the end of December if there’s not significant rainfall to recharge dams around the capital. Meteorologists have described this fall as the driest in over 50 years across the country — from even before its 1979 Islamic Revolution — further straining a system that expends vast amounts of water inefficiently on agriculture.
The water crisis has even become a political issue in the country, particularly as Israeli Prime Minister Benjamin Netanyahu has repeatedly offered his country’s help to Iran, a nation he launched a 12-day war against in June. Water shortages also have sparked localized protests in the past, something Iran has been trying to avoid as its economy struggles under the weight of international sanctions over its nuclear program.
“The water crisis in Iran has, in recent years, escalated from a recurring drought issue into a profound political and security problem that has the regime leadership concerned,” the New York-based Soufan Center said.
Drying reservoirs, light snowpack challenge Iran
The drought has been a long subject of conversation across Tehran and wider Iran, from government officials openly discussing it with visiting journalists to people purchasing water tanks for their homes. In the capital, government-sponsored billboards call on the public not to use garden hoses outside to avoid waste. Water service reportedly goes out for hours in some neighborhoods of Tehran, home to 10 million people.
Snowpack on the surrounding Alborz Mountains remains low as well, particularly after a summer that saw temperatures rise near 50 degrees Celsius (122 degrees Fahrenheit) in some areas of the country, forcing government buildings to shut down.
Ahad Vazifeh, an official in the government’s Iran Meteorological Organization office, called the drought “unprecedented” in an interview with the Fararu news outlet last week. Precipitation now stands at about 5 percent of what’s considered a normal autumn, he added.
“Even if rain in the winter and spring will be normal, we will have 20 percent shortage,” Vazifeh warned.
Social media videos show people standing in some reservoirs, the water lines clearly visible. Satellite pictures analyzed by The Associated Press also show reservoirs noticeably depleted. That includes the Latyan Dam — one of five key reservoirs — which is now under 10 percent full as Tehran has entered its sixth consecutive year of drought.
The state-owned Tehran Times newspaper, often following the theocracy’s line, was blunt about the scale of the challenge.
“Iran is facing an unprecedented water crisis that threatens not only its agricultural sector but also regional stability and global food markets,” the newspaper said in a story this past weekend. The faithful have also offered prayers for rain at the country’s mosques.
Long-arid Iran faces challenge of climate change
Iran, straddling the Mideast and Asia, long has been arid due to its geography. Its Alborz and Zagros mountain ranges cause a so-called “rain shadow” across much of the nation, blocking moisture coming from the Caspian Sea and the Arabian Gulf.
But the drain on the country’s water supplies has been self-inflicted. Agriculture uses an estimated 90 percent of the country’s water supplies. That hasn’t been stopped even through these recent drought years. That’s in part due to policies stemming from Iran’s 1979 Islamic Revolution and then-Supreme Leader Ayatollah Ruhollah Khomeini, who pledged water would be free for all. The intervening years of the Iran-Iraq war saw the country push for self-sufficiency above all else, irrigating arid lands to grow water-intensive crops like wheat and rice, and overdrilling wells.
Experts have described Iran as facing “water bankruptcy” over its decisions. In the past, Iranian officials have blamed their neighbors in part for their water shortage, with hard-line former President Mahmoud Ahmadinejad at one point falsely suggesting that “the enemy destroys the clouds that are headed toward our country and this is a war Iran will win.”
But that’s changed with the severity of the crisis leading to current President Masoud Pezeshkian warning the capital may need to be moved. However, such a decision would cost billions of dollars the country likely doesn’t have as it struggles through a major economic crisis.
Meanwhile, climate change likely has accelerated the droughts plaguing Iraq, which has seen the driest year on record since 1933, as well as Syria and Iran, said World Weather Attribution, a group of international scientists who study global warming’s role in extreme weather.
With the climate warmed by 1.3 degrees Celsius (2.3 degrees Fahrenheit) due to fossil fuel burning, the severity of drought seen in Iran over the last year can be expected to return every 10 years, the group said. If the temperature hadn’t risen by that much, it could be expected between every 50 to 100 years, it added.
“The current acute crisis is part of a longer term water crisis in Iran and the wider region that results from a range of issues including, frequent droughts with increasing evaporation rates, water-intensive agriculture and unsustainable groundwater extraction,” World Weather Attribution said in a recent report.
“These combined pressures contribute to chronic water stress in major urban centers including Tehran, reportedly at risk of severe water shortages and emergency rationing, while also straining agricultural productivity and heightening competition over scarce resources.”