Neighbors improvise first aid for wounded in besieged Sudan city

Sudan's civil war has resulted in "13 million displaced people and refugees", including many women who reported being raped and children, a regional UNHCR official told AFP on April 14, 2025.(AFP)
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Updated 21 April 2025
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Neighbors improvise first aid for wounded in besieged Sudan city

  • the Saudi Hospital is the only partially functioning one now, according to a medical source there, and even that has come under repeated attack.

PORT SUDAN: For a week, eight-year-old Mohamed has suffered the pain of shrapnel stuck in his arm. But he is one of the lucky ones in Sudan’s western city El-Fasher, which is under paramilitary attack.
“One of our neighbors used to be a nurse. She helped us stop the bleeding,” Mohamed’s father, Issa Said, 27, told AFP via satellite connection under a total communications blackout.
“But his arm is swollen and he can’t sleep at night from the pain.”
Like an estimated one million more people trapped in the city under a year-long siege by the paramilitary Rapid Support Forces (RSF), Said cannot get to a hospital for emergency care.
With only the most meagre supplies remaining in El-Fasher, his family is among those whose only medical help has come from neighbors and family members who improvise.
In its quest to seize the North Darfur state capital — the only major Darfur city it has not conquered during two years of war with Sudan’s army — the RSF has launched attack after attack, which have been repelled by army and allied forces.
Even if people were to brave the streets, the Saudi Hospital is the only partially functioning one now, according to a medical source there, and even that has come under repeated attack.
Humanitarian operations in El-Fasher have been severely disrupted due to “access constraints, a critical fuel shortage and a volatile security environment,” with health services particularly affected, the United Nations’ humanitarian agency OCHA said.
’Opened their homes’
Mohamed, an aid coordinator who fled to El-Fasher after getting shot in the thigh during an RSF attack days ago on the nearby famine-hit Zamzam displacement camp, estimates hundreds of injured civilians are trapped in the city.
According to aid sources, hundreds of thousands have fled Zamzam for the city, which is already on the brink of mass starvation according to a UN-backed assessment.
Yet the people of El-Fasher have “opened their homes to the wounded,” Mohamed told AFP, requesting to be identified by his first name for safety.
“If you have the money, you send someone to buy clean gauze or painkillers if they can find any, but you have to make do with what you have,” said Mohamed, whose leg wound meant he had to be carried the 15 kilometers (nine miles) from Zamzam to the city, a journey that took hours.
In crowded living rooms and kitchens, civilians with barely any medical training cobble together emergency first aid, using household items and local medicinal plants to treat burns, gunshot wounds and shrapnel injuries.
Another victim, Mohamed Abakar, 29, said he was fetching water for his family when a bullet pierced his leg.
The limb immediately broke underneath him, and a neighbor dragged him into his home, fashioning him a splint out of a few pieces of wood and cloth.
“Even if it heals my broken leg, the bullet is still inside,” Abakar told AFP, also by satellite link.
Table salt as disinfectant
By Monday, the RSF’s recent attacks on El-Fasher and surrounding displacement camps had killed more than 400 people, according to the UN.
At least 825,000 children are trapped in “hell on Earth” in the city and its environs, the UN children’s agency UNICEF has warned.
The people of El-Fasher have suffered a year of RSF siege in a city the Sudanese military has also bombed from the air.
Residents have taken to hiding from the shelling in makeshift bunkers, which are often just hastily dug holes topped with bags of sand.
But not everyone makes it in time.
On Wednesday, a shell broke through Hanaa Hamad’s home, shrapnel tearing apart her husband’s abdomen before they could scramble to safety.
“A neighbor and I treated him as best we could. We disinfected the wound with table salt and we managed to stop the bleeding,” the 34-year-old mother of four told AFP.
But by morning, he had succumbed to his injuries, too severe for his wife and neighbor to handle.
Trying to recover from his leg wound, the aid coordinator Mohamed pleaded from his sick bed for “urgent intervention from anyone who can to save people.”
The medical charity Doctors Without Borders (MSF) on Friday called for aid airdrops.
“If the roads to El-Fasher are blocked, then air operations must be launched to bring food and medicines to the estimated one million people trapped there and being starved,” head of mission Rasmane Kabore said.


Kushner’s vision for rebuilding Gaza faces major obstacles

Updated 46 min 9 sec ago
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Kushner’s vision for rebuilding Gaza faces major obstacles

  • It remains uncertain whether Hamas will disarm, and Israeli troops fire upon Palestinians in Gaza on a near-daily basis

JERUSALEM: Modern cities with sleek high-rises, a pristine coastline that attracts tourists and a state-of-the-art port that jut into the Mediterranean. This is what Jared Kushner, President Donald Trump’s son-in-law and Middle East adviser, says Gaza could become, according to a presentation he gave at an economic forum in Davos, Switzerland.
In his 10-minute speech on Thursday, Kushner claimed it would be possible — if there’s security — to quickly rebuild Gaza’s cities, which are now in ruins after more than two years of war between Israel and Hamas.
“In the Middle East, they build cities like this ... in three years,” said Kushner, who helped broker the ceasefire in place since October. “And so stuff like this is very doable, if we make it happen.”
That timeline is at odds with what the United Nations and Palestinians expect will be a very long process to rehabilitate Gaza. Across the territory of roughly 2 million people, former apartment blocks are hills of rubble, unexploded ordnance lurks beneath the wreckage, disease spreads because of sewage-tainted water and city streets look like dirt canyons.
The United Nations Office for Project Services says Gaza has more than 60 million tons of rubble, enough to fill nearly 3,000 container ships. That will take over seven years to clear, they say, and then additional time is needed for demining.
Kushner spoke as Trump and an assortment of world leaders gathered to ratify the charter of the Board of Peace, the body that will oversee the ceasefire and reconstruction process.
Here are key takeaways from the presentation, and some questions raised by it:
Reconstruction hinges on security
Kushner said his reconstruction plan would only work if Gaza has “security” — a big “if.”
It remains uncertain whether Hamas will disarm, and Israeli troops fire upon Palestinians in Gaza on a near-daily basis.
Officials from the militant group say they have the right to resist Israeli occupation. But they have said they would consider “freezing” their weapons as part of a process to achieve Palestinian statehood.
Since the latest ceasefire took effect Oct. 10, Israeli troops have killed at least 470 Palestinians in Gaza, including young children and women, according to the territory’s Health Ministry. Israel says it has opened fire in response to violations of the ceasefire, but dozens of civilians have been among the dead.
In the face of these challenges, the Board of Peace has been working with Israel on “de-escalation,” Kushner said, and is turning its attention to the demilitarization of Hamas — a process that would be managed by the US-backed Palestinian committee overseeing Gaza.
It’s far from certain that Hamas will yield to the committee, which goes by the acronym NCAG and is envisioned eventually handing over control of Gaza to a reformed Palestinian Authority. Hamas says it will dissolve the government to make way, but has been vague about what will happen to its forces or weapons. Hamas seized control of Gaza in 2007 from the Palestinian Authority.
Another factor that could complicate disarmament: the existence of competing armed groups in Gaza, which Kushner’s presentation said would either be dismantled or “integrated into NCAG.” During the war, Israel has supported armed groups and gangs of Palestinians in Gaza in what it says is a move to counter Hamas.
Without security, Kushner said, there would be no way to draw investors to Gaza and or stimulate job growth. The latest joint estimate from the UN, the European Union and the World Bank is that rebuilding Gaza will cost $70 billion.
Reconstruction would not begin in areas that are not fully disarmed, one of Kushner’s slides said.
Kushner’s plan avoids mention of what Palestinians do in meantime
When unveiling his plan for Gaza’s reconstruction, Kushner did not say how demining would be handled or where Gaza’s residents would live as their areas are being rebuilt. At the moment, most families are sheltering in a stretch of land that includes parts of Gaza City and most of Gaza’s coastline.
In Kushner’s vision of a future Gaza, there would be new roads and a new airport — the old one was destroyed by Israel more than 20 years ago — plus a new port, and an area along the coastline designated for “tourism” that is currently where most Palestinians live. The plan calls for eight “residential areas” interspersed with parks, agricultural land and sports facilities.
Also highlighted by Kushner were areas for “advanced manufacturing,” “data centers,” and an “industrial complex,” though it is not clear what industries they would support.
Kushner said construction would first focus on building “workforce housing” in Rafah, a southern city that was decimated during the war and is currently controlled by Israeli troops. He said rubble-clearing and demolition were already underway there.
Kushner did not address whether demining would occur. The United Nations says unexploded shells and missiles are everywhere in Gaza, posing a threat to people searching through rubble to find their relatives, belongings, and kindling.
Rights groups say rubble clearance and demining activities have not begun in earnest in the zone where most Palestinians live because Israel has prevented the entry of heavy machinery.
After Rafah will come the reconstruction of Gaza City, Kushner said, or “New Gaza,” as his slide calls it. The new city could be a place where people will “have great employment,” he said.
Will Israel ever agree to this?
Nomi Bar-Yaacov, an international lawyer and expert in conflict resolution, described the board’s initial concept for redeveloping Gaza as “totally unrealistic” and an indication Trump views it from a real estate developer’s perspective, not a peacemaker’s.
A project with so many high-rise buildings would never be acceptable to Israel because each would provide a clear view of its military bases near the border, said Bar-Yaacov, who is an associate fellow at the Geneva Center for Security Policy.
What’s more, Kushner’s presentation said the NCAG would eventually hand off oversight of Gaza to the Palestinian Authority after it makes reforms. But Prime Minister Benjamin Netanyahu has adamantly opposed any proposal for postwar Gaza that involves the Palestinian Authority. And even in the West Bank, where it governs, the Palestinian Authority is widely unpopular because of corruption and perceived collaboration with Israel.