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Conflict in Sudan drives fatal cholera epidemic, as per MSF reports

The grave cholera epidemic Sudan currently faces is among the worst recorded in recent years, with the Darfur region suffering the most, due to a lack of clean water exacerbated by ongoing conflicts.

Sudan's conflict fuels a lethal cholera epidemic, according to Médecins Sans Frontières (MSF)
Sudan's conflict fuels a lethal cholera epidemic, according to Médecins Sans Frontières (MSF)

A Cholera Outbreak Ravages Tawila, Sudan: A Crisis of Epic Proportions

A Growing National Catastrophe

Conflict in Sudan drives fatal cholera epidemic, as per MSF reports

The cholera outbreak in Tawila, North Darfur, is part of a larger national crisis that was declared by Sudan's Ministry of Health a year ago. By August 4, 2025, Tawila had recorded 2,957 suspected cholera cases, with Médecins Sans Frontières (MSF) managing most of the case management. MSF estimates that cases could peak at around 28,000[1][2].

The Perfect Storm in Tawila

The outbreak has been exacerbated by ongoing conflict, leading to overcrowding and poor living conditions for the more than 560,000 internally displaced persons (IDPs) in the area. This has resulted in inadequate access to clean water and sanitation facilities, creating ideal conditions for cholera transmission[1][3].

A Desperate Battle for Clean Water

The Tawila area faces significant challenges in terms of water supply and sanitation. Many residents lack access to clean water, making it difficult to maintain essential hygiene practices, which further contributes to the spread of cholera[3][4].

Strained Healthcare Services

MSF has established treatment facilities in the area, including a 130-bed cholera treatment center at Tawila Hospital. However, these facilities have been overwhelmed, with over 400 patients requiring care in the first week of August, forcing the use of extra mattresses on the floor[3].

A Call for International Aid

There is a pressing need for additional healthcare resources and support to manage the outbreak effectively[3]. The focus remains on containing the outbreak within Sudan, with calls for international support to enhance healthcare and water, sanitation, and hygiene (WASH) services. There is no indication of significant spread to neighboring countries at this time.

A Region in Turmoil

The cholera outbreak in Sudan, particularly in Darfur, is a direct result of the ongoing conflict between the army and the paramilitary Rapid Support Forces, creating one of the world's worst humanitarian crises. Over 380,000 people have fled to Tawila, escaping the ongoing fighting around the city of El-Fasher, according to United Nations figures.

A Regional Crisis

While there are no specific reports of the outbreak spreading directly to neighboring countries, the situation in Sudan, particularly in Darfur, is dire. Cholera has been reported in other parts of Darfur, including Central Darfur, where MSF opened a treatment center in Golo[3].

A Race Against Time

UNICEF is planning to deliver over 1.4 million doses of oral cholera vaccine to help contain the outbreak. However, funding and access remain significant challenges[4]. The situation is beyond urgent, as the outbreak is spreading rapidly, and the international community must act swiftly to provide the necessary aid.

[1] MSF, (2025). Cholera outbreak in Sudan's Darfur region worsens. [online] Available at: https://www.msf.org/sudan/news/cholera-outbreak-in-sudan-s-darfur-region-worsens

[2] WHO, (2025). Cholera outbreak in Sudan. [online] Available at: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/20250804-weekly-sitrep-on-covid-19-and-other-health-emergencies---3-august-2025.html

[3] Reuters, (2025). Cholera outbreak in Sudan's Darfur region worsens, displaced people at risk. [online] Available at: https://www.reuters.com/world/africa/cholera-outbreak-sudans-darfur-region-worsens-displaced-people-risk-2025-08-03/

[4] Al Jazeera, (2025). Sudan's cholera outbreak: 'A crisis of epic proportions'. [online] Available at: https://www.aljazeera.com/news/2025/8/5/sudans-cholera-outbreak-a-crisis-of-epic-proportions

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