As displacement surges in South Sudan, regional humanitarian crisis deepens

Violence between armed groups in Upper Nile state and other flashpoints has crippled essential services, triggered food insecurity and worsened disease outbreaks, including cholera – forcing some to be displaced repeatedly.

Roughly 65,000 have been internally displaced in Upper Nile state alone. 

Access to aid in conflict hotspots is limited, with fighting and movement restrictions cutting off assistance.

Lifesaving supplies, including medicine and healthcare to curb rising cholera cases, have halted, while rains threaten to worsen the crisis, flooding roads and driving up transport costs.

South Sudan has also absorbed over a million people fleeing conflict in Sudan.

Regional crisis

Another 103,000 South Sudanese have sought refuge in neighbouring countries, pushing the total number of South Sudanese refugees to 2.3 million.

“This emergency could not have come at a worse time,” said Mamadou Dian Balde, UNHCR’s Regional Director for the East, Horn of Africa and Great Lakes region.

“Many of the refugees are seeking safety in countries which have challenges of their own or are already dealing with emergencies amidst ongoing brutal funding cuts, straining our ability to provide even basic life-saving assistance.”

Despite the conflict in Sudan, 41,000 South Sudanese have sought refuge there – 26,000 in White Nile state, where over 410,000 South Sudanese already live, many repeatedly displaced due to ongoing violence in their host country.

The surge in arrivals in Sudan has created an urgent need for additional space, while essential services are overwhelmed due to cholera outbreaks and ongoing security challenges.

In the Democratic Republic of the Congo (DRC), 23,000 have arrived amid the country’s own insecurity.

Some 21,000 South Sudanese have sought refuge in Ethiopia. Previously living in makeshift shelters along riverbanks near the border, new arrivals are now receiving UNHCR aid further from the border; however, infrastructure and services in the area remain severely overstretched, worsened by a cholera outbreak.

Uganda, which hosts one million South Sudanese refugees, has taken in 18,000 since March – a 135 per cent year-on-year increase. Nearly 70 per cent are children; many forced to take longer and more hazardous routes to safety.

Call for support

UNHCR is providing refugees with critical relief items, documentation and specialised support to survivors of gender-based violence. 

But to provide necessary support for the next six months – including shelter, water, health and nutrition screening, as well as cash assistance – the agency requires $36 million. 

Calling for an immediate end to hostilities, UNHCR urged all parties to spare civilians further suffering. 

Unrest in Warrap state

In related developments, the UN Mission in South Sudan (UNMISS) voiced deep concern over escalating intercommunal violence in Tonj East county, Warrap state, urging the Government to intervene and deploy security services to address the situation. 

The violence has been driven by attempts to recover stolen cattle and revenge for the previous loss of lives, resulting in more than 80 casualties, although the numbers are yet to be verified. 

UNMISS is intensively engaging with state and local authorities to calm the situation, in addition to increasing patrols, however peacekeepers are experiencing significant challenges reaching some of the impacted areas due to a proliferation of checkpoints manned by armed youth.

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Sudan conflict triggers regional health crisis, warns WHO

“The ongoing conflict and displacement, in addition to fragile health infrastructure and limited access to affected populations, pose a risk of mass disease transmission,” the UN health agency said in a report issued Tuesday, urging immediate support to sustain surveillance, bolster outbreak response and preserve lifesaving health services.

Since civil war erupted in April 2023, 14.5 million people have been displaced – 10.5 million internally and four million to neighbouring countries such as Egypt, South Sudan, Chad, Ethiopia, Libya and the Central African Republic – making this the world’s largest displacement crisis.

Inside Sudan, conflict has devastated infrastructure and triggered the breakdown of essential services and infrastructure, fuelling the spread of cholera, measles and other communicable diseases.

At Tuesday’s press briefing in New York, UN Spokesperson Stéphane Dujarric reported that with fighting and shelling intensify across the country “the cholera outbreak in Khartoum state is worsening at an alarming rate,” with cases rising by 80 per cent over the past two weeks.

Mr. Dujarric called for “increased, flexible and timely funding to scale-up the humanitarian response, as well as unimpeded access via all necessary routes, so that aid workers can reach people in need wherever they may be.”

Disease and displacement

The impact extends well beyond Sudan’s borders. As of 7 May, Egypt has received 1.5 million Sudanese refugees during the two years of fighting. 

The country has expanded healthcare coverage, but Sudanese face higher costs under the Universal Health Insurance system. WHO Egypt is working with national authorities to strengthen health services and reach the most vulnerable.

However, as Sudanese refugees arrive at overcrowded refugee camps across the region, the situation is far grimmer.

Chad. Rapid Influx of Sudanese refugees leaves thousands in desperate need

In Chad, where over 726,000 have arrived in four crisis-affected eastern provinces already overwhelmed with other refugees, health needs are urgent.

Refugees face outbreaks of malaria, measles, hepatitis E and severe acute malnutrition. There have been 657,135 cases of malaria alone and 314 deaths across the country this year.

South Sudan has received over 1.5 million people, including 352,000 Sudanese. But conflict and attacks on health facilities in the host country have severely hindered response efforts and exacerbated disease.

Hunger and cholera are especially concerning, with 7.7 million people facing severe food insecurity, and more than 54,800 cholera cases and 1,000 deaths since late September.

Ongoing WHO support

Despite the growing funding crisis and severe operational challenges, WHO and its partners continue providing support.

These include support for 136 nutrition stabilisation centres, delivery of medical supplies and consultations, cholera treatment sites, and efforts to rebuild damaged health infrastructure.

The agency has called for sustained support to prevent the worsening of what is already one of the gravest humanitarian and public health emergencies in the world today.