Sudan: No place is safe, hospital in El Fasher hit as fighting continues
Hospitals hit and death toll soars as violent fighting engulfs El Fasher, Sudan, leaving nowhere safe in the city; MSF calls urgently for protection of civilians, health workers and health structures.
The intense, non-stop fighting in El Fasher leaves no safe place for civilians in the city as patients and medical staff are increasingly becoming part of the staggering civilian toll, warns Médecins Sans Frontières/Doctors Without Borders (MSF).
After MSF-supported South Hospital was hit twice over the past few days, all three major medical facilities in the city have been damaged as the Sudanese Armed Forces and the Rapid Support Forces face off in North Darfur’s capital. Only two of these facilities are still able to function.
We see a bloodbath unfolding before our own eyes in El Fasher. The intensity of the fighting is leaving civilians with no respite and now hospitals are being increasingly engulfed in the fighting, making it harder and harder to treat the wounded.
“Medical facilities should be protected and the warring parties should respect their neutral role as sanctuaries for the sick and wounded where people can safely receive medical assistance,” says Claire Nicolet, MSF program manager for Sudan.
Hospitals are hit by artillery
El Fasher’s South Hospital was first hit on 25 May, when a mortar landed on the ante-natal care unit killing one person and injuring eight among patients and their families. The next day a shell landed inside the hospital and injured three more people, while its fragments from the explosion broke the windows of the delivery room and of the ambulance. Three other shells landed outside the hospital.
“South Hospital is very congested: it is the only hospital capable of treating the mass arrivals of wounded people and has received over 1,000 patients since fighting began in the city on 10 May Sadly, 145 of them were in critical conditions and died from their injuries. Now the hospital finds itself on the frontlines, with a significant risk of going out of service” says Abdifatah Yusuf Ibrahim, project coordinator with MSF.
Already, children in El Fasher lost access to specialist treatment when a bomb landed close to the city’s only paediatric hospital on 11 May, killing two children who were in the intensive care unit and damaging the facility. Saudi maternity hospital was hit on 19 May.
“Health facilities must remain safe for patients and staff, who are working under intense pressure to treat those who are in critical need of health care. We urge the warring parties in Sudan to spare medical facilities and respect their neutrality, and to uphold their obligation to protect civilians, health care workers and health structures” says Claire Nicolet.
An MSF employee was killed on 25 May when his house, which was located close to the city's main market, was hit by the shelling in another demonstration of how no place in El Fasher is spared by the violence of this conflict.
Displacement, supply shortages, and other challenges persist throughout Sudan
Since conflict erupted in Sudan in April 2023, the movement of aid, supplies, and humanitarian staff has faced significant challenges, with delays, denied permits, and a ban on surgical supplies by the warring parties. These factors have pushed Sudan’s health care system to the brink of collapse as humanitarian needs soar.
More than 8.6 million people have been displaced by the conflict, including over 2 million people who have fled to neighboring countries such as Chad, South Sudan, and Central African Republic.
Malnutrition is a persistent threat for those sheltering in displacement camps. In Zamzam camp, approximately 9 miles from El Fasher, an estimated 30 percent of children are acutely malnourished.
Insecurity and administrative obstructions are depriving patients of medical care in many areas of the country.
