AGP Executive Report

Obstetric fistula care: Bingham University Teaching Hospital in Jos says it has performed free fistula surgeries for more than 2,000 Nigerian women, marking International Day to End Obstetric Fistula with patient stories and a push to tackle child marriage as a key driver of prolonged obstructed labour. Ebola emergency pressure: In DR Congo, the Bundibugyo Ebola outbreak has already triggered WHO’s Public Health Emergency of International Concern, with reports of mobs storming Ebola clinics and treatment sites as suspected cases and deaths climb—while scientists still stress there are no approved vaccines or treatments for this strain. Sudan health system strain: A UNDP study estimates up to $3bn damage to Sudan’s electricity grid since the war began, pushing clinics and households toward costly solar workarounds. Middle East conflict spillover: US-Iran tensions and renewed strikes around the Strait of Hormuz keep humanitarian logistics jittery, raising the risk of delays for medicines and vaccines. Food and health risks: Eid al-Adha preparations in Egypt and Bangladesh highlight affordability stress and the danger of adulterated spices.

Ebola emergency, again: WHO and Africa CDC have rolled out a six‑month, $319m plan to curb Ebola as the rare Bundibugyo strain surges in DRC and Uganda, with WHO warning of “scale and speed” and noting there’s still no licensed vaccine or treatment for this strain. Clinic security under strain: In Ituri, mobs have stormed Ebola clinics, including a Mongbwalu incident with gunfire as families demanded infected bodies for funerals—an escalation that threatens containment. Sudan’s health system strain: A UNDP study says Sudan’s electricity grid has taken up to $3bn in damage since the war began, pushing hospitals and clinics toward costly solar and hybrid power. War’s wider toll: UN-linked reporting highlights how conflict is driving disease risk and disrupting aid logistics. Diplomacy noise, regional ripple: Trump’s Iran talks and renewed push for Arab states to join the Abraham Accords are dominating headlines, while Benin signals a possible détente with Niger—developments that can affect cross-border health cooperation.

Eid demand surge: Widam Food Company says it sold about 7,000 subsidised sheep in the first three days of its Eid al-Adha programme, offering 12,500 subsidised sheep to eligible Qatari citizens at QR1,050 (with slaughter, skinning and cutting) plus 5,000 non-subsidised Sudanese “Sawakin” sheep at QR1,250, across six sites with electronic ID checks to prevent duplicate use. Ebola emergency pressure: WHO declared the Bundibugyo Ebola outbreak in the DRC and Uganda a public health emergency of international concern, with no licensed vaccine for this strain and rapid spread raising fears of wider regional containment challenges. Aid logistics strained: UNHCR warns that Middle East conflict disruptions—especially around the Strait of Hormuz—are delaying shipments of medicines and relief supplies, just as funding gaps deepen. Sudan-linked health harm: Aid workers highlight how Sudan’s war-driven sexual violence is producing traumatic fistula cases that are often missing from global health conversations. Regional context: Livestock markets across the region report rising Eid prices amid conflict and supply shortages.

Ebola Alarm in Central Africa: WHO has declared an Ebola public health emergency of international concern as a rare Bundibugyo strain spreads in the DRC and reaches Uganda, with hundreds of suspected cases and deaths reported and experts warning containment is hard without vaccines or proven treatments. Vaccine Race: UK researchers are rushing a Bundibugyo vaccine using the same platform as the Oxford/AstraZeneca COVID jab, aiming for fast clinical trials if animal testing holds. Sudan War’s Hidden Injuries: In Sudan, aid workers say the world is missing the most urgent fistula story—traumatic fistulas caused by sexual violence tied to the conflict, with women waiting for surgery near the Chad border. Sudan Missing Persons: Families in Khartoum keep searching as thousands of people remain unaccounted for, with many feared buried in unmarked graves. Eid Livestock Shock (Sudan-linked): Eid Al-Adha prices are rising across the region; in Kuwait, Sudanese sheep are reported among the higher-priced options, reflecting war-driven supply strain. Power Disruption (Abuja): Nigeria’s capital saw a major blackout hitting key government sites and airports, underscoring how fragile services remain.

Ebola Emergency: WHO has declared an Ebola public health emergency of international concern as a rare Bundibugyo strain spreads in the DRC and reaches Uganda, with reports of hundreds of suspected cases and deaths and experts warning the outbreak is harder to contain because key tools (tests, vaccines, treatments) are limited for this strain. Sudan Health Fallout: Sudan’s war continues to fuel neglected, conflict-linked injuries and health needs, including traumatic fistula cases tied to sexual violence, while families still search for missing relatives and unmarked graves complicate care and recovery. Research Race: Scientists and labs are pushing experimental antivirals and vaccine ideas, but officials stress that near-term protection is unlikely. Power Disruption (Regional): Separate reports from Abuja describe major blackouts affecting government sites and airports, underscoring how fragile infrastructure can quickly disrupt health services.

Ebola Alert in Central Africa: Former CDC chief Robert Redfield warns the fast-growing Bundibugyo Ebola outbreak could become a “very significant pandemic,” stressing it was not detected early enough and could spread beyond the DRC into neighboring regions. Sudan’s War’s Hidden Injuries: On International Day to End Obstetric Fistula, Sudan-based clinicians say the world is missing the most urgent layer—traumatic fistulas caused by sexual violence tied to the war, with women waiting for surgery on the Chad-Sudan border. Sudan Missing Persons: The ICRC says more than 8,000 people are missing after the conflict, with many feared buried in unmarked graves as families search hospitals, morgues, and camps. Health Aid Under Fire: Italy and UNOPS launch a €4.5m push to expand dialysis in Sudan’s Kassala, while UN reports drone strikes and shelling have damaged health facilities and destroyed supplies in Kordofan. Power Disruption (Context): Separate reports from Abuja describe major blackouts hitting key government sites and embassies, underscoring how fragile services can quickly compound health risks.

Sudan Missing Crisis: Khartoum families are still searching for thousands of people lost during the war. The ICRC says more than 8,000 are missing, with many feared buried in unmarked graves after fighting made formal burials impossible. One case—Fahmy al-Fateh—has left his wife and child living with a year-plus of unanswered calls and rumors. War Crimes & Accountability: New reporting alleges the UAE helped enable RSF atrocities, including mass executions, starvation tactics, and sexual violence, raising fresh pressure for investigations. Humanitarian Access: A key South Kordofan aid route reopened after SAF control moves, but UN warnings stress civilians remain in danger as drone strikes hit near health facilities. Ebola Shockwaves: While Sudan isn’t the outbreak center, Ebola preparedness is tightening regionally; meanwhile, MAF evacuated an Ebola-exposed family from Africa, and the U.S. expanded airport screening for travelers linked to Sudan and nearby countries.

Ebola emergency, no vaccine yet: The WHO has declared the Congo–Uganda Ebola outbreak a public health emergency, but the key problem is still the same: for the Bundibugyo strain driving this wave, there are no approved vaccines or proven treatments, and officials say any vaccine could take 6–9 months to be ready. Conflict blocks care: In eastern DRC, fighting and militia control are fragmenting access, while aid cuts and collapsing trust are slowing detection and response. Sudan’s health front line stays exposed: As humanitarian routes reopen in South Kordofan, UN warnings highlight how strikes are still hitting health facilities and supplies. Humanitarian funding pressure: Separate coverage at the World Health Assembly spotlights a humanitarian shortfall that weakens surveillance and emergency response just as outbreaks surge. Regional alert spreads: Uganda has confirmed imported cases and issued public guidance, while Sudanese embassies in Kampala urged precautions as the region braces.

Sudan Missing, Unmarked Graves: Khartoum families are still waiting for answers as more than 8,000 people have gone missing during Sudan’s three-year war, with many believed buried in unmarked graves after fighting made cemetery burials too dangerous. Ebola Escalation in Congo: Health authorities say the current Congo outbreak is spreading after weeks of undetected transmission, with the Bundibugyo strain driving concern because there are no proven vaccines or treatments yet. Experimental Countermeasures: The U.S. is working with San Diego biotech Mapp Biopharmaceutical and BARDA to prepare an investigational monoclonal antibody treatment for possible emergency use in high-risk exposures, coordinated with federal agencies. Global Civilian Toll: The UN warns civilians are dying at alarming rates in conflicts worldwide, with medical care increasingly attacked—an urgent backdrop for Sudan’s health and humanitarian crisis. What’s thin: This week’s Sudan-specific health updates are dominated by missing-person reporting; detailed new medical access figures were limited.

Ebola surge, no proven tools yet: Global health officials are racing to contain a fast-growing Bundibugyo-strain Ebola outbreak in eastern DRC, where there are still no approved vaccines or treatments; Reuters reports experimental options are being assessed and any use would likely require emergency authorization, with WHO warning numbers may rise. Sudan’s civilian toll stays brutal: A UN official said one civilian was killed about every 14 minutes in 2025, and in Sudan a drone strike on a crowded market in West Kordofan killed 28 and left dozens injured, underscoring how health access and markets keep getting hit. Humanitarian funding pressure: A new commission led by Karl Blanchet warns US-led aid cuts could drive up to 14 million avoidable deaths by 2030, arguing the crisis is also political and moral failure. USAID cuts linked to more conflict: A Science study says the abrupt withdrawal of USAID increased conflict in regions most dependent on it. Local health recognition: A US hospital honored a Certified Medical Assistant with its top Mercy Award.

Drone Attack on Civilians: A drone strike hit a crowded market in Ghubaysh, West Kordofan, killing 28 people and injuring about 25–23 others, with witnesses and medical sources describing shrapnel and a possible two-stage blast; the Sudanese Armed Forces deny targeting civilians. Ebola Response Links to Sudan Virus: As the Ebola outbreak in central Africa worsens, the U.S. is working with San Diego biotech Mapp Biopharmaceutical to supply an experimental antibody for potential use in high-risk exposed people, with lab data suggesting it could also work against the current Bundibugyo strain; the treatment was originally developed for Sudan virus. Protection-of-Civilians Alarm: The UN says civilian deaths from armed conflict reached a grim pace in 2025—about one every 14 minutes—citing Sudan among the worst-affected places, alongside hunger, attacks on healthcare, and displacement. Ongoing Health Pressure: Coverage this week also highlights how conflict-driven insecurity keeps healthcare access fragile, even as Ebola preparedness and experimental trials accelerate.

Drone Violence in Sudan: A drone strike hit a crowded market in Ghubaysh, West Kordofan, killing 28 people and injuring 23, with witnesses describing a restaurant blast after an earlier strike on an RSF vehicle; the Sudanese Armed Forces denied responsibility, saying it targets only “military objectives.” Ebola Alarm Beyond Sudan: The WHO has declared the Congo/ Uganda Ebola outbreak a public health emergency, citing “scale and speed,” with no approved countermeasures for the Bundibugyo strain and rapid trials being prepared—an added pressure point for regional health systems already strained by conflict. Aid Under Strain: Coverage this week also flags humanitarian funding cuts just as displacement and needs rise, raising the risk that prevention, treatment, and mental health support lag behind the next wave of emergencies.

Drone Violence in Sudan: A drone attack on a crowded market in Ghubaysh, West Kordofan, killed 28 people and injured 23, with witnesses describing strikes on a restaurant after an initial hit on an RSF vehicle; the military denies targeting civilians. Ebola Alarm in Congo: WHO chief Tedros says he’s “deeply concerned” about the “scale and speed” of a rare Bundibugyo Ebola outbreak in eastern DRC, with at least 134 suspected deaths and 500+ suspected cases; there are no proven treatments or vaccines for this strain, and response teams are being pushed back to “the basics.” Global Health Funding Pressure: The WHO has declared the outbreak a public health emergency, while the U.S. announces funding for up to 50 treatment clinics—against a backdrop of broader surveillance strain. Refugee Support: UNHCR and Al-Rahma will deliver relief items to 428 Sudan refugee families in Chad. Governance Focus: Lagos State reaffirms data-driven SDG delivery, aiming to tighten health and social outcomes with measurable tracking.

Ebola Emergency: WHO chief Tedros Adhanom Ghebreyesus says he’s “deeply concerned” about the Ebola outbreak’s “scale and speed” in eastern Congo, after Congo reported at least 134 suspected-death cases and 500+ suspected cases, with the rare Bundibugyo strain now driving fears of spread because there are no approved vaccines or treatments for it. Sudan Civilian Harm: In southern Sudan, a drone strike hit a crowded market in Ghubaysh, West Kordofan, killing 28 people and injuring 23, with witnesses describing a strike on an RSF vehicle followed by a blast at a restaurant. Humanitarian Pressure: UN agencies warn Sudan’s rainy season could bring flooding risks to 6.9 million displaced people across 183 areas, but funding gaps threaten shelter support and early-warning systems. Health System Strain: The WHO also faces wider global funding cuts, complicating the response as outbreaks accelerate across borders.

Ebola Alert, Regional Spillover: The WHO has declared the Congo and Uganda Ebola outbreak a public health emergency of international concern, with deaths now in the triple digits and officials warning the real scale may be larger as cases were detected late in conflict-hit Ituri; Sudan Humanitarian Response: UN OCHA says partners are still delivering food rations and running cholera vaccination in Darfur, while fighting continues to drive new displacement in Blue Nile; Local Health & Services: In Morobo County, leaders flagged security alongside urgent gaps in medicines and school access; Sudan’s Cost-of-Living Pressure: Sudan’s inflation jumped to 45.84% in April as the currency weakened, squeezing already fragile household purchasing power.

Ebola Emergency Escalates: WHO has declared the Congo–Uganda Ebola outbreak a public health emergency of international concern, with officials saying the outbreak may have started weeks earlier and that reporting could be incomplete; Regional Border Moves: Rwanda temporarily closed Rusizi I and II crossings while keeping essential travel open under strict screening, and other countries are tightening surveillance; Sudan Spotlight Returns: A Sudan conflict investigation is back in focus after claims that a commander filmed allegedly killing civilians has reportedly returned to combat; Sudan Economy Under Strain: Sudan’s inflation hit 45.84% in April as the currency weakened further, widening urban–rural price gaps; Aid System Pressure: UNHCR says it will cut more jobs and push urgent reforms as funding drops, even as displacement needs keep rising.