AGP Executive Report

Cholera Emergency: WHO reports Sudan’s third cholera wave in three years, with 120 deaths and 1,102 suspected cases as fighting and damaged water systems keep outbreaks near-constant, and the rainy season threatens to worsen transmission. Funding Crunch: WHO says health funding for Sudan’s humanitarian response is only about a third of what’s needed this year, leaving essential services and outbreak prevention under-resourced. El Obeid Siege Risks: UN warns drone strikes and siege-like conditions in El Obeid are damaging schools, fuel and water access, with growing fears the city could face atrocities on the scale of El Fasher. Rights Under Scrutiny: Amnesty accuses RSF of crimes against humanity and ethnic cleansing in El Fasher, calling for a ceasefire and international protection of civilians. Doctors Detained: Sudan Doctors Network says RSF detained 20 doctors (including four women) in El Fasher and their whereabouts remain unknown, deepening the healthcare collapse. Humanitarian Access Pressure: Yale’s Humanitarian Research Lab warns RSF bombardment is targeting fuel, electricity and markets in El Obeid, degrading life-sustaining infrastructure and raising the risk of a prolonged siege.

Human Rights Urgent Action: The UN Human Rights Council is set to hold an emergency debate in Geneva on el-Obeid, North Kordofan, after warnings that around 500,000 civilians face large-scale atrocities, with escalating drone strikes damaging schools, fuel and water systems and leaving siege-like conditions for thousands. Atrocity Claims & Civilian Protection: Amnesty International says RSF abuses in North Darfur, including El Fasher, amount to crimes against humanity and ethnic cleansing, calling for an immediate ceasefire and an international protection force. Health Workers Under Threat: Sudan Doctors Network reports RSF detained 20 doctors in El Fasher (including four women) and their whereabouts remain unknown, adding to a mounting toll on healthcare staff. Cholera Update: WHO says a new cholera outbreak in West Kordofan has killed 120 people and recorded 838 suspected cases, with conflict disrupting services and delaying response. Funding Gap: Health funding for Sudan’s humanitarian response is only about one-third of what’s needed this year, while WHO operations are under 15% funded. El Obeid Humanitarian Alarm: UN relief chief Tom Fletcher warns El Obeid could become “another El Fasher,” as drone attacks threaten water and electricity and raise the risk of cholera and other waterborne disease. Local Crisis Signals: In River Nile State, a traffic accident killed at least 18 people and injured one, underscoring ongoing health and safety pressures amid war.

Cholera Watch (West Kordofan): WHO says Sudan has declared a cholera outbreak in West Kordofan, with 838 suspected cases, 7 confirmed infections, and 117 deaths as of June 20—while conflict is disrupting health services and delaying response teams; WHO is scaling up cholera treatment centres, oral rehydration points, handwashing stations, water chlorination, and community hygiene education. North Kordofan Humanitarian Alarm (El Obeid): UN humanitarian chief Tom Fletcher warns escalating drone attacks could turn El Obeid into “another El Fasher,” threatening drinking water and electricity and raising the risk of cholera and other waterborne disease as hundreds of thousands of civilians face worsening conditions. Aid Access (Adre Corridor): The UN welcomed Sudan’s decision to keep the Adre border crossing open with Chad until Sept. 30, but warned insecurity and drone attacks in El Obeid are already disrupting aid operations. El Fasher Atrocity Claims (Amnesty): Amnesty reports RSF crimes against humanity and ethnic cleansing during the El Fasher siege, calling for an immediate nationwide ceasefire and an international protection force for civilians. Doctors Detained (El Fasher): Sudan Doctors Network alleges RSF is holding 20 doctors in El Fasher with their whereabouts unknown, urging disclosure and safe access for medical work. Health Under Fire (Regional spillover): UN relief officials warn violence is intensifying across North Kordofan, with attacks disrupting civilian infrastructure and increasing disease risk. Public Health Context (Ebola elsewhere): A UK Ebola alert in Glasgow ended with a negative test, but highlights how outbreaks in the region can trigger rapid containment measures. Insecurity + Costs (Care access): Reports note the Sudanese pound’s sharp fall is driving up prices of essentials including medicine, worsening the strain on already damaged healthcare delivery.

North Kordofan Humanitarian Alarm: UN relief chief Tom Fletcher warned that escalating drone attacks could push El Obeid toward another El Fasher-style catastrophe, with hundreds of thousands of civilians at risk as strikes disrupt drinking water, electricity, and raise cholera fears ahead of the rainy season. Child Health Under Siege: UNICEF’s warning echoed that El Obeid is becoming a flashpoint for child casualties, as drone attacks and access limits threaten survival for displaced families. Cholera Surge in West Kordofan: WHO reported Sudan’s new cholera outbreak in West Kordofan with 838 suspected cases, 7 confirmed, and 117 deaths as conflict disrupts health services; response includes treatment centers, oral rehydration points, chlorination, hygiene promotion, and community education. Aid Access Under Pressure: The UN welcomed Sudan’s extension of the Adre border crossing with Chad until Sept. 30 to sustain humanitarian delivery despite insecurity and communications disruptions. Public Health Strain from War and Prices: Sudan’s pound collapse is driving steep price rises for food and medicine, worsening access to care as fighting continues and RSF builds parallel systems. Road Safety Toll: A traffic crash in River Nile State killed at least 18 people and injured one, underscoring ongoing risks from unsafe transport and damaged infrastructure.

Cholera Response: WHO chief Tedros announced a new cholera outbreak in Sudan’s West Kordofan, citing 838 suspected cases, 7 confirmed cases and 117 deaths as of June 20, with conflict disrupting health services and delaying response teams and supplies; WHO says it is coordinating with partners to expand treatment centers and oral rehydration points, distribute kits, set up handwashing and chlorination, and train health workers and hygiene promoters. Humanitarian Access: The UN welcomed Sudan’s extension of the Adre border crossing with Chad until Sept. 30 to sustain aid delivery despite insecurity, even as some partners suspended operations due to worsening security and communications disruptions. Crisis on the Ground: UN reporting highlights continued clashes near the Chad border, drone strikes causing civilian casualties in North Darfur, displacement of over 1,400 people in North Darfur, and injuries from attacks near schools in El Obeid, North Kordofan. Health System Strain: Reports from El Obeid describe hospital shortages, with children and elderly among those dying amid road closures and repeated drone attacks, raising fears of famine and mass atrocities. Aid Coordination: UNIDO talks with partners in Vienna included pathways for industrial recovery and livelihoods support across Syria, Palestine and Sudan, with RHF emphasizing investment in people through healthcare and capacity building.

Cholera & conflict pressures: UN humanitarians say violence is continuing as cholera cases widen, with aid operations disrupted by security and communications breakdowns; the Sudanese government extended the Adre border crossing with Chad to Sept. 30 to keep humanitarian deliveries moving. El Obeid under threat: Drone attacks in North Kordofan are entering a third week, injuring girls near a school and hitting civilian areas, while UN warnings highlight an imminent risk of mass atrocities as fighting and shortages deepen. Darfur displacement & strikes: In North Darfur, drone strikes reportedly hit a civilian vehicle and a market, and IOM estimates show more than 1,400 people displaced from villages in Um Baru due to insecurity. Hospitals stretched: Reports from El Obeid describe critical shortages at children’s and kidney dialysis services, with civilians killed daily and roads blocked from supplies. Human rights & protection gaps: After the murder of Catholic priest Father Youhanna Al-Amin, a rights group urges authorities to diffuse tensions and protect citizens, citing disputes over stolen medicines. Regional spillover: Investigators allege UAE-backed RSF training in secret camps in Libya, raising concerns that the war’s health and civilian toll will keep spreading. Mental health emergency: A separate report warns soaring sexual violence in Sudan is creating a mental health emergency for survivors.

Ebola Clinical Guidance: WHO has issued updated, evidence-based clinical care guidance for all filovirus diseases, including Ebola and Marburg, stressing supportive treatment (oral/IV rehydration, early targeted IV fluids and shock medicines, lab monitoring for hypoglycemia/metabolic problems, and antibiotics for bacterial sepsis/co-infections) and advising against tranexamic acid for most patients except postpartum hemorrhage, with structured follow-up for survivors. Ebola Update (DRC): In the Democratic Republic of Congo, confirmed Ebola cases have reached 1,274 with 360 deaths, while recoveries are rising as treatment centres continue admitting dozens of patients daily—highlighting how much remains unknown about the rare Bundibugyo strain. Sudan Health Under Attack: Drone strikes and renewed fighting are hitting El Obeid in North Kordofan, injuring pupils and damaging facilities including schools and hospitals, while fuel shortages and service disruptions worsen daily health access. Sudan War & Humanitarian Risk: Reports warn the window to prevent wider catastrophe in El Obeid is closing as drones deepen the humanitarian crisis and civilians face escalating threats. Mental Health Emergency: UN-linked reporting says soaring sexual violence in Sudan is creating a mental health emergency, underscoring urgent needs for protection and psychosocial support.

Sudan’s El Obeid under drone fire: Repeated strikes across North Kordofan’s capital are hitting schools and hospitals, damaging fuel and water supply, and driving sharp price spikes for petrol and diesel—while the siege tightens and civilians face worsening shortages. Humanitarian alarm: The UN and partners warn the “window” to prevent wider escalation is rapidly closing as paramilitary activity grows, with the World Food Programme flagging a looming assault that could trigger mass displacement and deepen acute hunger. Civilian protection calls: UN officials and diplomats urge restraint and stress that attacks on civilian infrastructure have no military solution—only more suffering. Food security reality check: A World Bank update says the world’s food problem is shifting from production to access, with conflict, climate stress, and weak incomes pushing nutritious food out of reach. Refugee rights spotlight: On World Refugee Day, the UN marked the 75th anniversary of the 1951 Refugee Convention, calling for solidarity as asylum systems strain under rising forced displacement.

Sudan Humanitarian Crisis: The UN warns the window to avert wider escalation in El Obeid is rapidly narrowing as drone attacks and paramilitary expansion disrupt routes and threaten mass displacement, with the World Food Programme warning of a new wave of violence and hunger as access to food, water, and healthcare deteriorates. Civilian Protection: Pakistan’s UN envoy condemned RSF attacks on civilian infrastructure, calling for an immediate end to violence and uninterrupted humanitarian aid delivery, while the UN Security Council also urged restraint to prevent an impending human rights disaster. War’s Health Toll: An AP feature highlights how three years of war in Khartoum and beyond are leaving survivors with severe injuries and long-term disability, including urgent needs for prosthetics and rehabilitation. Ebola Context for Sudan: With Ebola fears rising globally, coverage notes that Sudan’s first Ebola case dates back to 27 June 1976, underscoring the region’s long history with the disease and the importance of preparedness.

El Obeid Hunger Alarm: The World Food Programme warns El Obeid is “weeks” from catastrophe as RSF/paramilitary activity and drone strikes threaten siege conditions, cutting access to food, water, healthcare, and forcing emergency aid pre-positioning for up to 250,000 people. UN Warning on Escalation: UN officials say the window to prevent wider escalation in El Obeid is rapidly narrowing, with intensified fighting and disrupted humanitarian routes across Kordofan and Darfur. Sexual Violence as a Health Emergency: A UN Human Rights report documents widespread conflict-related sexual violence across Sudan, urging justice and victim-centred care; a survivor-focused group calls it a mental health emergency. Civilian Harm and Infrastructure Attacks: Pakistan’s UN envoy condemns RSF attacks on schools, hospitals, markets, and places of worship, stressing there is no military solution and demanding uninterrupted humanitarian access. War’s Lasting Scars: An AP feature highlights survivors’ injuries and long-term disability needs in Khartoum, including amputations and barriers to prosthetics. Ebola Update (Historical + Medical): Coverage notes the first Ebola case death in Sudan in 1976 and, separately, new clinical insights from the Bundibugyo Ebola outbreak in DR Congo as recoveries rise.

War Injuries & Disability: AP profiles Khartoum war survivor Omer al-Toum, whose unexploded ordnance blast left him with amputations and major daily-care barriers, highlighting the urgent need for prosthetics and rehabilitation access. Humanitarian Alarm in El Obeid: UN officials and the World Food Programme warn the RSF/SAF fight around El Obeid could trigger mass displacement and deeper hunger, with drone attacks disrupting food, water, healthcare and aid routes. Escalation Risk: UN political chief Rosemary DiCarlo says the “window” to prevent wider escalation in El Obeid is narrowing as drone attacks intensify and RSF presence grows. Sexual Violence as a Health Emergency: A UN Human Rights report documents widespread conflict-related sexual violence across Sudan, urging justice and victim-centred support to prevent long-term harm. Aid & Civilian Protection Demands: Pakistan’s UN envoy condemns RSF attacks on schools, hospitals and other civilian infrastructure, calling for an immediate end to violence and uninterrupted humanitarian access. Access Barriers for Health Workers: Libya’s eastern government bans entry for Sudanese and other nationalities, but exempts diplomats and healthcare workers with valid contracts—raising practical access concerns for care delivery. Religious Community Care Under Threat: Trócaire and other church-linked reporting call for dialogue and full protection of medical facilities and civilians, after the killing of a priest linked to medicine support for vulnerable communities.

El Obeid Hunger Threat: The World Food Programme warns that escalating paramilitary activity and drone attacks around El Obeid could trigger a new wave of displacement and deepen an already catastrophic hunger crisis, with aid being pre-positioned for up to 250,000 people. Humanitarian Access Under Pressure: The UN says there is no military solution as fighting intensifies, raising fears cities could become isolated and cut off from food, medical care, and evacuation routes. Drone Strikes Hit Civilians: Reports describe drone attacks in Sudan’s cities, including a strike on a fuel station in Rabak (White Nile) that killed two people and sent the injured to health facilities, while El Obeid remains under repeated raids. Sexual Violence as a Mental Health Emergency: A UN human rights report details widespread conflict-related sexual violence across Sudan, and a survivor-focused group says the crisis must be treated as an urgent mental health emergency. Protection of Medical Care: An Irish Catholic agency urges all parties to prioritize dialogue and fully protect civilians, medical facilities, and humanitarian workers as the war continues to devastate communities. Migration Crackdowns Affect Health Workers: Libya’s eastern government bans entry for Sudanese nationals but exempts healthcare workers with valid contracts, while deportation orders target those without residency permits. Allergy Care Gets Spotlight: AFRICALLI marks World Allergy Week, pushing for allergy and immunology to be treated as essential healthcare across Africa. Historical Health Reminder: A “Today in History” item recalls the first Ebola case death in Sudan in 1976, underscoring the region’s long public health memory.

Drug Control & Youth Protection: Sudan’s Home Minister directed police to break drug supply chains, framing addiction as a public health and youth protection issue and calling for root-cause campaigns. War Without a Military Fix: UN envoy warned there is no military solution as fighting intensifies, especially around El Obeid, with rising drone use and attacks on civilian infrastructure threatening food, medical care, and evacuation routes. Drone Strikes Hit Civilians: Reports say drones struck a fuel station in Rabak (White Nile), killing two and injuring others, while El Obeid faces repeated raids. Humanitarian Crisis Deepens: UN warnings highlight deteriorating conditions and growing risk of cities becoming isolated, as clashes spread across multiple fronts. Displacement in Chad: Darfur mothers in eastern Chad describe starvation and desperation after fleeing Sudan, with families struggling to find food and water. Ebola Research in the Region: WHO announced trials for two antivirals against Ebola Bundibugyo strain in DR Congo, aiming to reduce mortality where no approved treatment exists. Sexual Violence Alarm: UN reporting again flags widespread sexual violence used as a weapon of war in Sudan, underscoring urgent protection needs.

Sudan Conflict & Health Services: Drone attacks and renewed fighting are hitting North Kordofan and surrounding areas, with reports of strikes damaging power and gas infrastructure, closing medical facilities including a kidney dialysis center, and disrupting water stations—raising urgent risks for civilians and patients. Humanitarian Crisis in Darfur: In eastern Chad’s Iridimi camp, displaced Darfur mothers describe starvation-level hunger and exhaustion after fleeing RSF offensives, with children going days without food and families struggling to find safe shelter. Sexual Violence & Rights: A new UN Human Rights report details widespread conflict-related sexual violence across Sudan, warning that without justice and victim-centered support, stigma and trauma will undermine peace and social cohesion for years. El Obeid Under Pressure: UN officials warn of an imminent mass-atrocity risk as RSF drone strikes and encirclement fears grow, while WHO-backed teams and pre-positioned supplies aim to cover trauma, disease prevention, and maternal and child health needs for tens of thousands. Cross-Border Health Impacts: Chad is also seeing an influx of drone victims from Sudan, with MSF-supported care reported for burn and eye injuries—showing how the war’s violence is spilling into neighboring health systems.

War & Humanitarian Crisis: Fighting is intensifying across Sudan, with new claims of battlefield gains in Blue Nile and renewed clashes reported in Darfur and Kordofan, while UN warnings point to deteriorating conditions for civilians. El-Obeid Health Strain: In North Kordofan, drone attacks and shelling are disrupting services, closing medical facilities including a dialysis center, and worsening water shortages as fears grow of mass atrocities if RSF tightens its push on El Obeid. Sexual Violence Report: A new UN Human Rights report says conflict-related sexual violence has been used as a weapon of war across Sudan, with hundreds of verified incidents and long-term impacts on victims and communities. Refugee Protection Under Pressure: Sudanese refugees in Egypt report abuse, prolonged detention, and forced deportations amid a crackdown, while the Women’s Refugee Commission urges governments to renew protection for displaced women and girls. Cross-Border Drone Injuries: Chad’s border hospitals are seeing drone victims from Sudan, including severe burns and deaths among civilians. Libya Migration Curbs: Eastern Libya bans entry for Sudanese and other nationalities, with limited exemptions for health and education workers, as migrants continue to face dangerous transit and detention abuses. Health Access & SRHR: A regional summit calls for stronger, rights-based sexual and reproductive health services for migrants and displaced people, including in Sudan.

Humanitarian Alarm in El Obeid: UN warns Al Obeid in North Kordofan is “weeks” from catastrophe as RSF tightens a siege, with drone attacks disrupting power, fuel and water and forcing medical facilities—including a kidney dialysis center—to close. Atrocity Risk Escalates: Seven European countries urge an immediate halt to violence, citing credible signs of an imminent RSF offensive and rising atrocity fears. War Crime Report on Sexual Violence: A new UN Human Rights report documents conflict-related sexual violence across Sudan, verifying 546 incidents affecting at least 838 victims, and stresses the scale is likely far worse due to stigma, insecurity, and collapsed services. Medical Services Hit by Drones: Medics report RSF drone strikes endangering civilians and shutting down critical services in El Obeid, deepening shortages and health-system collapse. Refugees Face Abuse in Egypt: Sudanese refugees in Egypt report harsh detention, beatings, extortion and forced deportations amid intensified crackdown. Access to Care Threatened by Migration Curbs: Libya’s eastern authorities ban entry for Sudanese (with exemptions for diplomats and some health/education workers), as migrants continue to be held in abusive detention centers. Local Health Impact in Nuba Mountains: A priest in Kauda was killed after militants stole medicines from a church medical store, highlighting how violence directly targets community health supplies.