Showing posts with label MSF. Show all posts
Showing posts with label MSF. Show all posts

Saturday, December 30, 2023

Sudan: Survivors give harrowing testimony of Darfur’s year of hell. There’s nobody in El Geneina.

“A country of 46 million people is heading rapidly towards collapse, with very little attention from the outside world,” says Toby Harward, the UN’s deputy humanitarian coordinator for Sudan. “While acknowledging other crises elsewhere in the world right now, the scale of this crisis is unmatched, and it will have significant ramifications for the region and beyond.”

Read more from The Guardian, UK
By FRED HARTER
Supported by the guardian.org
Dated Saturday, 30 December 2023; 13.04 GMT UK - here  is a copy in full:

‘They told us – you are slaves’: survivors give harrowing testimony of Darfur’s year of hell


With the war in Sudan poised to escalate and the humanitarian crisis growing, traumatised survivors of a blood-drenched summer in West Darfur tell of their ordeal


There’s nobody in El Geneina. It’s ghostly quiet. It’s horrific to see areas once full of life now totally empty -Aid worker


We could hear gunfire for two months but our commanders told us it was a tribal conflict and not for us to intervene -Soldier at Ardamata garrison

A group in Wad Madani, in south-eastern Sudan, rally in support of Sudan's army in December, as the war with the paramilitary Rapid Support Forces continues and refugees flee Darfur in western Sudan. Photograph: AFP/Getty Images

Gamar al-Deen was visiting a friend when gunmen poured into his neighbourhood on 27 April 2023. “I came back to find they were all dead,” he says. “My mother, my father, uncles, brothers, sisters. I wanted to die myself in that moment.”


Deen, a teacher, lost a dozen members of his family that day. Several of his neighbours were killed too. At his friend’s during the carnage, he saw a group of fighters strip a woman naked and then rape her in the street. “They told us, ‘This area belongs to us, not you, you are slaves,’” he says.


The attack was one of many by the Rapid Support Forces (RSF), a paramilitary organisation, and allied Arab militiamen in El Geneina, capital of Sudan’s West Darfur region, between mid-April and mid-June. Their fighters carried out almost daily raids against areas of the city populated by the Masalit, an African ethnic group, according to former residents.

Gamar al-Deen, a teacher in El Geneina, the capital of West Darfur, lost a dozen family members on 27 April 2023 in an attack carried out by RSF paramilitaries


The attacks happened as the world’s attention was focused on fighting 700 miles away in the capital, Khartoum, as foreign governments launched frantic airlifts to evacuate their citizens. The scale of the tragedy unfolding in Darfur, a region ravaged by 20 years of genocidal violence, would only begin to emerge weeks later.


Sometimes the attacks were targeted, as the militiamen hunted down educated Masalits on kill lists. Mostly they were not. Masalit men and boys were accused of being fighters and summarily shot. Women and girls were killed. Women were raped near corpses.


Mahmoud Adam, a former interpreter with the African Union’s Darfur peacekeeping force, which left at the end of 2020, lived close to an RSF base in the city. He said Arab militia would arrive most mornings on horses and motorbikes before heading out to launch attacks on Masalit neighbours.


“For two months, this was their routine,” says Adam. “I would hear them talking about the number of people they had killed at the end of each day.”


The attacks started on 24 April, according to residents, just over a week after nationwide fighting erupted between the Sudanese military and the RSF. They culminated in mid-June, after the killing of the governor of West Darfur, a Masalit, which prompted a panicked evacuation of El Geneina’s Masalit residents to neighbouring Chad and the outlying district of Ardamata, home to a large military base.


Thousands of fleeing civilians made easy pickings for RSF fighters and Arab militia, who fired at the crowds and at passing vehicles, according to survivors. One witness described “a scene from hell” with dozens of bodies along the roadside and washed up on the banks of a nearby river, some with their hands tied.


The hospital run by Médecins Sans Frontières in the Chadian town of Adré received more than 850 patients with bullet, stab and shrapnel wounds between 14 and 17 June.


Sexual violence was a feature of the bloodshed with gunmen rounding up and raping women and girls.


El Geneina once had a mixed population of more than half a million. Today, its Masalit neighbourhoods are deserted. “There’s nobody there, it’s ghostly quiet,” says an aid worker who visited recently. “It is horrific to see areas that used to be bustling, full of life, now totally empty.”

Destruction in El Geneina’s marketplace after fighting between the Sudanese army and the RSF on 29 April 2023


The cycle of violence would repeat itself in early November after the RSF captured the military base in Ardamata, a few miles from El Geneina. The garrison fell amid days of killings and looting. Last month, Alice Wairimu Nderitu, the UN’s genocide prevention adviser, warned that Darfur risked becoming a “forgotten crisis”.


Half a million people now live in hastily assembled camps in Chad. Cash-strapped aid agencies are struggling to respond: the refugees do not have enough mosquito nets, blankets or water. About 175,000 are living in grass huts they weaved themselves.

A Sudanese refugee builds a grass hut in the border town of Adré, eastern Chad, where about 175,000 displaced people live in similar makeshift huts


“Nearly every person who crossed the border has some sort of trauma,” says Eric Kwakya, a psychologist with the International Rescue Committee. “They have seen terrible things.”


Sherif al-Deen, a social worker, was drinking coffee in an El Geneina marketplace when RSF fighters and Arab militia first attacked on 24 April. He raced home, narrowly avoiding bullets ricocheting through the streets. He spent the next seven weeks volunteering at a clinic, collecting the wounded and dead from around the city with a team of volunteers. Bodies were wrapped in blankets and loaded on to donkey carts.

Sherif al-Deen, a social worker, risked his life to help collect the wounded and dead


Sherif saw a group of Arab fighters fire on a crowd with a machine gun, killing eight. Several of his colleagues were shot. “It was very dangerous work, but I had to do it for my people,” he says.


Burying the dead carried risks. To avoid being targeted by snipers, mourners held clandestine funerals for their loved ones at night, says Abdulmonim Adam, a lawyer and human rights monitor, who attended a dozen night burials between April and June.


At one funeral, the mourners came under fire and had to abandon the bodies beside half-dug graves. “If they see you burying the dead – if they see even the flash of a torch – they will kill you,” he says.


One of the deadliest attacks came on 12 and 13 May. At least 280 people were killed over those two days, according to the Sudan Doctors’ Trade Union.


Sara Mohamed* described gunmen looting her home on 12 May. During the attack, they shot her neighbour’s 10-year-old daughter. “I rushed to hold her, to stop the bleeding, but she died in my arms,” she says.


Another young girl was wounded, and a woman was shot through the stomach. When the militia returned a few hours later, they shot Mohamed’s father and burned down her home.


The massacre unfolded in stages over several weeks. Throughout the bloodshed, the Sudanese garrison at Ardamata’s military base did not venture beyond its blast walls. “We could hear gunfire for two months,” says one soldier. “But our commanders told us it was a tribal conflict, that it was not for us to intervene.”

People trying to escape the violence in West Darfur cross the border into Adré, Chad, in August 2023


Mohamed and another woman interviewed by the Guardian were raped during the violence. Mohamed was gang-raped at knifepoint. The second woman was abducted off the street by a group of men, who covered her head and bundled her into a car. It was a targeted attack. “They called me by my name,” she says. “They said, ‘We know you are writing about the RSF on Facebook.’” Eventually she was driven back to El Geneina and dumped outside a clinic, hands still tied behind her back.

‘If they see you burying the dead they will kill you’: Abdulmonim Adam, a lawyer and human rights monitor who attended a dozen secret night-time burials


That was not the end of her ordeal. A few days later, as she fled to Chad, her vehicle was stopped by a group of armed Arab villagers. They shot the car’s two male occupants. Then two of the villagers took turns raping her and the other female passenger, a 13-year-old girl, beneath a tree.


One of the attackers was middle-aged; the other looked about 18. “I heard the man talking about how happy he was to rape such a young girl,” she says.


She still receives threatening social media messages from unidentified men in El Geneina. A recent voice note sent on WhatsApp said: “We will find you in Chad. You are a slut. Whenever you come back to Sudan, we will do what we want with you.”


Six months on, Sudan’s war is poised to escalate. Having captured most of Darfur, the RSF appears to be cementing its grip over Khartoum. This month, the paramilitaries took Wad Madani, the country’s second city, which had been hosting 500,000 refugees from Khartoum and serving as a logistics hub for aid agencies.


Close to 7 million people have been uprooted across Sudan, the world’s biggest displacement crisis. More than half the population need aid, and 3.5 million children under five are malnourished.


“A country of 46 million people is heading rapidly towards collapse, with very little attention from the outside world,” says Toby Harward, the UN’s deputy humanitarian coordinator for Sudan. “While acknowledging other crises elsewhere in the world right now, the scale of this crisis is unmatched, and it will have significant ramifications for the region and beyond.”

Sudanese refugees wait for UN World Food Programme food distribution in Adré


The international response to the crisis in Darfur has been “completely absent”, says Cameron Hudson, a former White House official. Hudson is critical of US-led attempts to mediate an “elite deal” between the RSF and the Sudanese military. “The US is worried the RSF won’t keep showing up if it holds them responsible for their atrocities and introduces sanctions,” he says. “They are holding the US government hostage.”


Meanwhile, among the Sudanese refugees camping in the desert in Chad, unease is growing. “Even here, I do not feel safe,” says Gamar al-Deen, the teacher.


* Name has been changed to protect identity


Information and support for anyone affected by rape or sexual abuse issues is available from the following organisations. In the UK, Rape Crisis offers support on 0808 500 2222 in England and Wales, 0808 801 0302 in Scotland, or 0800 0246 991 in Northern Ireland. In the US, Rainn offers support on 800-656-4673. In Australia, support is available at 1800Respect (1800 737 732). Other international helplines can be found at ibiblio.org/rcip/internl.html


View original: https://www.theguardian.com/global-development/2023/dec/30/survivors-give-harrowing-testimony-of-darfur-sudan-year-of-hell


ENDS

Saturday, December 23, 2023

In Chad camps, survivors recount Sudan war horrors, many in critical condition physically & psychologically

AFTER surviving atrocities in their homeland Sudan and the perilous journey abroad, the refugees are now confronting the looming threat of famine. The scarcity of water in the camps in Chad has generated tensions that humanitarian organisations have struggled to calm. Read more.

From France24
By Agence France-Presse (AFP)
Dated Saturday, 23 December 2023 - 17:27 - here is a copy in full:

In Chad camps, survivors recount Sudan war horrors


Adré (Chad) (AFP) – Sitting outside her makeshift shelter in eastern Chad, Sudanese refugee Mariam Adam Yaya warmed up tea on some firewood in a bid to quell the pangs of hunger.

Thousands of Sudanese have fled for neighbouring Chad and found refuge in overcrowded camps such as Adre © Denis Sassou Gueipeur / AFP


The 34-year-old from the Masalit ethnic group crossed the border on foot after a four-day trek with no provisions and her eight-year-old son clinging to her back.


She said "heavily armed" men attacked her village, forcing her to flee and leave seven of her children behind amid brutal violence that has sparked fears of ethnic cleansing.


Sudan has since April 15 been plunged into a civil war pitting army chief General Abdel Fattah al-Burhan against Mohamed Hamdan Daglo, his former deputy and commander of the paramilitary Rapid Support Forces (RSF).


Thousands have fled for neighbouring Chad and found refuge in overcrowded camps such as Adre where Yaya has settled.


In the western Darfur region, paramilitary operations have left civilian victims belonging to the non-Arab Masalit group in what the United Nations and NGOs say is a suspected genocide.


In the West Darfur town of Ardamata alone, armed groups killed more than 1,000 people in November, according to the European Union.


"What we went through in Ardamata is horrifying. The Rapid Support Forces killed elderly people and children indiscriminately," Yaya told AFP.


Trauma


Chad, a country in central Africa that is the world's second least developed according to the United Nations, has hosted the highest number of Sudanese refugees.


The UN says 484,626 people have sheltered there since the fighting broke out, with armed groups forcing more than 8,000 people to flee to Chad in one week.

The United States and other Western nations have accused the RSF and its allies of committing crimes against humanity and acts of ethnic cleansing 
© Denis Sassou Gueipeur / AFP


Formal camps managed by NGOs and informal settlements erected spontaneously have sprouted throughout the border region of Ouaddai.


A traumatised Amira Khamis, 46, said she was targeted due to her Masalit ethnicity and has lost five of her children.


Recovering in an emergency medical structure run by the NGO Doctors Without Borders (MSF) near the Adre camp after shrapnel fractured her feet, she told AFP women and young girls were raped.


"They systematically kill all the people of dark black colour," she said.


Mahamat Nouredine, a 19-year-old who is nursing a fractured arm and has lost four relatives in the violence, said the RSF mercilessly hounded the Masalit community before he escaped to Chad.


"A group of RSF followed us to a hospital and tried to kill everyone... they laid us on the ground in groups of 20 and fired at us," he said.


"Their unspoken goal is to kill people due to their skin colour."


'Critical conditions'


The United States and other Western nations have accused the RSF and its allies of committing crimes against humanity and acts of ethnic cleansing.


An estimate by the Armed Conflict Location and Event Data Project puts the war's death toll at 12,000. Almost seven million people have fled their homes, according to the UN.


After surviving atrocities in their homeland and the perilous journey abroad, the refugees are now confronting the looming threat of famine.

The scarcity of water in the camps has generated tensions that humanitarian organisations have struggled to calm © Denis Sassou Gueipeur / AFP


Yaya said she and her child have "barely" eaten since their arrival in Chad.


The scarcity of water in the camps has generated tensions that humanitarian organisations have struggled to calm.


Gerard Uparpiu, MSF's project coordinator in Adre, said the influx of Sudanese refugees was creating a "worrying" situation.


"We receive them in critical conditions. They are shaken physically and psychologically," he added.


MSF's hospital is surrounded by fencing and constantly monitored by a guard, measures necessitated by the brutality of a conflict that has not spared the wounded.


"They also attacked us when I was being taken to Chad to receive treatment," said Amir Adam Haroun, a Masalit refugee whose leg was broken by an explosive.


View original: https://www.france24.com/en/live-news/20231223-in-chad-camps-survivors-recount-sudan-war-horrors


ENDS 

Wednesday, December 13, 2023

Sudan & South Sudan: Cholera crosses the Sudanese border and bursts into South Sudan refugee camps

THANKS to Lola Hierro (Hola Lola!) for informative reports and photos from Renk, South Sudan. At the Renk Transit Center, which has a capacity of 3,000 people, there are more than 16,000 current residents, and the roads that connect this out-of-the-way corner to the rest of the country are waterlogged by floods caused by end-of-summer rains. Renk’s risk lies in the fact that this [Vibrio cholerae] bacillus is transmitted through contact with contaminated foods and liquids, in conditions of overcrowding and lack of safe access to water and sanitation. Read more in this report.

From EL PLAIS
By LOLA HIERRO (Renk / Madrid)
Dated Tuesday, 12 December 2023 - 23:40 WET - full copy:

Cholera crosses the Sudanese border and bursts into South Sudan refugee camps

The Ministry of Health confirms a positive case in the Renk Transit Center, located in the north of the country, where thousands of displaced people are living shoulder to shoulder

Waiting room of the clinic located at the Renk Transit Center in northern South Sudan. ALA KHEIR (UNHCR)

South Sudan’s Ministry of Health has confirmed the first case of cholera in Renk, a city in the far north of the country that is suffering a humanitarian crisis amidst the thousands of people from Sudan who have been displaced since war broke out last April. Sudan has been struggling against an outbreak of the diarrheal disease since September 26 and to date has documented 4,000 cases and 130 deaths.


“The public is advised not to panic, as measures have been put in place to respond to this threat,” the ministry has announced. Nonetheless, in Renk, general sentiment is very different, as described via WhatsApp by Atsuhiko Ochiai, coordinator of a Doctors Without Borders (DWB) clinic located in the Zero settlement of Renk, which has more than 3,500 residents. “[The situation] is getting worse. More people come from Sudan all the time and the water, latrines, food, plastic sheets, hygiene kits, etcetera, are just not enough. Open-air defecation is common,” he warns.


Doctor Ochiai’s fears are due to a minimal health infrastructure. More than 400,000 people have crossed the border in the last eight months. They arrive in impoverished conditions, without money, without a home in which to stay, with no hope of feeding or cleaning themselves or accessing any service beyond what meager humanitarian aid they can obtain. That’s because all the most important United Nations agencies and nonprofits are present in Renk, but the funds available to help the population are not sufficient: only 32% of the more than 225 million euros required by the UN refugee agency (UNHCR) have been covered. At the Renk Transit Center, which has a capacity of 3,000 people, there are more than 16,000 current residents, and the roads that connect this out-of-the-way corner to the rest of the country are waterlogged by floods caused by end-of-summer rains.

A woman cares for her son, who has been admitted to the hospital in Renk, northern South Sudan. ALA KHEIR (UNHCR)

Cholera presents a public health problem in 47 of the world’s poorest countries, where between 1.3 and four million cases are registered annually. The illness is caused by the Vibrio cholerae bacteria, which provokesd intense diarrhea, up to 20 liters a day, which can kill a person within four hours. With adequate treatment — rehydration and antibiotics in the most severe of cases— the death rate does not rise above 1%, but without it, it can soar to 50%.


Renk’s risk lies in the fact that this bacillus is transmitted through contact with contaminated foods and liquids, in conditions of overcrowding and lack of safe access to water and sanitation. This is precisely the scenario in the far north of South Sudan. If the region was already living in poverty and had been punished by nearly a decade of violence caused by internal conflicts, with 74% of the population in need of humanitarian aid, the waves of Sudanese and South Sudanese returnees from the new war have only worsened the situation.


The cholera patient identified at the transit center, a 38-year-old man who had recently crossed the border between the two states, has recovered. For the time being, no other positive cases have been reported. But the fear of new cases is very present. “When community-wide transmission of cholera happens in Renk, it will be catastrophic,” Ochiai predicts.


Doctor Francisco Luquero is the head of the team responsible for high-risk epidemic programs at the Global Alliance for Vaccines and Immunization (GAVI) and was in South Sudan during the 2014-2017 outbreak that affected more than 28,000 people. The doctor explains that since 2019 there have been hardly any cases, and those that have appeared have been very mild thanks to the country’s efforts to control the previous outbreak and the prevention campaigns that have been orchestrated “We know that in these scenarios there is a high risk of transmission and that in these areas it is difficult to provide adequate treatment, so there is concern,” he says over the phone.


With Sudan’s outbreak in mind, World Health Organization (WHO) mechanisms have been activated to avoid cholera’s arrival. These mainly involve the promotion of personal hygiene, especially hand-washing, raising awareness in communities, and distributing hygiene supplies to 3,000 households, including domestic items for transporting water like disinfectants and purifiers. But such measures are nearly impossible to implement when there are thousands of people sleeping outdoors, on muddy ground where rainwater stagnates and forms putrid puddles, and where there is no sewage system or toilets.

Water stagnates between tents where thousands of refugees survive in Renk. ALA KHEIR

A month before cholera had its opening act, fears were already present. In Zero’s mobile clinic, doctor Ferida Manoah hardly had time for a break: many small patients required her attention. Patients like Nya, María’s daughter. The little girl, at just over a year old, was due for a medical check-up. Her mother brought her to the health center, accessible only by a long row of sandbags that had been placed over the stagnant water.


Since she was apparently healthy, María only received some tips on nutrition and hygiene. Above all, the latter. “We have a large number of diarrhea cases and we’ve suspected the presence of typhus, but we aren’t able to test,” said Mahoah. Before the cholera outbreak, diarrhea was the third leading cause of mortality in Renk, after malaria and pneumonia.


A simple, but elusive remedy


The plan to address cholera begins with giving specific information to all health staff and community workers on how to inform authorities if they detect a suspicious case. Until there is confirmation, an outbreak is not announced, but independent of test results, it’s very important to provide treatment to patients to avoid death by dehydration.


Blocking the entrance of the illness at the border would be ideal, but in practice that turns out to be nearly impossible. The International Organization for Migration (IOM) has health stations open from 6 a.m. to 8 p.m., which means that for 10 hours a day there is no one available to test. Not to mention, with 2,000 to 3,000 people crossing every day, even if the stations were open 24 hours, it would be very difficult to evaluate everyone who passes through.

Drinking water station in the field of Joda, where thousands of people wait weeks to be transported to the Renk Transit Center in South Sudan. 
LOLA HIERRO

Luquero thinks that prevention at the border is not realistic because similar to people affected by Covid-19, a patient can be contagious and also asymptomatic, something that occurs in 80% of cases. Nonetheless, for him it “is super necessary to replenish kits to treat the sick, because rehydration saves lives.”


The GAVI leader trusts in the skills South Sudan showed in the past thanks to its prevention strategy. “South Sudan has taken a lot of initiative in vaccination, reactive as well as preventative,” he says. They have implemented various campaigns and since 2019, received more than three million doses through the Global Task Force on Cholera Control. “It’s true that it’s a very fragile country, but it’s also a case in which they’ve been able to successfully control a national outbreak,” he says.


Immunization campaigns, however, have not yet arrived to Renk. Luquero thinks it would be best to solicit them as soon as possible from the International Coordinating Group (ICG) on Vaccine Provision, which is in charge of emergency requests. “It’s one method that can be used to access the doses more quickly, linked to the humanitarian crisis in the north, without having to make a global vaccination plan,” he says. “What we need to do is to make a good epidemiological assessment as quickly as possible and, based on that, send the vaccine request as quickly as possible. And I emphasize speed.”


View original: https://english.elpais.com/international/2023-12-12/cholera-crosses-the-sudanese-border-and-bursts-into-south-sudan-refugee-camps.html


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