Showing posts with label WHO. Show all posts
Showing posts with label WHO. Show all posts

Tuesday, November 14, 2023

Sudan: Cholera outbreak (Update 14 November 2023)

Report from OCHA
Sudan: Cholera outbreak Flash Update No. 3, As of 14 Nov 2023 [EN/AR]
Dated Tuesday, 14 November 2023
HIGHLIGHTS


• Sudan declared a cholera outbreak in Gedaref on 26 September. At least 2,525 suspected cases of acute watery diarrhoea/cholera, including 78 associated deaths, have been reported from 27 localities in Gedaref, South Kordofan, Kassala, Khartoum, Aj Jazirah and Sennar states as of 9 November 2023. 


• More than 3.1 million people are estimated to be at risk of acute watery diarrhoea (AWD) and cholera in eight states between July and December 2023.


• Humanitarian agencies are scaling up the response to the outbreak, supporting the detection and treatment of cases. Surveillance is ongoing in affected and high-risk areas to identify and address risk factors. 


• The International Coordination Group on Vaccine Provision (ICG) Secretariat (WHO, UNICEF, MSF, IFRC) approved the Federal Ministry of Health’s request for more than 2.9 million doses of oral cholera vaccines (OCV) for reactive vaccination campaigns in nine localities of Gedaref, Al Jazirah and Khartoum states. 


• Vaccines are expected to arrive on 20 November, and vaccination campaigns are expected to start by the end of November.


OCHA coordinates the global emergency response to save lives and protect people in humanitarian crises. We advocate for effective and principled humanitarian action by all, for all.


https://www.unocha.org/sudan

https://reliefweb.int/country/sdn

https://www.humanitarianresponse.info/en/operations/sudan


Download Report

(PDF | 439.61 KB)


View original:  https://reliefweb.int/report/sudan/sudan-cholera-outbreak-flash-update-no-3-14-november-2023-enar


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Sudan: Supporting treatment of people with cholera

A lab technician checks stool samples at a mini lab at the Cholera Treatment Centre in Gedaref. Supplies for the lab have been provided by the World Health Organization. OCHA/Alimbek Tashtankulov.

WHO and UNICEF officials check the stock of medication to treat cholera at the Cholera Treatment Centre in Gedaref. OCHA/Alimbek Tashtankulov 

Full story: https://www.unocha.org/news/sudan-supporting-treatment-people-cholera


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Tuesday, October 31, 2023

Chad's first dengue outbreak: what you should know

Report from EconoTimes - https://www.econotimes.com/

By Dr. Eunice Anyango Owino*

Dated Monday, 30 October 2023, 10:56 AM UTC - here is a copy in full:


Chad's first dengue fever outbreak: what you should know


Chad has reported its first dengue outbreak, according to the World Health Organization (WHO). The country’s health ministry declared an outbreak on 15 August and so far 1,342 suspected cases have been reported, 41 of them confirmed in the laboratory. One death was reported among the patients with lab-confirmed cases. The outbreak started in Ouaddaï province in eastern Chad, currently the outbreak epicentre. Illnesses have also been reported in three other provinces. Godfred Akoto Boafo spoke to medical entomologist Eunice Anyango Owino about the disease.

Mosquitoes are the primary medium for contracting dengue. Oregon State University/Flickr


What causes dengue fever and how does it affect people?

Dengue fever is a mosquito-borne viral disease caused by one of the four dengue virus serotypes. It is primarily transmitted by the Aedes aegypti mosquito and to a lesser extent the Aedes albopictus mosquito, mainly in the tropical and sub-tropical areas of the world.


Infection with one serotype provides long-term immunity to that particular serotype, but not the others. That means that, after recovery, a person can still be infected by the other three serotypes. Serotypes are groups within a single species of microorganisms, such as bacteria or viruses, which share distinctive surface structures.


Most infections produce only mild flu-like illness; 80% of cases are asymptomatic. But getting infected with different serotypes one after the other puts a person at a greater risk of severe dengue, also known as dengue hemorrhagic fever. It is characterised by serious internal bleeding and organ damage, and a sudden drop in blood pressure that causes shock which can be fatal.


How widespread is it in the Sahel? Why is this first outbreak in Chad significant?

Dengue fever has been endemic in Sudan, with outbreaks documented in 2010, 2013, 2017 and 2019. Unfortunately, due to years of political and civil conflicts, the control and response capacity of the public health sector in Sudan has been limited.


The risk of spread in the Sahel region, which includes Niger, Mali and Chad, has always been high. This is because these countries all host the suitable mosquito vectors (Aedes). They also share the same tropical climate with seasonal heavy rains and floods.


To add to the problem, countries like Chad are grappling with a massive influx of refugees and returnees from Sudan who might be carrying the disease. The epicentre of the current outbreak, the province of Ouaddai at the eastern border with Sudan, hosts more than 400,000 refugees.


The cities at the border with Sudan are densely populated and have poor sanitation. This provides a favourable environment for the vectors to breed.


In addition, Chad lacks effective disease control programmes. This is its first dengue outbreak. It doesn’t have the necessary public health preparedness and response capacities. So the risk posed by this outbreak is high.


The movement of the returning refugees has the potential to spread the outbreak in Chad and even across the border to other countries in the Sahel, the rest of Africa, and the world at large.


What treatment is available?

There’s currently no available treatment for dengue in the world. Timely detection and case management, especially treatment of dehydration and plasma leakage by oral or intravenous rehydration, are key in preventing severe illness and death.


There is an approved dengue vaccine (Dengvaxia) for use in people aged 9-45 years. But for it to be effective they must have had one infection of dengue by any of the four serotype viruses, which must be confirmed by a laboratory test.


The vaccine is given in three doses within 12 months and protects against all the four dengue virus serotypes with an efficacy of 80%. However, its availability in developing countries in Africa isn’t assured, although it has been licensed by several national regulatory authorities.


Apart from the vaccine, the only other guard against dengue fever is prevention of mosquito bites and vector control.


What is the way forward in controlling the disease?

More investment should be put on expanding clinical and laboratory capabilities to deal with the disease. 


Given that this is Chad’s first outbreak, it needs to:


• put in place standard operating procedures for clinical management of suspected and confirmed dengue cases


• expand the capacity for early detection of cases – this could be done by procurement of rapid diagnostic tests and by alerting communities


• strengthen disease surveillance and coordinate the response by actively finding cases. Cases within the community are likely to be underreported as dengue is unknown to the public. Also, clinicians might not be familiar with the disease presentation. It could be confused with other common fevers.


• put in place effective vector control measures, like draining stagnant water around residential areas, cleaning and replenishing water storage containers on a weekly basis, distributing insecticide-treated nets, spraying indoors and using window and door screens.


• strengthen surveillance to assess the vector breeding potential in containers and to monitor insecticide resistance. This is critical for selecting the most effective insecticides.


• make communities aware of the risks of infection and how to protect themselves. Engaged communities can take ownership of the vector control strategy and adopt healthy behaviours.


• strengthen cross-border collaboration. The current outbreak most likely spread from Sudan. The focus should be on prevention and vector control measures in border areas.


• mobilise resources for a national contingency plan for dengue preparedness and response. And seek help from experienced organisations like the WHO.


View original: https://www.econotimes.com/Chads-first-dengue-fever-outbreak-what-you-should-know-1665123


*About Author: Eunice Anyango Owino
Dr. Eunice Anyango Owino is a Medical Entomologist based at the School of Biological Sciences, the University of Nairobi, specialising on arthropod borne diseases. 
Medical Entomologist at the School of Biological Sciences, University of Nairobi 
Source: https://www.econotimes.com/contributors/17080

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Saturday, July 22, 2023

UN deeply concerned by 50+ attacks on aid workers and health care in Sudan in three months -WHO

Report from China View - Xinhuanet english.news.cn
Source: Xinhua. Editor: huaxia
Published on Saturday 22 July at 05:17 - here is a full copy:

UN humanitarians deeply concerned by ongoing attacks on health care in Sudan


UNITED NATIONS, July 21 (Xinhua) -- UN Humanitarians on Friday expressed deep concern over more than 50 attacks on aid workers and health care in Sudan in three months.


"We are appalled by reports that a Medecins Sans Frontieres (MSF) team was assaulted by armed men in Khartoum yesterday (Thursday)," the UN Office for the Coordination of Humanitarian Affairs (OCHA) said.


According to OCHA, MSF reported that a 16-person team in Khartoum was aggressively assaulted by a group of armed men who physically beat and whipped them. The assailants detained one of the MSF drivers and, before his release, threatened to kill him. They also stole a vehicle.


MSF said the incident happened as the team was moving medical supplies from the organization's warehouse to the Turkish Hospital, one of only two hospitals still operating in all of southern Khartoum.


"We underscore that attacks on health care workers and facilities are a violation of international humanitarian law," OCHA said. "They must stop now."


The World Health Organization has verified more than 50 attacks on health care since the conflict began in Sudan on April 15. 


View original: http://www.chinaview.cn/20230722/2f9a1cf70e2344feba9aa2b64c2a1c4f/c.html


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Saturday, July 01, 2023

South Sudan: Unity State launch measles vaccination

Dr. Mai Puok Machar, a healthcare professional at Rubkona County Hospital, stressed the seriousness of measles as an infectious disease.


He outlined the symptoms, which include high fever (which can spike to over 104°F), cough, runny nose (coryza), red watery eyes (conjunctivitis), and a rash that typically appears 3-5 days after onset of symptoms. Read more.


Report at Radio Tamazuj - radiotamazuj.org/en
Published 27 June 2023 - here is a full copy:

Unity State launches measles vaccination for returnees

(BENTIU - 27 JUN 2023)A measles vaccination campaign has commenced in Rubkona and Koch counties in Unity State, targeting returnees, particularly those who recently fled Sudan. The initiative aims to vaccinate individuals aged five months to 15 years.


The campaign launched on Monday is being supported by organizations such as the World Health Organization (WHO), the United Nations Children’s Fund (UNICEF), the United Nations Development Programme (UNDP), and other UN agencies.


Speaking to Radio Tamazuj on Monday, Duol Biem, Director General of the State Ministry of Health, said,” We have launched a measles vaccination campaign. Health workers are already in the field, and the operation is estimated to take seven days, considering the population that needs to be vaccinated in Rubkona County and Koch County.”


Biem revealed that a few measles cases were reported in both counties last week. He emphasized the importance of vaccinating all children among the returnees. Furthermore, he stated that the vaccination program would continue indefinitely due to the continuous arrival of people on a daily basis. He added, “Our focus is prevention, and this measles vaccination campaign will span one week, concluding on June 31.”


In a recent report by the Unity State health ministry, 26 cases of measles were confirmed in Rubkona, Guit, and Mayom counties.


Nyadak Gattuor, one of the returnees at Rotriak in Rubkona County, confirmed the launch of the vaccination campaign on Saturday. She shared that her children had already been vaccinated and encouraged all parents to take their children to the vaccination centres in Rotriak and Nyaruop Port.


“Two of my children have been vaccinated, and they are now protected against measles,” she said.


Meanwhile, Dr. Mai Puok Machar, a healthcare professional at Rubkona County Hospital, stressed the seriousness of measles as an infectious disease in the community.


He outlined the symptoms, which include high fever (which can spike to over 104°F), cough, runny nose (coryza), red watery eyes (conjunctivitis), and a rash that typically appears 3-5 days after the onset of symptoms.


Dr. Mai urged the community to remain vigilant and advised, “I strongly recommend that the community in Unity State ensure their children receive the measles vaccination, as it is the most effective way to prevent this disease.”


According to the World Health Organization, measles is a highly contagious viral disease that primarily spreads through direct contact and airborne transmission. However, thanks to vaccinations, the severity and mortality rates associated with measles have significantly decreased


View original: https://radiotamazuj.org/en/news/article/unity-state-launches-measles-vaccination-for-returnees


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Thursday, May 11, 2023

UN Security Council meets today to discuss Sudan

NOTE from Sudan Watch Ed: The UK, penholder on Sudan at UN Security Council, requested a meeting of the Council to be held today (11 May) to discuss the deteriorating humanitarian and security situations in Sudan.

Special Representative and head of the UN Integrated Transition Assistance Mission in Sudan (UNITAMS) Volker Perthes and Under-Secretary-General for Humanitarian Affairs Martin Griffiths are expected to brief.

In this report from What's In Blue, the yellow highlighting is mine for easy future reference. Hopefully, the Council members will agree on the "product" needed in response to the escalating violence in Sudan.

Report from What's In Blue 

Dated Thursday 11 May 2023 - full copy:

Sudan: Closed Consultations


This morning (11 May), following the briefing on the ICC’s Libya-related activities, Security Council members will hold closed consultations on Sudan


The UK, the penholder on the file, requested the meeting to discuss the deteriorating humanitarian and security situations in the country, in light of the fighting that erupted on 15 April between the Sudanese Armed Forces (SAF), headed by General Abdel Fattah al-Burhan—Sudan’s military leader and Chairperson of the Transitional Sovereign Council—and the Rapid Support Forces (RSF), a paramilitary group led by General Mohamed Hamdan Dagalo. Special Representative and head of the UN Integrated Transition Assistance Mission in Sudan (UNITAMS) Volker Perthes and Under-Secretary-General for Humanitarian Affairs Martin Griffiths are expected to brief.


Council members last met to discuss the situation in Sudan on 25 April, when the Council convened for an open briefing at the request of the UK. Secretary-General António Guterres, Perthes, Assistant Secretary-General for Humanitarian Affairs and Deputy Emergency Relief Coordinator Joyce Msuya, and Permanent Observer of the AU to the UN Fatima Kyari Mohammed briefed. In his remarks, Guterres said that the power struggle in Sudan is not only jeopardising the country’s future but is also “lighting a fuse that could detonate across borders, causing immense suffering for years and setting development back by decades”. He called on Council members, the wider UN membership, and regional organisations with influence to press the Sudanese leaders to de-escalate tensions. (For background, see our 25 April What’s in Blue story.)


Fighting has continued in and around Khartoum despite repeated calls by regional and international actors for a ceasefire. According to a 6 May OCHA flash update, at least 528 people have been killed and 4,599 injured since the outbreak of hostilities. Additionally, more than two-thirds of hospitals across Sudan are not functional because of direct attacks, occupation by the warring parties, as well as lack of electricity, water supply, fuel, or medicine.


Perthes is likely to update members on political developments in Sudan, as well as on the various ongoing regional and international efforts aimed at resolving the crisis. On 2 May, the AU Commission (the regional organisation’s secretariat) held a follow-up meeting to its 20 April special ministerial session on Sudan. Among other matters, the meeting focused on identifying priorities, strengthening the unity of the international community, promoting a ceasefire agreement, and advancing efforts to return to a democratic, inclusive, and civilian transition.


In a 2 May press release, South Sudan’s Ministry of Foreign Affairs announced that the warring Sudanese parties had agreed to a seven-day truce starting on 4 May, and to name their representatives for talks led by the Intergovernmental Authority on Development (IGAD), under the leadership of South Sudanese President Salva Kiir Mayardit in Juba. The seven-day truce was reportedly not observed by the parties and, at the time of writing, only al-Burhan has named his representative for the IGAD-facilitated talks. 


On 8 May, Kiir held a meeting with al-Burhan’s special envoy, Dafallah al-Haj Ali, in Juba, during which Ali reportedly affirmed the primacy of IGAD in mediation efforts to resolve the ongoing conflict. 


On 10 May, Kiir met Egyptian Foreign Minister Sameh Shoukry in Juba. According to a press statement released following the meeting, both leaders discussed “proposed modalities to merge the many different processes, forums and efforts into meaningful ceasefire” to end the ongoing conflict.


On 6 May, Saudi-US facilitated talks between representatives of the warring parties began in Jeddah. In a 7 May statement, Saudi Arabia and the US urged the parties to earnestly engage in the talks, with the aim of “achieving an effective short-term ceasefire, facilitating the delivery of emergency humanitarian assistance and restoration of essential services, and scheduling subsequent expanded negotiations to achieve a permanent cessation of hostilities”. The statement added that the parties began to review a proposed “Declaration of Commitment to Protect Civilians and facilitate and respect Humanitarian Action in Sudan”.


In an 8 May interview with an Egyptian media outlet, al-Burhan reportedly expressed support for a political solution to the ongoing conflict but emphasised that the withdrawal of RSF forces from residential areas and public facilities in Khartoum is a pre-condition. Speaking about the ongoing talks in Jeddah, he added that discussions about a lasting settlement could take place only after a permanent ceasefire is achieved in Khartoum.


On 7 May, the League of Arab States (LAS) convened an emergency ministerial-level meeting of its Executive Council in Cairo to discuss the situation in Sudan, during which it adopted a resolution stressing the need to respect the sovereignty, unity, and territorial integrity of Sudan. The resolution called for protecting Sudanese state institutions and preventing any “foreign interference” that could destabilise regional peace and security. It also established a contact group on Sudan, consisting of Egypt, Saudi Arabia, and LAS Secretary-General Ahmed Aboul Gheit. Among other things, the contact group is mandated to communicate with the Sudanese parties, regional and international partners, and international organisations with the aim of reaching a settlement; undertake efforts to reach a complete and sustainable ceasefire; address the underlying drivers of conflict; and coordinate with humanitarian relief agencies to provide assistance and medical aid.


At today’s meeting, Griffiths is likely to brief about his recent visit to Port Sudan on 3 May, where he met Perthes and the heads of several humanitarian agencies, including the World Food Programme (WFP), UNICEF, and the International Organization for Migration (IOM). In a press briefing during the visit, Griffiths noted that he is working to have clear and public commitments from the warring parties about protecting humanitarian assistance and allowing the delivery of aid. In this regard, he stressed the “need to have agreements at the highest level and…deliver those commitments into local arrangements”. Griffiths added that he hopes to meet SAF and RSF leaders, separately, in person, to explain to them the humanitarian requirements based on the discussions with the UN and other humanitarian agencies.


In a 9 May press briefing, OCHA Spokesperson Eri Kaneko noted that Griffiths was also present in Jeddah to engage with relevant parties and countries with influence to secure security guarantees for the UN and other humanitarian actors for the delivery of aid across various parts of the country. She added that prior to that, Griffiths also held phone calls with SAF and RSF leaders, in which he stressed the importance of developing safe corridors for the delivery of aid. At today’s meeting, Council members may wish to learn more about the scale and reach of OCHA’s operations and engagement with the respective parties for ensuring the safety and security of the humanitarian personnel and facilities.


Some Council members are expected to express concern about attacks against civilian infrastructure and the looting of humanitarian facilities in Sudan. On 9 May, the World Health Organization (WHO) said that it had verified 28 attacks against healthcare facilities since 15 April, which resulted in eight deaths and 18 injuries. In a tweet on the same day, WFP Executive Director Cindy McCain noted that nearly 25 percent of the WFP food stock has been stolen and that the organisation’s offices in the country have been looted.


Another likely issue of concern for Council members is the internal displacement of civilians and influx of refugees into Sudan’s neighbouring states. A 9 May IOM Sudan situation report noted that, since 15 April, almost 736,223 people have been displaced internally across Sudan, 13.8 percent of whom are foreign nationals. It added that approximately 177,116 individuals have sought refuge in neighbouring states, mainly in the Central African Republic (CAR), Chad, Egypt, Ethiopia, and South Sudan.


It appears that Council members continue to have diverging views on whether a Security Council product is needed in response to the escalation of violence in Sudan. Council members apparently failed to adopt a draft press statement that was proposed by the UK following the AU Commission’s 20 April ministerial meeting because of opposition from the A3 members of the Council (Gabon, Ghana, and Mozambique). The A3 apparently argued that adopting a Council product could lead to duplicate messaging and create complications at a delicate time. It seems that China and Russia supported this position. 


Apparently, during Council members’ 25 April closed consultations on Sudan, the UK, with support from other Council members, again called for a press statement. However, this proposal did not garner consensus after the A3 members, followed by China and Russia, reiterated their objection to a product.


Tags: Insights on Africa, Sudan


View original:

https://www.securitycouncilreport.org/whatsinblue/2023/05/sudan-closed-consultations.php


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Wednesday, May 10, 2023

Sudan: WHO says 600 dead, 5,000 wounded. Thousands flee to Ethiopia as fighting worsens

THE World Food Programme has warned that 19 million people, or 40% of Sudan, could face increased food insecurity as a result of the recent violence. Note that the numbers do not include South Sudan.

Read more in this report with a 5-minute video showing people who have reached the Ethiopian border. 

From Channel 4 News, UK

By Jamal Osman, Africa Correspondent

Published Wednesday 10 May 2023 - full copy:

Sudan crisis: thousands flee to Ethiopia as fighting gets worse


Fighting in Khartoum between Sudan’s army and the paramilitary RSF group shows no sign of abating despite diplomatic talks taking place in Saudi Arabia.


The World Health Organisation says the conflict has killed more than 600 people and injured at least 5,000.


The World Food Programme has also warned that 19 million people, or 40% of the country, could face increased food insecurity as a result of the recent violence.


Hundreds of thousands of people have also been forced to take refuge in neighbouring Chad, Egypt and South Sudan.


View original and video news report here: https://www.channel4.com/news/sudan-crisis-thousands-flee-to-ethiopia-as-fighting-gets-worse


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Saturday, May 06, 2023

UAE, WHO send plane with medical supplies to Sudan

Report from Daily Excelsior

Saturday 06 May 2023 - excerpt:

UAE, WHO send plane with medical supplies to Sudan

(Abu Dhabi/Khartoum) -The United Arab Emirates (UAE) and the World Health Organization (WHO) have completed the first medical aid delivery to Sudan, the WHO informs.

“The United Arab Emirates (UAE) and the World Health Organization have delivered 30 tons of urgent medical supplies to Sudan today. A plane carrying supplies for injury treatment, emergency surgeries, and essential drugs arrived in Port Sudan Airport early this morning,” the WHO said in a Friday statement.

According to the release, the shipment is valued at $444,000 and includes enough medical supplies and essential medicines to reach 165,000 people,

“The shipment” is the first that WHO has been able to deliver by air to Sudan since the outbreak of the conflict,” the WHO said.

View original: https://www.dailyexcelsior.com/uae-who-send-plane-with-medical-supplies-to-sudan/

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Thursday, April 27, 2023

Sudan crisis: War crimes suspect free amid chaos

Report from BBC News


By JAMES GREGORY & JAMES COPNALL


Wednesday 26 April 2023 c.11:50 am BST UK 


Sudan crisis: War crimes suspect free amid chaos

IMAGE SOURCE, GETTY IMAGES

Image caption, Haroun (left) in 2010 when he was governor of the South Kordofan region


A former Sudanese politician wanted for alleged crimes against humanity has said that he and other former officials are no longer in jail - following reports of a break-out. 

Ahmed Haroun was among those being held in Kober prison in the capital Khartoum who are facing charges by the International Criminal Court (ICC).

A ceasefire between fighting military factions largely appears to be holding. 

But there are doubts about both sides' commitment to a lasting peace. 

The conflict - which began on 15 April - arose from a bitter power struggle between the leaders of Sudan's regular army and a rival paramilitary group, the Rapid Support Forces (RSF).

Reports emerged this week of a prison break at Kober - where Ahmed Haroun was serving a sentence alongside Omar al-Bashir, Sudan's former president. 

On Tuesday, Haroun confirmed in a statement aired on Sudan's Tayba TV that he and other Bashir loyalists who served under him had left the jail - but said he would be ready to appear before the judiciary whenever it was functioning.

In an audio message circulating on social media, Haroun claimed the group had been aided in their escape by prison guards and the armed forces.

"We made a decision to protect ourselves due to lack of security, water, food and treatment, as well as the death of many prisoners in Kober," Haroun told al-Sudani, a daily newspaper with ties to Bashir.

Haroun was a key player in the Sudanese government's brutal response to two long-running and still unresolved civil wars - in Darfur (from 2003) and South Kordofan (from 2011).

He was indicted by the ICC in 2007 for his alleged role in the atrocities in Darfur - described as the first genocide of the 21st Century - when he was the country's interior minister. 

He faces 20 counts of crimes against humanity and 22 counts of war crimes, with charges including murder, rape, persecution and torture. He denies the charges.

Mukesh Kapila, a former UN coordinator for Sudan, described Haroun as "extremely dangerous" and "unreliable", adding he had "many followers who have been lurking for the last two decades". 

"This, plus other armed groups now coming out of the woodwork, really changes the dynamics in ways that are difficult to predict at the moment - but it's really bad news," he told the BBC World Service's Newsday programme.

Haroun was arrested in 2019, after veteran leader Bashir was ousted by the military amid mass protests. The country has experienced frequent unrest and several other coup attempts since then. 

Bashir - who is 79 - had been serving a jail sentence for corruption. He is at a military hospital in police custody - having been moved there before the latest hostilities broke out, according to Sudan's army.

He is also accused by the ICC of leading a campaign of mass killing and rape in Sudan's Darfur region, which he denies.

Sudan's interior ministry has accused the RSF of breaking into five prisons in the past few days - including Kober, which Bashir had already left. 

Police said the raid led to the killing of two prison warders, and that the RSF released all who where being held there.

The RSF has denied the allegations, claiming instead that the military "forcibly evacuated" the facility as part of a plan to restore Bashir to power. 

An army spokesman denied any army involvement, saying the military "does not have any supervision over prisons". He said the military was coordinating with police to return inmates to prisons. 

But plenty of Sudanese will believe this is just the latest example of Gen Burhan, leader of Sudan's armed forces, trying to restore Bashir's Islamist lieutenants to the forefront of Sudanese politics. 

The ceasefire in Sudan has allowed several countries to evacuate their nationals from the country. Several evacuation flights carrying UK nationals from Sudan have landed in Cyprus, while a boat evacuating more than 1,600 people from dozens of countries has now arrived in Saudi Arabia. 

Both Germany and France say all their citizens have now left the country.

IMAGE SOURCE, AFP 

Image caption, Hundreds of people evacuated from Sudan have arrived in Saudi Arabia by boat

Image caption,

Volker Perthes, who is the UN special envoy to Sudan and is currently in the country, said on Tuesday that the 72-hour pause in fighting still appeared to be holding together. 

But gunfire and explosions continued to be reported in Khartoum and the nearby city of Omdurman. 

"There is yet no unequivocal sign that either [side] is ready to seriously negotiate, suggesting that both think that securing a military victory over the other is possible," said Mr Perthes. 

Mr Perthes said that many homes, hospitals and other public facilities have been damaged or destroyed in residential areas near the army headquarters and airport in the capital Khartoum.

The ceasefire, which began at midnight local time (22:00 GMT) on Monday, is the latest attempt to bring stability to the country after fighting broke out nearly two weeks ago. 

The White House said on Wednesday the ceasefire should be extended to address the humanitarian crisis, news agency Reuters reported. 

National security spokesman John Kirby also confirmed a second American had died in Sudan on Tuesday. 

At least 459 people have died in this conflict so far, though the actual number is thought to be much higher.

Thousands more are reported to have fled Sudan and the UN has warned that this is likely to continue. Lines of buses and other vehicles are continuing to leave Khartoum despite rocketing prices of fuel and bus tickets. 

The World Health Organisation (WHO) said it expects there to be "many more" deaths due to outbreaks and a lack of services. 

More than 60% of health facilities in Khartoum are closed, it said. 

There is also concern for those who are left behind, with an estimated 24,000 pregnant women currently in Khartoum who are expected to give birth in the coming weeks.


View original: https://www.bbc.co.uk/news/world-africa-65394913


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