Sudan: “We are still hearing gunfire from our compound as I speak”

© MSF/Ali Shukur

Cyrus Paye, MSF Project Coordinator, describes the situation in North Darfur

Since Saturday, April 15, intense fighting has been taking place between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) in Khartoum and other parts of Sudan. Many people, including healthcare workers, are currently trapped. Teams from Doctors Without Borders/Médecins Sans Frontières (MSF) are treating hundreds of people and calling for the protection of civilians,medical personnel and facilities. Below, Cyrus Paye, the MSF Project Coordinator in Sudan, describes the situation in El Fasher.

Cyrus Paye, MSF Project Coordinator in El Fasher, North Darfur. Sudan 2023 © MSF

Heavy fighting is taking place in El Fasher. We are still hearing gunfire from our compound as I speak. It is very unsafe because of the shooting and the shelling—there are many civilian casualties.

At the hospital we support, we have received 279 wounded patients since the fighting began on Saturday. Tragically, 44 have died. The situation is catastrophic. The majority of the wounded are civilians who were hit by stray bullets, and many of them are children. They have fractures caused by bullets, or they have gunshot wounds or shrapnel in their legs, their abdomen or their chest. Many need blood transfusions. There are so many patients that they are being treated on the floor in the corridors because there simply aren’t enough beds to accommodate the vast number of wounded.

Until last weekend, South Hospital had no surgical capacity. It was a maternity hospital that we began to support last year in order to help reduce the high rates of maternal mortality in the region. However, since the fighting began, we have had to repurpose the hospital to make it possible to treat the wounded.

All other hospitals in the city have had to close due to their proximity to the fighting, or the inability of staff to reach them due to the intensity of the conflict. Surgeons from those hospitals have now come to South Hospital and have been able to carry out a number of surgical operations. However, they are rapidly running out of supplies. We were able to reach the hospital to restock it on Tuesday, when there was a lull in the fighting, but if we cannot get more supplies to Darfur – and if we continue to receive such high numbers of wounded – there are only enough medical supplies to last another three weeks.

There are no incubators in South Hospital, which will make is difficult to keep those children alive. The current team are overwhelmed. They have been working round the clock. We are exploring options to bring supplies and experienced trauma surgeons into the country to provide support when the situation allows, but – as is the case with medical supplies – currently, this is not possible.

It is critical that we are able to gain access to all health facilities across the country. At this moment in time, this is what will save people’s lives. Health facilities are running out of supplies and staff cannot get to work. Health worker, relief worker and rescue workers have all become immobilised by the fighting and people are dying as a result. Access is what will change this. That, and a guarantee from the warring parties that they will spare civilians’ lives.

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