Darfur's humanitarian emergency: a call for immediate action.
Summary
Darfur's humanitarian emergency: a call for immediate action The Lancet 2025 Correspondence Darfur’s humanitarian more than 460 patients and their 3 Reliefweb. International Organization for emergency: a call for companions were reportedly shot and Migration: Sudan displacement tracking matrix (DTM)—Sudan mobility update 16. killed within hospital grounds.4,5 March 23, 2025. https://reliefweb.int/report/ Published Online immediate action The collapse of health-care infra- sudan/iom-sudan-displac
Content
# Darfur's humanitarian emergency: a call for immediate action
*The Lancet 2025*
Correspondence
Darfur’s humanitarian
more than 460 patients and their 3 Reliefweb. International Organization for
emergency: a call for companions were reportedly shot and Migration: Sudan displacement tracking
matrix (DTM)—Sudan mobility update 16.
killed within hospital grounds.4,5 March 23, 2025. https://reliefweb.int/report/ Published Online
immediate action
The collapse of health-care infra- sudan/iom-sudan-displacement-tracking- December 11, 2025
structure has had devastating effects matrix-dtm-sudan-mobility-update-16- https://doi.org/10.1016/
publication-date-23-march-2025 (accessed S0140-6736(25)02383-9
We write with profound moral urgency on disease control and maternal, infant, Nov 14, 2025).
to highlight the relentless suffering and child health. Outbreaks of cholera, 4 Bartlett K. Hundreds killed in Darfur hospital
massacre, “hero” doctors abducted. NPR.
endured by the people of Darfur, malaria, measles, rabies, and other Oct 30, 2025. https://www.npr.
Sudan. The ongoing violence driven communicable diseases are recurrent org/2025/10/30/nx-s1-5590815/darfur-el-
fasher-rsf-hospital-massacre (accessed
by militia groups has led to mass and worsening, fuelled by inadequate
Nov 14, 2025).
displacement and widespread human water supplies, poor sanitation, and 5 WHO. WHO condemns killings of patients and
rights abuses, demanding immediate rampant malnutrition—conditions civilians amid escalating violence in El Fasher,
Sudan. Oct 29, 2025. https://www.who.int/
international attention and collective exacerbated by ongoing conflict and news/item/29-10-2025-who-condemns-
intervention.1 Silence in the face of displacement.6–8 killings-of-patients-and-civilians-amid-
escalating-violence-in-el-fasher--sudan
this unfolding catastrophe is no longer This ongoing crisis is not incidental
(accessed Dec 10, 2025).
an option; the scale and severity of but deliberately engineered through 6 Azhary A, Hajhamed NM, Mohamed R, et al.
the crisis call for urgent action. Since policies of blockade, targeted violence, Resurgence of multistate cholera in Sudan
amidst ongoing conflict. IJID Reg 2025;
early 2003, Darfur has been engulfed and military tactics that violate 17: 100798.
in a ceaseless cycle of conflict marked international humanitarian law.9 The 7 Azhary A, Hajhamed NM, Muvunyi CM,
Siddig EE. Resurgence of multistate rabies
by recurrent violence, ethnic atrocities, use of starvation as a weapon of war,
amidst ongoing conflict in Sudan:
and targeted campaigns against combined with systematic destruction strengthening a One Health Response.
civilian populations.2 Despite multiple of vital infrastructure, exemplifies IJID One Health 2025; 9: 100085.
8 Azhary A, Hajhamed NM, Ali ETO,
peace agreements and ongoing flagrant violations of human rights
Muvunyi CM, Siddig EE. Resurgent multistate
international efforts, hostilities persist, and international legal standards.9 measles outbreak in Sudan amidst conflict:
urgent need for vaccination and international
perpetuating a cycle of atrocity and It is our moral obligation to speak
support. Int J Infect Dis 2025; 160: 108066.
insecurity.2 out against this ongoing tragedy, 9 German Federal Foreign Office. Joint
As of March, 2025, over 31% of those demand accountability, and advocate statement condemning atrocities and
violations of international humanitarian law in
displaced are from South Darfur, and for peace and justice. Darfur’s people
Sudan. Nov 10, 2025. https://www.
16% from North Darfur.3 Many of these deserve no less. The time to act is auswaertiges-amt.de/en/newsroom/news/
joint-statement-sudan-2742958 (accessed
individuals were displaced before the now—before this ongoing nightmare
Nov 14, 2025).
recent escalation on Oct 28, 2025, and leaves an even darker stain on our
are suffering secondary or even tertiary collective conscience.
Gender-based violence
displacement, living in precarious
We declare no competing interests.
conditions with severely limited and displacement in
Emmanuel Edwar Siddig,
access to health care, clean water, and Published Online
*Ayman Azhary, Darfur’s war
sanitation.3,4 Thousands have been December 12, 2025
Abdallah Elssir Ahmed,
killed or injured in ongoing clashes, https://doi.org/10.1016/
Claude Mambo Muvunyi S0140-6736(25)02384-0
many of whom are civilians seeking The war in Sudan has resulted in
azhryaymn18@gmail.com
refuge or medical aid.3 one of the largest and fastest-
Facutly of Medcial Laboratory Sciences, University of
Hospitals and health-care workers growing displacement crises of the
Khartoum, Khartoum, Sudan (EES); Pan Africa
are under relentless threat. This year Biomedical Institute, Kigali, Rwanda (EES, AA); 21st century. Gender-based violence is
alone, hundreds of patients have Department of Medical Microbiology, Faculty of both a catalyst for displacement and a
Medical Laboratory Sciences, Omdurman Islamic
been killed and doctors kidnapped profound consequence of it. In Darfur,
University, Khartoum 14415, Sudan (AA); Molecular
by the Rapid Support Forces.3,4 The Biology Unit, Sirius Training and Research Centre, where communities have endured
last hospital in El Fasher, the Saudi Khartoum, Sudan (AEA); Rwanda Biomedical repeated attacks, women and girls face
Center, Kigali, Rwanda (CMM)
Maternity Hospital—considered the a collapse of protection that exposes
last bastion of hope for many—was 1 International Committee of the Red Cross. them to severe and widespread sexual
Sudan: operational update—ICRC response in
destroyed by militia forces, crippling and around Al Fasher, North Darfur. violence at every stage of displacement.
Darfur’s fragile health infrastructure.4 Nov 7, 2025. https://www.icrc.org/en/article/ This convergence of displacement and
sudan-operational-update-icrc-response-al-
WHO reported that six health-care gender-based violence represents a
fasher-north-darfur (accessed Nov 14, 2025).
workers, including four doctors, 2 Reliefweb. Darfur: a human rights catastrophe. serious public health emergency that Submissions should be
a nurse, and a pharmacist, were Feb 7, 2025. https://reliefweb.int/report/ demands urgent global attention. made via our electronic
sudan/darfur-human-rights-catastrophe submission system at
abducted from the hospital on (accessed Nov 14, 2025). As of November, 2025, more than http://ees.elsevier.com/
Oct 28, 2025.4,5 On the same day, 12·2 million people have been forcibly thelancet/
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DOI: 10.1016/S0140-6736(25)02383-9