Cholera Outbreak in Sudan Has Killed at Least 22 People, Health Minister Says 

A man disinfects a rural isolation center where patients are being treated for cholera in Wad Al-Hilu in Kassala state in eastern Sudan, on August 17, 2024. (AFP)
A man disinfects a rural isolation center where patients are being treated for cholera in Wad Al-Hilu in Kassala state in eastern Sudan, on August 17, 2024. (AFP)
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Cholera Outbreak in Sudan Has Killed at Least 22 People, Health Minister Says 

A man disinfects a rural isolation center where patients are being treated for cholera in Wad Al-Hilu in Kassala state in eastern Sudan, on August 17, 2024. (AFP)
A man disinfects a rural isolation center where patients are being treated for cholera in Wad Al-Hilu in Kassala state in eastern Sudan, on August 17, 2024. (AFP)

Sudan has been stricken by a cholera outbreak that has killed nearly two dozen people and sickened hundreds more in recent weeks, health authorities said Sunday. The African nation has been roiled by a 16-month conflict and devastating floods.

Health Minister Haitham Mohamed Ibrahim said in a statement that at least 22 people have died from the disease, and that at least 354 confirmed cases of cholera have been detected across the county.

Ibrahim didn’t give a time frame for the deaths or the tally since the start of the year. The World Health Organization, however, said that 78 deaths were recorded from cholera this year in Sudan as of July 28. The disease also sickened more than 2,400 others between Jan. 1 and July 28, it said.

Cholera is a fast-developing, highly contagious infection that causes diarrhea, leading to severe dehydration and possible death within hours when not treated, according to WHO. It is transmitted through the ingestion of contaminated food or water.

The cholera outbreak is the latest calamity for Sudan, which was plunged into chaos in April last year when simmering tensions between the military and Rapid Support Forces (RSF) exploded into open warfare across the country.

The conflict has turned the capital, Khartoum and other urban areas into battlefields, wrecking civilian infrastructure and an already battered health care system. Without the basics, many hospitals and medical facilities have closed their doors.

It has killed thousands of people and pushed many into starvation, with famine already confirmed in a sprawling camp for displaced people in the wrecked northern region of Darfur.

Sudan’s conflict has created the world’s largest displacement crisis. More than 10.7 million people have been forced to flee their homes since fighting began, according to the International Organization for Migration. Over 2 million of those fled to neighboring countries.

The fighting has been marked by atrocities including mass rape and ethnically motivated killings that amount to war crimes and crimes against humanity, according to the UN and international rights groups.

Devastating seasonal floods in recent weeks have compounded the misery. Dozens of people have been killed and critical infrastructure has been washed away in 12 of Sudan’s 18 provinces, according to local authorities. About 118,000 people have been displaced due to the floods, according to the UN migration agency.

Cholera is not uncommon in Sudan. A previous major outbreak left at least 700 dead and sickened about 22,000 in less than two months in 2017.

Tarik Jašarević, a spokesman for WHO, said the outbreak began in the eastern province of Kassala before spreading to nine localities in five provinces.

He said in comments to The Associated Press that data showed that most of the detected cases were not vaccinated. He said the WHO is now working with the Sudanese health authorities and partners to implement a vaccination campaign.

Sudan's military-controlled sovereign council, meanwhile, said Sunday it will send a government delegation to meet with American officials in Cairo amid mounting US pressure on the military to join ongoing peace talks in Switzerland that aim at finding a way out of the conflict.

The council said in a statement the Cairo meeting will focus on the implementation of a deal between the military and the RSF, which required the paramilitary group to pull out from people’s homes in Khartoum and elsewhere in the country.

The talks began Aug. 14 in Switzerland with diplomats from the US, Saudi Arabia, Egypt, the United Arab Emirates, the African Union and the United Nations attending. A delegation from the RSF was in Geneva but didn’t join the meetings.



WHO Demands Space to Finish Gaza Polio Vaccination

Palestinian child is vaccinated against polio during the second round of a vaccination campaign, amid the Israel-Hamas conflict, in Deir Al-Balah in the central Gaza Strip, October 14, 2024. (Reuters)
Palestinian child is vaccinated against polio during the second round of a vaccination campaign, amid the Israel-Hamas conflict, in Deir Al-Balah in the central Gaza Strip, October 14, 2024. (Reuters)
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WHO Demands Space to Finish Gaza Polio Vaccination

Palestinian child is vaccinated against polio during the second round of a vaccination campaign, amid the Israel-Hamas conflict, in Deir Al-Balah in the central Gaza Strip, October 14, 2024. (Reuters)
Palestinian child is vaccinated against polio during the second round of a vaccination campaign, amid the Israel-Hamas conflict, in Deir Al-Balah in the central Gaza Strip, October 14, 2024. (Reuters)

The World Health Organization (WHO) on Wednesday urged Israel to ensure the necessary conditions to finish the job of vaccinating Gaza's children against polio, after reaching more than 150,000 with the required second dose.

Despite continuing Israeli military operations in some areas of the Palestinian territory, the second round of a polio vaccination campaign, aiming to reach more than 590,000 children under the age of 10, got under way on Monday.

"The total number of children who received a second dose of polio vaccine in central Gaza after two days of vaccination is 156,943," WHO director-general Tedros Adhanom Ghebreyesus said on X.

"The vaccination continues today. At the same time, 128,121 children received vitamin A supplements.

"We call for the humanitarian pauses to continue to be respected. We call for a ceasefire and peace," he said.

- 'Humanitarian pauses' -

As during the initial round of vaccination last month, the second will be divided into three phases, helped by localized "humanitarian pauses" in the fighting: first in central Gaza, then in the south and finally in the hardest-to-reach north of the territory.

Each phase is due to take three campaign days, along with one catch-up day for monitoring and for vaccinating any children who were missed.

"A minimum of two doses of vaccine are needed to interrupt poliovirus transmission. This will only be achieved if at least 90 percent of all eligible children are vaccinated in all communities and neighborhoods," Tedros told a press conference.

The vaccination drive began after the Gaza Strip confirmed its first case of polio in 25 years.

The disease has re-emerged in besieged Gaza, where the war has left most medical facilities and the sewage system in ruins.

Most often spread through sewage and contaminated water, poliovirus is highly infectious. It can cause deformities and paralysis, and is potentially fatal, mainly affecting children under the age of five.

- North Gaza concerns -

Rik Peeperkorn, the WHO's representative in the Palestinian territories, said the UN health agency was closing in on its target of reaching 180,000 in the central zone with a second oral polio vaccine dose.

Speaking from Gaza, he said 293,000 children needed to be reached in the southern zone and 119,000 in the north.

"We are concerned about the north because of the repeated evacuation orders, including for the hospitals and populations around that," he told the press conference.

"We have been successful with polio vaccination -- against all odds -- in the first round. We made a good start; we want to finish this job.

"We are very clear -- crystal clear -- that we will need an area-specific humanitarian pause, and this is also our assumption that we will get an area-specific humanitarian pause for the whole north of Gaza."

Peeperkorn said that above all, parents needed to be able to bring their children to the mobile and fixed vaccination points in safety.

"We cannot afford to falter in the second round. We need to stop this transmission of the poliovirus," he said, adding that WHO was "hopeful, and convinced, that this is going to work".

Israel launched a military campaign in Gaza after the October 7, 2023, attack by Hamas resulted in the deaths of 1,206 people in Israel, mostly civilians, according to an AFP tally of official Israeli figures, including hostages killed in captivity.

The Israeli campaign has killed 42,409 people, the majority civilians, according to figures from the health ministry in the Hamas-run territory which the UN considers reliable.