MSF Suspends Operations at Key Hospital in Sudan's Capital

FILE - South Sudanese people sit outside a nutrition clinic at a transit center in Renk, South Sudan, on May 16, 2023. (AP Photo/Sam Mednick, File)
FILE - South Sudanese people sit outside a nutrition clinic at a transit center in Renk, South Sudan, on May 16, 2023. (AP Photo/Sam Mednick, File)
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MSF Suspends Operations at Key Hospital in Sudan's Capital

FILE - South Sudanese people sit outside a nutrition clinic at a transit center in Renk, South Sudan, on May 16, 2023. (AP Photo/Sam Mednick, File)
FILE - South Sudanese people sit outside a nutrition clinic at a transit center in Renk, South Sudan, on May 16, 2023. (AP Photo/Sam Mednick, File)

Medical aid agency MSF said on Friday it has been forced to suspend its activities at one of the few remaining hospitals in southern Khartoum due to repeated attacks, cutting off yet another lifeline for those who remain in the Sudanese capital.
War has been raging in Sudan since April 2023, sparked by a power struggle between the Sudanese Armed Forces and the paramilitary Rapid Support Forces (RSF) ahead of a planned transition to civilian rule, triggering the world's largest displacement and hunger crisis.
The hospital, which lies in territory controlled by the RSF, helped treat the victims of frequent airstrikes by the Sudanese Armed Forces, as well as hundreds of malnourished women and children in an area where two neighborhoods have been judged at risk of famine, reported Reuters.
"In the 20 months MSF teams have worked alongside hospital staff and volunteers, Bashair Hospital has experienced repeated incidents of armed fighters entering the hospital with weapons and threatening medical staff, often demanding fighters be treated before other patients," MSF said in a statement.
"Despite extensive engagements with all stakeholders, these attacks have continued in recent months. MSF has now taken the very difficult decision to suspend all medical activities in the hospital."
The fighting in Sudan has cut off up to 80% of hospitals in conflict areas, where millions who cannot afford to escape the violence remain. Civilians face frequent air and artillery fire and hunger as supplies are blocked by both warring parties and prices skyrocket.
Medical facilities, including MSF-supported ones that have suspended operations, have frequently come under attack by RSF soldiers demanding treatment or looting supplies. Bashair Hospital has served more than 25,000 people, MSF said, including 9,000 hurt by blasts, gunshot wounds, and other violence.
"Sometimes dozens of people arrived at the hospital at the same time after shelling or airstrikes on residential areas and markets," MSF said in the statement, citing an incident on Sunday where an airstrike one kilometer away drove 50 people to the emergency room, 12 of them already dead.



With UNRWA Fate Unclear, UN and Israel Argue over Who’s Responsible for Palestinians

Palestinians, including children, hold metal pots and pans as they gather to receive food cooked by a charity kitchen, in Khan Younis, southern Gaza Strip, 10 January 2025. (EPA)
Palestinians, including children, hold metal pots and pans as they gather to receive food cooked by a charity kitchen, in Khan Younis, southern Gaza Strip, 10 January 2025. (EPA)
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With UNRWA Fate Unclear, UN and Israel Argue over Who’s Responsible for Palestinians

Palestinians, including children, hold metal pots and pans as they gather to receive food cooked by a charity kitchen, in Khan Younis, southern Gaza Strip, 10 January 2025. (EPA)
Palestinians, including children, hold metal pots and pans as they gather to receive food cooked by a charity kitchen, in Khan Younis, southern Gaza Strip, 10 January 2025. (EPA)

The United Nations and Israel are arguing over who must fill the gap if the UN Palestinian relief agency UNRWA stops working in the Gaza Strip and West Bank later this month when an Israeli law comes into force.

UNRWA still operates in the Palestinian territories, but it is unclear what awaits the nearly 75-year-old agency when the law banning its operation on Israeli land and contact with Israeli authorities takes effect.

The UN and Israel have been engaged in tit-for-tat letter writing since the law on UNRWA was passed in late October. Shortly after, the UN told Israel it was not the world body's responsibility to replace UNRWA in the Palestinian territory - Gaza and the West Bank, including East Jerusalem.

In a letter to the UN General Assembly and Security Council late on Thursday, Secretary-General Antonio Guterres said if UNRWA was forced to stop operating then Israel "would be left to ensure that the range of services and assistance which UNRWA has been providing are provided" in accordance with its obligations under international law.

Guterres wrote that while other UN agencies were prepared to continue providing services and assistance to the Palestinians - to the extent they can - that "must not be viewed as releasing Israel from its obligations."

The United Nations views Gaza and the West Bank, including East Jerusalem, as Israeli-occupied territory. International law requires an occupying power to agree to and facilitate relief programs and ensure food, medical care, hygiene and public-health standards.

In a Dec. 18 letter to the world body, Israel's UN Ambassador Danny Danon said the new legislation "does not in any way undermine Israel's steadfast commitment to international law." He also rejected UN claims that Israel would be responsible for filling any gap left by UNRWA.

He wrote that Israel does not exercise effective control over Gaza and therefore is not an occupying power, adding that the law of military occupation also does not apply. He said that in the West Bank the responsibility of the Palestinian Authority for civilian affairs "must not be overlooked."

"In Jerusalem, all residents are entitled to government and municipal services under Israeli law," said Danon, adding that included health and education services. Israel annexed East Jerusalem in a move not recognized abroad.

HEALTH, EDUCATION AT RISK

Israel has long been critical of UNRWA. It says UNRWA staff took part in the Oct. 7, 2023, Hamas attack on Israel. The UN has said nine UNRWA staff may have been involved and were fired. A Hamas commander in Lebanon - killed in September by Israel - was also found to have had an UNRWA job.

The United States has said its ally Israel must ensure the new law does not further impede aid deliveries and critical services, including by UNRWA, in Gaza, which has been engulfed in a humanitarian crisis during the war between Israel and Palestinian Hamas group.

But it has also questioned UN contingency planning.

State Department officials met this week with the transition team of incoming US President Donald Trump - who takes office on Jan. 20 - and raised concerns about how the crisis in Gaza could deepen once the UNRWA law is implemented, said a US official.

UNRWA, established by the UN General Assembly, provides aid, health and education services to millions of Palestinians in Gaza, the West Bank, including East Jerusalem, and neighboring Arab countries - Syria, Lebanon and Jordan.

Guterres said UNRWA's unique role could not be replaced. UN officials say it is the health, education and social services UNRWA provides in the Palestinian territory that would suffer most as other agencies cannot match its ability to deliver such help.

Danon argued that "replacing UNRWA with relief schemes that will adequately provide essential assistance to Palestinian civilians is not at all impossible," citing the aid operation in Gaza where he said other UN agencies were equipped to provide the necessary response "as they do elsewhere in the world."

Other agencies working in Gaza and the West Bank include the children's organization UNICEF, the World Food Program, the World Health Organization, and the UN Development Program. But top UN officials and the Security Council describe UNRWA as the backbone of the current humanitarian operation in Gaza.

Israel launched an assault on Hamas in Gaza after the fighters killed 1,200 people in southern Israel on Oct. 7, 2023, and took some 250 hostages, according to Israeli tallies.

More than 46,000 people have been killed in Gaza since then, according to Palestinian health officials. Much of the enclave has been laid waste and most of the 2.3 million people have been displaced multiple times. Food experts warn of a looming famine.