MSF Chief: Sudan’s Situation Worst We’ve Ever Seen

International President of Doctors Without Borders (MSF) Christos Christou
International President of Doctors Without Borders (MSF) Christos Christou
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MSF Chief: Sudan’s Situation Worst We’ve Ever Seen

International President of Doctors Without Borders (MSF) Christos Christou
International President of Doctors Without Borders (MSF) Christos Christou

The health situation in Sudan is “the worst ever,” according to Christos Christou, the international president of Doctors Without Borders (MSF).
Speaking to Asharq Al-Awsat, Christou warned that conditions are deteriorating rapidly due to severe challenges in movement, a limited presence of international aid organizations, and inadequate funding from donors.
Christou reported that more than 70% of health facilities have shut down, and malnutrition is on the rise.
He predicted a surge in malaria and cholera cases with the rainy season approaching.
The ongoing conflict between the Sudanese army and the Rapid Support Forces (RSF) has caused the world’s fastest-growing displacement crisis, worsening malnutrition among children and pregnant women.
Remaining health facilities are overwhelmed and at risk of collapse due to increasing violence, attacks, and looting.
During his recent visit to Sudan, Christou met with Deputy Chairman of the Sovereignty Council Malik Agar and senior health officials to discuss ways to improve humanitarian aid delivery.
Christou described the patterns of displacement, malnutrition, and other humanitarian needs in Sudan as “deeply troubling.”
He noted that humanitarian aid is not reaching enough people and stressed the urgent need to “scale up the humanitarian response.” This, he added, requires guarantees of protection from all warring parties.
According to Christou, one in three patients treated by the organization suffers from war-related injuries, with most being women and children. He called on all fighting parties to “do everything possible to protect civilians.”
“We have heard many patient testimonies about violence driven by ethnic motives, especially in Darfur,” Christou said.
MSF is in constant contact with all warring parties to ensure healthcare continues.
“We must remind them to follow international humanitarian law, protect civilians and infrastructure, and not use weapons in health facilities,” added the MSF president.
Christou emphasized that MSF provides life-saving healthcare to all in need in Sudan, remaining neutral and impartial.



Fakhri Karim: I Conveyed Talabani’s Advice to Assad on Terrorists

Fakhri Karim (Asharq Al-Awsat)
Fakhri Karim (Asharq Al-Awsat)
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Fakhri Karim: I Conveyed Talabani’s Advice to Assad on Terrorists

Fakhri Karim (Asharq Al-Awsat)
Fakhri Karim (Asharq Al-Awsat)

The late Iraqi President, Jalal Talabani, excelled at delivering messages subtly. In private meetings, he spoke more freely than in public statements or interviews. His chief advisor, Fakhri Karim, often joined these discussions.

Luncheons were lavish, showing Talabani's respect for different opinions, though he rarely followed doctors’ advice.

Talabani believed that Iranian leaders were smart and hoped they wouldn’t try to control Baghdad from Tehran, citing the failed attempt to manage Beirut from Damascus.

He noted that Iraq’s independent spirit makes it hard for the country to follow the US, Iran, or Türkiye. Talabani also admitted giving refuge to 80 Iraqi officers who had fought against Iran, after they were targeted by certain groups.

Talabani praised Syria’s late President Hafez al-Assad for his invaluable support, providing accommodation and passports.

Speaking to Asharq Al-Awsat, Karim revealed he had warned President Bashar al-Assad, on behalf of Talabani, that militants allowed into Iraq to fight US forces might later turn against Syria.

This, Karim noted, did happen.

After the Israeli invasion of Beirut in 1982, Karim relocated to Damascus. There, he expanded his Al-Mada organization, focusing on publishing, translation, and organizing book fairs, alongside his political activities.

This allowed him to build relationships with top civilian and military officials.

In 2000, after Bashar al-Assad came to power, he met with Karim.

“I felt Assad was eager to listen, especially given my connections with many intellectuals,” recalled Karim.

“I told him dissenting voices exist but are mostly positive. You talk about modernization and renewal; this is a chance for some openness, even in elections,” Karim said he told Assad.

“Do you think anyone could really compete with you, given your position as the Baath Party's leader with all its resources?” Karim questioned.

Karim then discussed the situation of Syrian Kurds with Assad, noting that many lack identification papers, even basic travel documents. He also mentioned seeing historic Kurdish areas in the Khabur region with their names changed to Arabic, which causes sensitivities.

“I am not satisfied with this situation. Rest assured, this issue is on my agenda, and you will hear positive news about it,” Karim cited Assad as saying at the time.

In a later meeting, after the change in Iraq, Karim met Assad several times.

On one occasion, Karim recalls conveying Talabani’s greetings and concerns about armed fighters moving into Iraq and the dangers this posed to both Iraq and possibly Syria.

“We have deployed large forces to secure the borders, but what can we do? There are tribes and smugglers,” Assad complained about the situation.

“I told President Assad that as Fakhri Karim, I couldn’t share with the Americans what I know. I assured him that terrorists enter Iraq from a specific location I’m familiar with, not from all borders,” Karim recounted to Asharq Al-Awsat.

“I also noted that Syria tightly controls its airspace, shooting down any foreign aircraft,” he added.

Assad then responded to Karim and said: “We’re prepared, let us know what we can do.”

In reality, Damascus was worried because there were reports suggesting that Syria’s Baath regime could be the next target for the US army at its borders. Additionally, Damascus was concerned about the sectarian divisions—Shiite, Sunni, and Kurdish—in dealing with Iraq and the potential impact on Syria.

Repairing Kurdish Relations

Karim has spent years working on repairing the relationship between Kurdish leaders Talabani and Masoud Barzani.

This history began with the split that gave rise to the ‘Patriotic Union of Kurdistan’ from the ‘Kurdistan Democratic Party.’

Despite bloody conflicts and external meddling, Karim believes Kurdish leaders unify in the face of danger to their people and region, a pattern he expects to continue.

Karim believes that the Kurdish leadership, symbolized by Masoud Barzani and Jalal Talabani, made a big mistake at the beginning by focusing only on regional issues, ignoring Baghdad’s affairs.

He thinks they should have aimed for a federal democratic system that respects citizenship rights.

Karim pointed out that without a unified Iraq, the region’s rights would be uncertain. He also criticized the Shiite-Kurdish alliance, which he sees as odd.

Additionally, he mentioned mistakes in failing to unify regional institutions and increasing corruption, with party interests often trumping competence in appointments.

Asked about the personal bond between Talabani and Barzani, Karim said: “Both have moved past their tough history, but they haven’t done enough for the future.”

“I want to highlight an act by Barzani that shows his character. When Talabani was sick, Barzani made it clear to anyone thinking of harming Talabani or his family that there would be consequences,” he revealed.

“This isn’t hearsay, it’s firsthand,” affirmed Karim.

“Barzani also refused to discuss the presidency or a successor during Talabani’s illness. I personally organized a gathering for Talabani’s family, where Barzani reassured them, ‘I’m here for you, I’m family.’ His words moved everyone, showing a strong emotional connection,” he added.

When asked about Barzani’s character, Karim said: “He's been a long-time friend, and our relationship has been politically aligned and personally warm from the start.”

“I see him as a loyal friend, and he's shown that loyalty on multiple occasions. He’s smart, decisive, and listens carefully, often changing his mind after thorough consideration,” he noted.

“Once Barzani commits to something, he finds it hard to go back on his word. There was a moment during negotiations with Saddam Hussein when he stood firm despite my advice to reconsider,” recalled Karim.

Regarding the aftermath of the independence referendum, Karim believes that the negative turn in the political landscape began during Nouri al-Maliki’s tenure.

Al-Maliki’s attempts to shift alliances and his refusal to compromise exacerbated tensions.

The referendum itself wasn’t the problem; rather, it was exploited by some to punish the Kurdistan Region.

However, Karim emphasized that holding referendums is a citizen’s right, and the purpose of the Kurdistan referendum was to affirm this right, not to declare independence.