The Sudanese army pounded paramilitaries in the capital Khartoum with air strikes Thursday while deadly fighting flared in Darfur as the clock ticked down on a fragile US-brokered ceasefire now in its final full day.
Late Wednesday, the army said it had agreed to talks in Juba, capital of neighbouring South Sudan, on extending the three-day truce which expires on Friday "at the initiative of IGAD", the East African regional bloc.
There have been multiple truce efforts since fighting broke out on April 15 between Sudan's regular army led by General Abdel Fattah al-Burhan and the paramilitary Rapid Support Forces (RSF) commanded by his deputy turned rival, Mohamed Hamdan Daglo. All have failed.
The fighting has continued despite the US-brokered ceasefire that took effect on Tuesday, with warplanes patrolling the skies over the capital's northern suburbs as fighters on the ground have exchanged artillery and heavy machine gun fire, witnesses said.
Burhan agreed on Wednesday to the IGAD proposal for talks on extending the truce by a further 72 hours, the army added.
At least 512 people have been killed and 4,193 wounded in the fighting, according to health ministry figures, although the real death toll is likely much higher.
The doctors' union said at least eight civilians had been killed in Khartoum alone on Wednesday despite the truce.
More than two thirds of hospitals in the country were out of service, the union said Thursday, including 14 that had been struck during the fighting.
Beyond the capital, fighting has flared in the provinces, particularly in the war-torn western region of Darfur.
Clashes between the army and the RSF raged for a second day in the West Darfur capital Geneina, witnesses said, adding that civilians were seen fleeing to the nearby border with Chad.
On Wednesday, the United Nations humanitarian agency reported killings, looting and arson in Geneina.
"An estimated 50,000 acutely malnourished children have had nutrition support disrupted due to the fighting," it added in a statement.
The heavy fighting has trapped many civilians in their homes, where they have endured severe shortages of food, water and electricity.
The UN has warned that as many as 270,000 people could flee into Sudan's poorer neighbours South Sudan and Chad.
Other Sudanese have sought refuge in Egypt to the north and Ethiopia to the east, but both entail long and potentially dangerous journeys overland.
Speaking at the Egyptian border, 50-year-old refugee Ashraf called on the warring sides to "end the war... because this is your own conflict, not that of the Sudanese people".
In Port Sudan on the Red Sea coast, Syrian evacuee Khalil Ibrahim told AFP: "We just want to get away from this war."
Cambridge University academic Sharath Srinivasan warned the mass movement of people across Sudan's borders threatened to destabilise already fragile governments in neighbouring countries.
"If the armed confrontation between these two forces protracts -- or worse, if it draws in other armed rebel groups across the country -- this could quickly become one of the worst humanitarian crises in the region and risk spilling over," he told US news outlet Politico.
Foreign governments have taken advantage of the fragile truce to organize road convoys, aircraft and ships to get thousands of their citizens out but some have warned their evacuation efforts are dependent on the lull in fighting holding.
A Saudi evacuation ship docked in the Red Sea port of Jeddah Thursday carrying 187 Sudan evacuees from 25 countries, including the United States, Russia and Turkiye, the Saudi foreign ministry said.
It was the eighth such crossing organized by the Saudi authorities since the start of the fighting and took the total evacuated to the kingdom so far to 2,544, only 119 of them Saudis, the ministry said.
As lawlessness has gripped Sudan, there have been several jailbreaks, including from the high security Kober prison where top aides of ousted dictator Omar al-Bashir were held.
