In the Tine transit camp and the nearby refugee camps in eastern Chad, close to the border with Sudan, MSF is responding to the needs of Sudanese refugees.

The humanitarian situation at the Chad–Sudan border has reached a critical tipping point, with over 70,000 new refugees arriving in Chad since April 2025. Chad is already hosting over one million refugees, including more than 800,000 Sudanese who have arrived since the conflict began over two years ago1.


Since the end of April, an estimated 40,000 refugees have arrived at Tine, Wadi Fira province, Chad, some in a state of severe dehydration, malnutrition, and profound psychological distress, due to increased violence and recent attacks on the Zamzam IDP camp and El Fasher. The Tine transit camp is now home to over 18,000 people, many of whom are sleeping on the bare ground in 40°C heat without shelter and with severely limited access to water and food. These refugees are awaiting relocation to the Iridimi camp, but it has already reached his maximum capacity and the needs there are also dire.


MSF has deployed a medical and humanitarian team to the transit camp and the Tine border to provide primary healthcare services, including medical screening, vaccinations and care for malnourished children, pregnant women, and survivors of sexual violence. MSF is also distributing 60, 000 liters of water per day, which is half of the estimated need. With the rainy season approaching and the number of refugees continuing to rise, the threat of a large-scale health disaster grows by the day.