Among the more than 29,000 children under five years old screened last week during a vaccination campaign in Zamzam camp, 10.1 percent suffer from severe acute malnutrition (SAM), a life-threatening condition, while 34.8 percent suffer from global acute malnutrition (GAM), which will evolve into more severe form of malnutrition if not treated effectively and in timely fashion.

Most supply roads are controlled by the Rapid Support Forces (RSF) who have made it all but impossible to bring therapeutic food, medicines and essential supplies into the camp since the intensification of fighting around El Fasher last May.

An MSF mass screening carried out in March 2024 had revealed an 8.2 percent SAM rate and a 29.4 percent GAM rate, which was already twice as high as the 15 percent alert threshold of the World Health Organisation.

The only food available is from pre-existing stocks, which is not sufficient for people living in the area, and food prices are at least three times as high as in the rest of Darfur. Fuel prices are soaring as well, making it very difficult to pump water and run clinics that rely on generators for electricity. Our staff on site report that for many, it's impossible to rely on more than one meal per day.

Zamzam camp is estimated to host between 300.000 and 500.00 people, many of them displaced many times over, who are trying to flee the war that has been tearing up their country since last year. In El Fasher, where many of the displaced used to live, only one hospital remains partially standing after the others were damaged or destroyed in the conflict.