The conflict in Sudan has led to the displacement of over four million people. The ma-jority of this population, approximately 3.3 million people, have been displaced within Sudan itself. More than 380,000 people have crossed into eastern Chad, mostly seeking refuge in camps and settlements in and around the border town of Adre. On-site MSF teams are currently witnessing the distressing living conditions faced by these refugees, with a severe shortage of food, water, sanitation, shelter, and healthcare.

MSF appeals to the UN system, international donors, and humanitarian organizations to swiftly address all essential needs of the refugees in Adre and across Ouaddai province.
In Sudan, the number of those compelled to flee their homes is growing daily. The MSF medical teams in Sudan report large number of patients wounded with bullets and explosions. The health system in Sudan is buckling under pressure. Several medical facilities have been damaged in the fighting, and are overwhelmed, running out of sup-plies, staff and in some cases utilities like water and electricity.

In the eastern Chadian province of Ouaddai, MSF teams are delivering critical healthcare services in partnership with the Ministry of health. The bed capacity has been expanded to 420 beds in Adre hospital and four health centres. Additionally, a 38-bed clinic situated in Camp Ecole is conducting 460 consultations daily. The region is grap-pling with a high prevalence of malaria and diarrhea, while 372 children are undergoing treatment for malnutrition in Camp Ecole.

In Adre hospital, 150 patients are currently being treated for traumatic injuries, mostly gunshot wounds sustained in Sudan, while 133 children are admitted for life-threatening medical complications linked to malaria and malnutrition. Our teams have also started to support and deliver maternal care and services for victims of sexual violence.
The MSF teams offering mental health assistance in Camp Ecole have witnessed dis-tressing cases of Sudanese refugees enduring profound losses, rape, and sexual vio-lence during their journey to Chad. Numerous women have recounted being confined to a room and subjected to rape by groups of men. Given the gravity of their trauma and suffering, these people need ongoing and comprehensive support. A resolute commit-ment from the UN, other organizations, and donors is key to ensure that these people are saved from potentially fatal circumstances.