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Libya Press
A rapidly escalating cholera outbreak in Sudan has reached a case fatality rate of 13.7 percent, according to the World Health Organization, as more than two years of war have shattered the country's health infrastructure. The outbreak threatens to become a wider humanitarian catastrophe with the approaching rainy season expected to accelerate transmission.
Sudan is already the world's largest humanitarian crisis, with more than 33 million people in need of urgent assistance. The addition of a highly lethal cholera strain to this landscape has alarmed international health agencies, who warn that without immediate intervention, the death toll could rise dramatically.
The conflict that erupted in April 2023 between the Sudanese Armed Forces and the Rapid Support Forces has devastated Sudan's essential systems. Hospitals have been bombed, water treatment plants destroyed, and more than 10 million people forcibly displaced from their homes.
Dr. Shible Sahbani, the World Health Organization's representative in Sudan, warned that the cholera case fatality rate is already "extremely high" and that it is expected to worsen when the rainy season sets in. The combination of flooded roads, contaminated water sources, and displaced populations living in overcrowded camps creates ideal conditions for waterborne diseases to spread.
UNICEF has reported that children are bearing the heaviest burden of the outbreak. The agency said it is working with Sudan's Ministry of Health and other partners to protect children from cholera, but more supplies and essential medicines are urgently needed.
"Cholera can kill in a matter of hours," UNICEF warned in a statement. The disease causes severe diarrhea and vomiting, leading to rapid dehydration. Among malnourished children — of which Sudan has millions — the risk of death is even higher.
The scale of Sudan's crisis carries direct implications for neighboring countries, including Libya. With thousands of Sudanese refugees crossing into eastern Libya through the Kufra border region, Libyan health authorities have been placed on alert for potential imported cases of cholera.
Libya's own health system, still recovering from over a decade of instability, faces additional strain from the influx. The Libyan Ministry of Health has not yet issued public guidance on cholera preparedness, but medical sources in eastern Libya have confirmed that screening measures at border points have been strengthened.
The United Nations has called for an immediate scale-up of the humanitarian response. UN News reported that the outbreak is a direct consequence of the collapse of water and sanitation systems caused by the war. Open defecation and the use of contaminated water sources have become widespread in displacement camps.
The WHO and UNICEF are calling for an immediate ceasefire to allow health workers to contain the outbreak. Without a cessation of hostilities, aid organizations warn that the cholera epidemic could spiral beyond Sudan's borders, becoming a regional health emergency.
"This is not just a Sudanese crisis," Dr. Sahbani said. "This is a crisis that threatens the entire region."
— Libya Press / Health Desk