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Sudan Between Epidemics and Collapse: An Incapable State and a People Facing Death


Sudan is currently experiencing one of its most complex humanitarian crises, where the spread of epidemic diseases intersects with the near-total collapse of the healthcare system, revealing an absent state and a population left to fend for itself.

In the states of Khartoum, Al-Jazirah, and Northern Sudan, hospitals are witnessing a growing number of dengue and malaria cases, two diseases now claiming lives daily amid a severe shortage of essential medications and intravenous solutions. With continuous power outages, operating rooms and resuscitation equipment are rendered inoperative, and more than 160 healthcare facilities have ceased functioning, making life and death a matter of chance.

The tragedy extends beyond the lack of treatment; it permeates daily life: families lying on the floors outside closed hospitals, children carried on their relatives’ shoulders in the absence of ambulances, and doctors struggling with limited tools against expanding epidemics. These realities place the crisis in the context of a comprehensive humanitarian catastrophe rather than a mere sectoral crisis.

Even more alarming is the stark contrast between the plight of the people and the conduct of the military leadership. While citizens lack the most basic means of survival, the ruling elites indulge in foreign travel and ostentatious displays, completely ignoring the cries from within. This disconnect between the state and its citizens reflects the depth of the political crisis, characterized by a lack of accountability and transparency, as well as the absence of any vision for reform or rescue.

The economic crisis further darkens the scenario: rising prices and currency collapse leave the majority unable to purchase medication, while malnutrition weakens the population’s immunity, accelerating the spread and severity of diseases. What is occurring is not merely the result of war or mismanagement but an indicator of the state’s failure to perform its essential functions.

Today, Sudan stands on the edge of a large-scale humanitarian disaster that cannot be addressed from within alone. The absence of international intervention, whether through UN agencies or relief initiatives, means that millions of lives are at risk in silence.

Sudan requires more than urgent humanitarian aid; it requires political action that redefines the state’s responsibility toward its people. Silence in the face of this collapse is not merely negligence; it constitutes implicit complicity in the crime being committed against millions of innocent lives.

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