It has now been 842 days since conflict between troops from the military government and their former allies-turned-rivals in the paramilitary Rapid Support Forces erupted in Sudan, turning the country into the world’s largest humanitarian crisis.

Heavy fighting continues in North Darfur State, with multiple civilian casualties reported in recent days – most notably during clashes in the state capital, El Fasher, on 1 and 2 August – following earlier violence between armed groups near the Abu Shouk camp for displaced people, which currently hosts 25,000 residents.

Starvation threat

One year after famine was confirmed in Zamzam camp on the outskirts of El Fasher, the city remains under siege, with no food aid deliveries entering by road, leaving residents of the regional capital increasingly facing starvation.

Prices of food items such as sorghum and wheat are more than four times higher than elsewhere in the country, while many families are unable to afford even the most basic items.

“Limited cash assistance continues, but it is nowhere near enough to meet rising needs,” said Deputy UN Spokesperson Farhan Haq on Monday during the daily briefing in New York.

Cholera menace continues

Meanwhile, cholera continues to spread across Darfur, with nearly 1,200 cases reported – around 300 of them children – in the locality of Tawila since late June.

In South Darfur, health authorities have reported more than 1,100 suspected cases and 64 deaths since late May, as “shortages of medical supplies, clean water and sanitation services are severely hampering the humanitarian response,” said Mr. Haq.

The UN Children’s Fund (UNICEF) warns that the lives of more than 640,000 under-fives are at heightened risk of violence, disease and hunger in the region.

Compounded crisis

In Blue Nile State, floods in Ed Damazine displaced more than 100 people and destroyed at least 200 tents at Al-Karama camp on 1 August, further compounding the challenges facing people who fled their homes due to conflict.

Meanwhile, in Khartoum State, the presence of deadly landmines in multiple locations adds a dangerous new layer to the threats already faced daily by civilians.

As OCHA’s Director of Operations, Edem Wosornu, visits Sudan this week to assess the humanitarian situation, the agency has called for sustained and expanded humanitarian access along with greater international support for the most vulnerable.