Sudanese tuberculosis outbreak (2023−present)

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Tuberculosis outbreak in Sudan (during the War in Sudan (2023–present) )
Disease Tuberculosis
Location Sudan
DateMay 2023 – present

An ongoing outbreak of tuberculosis (TB), an infectious disease, was confirmed in Sudan in May 2023. [1]

Contents

Incidents of tuberculosis cases had decreased significantly for the past few years. [2] [1]

Tuberculosis

Tuberculosis is spread from one person to the next through the air when people who have active TB in their lungs cough, spit, speak, or sneeze. [3] [4] People with Latent TB do not spread the disease. [3] Active infection occurs more often in people with HIV/AIDS and in those who smoke. [3] Diagnosis of active TB is based on chest X-rays, as well as microscopic examination and culture of body fluids. [5] Diagnosis of latent TB relies on the tuberculin skin test (TST) or blood tests. [5]

Prevention of TB involves screening those at high risk, early detection and treatment of cases, and vaccination with the bacillus Calmette–Guérin (BCG) vaccine. [6] [7] [8] Those at high risk include household, workplace, and social contacts of people with active TB. [7] Treatment requires the use of multiple antibiotics over a long period of time. [3] Antibiotic resistance is a growing problem, with increasing rates of multiple drug-resistant tuberculosis (MDR-TB). [3]

Outbreak

War

In the early hours of the morning of 15 April 2023, the RSF started a series of assaults on key buildings in Khartoum, primarily the Khartoum International Airport. During their attack on the airport, the RSF reportedly attacked a Saudi plane which was arriving at the airport, but no casualties have been reported among the passengers and crew. The armed forces and the insurgents were engaged in fierce fighting. [9] [10] The RSF also captured the presidential palace, the residence of the former Sudanese president Omar al-Bashir, and attacked a military base. [11] [12] Users on Facebook Live and Twitter documented the Sudanese Air Force flying above the city, and striking the RSF targets. [13]

Emergency

On 8 May 2023, the UN announced a significant outbreak of tuberculosis in Sudan and Ukraine. It said that the disease was killing an estimated 4,400 people per day including 700 children. It confirmed at least 34,000 cases in Ukraine and a large but unspecified number in Sudan. [1]

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<span class="mw-page-title-main">Khartoum</span> Capital of Sudan

Khartoum or Khartum is the capital of Sudan. With a population of 6,344,348, Khartoum's metropolitan area is the largest in Sudan.

<span class="mw-page-title-main">Tuberculosis</span> Infectious disease

Tuberculosis (TB), also known colloquially as the "white death", or historically as consumption, is an infectious disease usually caused by Mycobacterium tuberculosis (MTB) bacteria. Tuberculosis generally affects the lungs, but it can also affect other parts of the body. Most infections show no symptoms, in which case it is known as latent tuberculosis. Around 10% of latent infections progress to active disease which, if left untreated, kill about half of those affected. Typical symptoms of active TB are chronic cough with blood-containing mucus, fever, night sweats, and weight loss. Infection of other organs can cause a wide range of symptoms.

The Janjaweed are an Arab nomad militia group from the Sahel region that operates in Sudan, particularly in Darfur, and eastern Chad. They have also been speculated to be active in Yemen. According to the United Nations definition, Janjaweed membership consists of Arab nomad tribes from the Sahel, the core of whom are from the Abbala Arabs, traditionally employed in camel herding, with significant recruitment from the Baggara.

<span class="mw-page-title-main">Geneina</span> City in West Darfur, Sudan

Geneina is a city in West Darfur, part of the dar Masalit region, in Sudan. It joined British Sudan at the end of 1919 through the Gilani Agreement, signed between the Masalit Sultanate and the United Kingdom, according to which it became a territory.

<span class="mw-page-title-main">Rapid Support Forces</span> Sudanese paramilitary force formed in 2013

The Rapid Support Forces is a paramilitary force formerly operated by the Government of Sudan. The RSF grew out of, and is primarily composed of, the Janjaweed militias which previously fought on behalf of the Sudanese government. Its actions in Darfur qualify as crimes against humanity in the opinion of Human Rights Watch.

<span class="mw-page-title-main">Hemedti</span> Sudanese military officer, former warlord and Janjaweed mercenary

Mohamed Hamdan Dagalo, generally referred to mononymously as Hemedti, Hemetti, Hemeti, or Hemitte, is a Janjaweed leader from the Rizeigat tribe in Darfur, who was the Deputy head of the Transitional Military Council (TMC) following the 2019 Sudanese coup d'état. Since 2013, Hemetti has commanded the Rapid Support Forces (RSF). He was considered by The Economist to be the most powerful person in Sudan as of early July 2019.

The following lists events during 2023 in the Republic of the Sudan.

<span class="mw-page-title-main">War in Sudan (2023–present)</span> Ongoing military conflict in Sudan

A civil war between two rival factions of the military government of Sudan, the Sudanese Armed Forces (SAF) under Abdel Fattah al-Burhan, and the paramilitary Rapid Support Forces (RSF) under the Janjaweed leader, Hemedti, began during Ramadan on 15 April 2023. Fighting has been concentrated around the capital city of Khartoum and the Darfur region. As of 21 January 2024, at least 13,000–15,000 people had been killed and 33,000 others were injured. As of 21 March, over 6.5 million were internally displaced and more than two million others had fled the country as refugees, and many civilians in Darfur have been reported dead as part of the 2023 Masalit massacres.

<span class="mw-page-title-main">Battle of Khartoum (2023–present)</span> Battle during the 2023 Sudan conflict

The battle of Khartoum is an ongoing battle for control of Khartoum, the capital city of Sudan, with fighting in and around the city between the paramilitary Rapid Support Forces (RSF), and the Sudanese Armed Forces. The battle began on 15 April 2023, after the RSF captured Khartoum International Airport, several military bases, and the presidential palace, starting an escalating series of clashes.

Operation Kaveri was an operation conducted by the Indian Armed Forces to evacuate Indian citizens and foreign nationals from Sudan during the 2023 Sudan conflict. The evacuation was conducted by air and sea, most likely in Port Sudan where most of the evacuations were done by Indian Navy through INS Sumedha. The operation was conducted for the evacuations of thousands of Indians in Sudan, primarily in Khartoum, the capital of the country.

<span class="mw-page-title-main">Sudanese refugee crisis (2023–present)</span> Ongoing refugee crisis caused by the 2023 Sudan conflict

An ongoing refugee crisis began in Africa in mid-April 2023 after the outbreak of the 2023 Sudan conflict. By April 2024, around 1.8 million people have fled the country, while around 9-10 million had been internally displaced. These included at least 75,000 migrant returnees and other third-country nationals.

<span class="mw-page-title-main">Darfur campaign</span> Ongoing military offensive in Sudan

The Darfur campaign or Darfur offensive is a theatre of operation in the war in Sudan that affects five states in Darfur: South Darfur, East Darfur, North Darfur, Central Darfur and West Darfur. The offensive mainly started on 15 April 2023 in West Darfur where the Rapid Support Forces (RSF) forces captured Geneina, the conflict came after several days of high tensions between the forces and the government.

The following is a timeline of the War in Sudan in 2023.

<span class="mw-page-title-main">Battle of Merowe</span> Battle during the 2023 Sudan conflict

The Battle of Merowe was a military engagement of the 2023 Sudan conflict between RSF and SAF for the control of the city of Merowe and it's airport.

The Battle of Nyala was a battle for control of Nyala, the capital of South Darfur in Sudan, between the paramilitary Rapid Support Forces (RSF), and the Sudanese Armed Forces during the ongoing Darfur campaign. The first battle occurred between 15 and 20 April 2023, during which hundreds were reported dead. A civilian-brokered ceasefire paused the fighting by April 20. Sporadic clashes broke out between May and July. In August 2023, the RSF launched an offensive on the city. The SAF launched air campaigns against the RSF in Nyala, with many civilian casualties in Taiba and El Matar. In late September, the RSF besieged the headquarters the SAF's 16th Infantry Division headquarters, capturing it on October 26.

The humanitarian crisis following the 2023 Sudan conflict was further exacerbated by the violence occurring during a period of high temperatures, drought and the conflict starting during the latter part of the fasting month of Ramadan. Most residents were unable to venture outside of their homes to obtain food and supplies for fear of getting caught in the crossfire. A doctors' group said that hospitals remained understaffed and were running low on supplies as wounded people streamed in. The World Health Organization recorded around 26 attacks on healthcare facilities, some of which resulted in casualties among medical workers and civilians. The Sudanese Doctors' Union said more than two-thirds of hospitals in conflict areas were out of service with 32 forcibly evacuated by soldiers or caught in the crossfire. The United Nations reported that shortages of basic goods, such as food, water, medicines and fuel have become "extremely acute". The delivery of badly-needed remittances from overseas migrant workers was also halted after Western Union announced it was closing all operations in Sudan until further notice.

<span class="mw-page-title-main">Deportation of Eritreans during the war in Sudan (2023–present)</span> Ethnic deportation of Eritreans in the Sudan

The deportation of Eritreans from Sudan is the ongoing forced transfer of nearly an estimated 3,500 Eritreans and Sudanese-Eritreans from Sudan mainly at the border between both countries in the war in Sudan. On 7 May 2023, reports by The Guardian were released stating that hundreds of Eritreans had been taken away from their refugee camps near the Eritrean-Sudanese border. Several of the citizens being deported were reported to be Eritrean men who had fled the Eritrean army after being conscripted. Several women were also reported to be arrested.

<span class="mw-page-title-main">Treaty of Jeddah (2023)</span> 2023 two-week long treaty for peace in Sudan

The Treaty of Jeddah or Jeddah Declaration is an international agreement that was made to make peace in Sudan. The Treaty of Jeddah, which was signed by the United States, Saudi Arabia, and Sudan and representatives of both warring sides on 20 May 2023, entered into force 48 hours later on 22 May 2023. The agreement was supposed to create a week-long ceasefire and the distribution of humanitarian aid within the country. The agreement expired suddenly after a surge of clashes on 23 May 2023, a day after the agreement came into effect. With the actual date of expiry being 27 May 2023, the nations agreed on an extension for five days but was shortened due to the agreement's ineffectiveness.

<span class="mw-page-title-main">War crimes during the War in Sudan (2023–present)</span> Violations of the laws of war during the War in Sudan (2023–present)

The war in Sudan, which started on 15 April 2023, has seen a widespread of war crimes committed by both the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF), with the RSF being singled out by the Human Rights Watch, and the United Kingdom and United States governments for committing crimes against humanity. The conflict was marked by heavy indiscriminate shelling, gunfire, and airstrikes on markets and populated residential neighbourhoods, causing a high number of fatalities. Hospitals were targeted during aerial bombings and artillery fire, and medical supplies were looted. These attacks severely impacted Sudan’s healthcare system, disrupting medical services and leaving the majority of the hospitals in conflict-affected states out of service. The UN declared Sudan the most dangerous country for humanitarian workers after South Sudan.

<span class="mw-page-title-main">RSF occupation of the Khartoum International Airport</span> Military occupation of the Khartoum International Airport during the War in Sudan

The Rapid Support Forces (RSF) occupation of the Khartoum International Airport is an ongoing military occupation of Sudan's most important airport, the Khartoum International Airport, by the Rapid Support Forces during the War in Sudan as part of the Battle of Khartoum.

References

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  4. "Basic TB Facts". Centers for Disease Control and Prevention (CDC). 13 March 2012. Archived from the original on 6 February 2016. Retrieved 11 February 2016.
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  7. 1 2 Implementing the WHO Stop TB Strategy: a handbook for national TB control programmes. Geneva: World Health Organization (WHO). 2008. p. 179. ISBN   978-92-4-154667-6. Archived from the original on 2 June 2021. Retrieved 17 September 2017.
  8. Harris RE (2013). "Epidemiology of Tuberculosis". Epidemiology of chronic disease: global perspectives. Burlington, MA: Jones & Bartlett Learning. p. 682. ISBN   978-0-7637-8047-0.
  9. "Sudan unrest: RSF captures presidential palace as violence rages". www.geo.tv. Archived from the original on 16 April 2023. Retrieved 18 April 2023.
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  11. "Sudan: Paramilitary group says it controls palace, Khartoum airport". The Jerusalem Post | JPost.com. 15 April 2023. Archived from the original on 16 April 2023. Retrieved 16 April 2023.
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