COGS IN THE WHEEL OF PEACE Introduction by Rossella Miccio, President of EMERGENCY, in the…
Updates From Sudan as Fighting Erupts Across the Country
17 May 2023
Ongoing Activities in Nyala, South Darfur
“We are one of the few centres still open where parents can get their children vaccinated,” says Laura, Medical Coordinator at EMERGENCY’s Paediatric Centre in Nyala. “In just three days since we resumed immunisation activities, we have administered more than 400 doses.”
The Centre is located in the capital of South Darfur, Sudan.
“Our activities in Nyala have never stopped, even on days when the fighting was most intense. Parents and children continue to arrive, as well as patients from Darfur who have undergone heart surgery at the Salam Centre for Cardiac Surgery in Khartoum and who come to us for check-ups and to receive medications, about 20 every day.”
15 May 2023
Thank You to Our Colleagues in Sudan
Without the incredible efforts of our Sudanese colleagues, we would not be able to continue operations or caring for existing patients. Thank you for all that you continue to do!
9 May 2023
We Are Still Operating at the Salam Centre
On Sunday, our surgical team in Khartoum performed an urgent operation on H., an 18-year-old woman suffering from severe valvular insufficiency.
She had been admitted to our hospital and awaiting surgery, but when the fighting started we discharged her for safety reasons.
She was waiting to return to the hospital when her condition suddenly deteriorated overnight. The surgery could not wait any longer.
She is now recovering in intensive care, constantly monitored by our team.
5 May 2023
Surgery Updates from Khartoum
“Of the 40 people we were hosting in the guest house in mid-April – patients, relatives and translators from various African countries – we have managed in recent days to repatriate most of those coming from Uganda and Burundi, and soon we will also evacuate those from Chad,” says Franco Masini, Medical Coordinator at the Salam Centre for Cardiac Surgery.
Today there are just over 20 patients in the hospital who cannot be moved because of their health conditions. Some have already been operated on, while others are awaiting surgery.
And, despite the insecurity in the country, even during this difficult time, critical patients have arrived for emergency surgery: remaining in Sudan has made it possible for EMERGENCY to provide these people with life-saving care to which they would otherwise not have had access.
Among the admitted patients is K., 15 years old, who arrived from Uganda prior to the fighting thanks to our Regional Programme.
Suffering from an advanced heart problem due to severe valvular dysfunction, it was immediately apparent that his condition was serious.
We operated on K. the day after fighting began. His path has not been easy: he first went into kidney failure, which required us to put him on dialysis, and then developed a serious infection and gastrointestinal bleeding.
Today, K. is fully awake, although his condition remains serious. Next to him sits his sister, who accompanied him on the long journey from Uganda; she visits every day and squeezes his hand to give him strength.
28 April 2023
We continue to provide continuity of care through our Anticoagulant Therapy Outpatient Clinic
“Although the situation in Sudan is difficult, we continue to provide continuity of care through our Anticoagulant Therapy Outpatient Clinic,” reports Nicoletta Erba, Haemotologist at the Salam Centre for Cardiac Surgery in Khartoum. “Patients, albeit in smaller numbers, come to the Salam Centre to perform necessary tests and receive their medication. Those who live far away are sending blood tests from external laboratories so that we can fill their prescriptions.”
“Providing this treatment is critical: after cardiac surgery, patients require anticoagulant therapy for life. Our Outpatient Clinic is a fundamental part of the Salam Centre’s cardiac programme, giving our patients the security of receiving prescriptions and medications.”
We are receiving only half the number of patients as we did before the fighting started: our thoughts are also with those who cannot reach the Centre in these days.
26 April 2023
Thanks to the great work of our Sudanese colleagues
In Khartoum, the Salam Centre for Cardiac Surgery is still open.
We have several in-patients who need our care and medical attention, our colleagues tell us.
It is thanks to the great work of our Sudanese colleagues, who are at the hospital 24 hours a day, that the Intensive Care Unit and the Anticoagulant Therapy Outpatient Clinic are currently open. “They are the beating heart of this hospital,” Elena writes to us from Khartoum.
In recent days we have discharged, when possible, all patients who were fit to leave the hospital. Having done this – and with the hospital’s activities reduced as a result of the situation in the country – a second group of international staff has now evacuated.
The remaining international medical staff members are working with their Sudanese colleagues to provide treatment in the Intensive Care Unit and the Anticoagulant Therapy Outpatient Clinic, both of which are critical for patients who have undergone heart surgery.
Elsewhere, EMERGENCY’s Paediatric Centres in Port Sudan and Nyala are open, while the Paediatric Centre in Mayo remains closed for security reasons.
24 April 2023
EMERGENCY Calls on Warring Parties to Respect for Health Facilities
EMERGENCY calls on all parties to the conflict to respect our health facilities and recognise hospitals as safe zones.
23 April 2023
Khartoum, Nyala, and Port Sudan Continue their Work
Over the weekend, seven EMERGENCY workers returned to Italy with an evacuation convoy, three of whom had already planned to return but had been stranded in the country since the outbreak of fighting. Another 46 international workers have remained, and continue their crucial work.
Colleagues at the Salam Centre for Cardiac Surgery are caring for the 81 patients that were admitted before fighting began. Many of our Sudanese colleagues are unable to travel home because of security reasons and are sleeping at the hospital in the meantime.
The Paediatric Clinic in Nyala is once again accepting patients, as is the clinic in Port Sudan, where the situation has remained more stable and our services have gone uninterrupted. The clinic in Mayo remains closed, until we can guarantee safety for both staff and patients.
19 April 2023
Our Facilities Around the Country Continue at a Reduced Capacity.
Across Sudan, many of our colleagues are unable to reach EMERGENCY’s clinics because of unsafe travel routes. They report a lack of food, water and electricity as the situation becomes increasingly difficult.
At the Salam Centre for Cardiac Surgery, in the south-eastern part of Khartoum, ongoing clashes and fighting have limited our work. Muhameda, Country Director in Sudan, tells us: “Here in Salam Centre, we are still working and taking care of our patients, but we are not performing surgeries anymore because we do not have the necessary blood for ventral transfusions.”
Our colleagues continue to manage patients in our ICU and wards, including 57 from the Regional Programme, from countries like Chad, Uganda and Ethiopia, who have been referred to the Salam Centre through our cardiac screening missions.
Our Paediatric Clinic in Mayo, on the outskirts of Khartoum, remains closed.
Nyala, in South Darfur, has experienced heavy clashes from the beginning of the conflict. At our Paediatric Clinic, our staff and patients had to shelter in the basement because of nearby fighting. As of this morning, we are once again receiving paediatric patients.
In Port Sudan, Red Sea State, the situation is more stable. Our Paediatric Clinic there continues to operate.
18 April 2023
“We have a smaller number of staff that is present with us since the 15th of April.”
EMERGENCY NGO’s Country Director in Sudan, Muhameda Tulumovic, provides an update on the organisation’s activities following several days of fighting across the country.
16 April 2023
EMERGENCY’s Country Director in Sudan, Muhameda Tulomovic, joined CNN to discuss the impact of the ongoing fighting on EMERGENCY’s facilities and programmes across the country.
15 April 2023
Armed clashes between the Sudanese army and the paramilitary Rapid Support Forces (RSF) began this morning on the streets of the capital Khartoum after fighting in recent weeks erupted into violence and conflict across the country.
“At the moment we have reduced activities at our healthcare facilities across the country,” explains Muhameda Tulumovic, EMERGENCY’s Country Director in Sudan. “At the Salam Centre for Cardiac Surgery in Khartoum, many Sudanese colleagues cannot go home for security reasons and will stay here. We closed the Paediatric Centre in Mayo, on the outskirts of the capital, evacuating our staff.”
“In the other cities where we operate two paediatric centres, the news we are receiving at the moment is that police, army and military tanks are on the road in Port Sudan, ready to intervene in case the clashes spread, even if at the moment the situation is still under control. In Nyala, the airport and shops are closed, and armed forces just outside the city.”
According to reports from the country, RSF paramilitaries have taken control of the Khartoum airport and the presidential palace in the city centre, while the army has bombed facilities used by the RSF. Explosions and shootings continue in the capital and other parts of the country, while aircraft are reportedly hitting targets in Khartoum.
EMERGENCY is present across Sudan with the Salam Centre for Cardiac Surgery in Khartoum, and Paediatric Centres in Mayo (Khartoum), Nyala (South Darfur) and Port Sudan, where it offers free medical treatment to children under the age of 14.