KHARTOUM – Sudan’s Federal Ministry of Health said dengue fever cases have declined in most states, while infections continue in Blue Nile State and cholera cases remain active in West Kordofan and North Kordofan.

The update was presented during the weekly meeting of the Federal Emergency Operations Centre, attended by a World Health Organization delegation in Sudan, as health authorities continue efforts to monitor and contain infectious disease outbreaks across the country.

The ministry said health interventions are continuing to address cholera cases in North Kordofan and dengue fever in Blue Nile and South Kordofan. It also said rapid response teams remain active in three states.

The report comes as Sudan’s health system remains under severe pressure from the war that began in April 2023 between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF). The conflict has damaged hospitals, disrupted disease surveillance, displaced medical workers and limited access to vaccines, medicines and clean water in several states.

According to ministry data, 32,000 hepatitis B cases were recorded through 2025, along with 23,000 hepatitis C cases and 13,401 HIV cases through 2026. The report also said hepatitis E cases were detected in Blue Nile State.

Malaria infection rates remained stable in most states, while heatstroke cases continued to be reported in Red Sea State, the ministry said.

In Gezira State, the Wad Al-Haddad area recorded an increase in appendicitis cases. The ministry said cases declined in Sennar State following a health campaign, while medical teams are expected to be deployed to Gezira and Sennar to follow up on the situation.

Sudan’s rainy season has increased concerns over waterborne and vector-borne diseases, particularly in areas affected by flooding, displacement and poor sanitation. The ministry said four states and eight localities were affected between August 11 and 17, with visits planned to seven states in coordination with UNICEF.

In environmental health, the ministry said chlorine levels inside and outside water networks were being monitored, fly-breeding sites were treated and chlorine was distributed in eight states.

Supply reports showed continued gaps in the availability of medicines and materials needed to control epidemics, including intravenous fluids, antimalarial drugs, painkillers and infection-control supplies in several states.

The quarantine report said 11,067 people had returned from neighboring countries, underscoring the need for continued border health monitoring as population movement increases during the war.

The National Public Health Laboratory said it had tested 31 samples from appendicitis cases in Sennar and Gezira states. The ministry said a mobile laboratory was ready for rapid interventions and response to disease outbreaks in displacement camps in Blue Nile State.

Health officials have repeatedly warned that disease outbreaks could spread quickly in displacement camps and conflict-affected areas where access to clean water, sanitation, health care and regular surveillance remains limited.