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What has caused the cholera outbreak in Sudan?

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What has caused the cholera outbreak in Sudan?

More than 350 cases of cholera have been recorded in a new outbreak in Sudan in just a few weeks.

The difficulties in reaching and registering victims amid the continuing humanitarian crisis caused by the country’s civil war have led experts to speculate that many more people than this may have been infected, however.

Health Minister Haitham Mohamed Ibrahim said at least 22 people have died from the disease and declared a cholera epidemic after several weeks of heavy rain, which has contaminated drinking water.

The cholera epidemic is just the latest crisis for Sudan, where fighting between the army and the Rapid Support Forces (RSF), a paramilitary group, has been spreading around the country since April 2023.

Cholera is not new to Sudan. In 2017, a previous outbreak killed at least 700 people and infected about 22,000 in less than two months.

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Outside of this latest outbreak, the World Health Organization (WHO) has recorded 78 deaths from cholera between the start of this year and July 28 in Sudan, while some 2,400 people have been infected across the country as a whole.

But what is behind this latest outbreak, and how far has it spread? Here’s what we know so far:

Where has cholera broken out?

The Sudanese health ministry first reported this latest outbreak two weeks ago, when 17 people had died from the disease and 268 cases had been reported in Kassala, El Gezira and Khartoum. This has now risen to 22 deaths and 354 cases.

Sudan has been experiencing particularly heavy seasonal rains since June, with floods killing dozens of people. According to the UN International Organization for Migration (IOM), more than 20,000 people have been displaced by the flooding across 11 of Sudan’s 18 states since June.

Water supplies have also become contaminated with cholera due to the floodwaters mixing with sewage.

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WHO spokesperson Tarik Jasarevic told the Associated Press that data showed that most of the detected cases were in people who had not been vaccinated against cholera.

He added the WHO was working with the Sudanese health authorities and partners to implement a vaccination campaign across the nine localities in five provinces where the disease has been recorded.

What is cholera?

Cholera is a bacterial disease usually spread through contaminated water. It is spread when people drink infected water, when people with open wounds have direct contact with the contaminated water, and, in some cases, when they eat raw shellfish.

It cannot be transmitted from person to person, so casual contact with a person who has the disease is not a risk.

The disease causes severe diarrhoea and dehydration. If the disease is left untreated, cholera can kill within hours – even people who were previously healthy.

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While the disease might not cause illness to everyone exposed to it, infected people can still pass the bacteria in their stool, contaminating food and water supplies. This is a particular problem where there are no working sanitation facilities.

How is cholera treated?

Treatment for cholera includes rehydration to replace the lost fluids.

According to the Mayo Clinic, a US academic medical centre, without rehydration, “half the people with cholera die. With treatment, fatalities drop to less than 1 percent”.

Other treatments include intravenous fluids, antibiotics and zinc supplements.

Children under the age of five have the highest rates of infection, but all age groups are at risk, especially those suffering from malnutrition, those who are immunocompromised or who lack prior vaccination.

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Why is cholera spreading in Sudan?

The war in Sudan has damaged and destroyed much of the country’s civilian infrastructure, including sewage and water treatment works, and turned many places, including the capital, Khartoum, into battlefields.

Many hospitals and medical facilities have been forced to close their doors as they have minimal or no supplies.

While the overall death toll resulting from the conflict remains unclear, some estimates, according to US envoy to Sudan Tom Perriello, are as high as 150,000 people so far.

In June, the IOM reported that more than 10 million people had been displaced within Sudan due to the conflict. Cholera spreads more quickly when populations are displaced and sanitation and hygiene become poor, making war zones the perfect climate for the disease to spread.

On top of this, according to the World Food Programme (WFP), the heavy rainy season has heavily exacerbated the already dire situation, making it harder for aid convoys to pass through the muddy, flooded roads.

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The WFP reported on Monday that the organisation originally aimed to reach half a million people, but convoys are “currently stranded on the Chad side, with heavy rainfall making it largely impassable – some trucks have been stuck for up to two weeks”.

“Preventable diseases [are spreading] quickly in areas where critical infrastructure, like clean water and sanitation systems, has been damaged by conflict and in overcrowded displacement camps,” the WFP said.

Will the cholera epidemic in Sudan get worse?

According to the WFP, the heavy rainfall is forecast to last until September.

Some forecasts warn that “flooding could surpass the historic 2020 floods that hit Khartoum,” the organisation said.

Despite the WFP’s warning of the dire humanitarian situation in the country, the war is continuing.

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On Sunday, the army said it would send a delegation to meet with US officials in Cairo following US pressure to join the ongoing peace talks in Switzerland, which aim to end the conflict and the subsequent humanitarian crisis.

Director of John Hopkins Center for Humanitarian Health, Paul Spiegel, also told Al Jazeera that cholera “thrives during conflict and forced displacement”.

“These conditions make it incredibly challenging to control cholera outbreaks, leading to rapid transmission and devastating consequences for affected communities,” he said.

Spiegel added while an active conflict makes traditional methods of controlling an outbreak difficult, health officials “must be flexible and innovative, and take advantage of the different contexts” within Sudan to mitigate the spread of disease.

Are other diseases on the rise in Sudan?

On Friday, WHO official Margaret Harris said that dengue fever and meningitis infections were also on the rise in Sudan due to dire living conditions as a result of the 16-month-long war.

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James Van Der Beek’s Family Earns $2 Million After His Death as Friends Thank GoFundMe Donors: ‘It Reminds Us That Love Is Real’

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James Van Der Beek’s Family Earns  Million After His Death as Friends Thank GoFundMe Donors: ‘It Reminds Us That Love Is Real’

A GoFundMe campaign for James Van Der Beek’s family has raised $2 million after his death at 48.

Van Der Beek, who starred as Dawson Leery on the hit WB series “Dawson’s Creek,” died on Feb. 11 following a battle with colorectal cancer. Shortly after the news broke, friends launched a GoFundMe to support his wife, Kimberly Van Der Beek, and their six children.

“In the wake of this loss, Kimberly and the children are facing an uncertain future. The costs of James’s medical care and the extended fight against cancer have left the family out of funds,” the message on the GoFundMe reads. “They are working hard to stay in their home and to ensure the children can continue their education and maintain some stability during this incredibly difficult time. The support of friends, family, and the wider community will make a world of difference as they navigate the road ahead.”

The friends who created the page thanked fans on Feb. 12 for their donations, saying, “Thank you from the bottom of our hearts for showing up for James and his beautiful family. Your kindness has meant more than we can put into words. In the middle of deep grief, your support has been a light. It reminds us that love is real, that community is strong, and that James’s spirit continues to bring people together.”

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They added that the family is spending time together to mourn and asked for privacy. “Your respect and understanding will give them the room they need to heal,” the statement continues. “Please continue to keep James’s wife and loved ones in your thoughts and prayers. Thank you for honoring his life with compassion, generosity, and love.”

Van Der Beek was diagnosed with colorectal cancer in 2023 and publicly shared his diagnosis the following year. In 2025, he partnered with Propstore to auction memorabilia from “Dawson’s Creek” to help cover the costs of his treatment. He later expanded the effort by selling jerseys from the 1999 film “Varsity Blues,” raising funds for his own medical costs and to help other “families walking the same path.”

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Netanyahu urges court to revoke Palestinians’ Israeli citizenship after convictions for violent crimes

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Netanyahu urges court to revoke Palestinians’ Israeli citizenship after convictions for violent crimes

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Israeli Prime Minister Benjamin Netanyahu on Thursday asked a court to revoke the Israeli citizenship of two Palestinian men convicted of terrorism offenses.

The effort appears to be the first use of a law enacted three years ago allowing the revocation of citizenship and subsequent deportation of Palestinian citizens who were convicted of certain violent crimes such as terrorism and received financial support from the Palestinian Authority as a reward.

Netanyahu filed court documents arguing that the severity of the crimes, along with payments the men reportedly received from a Palestinian Authority fund, justify pulling their citizenship and expelling them from the Jewish State.

The prime minister has long claimed the fund rewards violence, including attacks on civilians.

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TRUMP SAYS HE WOULD ‘ABSOLUTELY’ REVOKE CITIZENSHIP FROM NATURALIZED CRIMINALS — IF HE HAS THE AUTHORITY

Palestinian men are released from Israel’s Ofer Prison near the West Bank city of Ramallah, July 4, 2024. (AP Photo/Maya Alleruzzo)

But Palestinian officials have contended that it is a safety net for the broad cross section of society with family members in Israeli detention. They also accused Netanyahu of focusing on the relatively small number of beneficiaries who carried out the attacks.

When the law passed, critics argued that it allowed Israel’s legal system to treat Jewish and Palestinian people differently. Civil rights groups said that basing a deportation law on Palestinian Authority payments effectively excluded Jewish Israelis, including settlers convicted of attacks against Palestinians, from the threat of losing their citizenship, as the statute targeted people of a certain race.

Netanyahu said this week that the government launched proceedings against the two men and that similar cases would be brought in the future.

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TRUMP MEETS NETANYAHU, SAYS HE WANTS IRAN DEAL BUT REMINDS TEHRAN OF ‘MIDNIGHT HAMMER’ OPERATION

Israeli Prime Minister Benjamin Netanyahu asked a court to revoke the Israeli citizenship of two Palestinian men convicted of terrorism offenses. (YAIR SAGI/POOL/AFP via Getty Images)

Israeli officials said Mohamad Ahmad, a citizen from Jerusalem, was convicted of “offenses that constitute an act of terrorism and receiving funds in connection with terrorism.” He allegedly received payment after he was sentenced in 2002 for a shooting attack and served 23 years before his release in 2024.

Mohammed Ahmad Hussein al-Halsi was sentenced in 2016 to 18 years behind bars for stabbing elderly women. He also allegedly received payments while in prison.

Ahmad would be deported immediately, while al-Halsi would be removed upon his release, as individuals are subject to removal to Gaza once their sentences are complete under the 2023 law, which applies to citizens or permanent residents convicted of “committing an act that constitutes a breach of loyalty to the State of Israel,” including terrorism.

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When the law passed, critics argued that it allowed Israel’s legal system to treat Jewish and Palestinian people differently. (REUTERS/Ronen Zvulun/Pool/File Photo)

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The general director of Israel’s Adalah legal center, Hassan Jabareen, called the move to use the law “a cynical propaganda move” by Netanyahu. He said stripping citizenship violated the most basic principles of the rule of law, including by acting against people who have completed prison sentences.

“The Israeli government is attempting to strip individuals of the very foundation through which all rights are protected, their nationality,” he said on Thursday, according to The Associated Press.

The Associated Press contributed to this report.

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More than 5,000 ISIL detainees transferred from Syria, says Iraqi ministry

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More than 5,000 ISIL detainees transferred from Syria, says Iraqi ministry

Iraq says more than 3,000 Syrians are among the ISIL-linked detainees transferred to one of its prisons by US military.

More than 5,000 ISIL-linked (ISIS) detainees have been transferred from Syrian jails to a prison in neighbouring Iraq so far, according to Iraq’s Ministry of Justice.

In comments to the Iraqi News Agency on Friday, ministry spokesperson Ahmed Laibi said the transfers and ongoing detention of the prisoners had been carried out at the request of an international coalition led by the United States to combat ISIL, of which Iraq is a key member.

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In separate comments on the sidelines of the Munich Security Conference, Iraqi Foreign Minister Fuad Hussein gave a lower figure, telling Reuters that about 3,000 ISIL-linked detainees had been transferred.

He told the news agency that the process was ongoing and that Baghdad was in discussions with various countries about repatriating their nationals who had been transferred.

Iraq would need more ⁠financial assistance to ⁠deal with the intake, he said, adding that there had been a recent ⁠uptick in ISIL activity in Syria.

The US military has been transporting thousands of ISIL-linked prisoners from jails and detention centres previously run by the Kurdish-led Syrian Democratic Forces (SDF) in northeast Syria.

The transfers have come as control of the prisons has been handed over to the Syrian government, amid a push by Damascus to assert its authority over the full extent of a country still fragmented in the wake of a brutal war.

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Deadly clashes with SDF forces broke out amid the Syrian army’s advance in recent weeks, including in and around key prison sites, resulting in some ISIL detainees escaping and raising fears the armed group could exploit any security vacuum to regroup.

A ceasefire has since been struck between the government and the SDF.

Detainees mostly Syrian nationals

Laibi, the Iraqi Justice Ministry spokesperson, said that of the 5,064 ISIL detainees transferred so far, more than 3,000 were Syrian, while at least 270 were Iraqi.

He said the detainees were being held in a single prison, in a section separated from other prisoners.

The detainees would all be investigated and prosecuted under Iraqi law, he said, while the responsibility for feeding the thousands of detainees was being handled by the international coalition, rather than Iraq.

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Last month, lawyers for a group of French ISIL suspects who had been transported by the US military from Syria to Iraqi prisons in an earlier series of transfers claimed the inmates had been subjected to “torture and inhumane treatment” there.

Damascus becomes US’s main anti-ISIL partner

The US military has previously said up to 7,000 people with alleged ISIL links could be transferred to Iraqi-controlled facilities.

US Admiral Brad Cooper, the head of US forces in the Middle East, said last month that facilitating the secure transfer of detainees was critical to preventing mass breakouts that could pose a direct threat to the US and regional security.

The statement came shortly after the US special envoy to Syria said that Washington’s main partner against ISIL in Syria would be the Syrian government, rather than the SDF, which had held that position for years.

The shift followed Syria – under new President Ahmed al-Sharaa, the former leader of the armed group Hayat Tahrir al-Sham, who was once deemed a “Specially Designated Global Terrorist” by the US – joining the anti-ISIL coalition in November.

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US departs Syrian base

The ongoing transfers of the detainees from Syria have come as the US military reduces its presence in the country, where it has conducted operations against ISIL for years.

On Thursday, Syrian ⁠forces ⁠announced they had taken control of the al-Tanf military base, a strategic garrison near the border with Iraq and Jordan, following the withdrawal of US forces.

Cooper, the commander of US forces in the Middle East, said the departure was “part of a deliberate and conditions-based transition”, and that US forces remained “poised to respond to any [ISIL] threats that arise in the region as we support partner-led efforts” to prevent the group’s resurgence.

While ISIL was largely defeated in 2017 in Iraq and in Syria two years later, sleeper cells still carry out attacks in both countries.

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