Three weeks on from the large-scale ground offensive by the Rapid Support Forces (RSF) on Zamzam camp, Sudan, in early April 2025, reports of intensified fighting in El-Fasher continue, and more displaced people are arriving in Tawila, North Darfur state.1 People have been arriving in Tawila in a vulnerable state; many are suffering from malnutrition, and others were injured during the attack on Zamzam camp. Médecins Sans Frontières’ (MSF’s) emergency and nutrition service at the hospital in Tawila has been overwhelmed.

“They came with their machine guns. They attacked and killed people – including children. They burnt our house, with everything we had inside. They raped the women. They killed, they looted,” says Mariam*, who reached Tawila three days after the attack on Zamzam took place. “Even before the attack, people had died of thirst and of starvation because of the siege that had been imposed on Zamzam for the past year. Everything was so expensive and so unaffordable in the end.”