LONDON: Under the searing desert sun, where the wind kicks up sand and the silence is broken by the murmurs of hunger, tens of thousands of people have gathered in makeshift camps with nothing but bundles of belongings, tired donkeys and empty water containers.

These are the lucky ones, the survivors of an assault on the Zamzam and Abu Shouk displacement camps in Sudan鈥檚 North Darfur on April 11 by armed groups reportedly affiliated with the paramilitary Rapid Support Forces.

At least 100 people were reported killed during that single day of violence at the camps and the nearby city of Al-Fasher, the capital of North Darfur. Among the dead were at least 20 children and nine humanitarian aid workers.

Thousands more fled, carrying what little they could manage: bundles of clothing, jerry cans, and the names of family members they could not find amid the mayhem.

The RSF said the camps in question were being used as bases by what it called 鈥渕ercenary factions.鈥� It also denied targeting civilians and accused its rivals of orchestrating a media campaign, using actors and staged scenes within the camp to falsely incriminate it.

One of the few doctors still working in Al-Fasher, Dr. Yasser Mohammed, witnessed the horrors from inside.

鈥淭he attack began from three directions,鈥� he told Arab News. 鈥淭he casualties were mostly civilians. I saw children, elders, students of Quranic schools, and even our medical staff shot. The numbers are too many. I can鈥檛 count.鈥�

Many of the survivors have gathered in Tawila, a locality 70 kilometers away that was already struggling with limited resources. More than 120,000 people have arrived there in a matter of days. Local leaders say the area is suffering from acute shortages of drinking water and medicine. Several displaced people have died of heatstroke or thirst.

A video shared by local humanitarian volunteers showed a woman fainting after going three days without food or water. Many people arrived already malnourished, having lived in famine-like conditions for nearly eight months, with a siege crippling food supplies and basic services.

The crisis is only the latest chapter in a war that has torn Sudan apart since April 2023, when a power struggle between rival military commanders plunged the country into a brutal internal conflict.

Fighting has devastated major cities and destroyed vital infrastructure, displacing more than 13.6 million people 鈥� the largest displacement crisis on the planet.

The recent recapture by the Sudanese Armed Forces of the capital, Khartoum, from the RSF has intensified violence in other regions, especially Darfur, where civilians have long been targeted.

Al-Fasher is a city in a state of crisis. 鈥淲ater is nearly gone. Fuel is nearly gone. And the desert heat is relentless,鈥� Ramadan Djabir Nahar Awadallah, an aid worker based in Dabbah, told Arab News.

鈥淣early half a million people are now living in one neighborhood, Hayy Al-Jami鈥檃, near the airport.鈥�

Al-Fasher, like much of North Darfur, has been functionally cut off for months. Aid workers say what little water makes it through on trucks is shared among hundreds of families.

鈥淲e try to provide water,鈥� said Awadallah. 鈥淏ut it is limited and may run out soon. Al-Fasher has become a city of shadows; people move but they are not really living; they are surviving.鈥�

The burden is visible in photos taken on the ground: families squatting in open fields under the sun; boys herding donkeys between heaps of kindling; girls clutching empty pots. No proper tents, no sanitation, no roads. Just earth, exhaustion and silence.

鈥淭his is yet another disaster for families in Sudan who have faced two years of conflict that have caused the world鈥檚 largest displacement crisis,鈥� said Francesco Lanino, deputy country director for Save the Children Sudan.

鈥淭here is dire need for urgent food distributions, including ready-to-eat meals and nutritional support to curb malnutrition. Provision of shelter and other non-food items is paramount for the new arrivals who are sheltering in schools in open spaces.

鈥淎dditionally, there is an urgent need to support or establish mobile health clinics and ensure the availability of essential medicines, first aid supplies, and basic maternal and child health services.

鈥淲ith such rapid displacement comes the real risk of waterborne diseases and therefore the need to install additional water sources or rehabilitate existing ones, and construct emergency latrines so as to keep waterborne diseases at bay,鈥� Lanino continued.

鈥淗ygiene kits containing soap, sanitary materials and other essentials are needed to reduce the risk of disease outbreaks.

鈥淲e also need to be able to provide mental health and psychosocial support, particularly for children and caregivers, who have witnessed traumatic events such as killing and maiming of their family members.鈥�

As these events unfolded, global officials gathered in London to discuss the crisis in Sudan. Yet, in the eyes of many Sudanese and humanitarian observers, something was missing.

鈥淭here was not a single reference to the camps under siege or the civilians fleeing,鈥� Shayna Lewis, a Sudan specialist with the US-based non-profit organization PAEMA, told Arab News.

鈥淚t is absolutely beyond belief that the conference statement didn鈥檛 once mention what鈥檚 happening in Darfur right now.鈥�

The omission of civilian protection from the final statement drew widespread concern.

鈥淭hat silence isn鈥檛 just an oversight,鈥� said Lewis. 鈥淚t鈥檚 a devastating betrayal by those who could help but choose not to.鈥�

Avaaz, a global advocacy organization, shared a stark summary: 鈥淭here is a massive gap between the urgency on the ground and the pace of international action. While statements were read and funding was pledged, people were fleeing on foot, without food, without water, without help.鈥�

Inside the camps, trauma is etched into every face.

鈥淭he psychological state of survivors is very bad,鈥� said Dr. Mohammed. 鈥淐hildren and women are living without shelter. Some are still in shock. There are many injuries and we have almost no supplies left to treat them.鈥�

Medical needs go unmet, food is scarce and temperatures are rising, with no reprieve in sight.

Relief organizations have warned that North Darfur is already at risk of famine. In a recent update, the UN鈥檚 World Food Programme estimated that more than 18 million people across Sudan face acute food insecurity, one of the world鈥檚 worst hunger crises.

As the rainy season approaches, access to many of the worst-affected areas might be further limited. Roads will wash away, disease will spread and the people who survived the shelling might face a slower, quieter death, from thirst, hunger or despair.

In the midst of such devastation, voices from Darfur are still calling out, pleading for assistance.

鈥淗elp us,鈥� said Dr. Mohammed. 鈥淪end water, food, medicine. Listen to us.鈥�

Eva Khair, director of the Sudan Transnational Consortium, echoed the urgency of this plea.

鈥淭he message we are hearing from inside Sudan is clear,鈥� she said. 鈥淧eople want to survive. They want dignity. But they cannot do this alone.鈥�

Kate Ferguson, of the organization Protection Approaches, described this moment as one of grave responsibility for the international community.

鈥淭he risk now is that this failure becomes precedent, that inaction becomes the norm,鈥� she said. 鈥淏ut it doesn鈥檛 have to. There is still time to act. There is still a chance to protect life.鈥�

As night falls over Tawila, the sands grow cool and the stars shine down on families who have not eaten in days. Some of them will sleep. Some will keep walking. Some will stay where they are, hoping for a relief truck, a food parcel, a medic 鈥� anything.

They have escaped one form of violence. Now they face another: indifference.