Humanitarian Crises

Four children drowned in bodies of water, while another man died in a car accident caused by the floods.

Heavy rains have been pouring over several Syrian provinces, leaving at least five people dead, including four children, in northern and eastern regions.

The four children all drowned in bodies of water across Raqqa and Deir Az Zor governorates, the Ministry of Emergency and Disaster Management said in a statement on Thursday.

A man also died when his car was caught in floodwaters near al-Salmani Bridge in the western Raqqa countryside.

Five others, including two children, remain missing in the storms that have drenched the country.

Bridge collapse

Thursday marked the second day the ministry recorded responses to flooding across the country. It continues to issue situation updates on its X account.

The ministry reported infrastructure damage and disruptions to several bridges in affected areas: Aleppo, Raqqa, Deir Az Zor, Hasakah and Homs.

State news agency SANA said al-Salmani Bridge, west of Tabqa, collapsed in the flooding, shutting the road linking Raqqa to Aleppo.

Emergency teams also reported rescuing 15 civilians whose vehicles were trapped by floodwaters. The ministry said it evacuated approximately 375 families from three camps on the rural outskirts of Raqqa.

This is not the first time the country has faced the threat of heavy rains and the flooding that follows.

UNICEF reported in June that 17,000 people had been adversely affected by flooding so far in the year. At the time, the UN agency said 700 families had been displaced, including around 2,000 children, and that 49 water treatment plants in Deir Az Zor and Raqqa governorates had also gone out of service.

Gaza City — Mohammed al-Jamal, 60, tries to secure the nylon sheets of his family’s worn-out tent as a storm approaches his displacement camp on a beach in western Gaza City.

He and his sons pull at the tarpaulin, trying to fasten it firmly to the ground for protection from rain and wind coming in from the sea.

This will be the fourth winter that displaced Palestinians in Gaza have faced without adequate shelter. Many still live in tents and makeshift structures that offer little protection against the impending winter weather when temperatures can drop to 7C (below 45F) but can feel much colder due to strong coastal winds and rain.

The family cannot afford to fix their damaged tent with a replacement tarpaulin costing between 120 and 150 shekels ($37-$47) in local markets.

All al-Jamal can do is patch up the damaged shelter and hope it holds through the coming storm.

“We are trying to prepare as much as we can to protect ourselves from the water and the wind,” he said. “We follow the weather reports, and whenever there is a warning of a storm, we start preparing. But once the storm comes, everything gets torn apart, and we have to start all over again. It is continuous suffering throughout the winter.”

Mass displacement

Al-Jamal, originally from Gaza City’s Shujayea neighbourhood, has been displaced several times since Israel’s genocidal war on Gaza began in October 2023.

About 30 members of his extended family live in these difficult living conditions.

“We are just trying to adapt to what we have. This is what is available to us. We need everything,” he said.

When it rains, water enters the tent and floods their living space, risking damage to their meagre belongings.

When temperatures drop, tents offer little protection for the displaced, with al-Jamal and his family having no choice but to put on more layers of clothing.

“We are out in the open. We are living in the street, not in houses that protect us,” he said.

Al-Jamal said he had repeatedly heard promises that shelter materials and caravans would be allowed into Gaza, but none had arrived for his family, and he had not seen any of them enter.

He described these announcements as “false promises and lies” that had left displaced families waiting for help that never came.

“Our demand is to have our lives back the way they were before,” he said.

Israel’s genocidal war on Gaza has killed more than 74,500 Palestinians and destroyed or damaged more than 80 percent of buildings. With homes and infrastructure in Gaza destroyed, about 1.5 million of Gaza’s 2.3 million people are living in tents or makeshift shelters.

Many of the displaced have been forced to move from city to city when Israeli assaults begin on their homes or camps.

At least 294,250 families in Gaza need winter shelter assistance, according to the Office for the Coordination of Humanitarian Affairs (OCHA), but with current supplies, only 52,000 families, roughly 18 percent of those in need, have access to partial humanitarian assistance.

More than 65 percent of displaced households were living in tents or makeshift shelters, according to a Shelter Cluster survey, with more than half of those shelters in poor or very poor condition.

Israel’s siege on Gaza has also affected supplies reaching the enclave, with the Norwegian Refugee Council (NRC) saying on October 5 that at least 500 truckloads of shelter materials were awaiting entry or procurement.

At the current pace, NRC said, it could take more than seven months for those supplies to enter Gaza. The materials include tents, tarpaulins, ropes and other items needed to repair shelters.

Winter around the corner

For families already living in torn tents, the shortage leaves few options beyond repeatedly repairing the same shelters.

Khitam Salman, 39, originally from Beit Lahiya in northern Gaza, has been displaced multiple times over the past two years.

Now living near the beach, she is trying to prepare for winter with tents that have already suffered repeated damage.

“Every time there is a storm, we put up the tarpaulins and tie them down, only to have to do it all over again,” she said. “With every low-pressure system, it is the same.”

Khitam said one of the family’s tents had collapsed four times while they were sleeping inside and was torn, allowing sand to enter and offering little protection from rain and wind.

She is trying to cover the family’s tents and the space where they store their belongings, but the costs are beyond their means.

“We need a tarpaulin for this tent, another for the other one, and one for the room where we keep our belongings,” she said. “But we don’t have the means. We have done what we can.”

Her husband works in the health sector, but she said he receives his salary only once every three months, and it is not enough to cover the family’s needs.

“The tents are not suitable for living in any more,” she said. “They are torn, and sand gets inside. It is exhausting.”

Last winter, after their tent collapsed and their belongings were soaked, Salman said she became so overwhelmed that she walked away and sat by the sea for hours.

“I was so frustrated,” she recalled. “The tent had fallen, everything was flooded, and all our belongings were wet.”

“I’m worried about this winter … that the whole nightmare will repeat itself all over again.”

Damaged roads, drainage and sewage systems also increase the risk that rainwater will mix with wastewater and swamp the camps.

Husni Muhanna, spokesperson for Gaza Municipality, said more than 85 percent of the city’s infrastructure had been damaged and its rainwater drainage system was operating at about 20 percent of its previous capacity.

Rubble, damaged drainage networks and shortages of heavy machinery, fuel and maintenance materials are hampering preparations for winter, Muhanna said.

The municipality has begun emergency cleaning and maintenance work, but its efforts remain constrained by a lack of resources.

Flood risks beyond tents

Yosra Mesleh, 45, was displaced from her home in Gaza City’s Nassr neighbourhood when her home was destroyed and is preparing for her second winter living in a tent.

Preparing for winter means thinking about what to do when water enters their tents and soaks bedding and belongings. When this happens, they often have nowhere dry to sit, cook or eat.

“When it rained last winter, the water came inside and reached the bedding. Everything got wet,” she said. “It was difficult to find somewhere to sit while we waited for everything to dry.”

In summer, the heat and humidity inside the tent were unbearable, she said, with water shortages compounding their dire living situation.

“The place where we are living is not healthy or safe. It is not suitable for summer or winter,” she said.

Her husband has been out of work since the beginning of the war, while her son is struggling to cover his own expenses.

“We need tents and tarpaulins. We need cooking utensils and a proper place to prepare food. We also need a regular supply of gas,” she said.

Without cooking gas, she worries about how the family will prepare meals when rain keeps them inside.

She remembers life before the war, when life was hard but they had an apartment and her husband ran a tea and coffee shop. They have since lost their home and their only source of income.

“We are not asking for towers or anything extravagant,” she said. “We are asking for tarpaulins and tents, for a dignified life.”

The deportation was the first of its kind since a mass border crossing into the territory from Morocco in July.

Spain has deported more than a dozen migrants from its North African enclave of Ceuta, prompting criticism from Amnesty International, which said Prime Minister Pedro Sanchez’s left-wing government was endangering their human rights.

It was the first deportation of its kind since a mass border crossing into the territory from Morocco in July.

The Spanish Interior Ministry said on Tuesday that it had deported the migrants from Ceuta after their asylum applications were rejected, and that Morocco had agreed to receive them.

Nongovernmental organisations (NGOs) told the Reuters news agency that 16 people from African, Middle Eastern and Asian countries had been deported.

About 80,000 people entered from Morocco over a 48-hour period in late July. At least 100 people died during the mass crossing into the autonomous city, which covers just 18.5 square kilometres (7.2sq miles) and has a population of about 80,000.

The crisis has evolved into a major political challenge for Sanchez, who is seeking re-election in snap polls scheduled for November 29.

Tens of thousands of protesters have gathered across Spain in recent months to denounce the government’s handling of the situation. Meanwhile, right-wing parties have used the crisis to attack Sanchez.

The leader of the far-right Vox Party, Santiago Abascal, has branded the prime minister a “traitor”.

Human rights guarantees

Amnesty International has warned that the human rights of those deported from Ceuta on Tuesday could be at risk.

“Spain, despite its [progressive] speeches in Europe, is not ensuring that human rights guarantees are met for people who cross its borders in Ceuta and Melilla,” said Virginia Alvarez, an Amnesty International researcher.

“Morocco does not respect many human rights.”

However, Madrid disputes the rights group’s accusations. In a statement, the interior ministry told Reuters that the European Union considers Morocco to be a safe country, adding that deportations are carried out “with all the necessary safeguards”.

Most of those who entered Ceuta in late July left within days. However, about 8,000 migrants still remain. Some are sleeping on the streets, while others are being housed by Spain, charities and civil society groups.

The cyclone is due to make landfall on Wednesday, with more than 12 million people living along its projected path.

India is evacuating tens of thousands of people from its eastern coast as a strengthening Cyclone Arnab bears down on its coastal states.

The cyclone has intensified since Monday and is expected to make landfall by Wednesday morning.

The India Meteorological Department has issued a warning for the coastal states of Andhra Pradesh and Odisha, saying the “very severe” cyclonic storm was centred only 260km (160 miles) southeast of the port city of Visakhapatnam, the most populous in Andhra Pradesh.

The department expects Arnab to turn northwest and cross the coast by 11:30am local time (06:00 GMT) on Wednesday, with sustained winds of 115-125km/h (71-78mph) and gusts of up to 140km/h (87mph).

Arnab formed over the Bay of Bengal, which is among the world’s main breeding grounds for tropical cyclones, frequently affecting India’s eastern coastal regions.

More than 12 million people live along the cyclone’s projected path, which runs inland and north across India, according to Andhra Pradesh’s disaster management authority.

Nearly 50,000 people had been moved to shelters from vulnerable areas of the state by Monday night, out of an estimated 400,000 in need of evacuation, the authority’s managing director, Prakhar Jain, told the Reuters news agency.

“Evacuation is continuing,” Jain said.

Railway authorities in the region said on social media that at least 12 trains had been cancelled in eastern India and services on 53 routes along the southern coast had been suspended for Tuesday and Wednesday.

In Odisha, authorities have announced plans to evacuate 48,000 people out of harm’s way, according to local newspaper The Hindu.

Authorities in neighbouring Nepal have advised tourists to stay away from high-altitude areas over concerns that Arnab could trigger heavy rain, snowstorms and avalanches in the Himalayas from Thursday night to Saturday.

The advisory comes after a Himalayan flash flood in August killed about 1,500 people in the country.

Taiz, Yemen – It was approaching 10:30am in the dialysis centre of the Republican Hospital in Taiz when a machine began filtering excess fluids, toxins and salts from the blood of Omar Mukhtar Hammoud.

The 16-year-old suffers from kidney failure and is one of 270 patients who regularly receive dialysis at the centre in the government-held city in southwest Yemen. But with essential medical supplies and fuel running critically low under the renewed Houthi siege, doctors fear they may soon be unable to provide the treatment that keeps their patients alive.

Dr Essam Mahyoub Dahan, the centre’s director, warned that a complete shutdown could happen within days.

“Because of the siege and the shortage of diesel and medical solutions, we have recently been forced to reduce dialysis sessions from four hours to just two and a half,” Dahan told Al Jazeera. “We know this is not adequate, but we have no choice if we are to keep the centre operating for as long as possible before it shuts down completely.”

Dahan said the centre’s remaining stocks of specialised dialysis solutions were also close to running out.

The supplies, which are expensive, are normally provided by the Yemeni Ministry of Health every three months. But the latest delivery which was due earlier this month  failed to arrive because of the Houthi siege on Taiz city. It began in the first week of October after Houthi advances in the Taiz countryside.

The city was previously under complete Houthi siege between 2015 and 2016, in the early years of Yemen’s ongoing war.

Across Taiz governorate, where battles are raging between the Saudi-backed Yemeni government forces and Iranian-allied Houthi fighters, the number of patients at risk is far greater.

In an October 12 statement, the governorate’s health office warned that the continued siege and obstruction of essential supplies could endanger the lives of 1,110 patients with kidney failure. They depend on dialysis services in the governorate’s hospitals, which collectively provide about 210 dialysis sessions a day.

International humanitarian and health organisations have issued similar warnings about the impact of the siege on the already fragile healthcare system in Taiz.

On Thursday, Amnesty International called on the Houthis to immediately reopen vital roads into and around the city, warning that the closure of the main road between Taiz and the southern port city of Aden threatened hundreds of thousands of civilians with losing access to food, water and healthcare.

Fuel: A lifeline for hospitals

Taiz’s hospitals depend heavily on diesel-powered generators because much of the city’s electricity infrastructure was destroyed during the war that began 11 years ago and has not been restored.

The renewed Houthi siege has severely disrupted the entry of fuel, including the diesel needed to run hospital generators and lifesaving medical equipment.

Dr Shaheed al-Ameri, deputy director-general for technical affairs at the Republican Hospital, said the shortages have had a devastating impact on medical services.

“A very large part of this suffering is because of the shortage of diesel,” he told Al Jazeera. “We have no reserve diesel supplies. Our stocks ran out early in the siege and we are now buying it on the black market almost every day, at prices that have reached five times what they were before the siege.”

Al-Ameri warned that the longer the siege continues, the more prices will rise and the further medical services will deteriorate.

The hospital has already suspended operations in some departments, including essential units, he said.

“If this situation continues much longer, we fear we will reach a complete and comprehensive collapse of healthcare services,” he said.

The shortages are not confined to the Republican Hospital. On October 22, the World Health Organization (WHO) warned that critical shortages of fuel, oxygen, medicines and medical supplies were threatening lifesaving healthcare throughout  Taiz governorate, with some hospital services already disrupted.

According to the WHO, 42 health facilities in Taiz city had reported severe shortages of essential supplies. Hospitals and ambulances require at least 156,000 litres of fuel a month to continue functioning.

The organisation also warned that diesel shortages threaten to disrupt oxygen production, water pumping, vaccine refrigeration and sanitation services, increasing the risks of disease outbreaks, particularly among displaced families and other vulnerable groups.

The United Nations has separately warned that the restrictions on supplies are bringing Taiz’s health system close to collapse and urged the Houthis to allow humanitarian assistance and essential goods to enter without obstruction.

Oxygen shortages deepen crisis

In its October 12 statement, Taiz’s health office warned that continued restrictions on fuel deliveries could lead to the shutdown of medical oxygen production plants, further endangering patients.

Taysir al-Samei, the health office’s media officer, said that would dramatically worsen the crisis.

“Many medical departments depend on oxygen, particularly operating theatres, inpatient wards, intensive care units and incubators for premature babies,” al-Samei said.

“Most hospitals have already suspended services in some units because of the shortage of diesel and the lack of necessary medical solutions, as well as shortages of medical staff who are struggling to get to work because of the lack of transport,” he added.

He warned that if conditions continued to deteriorate at the same pace, some hospitals could stop providing services in the coming days.

At the Republican Hospital, al-Ameri said that shortages were also affecting diagnostics and treatment. The availability of laboratory reagents had fallen to just 10 to 15 percent of previous levels, he said, while approximately half of the medicines normally available were now out of stock.

Prices for the remaining medicines had doubled, he said, placing them further out of reach for patients already struggling with Yemen’s worsening economic crisis.

The continued fighting and shelling around Taiz have increased the number of wounded people requiring emergency care – placing additional pressure on facilities already struggling with shortages of surgical supplies, anaesthetics and intravenous fluids.

Abdul Badi Abdulwuhab, 53, is another dialysis patient in the Republican Hospital, struggling to cope with the shorter dialysis sessions.

His voice was filled with desperation.

“Because of these measures, I suffer from weakness and I cannot bear the pain,” Abdul Badi told Al Jazeera. “Two and a half hours is not enough to remove all the fluids and toxins from my body.”

Dr Dahan said that the patient’s condition had deteriorated since his sessions were shortened.

“These measures are not effective for many patients,” Dahan said. “The only solution is to end the siege and return things to the way they were.”

Hundreds of Ethiopians have crossed into Kenya, fleeing ⁠⁠fighting in ⁠⁠the border town of Moyale, which was reportedly prompted by loyalists publicly raising the flag of a neighbouring majority-Somali state.

Kenyan police said on Thursday that hundreds of Ethiopians, mostly women and children, crossed into Kenya through several entry points in Moyale, including the Sessi, Kore, Biashara, Foundation and Miti areas.

The people who crossed the border were fleeing tensions between leaders of Ethiopia’s Oromia and Somali regional states, according to Kenyan police.

The police reported gunfire and chaotic scenes in Moyale.

Ethiopian media reported that the fighting in Moyale started as a dispute over raising the flag of the Somali Regional State, a regional state in eastern Ethiopia, on Sunday.

Tensions escalated into fighting between forces from the Oromia and Somali regions.

Gunfire, chaos

The Kenya Red Cross said it was setting up temporary shelter and distributing essential items including cereal and porridge flour.

“The response will initially reach 1,000 households,” the Kenya Red Cross said in a statement on Thursday.

It added that experts were conducting an assessment to work out how many people were ⁠affected and what their needs were.

The regional clash is hundreds of kilometres away from ‌‌a larger conflict in the northern Tigray region between government forces and a rebel alliance led by the Tigray People’s ‌‌Liberation ‌‌Front.

Kenyan health authorities say latest patient was likely exposed to the country’s first Ebola case.

Kenyan health authorities say an eighth Ebola case has been detected, bringing the total number of known infections in the East African nation to eight.

Director-General for Health Patrick Amoth told Kenya’s Citizen TV that of the 38 people tested on Sunday, one had returned a positive result.

“He is a 49-year-old man who is not a healthcare worker. He developed fever, headache and muscle pain,” he said.

Amoth said the man, who worked as a patient attendant cleaning utensils and linens, was likely exposed to Kenya’s first Ebola case, discovered earlier this month.

He developed symptoms on Saturday, was quarantined and tested for the virus, a Ministry of Health source said.

The ministry reported four new cases on Saturday, three of whom were health workers who treated the country’s first Ebola patient, a man who travelled from the Democratic Republic of the Congo (DRC) to Nairobi and died at a Nairobi hospital on October 5.

In a post on X, the ministry said the fourth person was related to the deceased patient.

Kenya has been on heightened alert, as the Ebola outbreak has spilled across the border from the DRC. The current outbreak is of the Bundibugyo strain of the virus, for which there is no vaccine or specific treatment.

The DRC has recorded at least 9,400 cases, including more than 4,500 deaths, in the deadliest outbreak in the country’s history, which started in May.

Ituri province in eastern DRC remains the disease’s epicentre, accounting for almost three quarters of confirmed cases, according to the government’s most recent data. It announced on Sunday that the virus has reached an eighth province, North Ubangi.

State-run news agency ACP reported on Sunday that authorities in North Kivu province, where the World Health Organization said substantial transmission continues, are introducing a one-week ban from Monday on people entering the province from Ituri in an effort to slow the spread.

Other measures set to be introduced include restrictions on passenger numbers in cars and on motorbikes and suspension of large public gatherings.

Neighbouring Uganda recorded 20 confirmed cases, including 15 imported from the DRC, and two deaths, before it was declared Ebola-free in August.

Hasanat al-Rashid, 48, has lived with diabetes for 15 years, and the three-and-a-half-year civil war between Sudan’s military and the Rapid Support Forces paramilitary group has worsened her situation. Finding the treatment she needs has become a daily struggle.

When the war broke out in April 2023, she was forced to flee south from her home in Haj Yousif in Khartoum North to Umm Daw Ban in Khartoum State.

During her displacement, she went for days without medication and was forced to eat foods unsuitable for her condition, such as asida, a traditional Sudanese porridge.

She underwent operations on her foot twice when she developed complications of diabetes, including a severe infection.

She moved between hospitals in Gezira State south of Khartoum, seeking treatment in Rufaa, Wad Madani and Al-Hasahisa. When fighting spread to these areas in December 2023, she fled again, arriving in Port Sudan, a city on the Red Sea that was less affected by the war.

Her condition has worsened to the point that she now has to use insulin every day and with this comes added costs, something that forces diabetes sufferers in Sudan to choose between medicine and other essentials, such as food.

“The doses vary depending on whether my blood sugar is high or low,” she told Al Jazeera.

The war has pushed income levels in Sudan back to those last seen in the 1990s, according to the United Nations Development Programme. This means Hasanat and other diabetes sufferers are struggling to afford the medicine they need to treat the condition.

Hasanat’s doctor recommended she use an insulin pen, a device used to inject insulin under the skin. She would need one or two of the devices a month, but the cost at 70,000 Sudanese pounds ($8) is more than she can afford up front, so she opts for a vial of insulin.

This is cheaper at 17,000 Sudanese pounds ($1.80), but there is the additional cost of buying ice every day to keep the insulin cool. She spends 180,000 pounds ($20) a month on ice to preserve the medicine. But she is able to spread these costs out through the month, making the vials her only viable option even if the overall costs are higher than an insulin pen.

“It may last a month or less, but the challenge is that I don’t have a refrigerator, so I struggle to store the insulin properly,” she said.

She also needs painkillers and vitamins on a regular basis to manage complications caused by the diabetes.

The rising cost of treatment

Fatima Adam, 75, is among the patients at Port Sudan Hospital struggling to afford the medicines she needs to manage her hypertension and a thyroid condition.

She was admitted to the hospital with complications caused by high blood pressure, which has started to impact her heart. Too unwell to speak to Al Jazeera herself, her daughter, Aisha, described how the rising cost of treatment has affected her whole family.

Before the war, Fatima received medicine through the National Health Insurance Fund. She paid a quarter of the cost while the fund covered the rest. But when the war started and the economy collapsed, the medicines she needed were no longer covered by the scheme.

“My mother takes six different medicines because hypertension has affected her heart in addition to her thyroid medication. The war has made things harder because the prices of these medicines have gone up,” Aisha told Al Jazeera.

The responsibility for paying for Fatima’s treatment and supporting her and her daughter falls on her son, who works as a casual worker. With no fixed income, he goes to the market every day in search of work but sometimes returns home empty without any luck.

“Sometimes, when my brother finds work, we buy enough medicine to last a month. Other times, we have to buy smaller quantities and take the medicines intermittently,” Aisha said.

She bought a month’s supply of her mother’s medication a few days ago for 160,000 Sudanese pounds ($17.80), a substantial expense for a family whose income depends on day labour but essential to treating Fatima’s condition.

War damage

The war has caused an estimated $500m in losses to medicine stocks, infrastructure and transport fleets, dealing a major blow to Sudan’s pharmaceutical supply system, the National Medical Supplies Fund told Al Jazeera.

The National Medicines and Poisons Board estimated that only eight of the 30 pharmaceutical factories in Khartoum that shut down during the conflict have resumed operations despite the security situation in the capital recently improving.

This has increased Sudan’s reliance on imported medicines, but the subsequent depreciation of the Sudanese pound has driven up the costs of pharmaceutical procurement and production.

Hossam al-Naeem, who works as a pharmacist in Port Sudan, said customers with diabetes and hypertension require regular painkillers and vitamins to help their overall condition.

“I feel deeply saddened when I see the expressions on some patients’ faces as they ask about the prices of medicines and discover how much they have increased because of the depreciation of the Sudanese pound,” Hossam told Al Jazeera.

The currency’s collapse has created added challenges for pharmacists. Before the war, a dollar traded for roughly 600 Sudanese pounds. Now black-market currency traders are quoting rates of 9,300 pounds to the dollar, meaning higher costs for most goods in Sudan.

Sometimes Hossam incurs losses himself when he finds that the prices of drugs have risen sharply, and keeping essential medicines stocked is becoming difficult.

“I used to sell a strip of cold and flu tablets for 6,000 Sudanese pounds [70 cents]. But when I went to buy new stock, I found that the supplier’s price was also 6,000 pounds per strip. That means I made no profit, not even enough to cover the pharmacy’s operating costs,” he said.

The struggle to afford heart medication

Huda Mahmoud, 58, lives in el-Obeid, the capital of North Kordofan state in south-central Sudan, where drone attacks and other violence remain a problem while the military is making advances towards the city.

Huda has lived with heart problems for more than 12 years and described the impacts of the war as being physical, financial and emotional.

“I take five different medicines. There was a time when they weren’t available, and I suffered a lot. Sometimes, I had to ask people in Wad Madani, Sennar or Port Sudan to send them to me,” she told Al Jazeera. “The medicines were extremely expensive, costing me 300,000 Sudanese pounds [$33.30] a month.”

Taking medication has become a carefully managed routine with each pill tied to a specific time of day.

“I’ve become tied to my pills: this one before eating, that one afterwards. If I forget one, my heart starts beating very fast,” she added.

In March, Huda was forced to travel from el-Obeid to Omdurman. Following her strict treatment regimen has become increasingly difficult during repeated periods of upheaval.

She has now returned home to el-Obeid, where her regular medicine is priced at 151,000 Sudanese pounds ($16.80) a month, something she can barely afford.

Her greatest fear is running out of medicine or being unable to afford her next supply, which would put her at risk of a blood clot.

“I’m afraid of becoming incapacitated. I used to be responsible for the whole household, but now I need help. I feel like I’ve become a burden on my family,” she said.

Several Palestinians have been injured by Israeli settlers, and farmers have been arrested by Israeli forces during Israeli pogroms across the occupied West Bank.

Four women and a child were among six people injured on Saturday when Israeli settlers attacked residents in Ma’in village in the Masafer Yatta area, south of Hebron, according to the Palestine Red Crescent Society (PRCS).

In the town of Deir Ammar, west of Ramallah, Israeli forces opened fire on farmers picking olives, forcing them to leave their land, according to the Palestinian news agency Wafa.

In the same area, Israeli settlers shot and injured two Palestinians. In the village of Tuqu, southeast of Bethlehem, Israeli forces fired on a Palestinian civilian vehicle.

‘Part of campaign’

In the village of Kafr Malek, northeast of Ramallah, settlers raided a farm at dawn and killed about 20 sheep, Mayor Najeh Rustum told Al Jazeera.

He added that Israeli forces had raided the village the previous night as well, firing tear gas canisters that ignited a fire in a house and caused material damage.

Al Jazeera’s Nour Odeh, reporting from Ramallah, said settlers destroyed olive trees across the Beit Furik plain, east of Nablus, in the northern West Bank while Israeli forces arrested landowners and olive pickers.

In the village of Deir Jarir, east of Ramallah, she said, settlers under army protection fired live ammunition at farmers in the al-Hariq area to prevent them from completing the harvest and forced them off their land. Settlers also smashed the vehicle of international activist Jonathan Budlak in the village and threw stones at a farmer’s vehicle.

In the village of Burqa near Ramallah, Israeli forces and settlers prevented farmers from picking olives, Odeh said, adding that settlers attacked farmers in the Wadi al-Sha’er area, southeast of Salfit.

“What we see, whether it’s in Beit Furik, Kafr Malek, Deir Jarir or elsewhere in the occupied West Bank, is part of a campaign,” Odeh said.

She said settlers have become increasingly emboldened, publicly advertising attack campaigns on social media platforms.

“There have been 300 documented attacks since the beginning of October, and that has had a devastating impact on a very important season for Palestinian farmers,” she said, adding that danger comes from soldiers and settlers alike as military forces routinely intervene to protect settlers and attack Palestinians defending their land.

Prominent rabbi justifies attacks

The attacks follow a religious edict issued by Rabbi Dov Lior, a prominent rabbi for National Security Minister Itamar Ben-Gvir’s Jewish Power party and a leading authority among the Hilltop Youth, which is a religious Zionist group devoted to seizing Palestinian land in the West Bank.

In the edict, Lior stated that harvesting olives in the Holy Land is entirely permitted and carries an added virtue, given security dangers.

He wrote that Jews are permitted to harvest olives even in areas far from Jewish communities to publicly display ownership of the land and fulfil God’s commandment of conquering it. He claimed the land belongs to the Jewish people and Palestinians did not buy or rent it.

Odeh said Israeli Prime Minister Benjamin Netanyahu downplays pogroms and no concrete action is taken to stop them.

“It is a matter of debate among politicians, but no one is stopping these settlers, whose names, locations and homes are known,” she said, adding that politicians permit the violence to continue because “it is politically expedient” and secures votes before elections on October 27.

At least 11 people believed to still be missing, with rescue operations underway.

The US coastguard has said it rescued 16 people from the Pacific Ocean after a boat sank off Mexico’s Baja coast.

The coastguard said on Friday it responded to a Mayday call reporting that a boat was sinking. The search is ongoing for 11 people believed to be still missing.

The boat went down about 225km (140 miles) west of Ensenada, Mexico.

A rescue helicopter reached the site about two hours after someone on the boat transmitted the Mayday call at about 1am (08:00 GMT) on Friday, said coastguard Lieutenant Santiago Tamburini.

It took about 90 minutes for the coastguard crew, which included a rescue swimmer, to pull the 16 people from the water, Tamburini said.

The people rescued were Mexican nationals, according to the Mexican consulate.

One survivor was being treated for a suspected shark bite and two were in critical condition, authorities said.

The rescued were flown by helicopter to San Diego, California, and transported to hospitals. The Mexican consulate in San Diego said it offered consular assistance.

The coastguard and US Navy are continuing to search the area with two helicopters, a fixed-wing plane, a cutter and a navy combat ship.

The boat sank in an area frequented by smugglers transporting migrants to the US. It is also popular with fishing and leisure boats.

Details about the boat’s origin, destination and what it was doing are not clear. No vessel, only debris, was found, and it was unclear what type of boat was involved, the coastguard said.

“Boats in that area can be for fishing, leisure, personal recreation. We just don’t know what they were doing out there. We all know it’s a suspected smuggling route,” Tamburini said.

The halt to commercial shipments, including fruit and winter clothing, cuts off a key source of critical supplies.

Israeli authorities say no commercial goods have entered Gaza for two days, citing what they claim is a tax dispute between local merchants and Hamas.

COGAT, or the Coordinator of Government Activities in the Territories, the Israeli military body that “oversees humanitarian affairs” in Gaza, announced the halt on Wednesday.

COGAT claimed that local merchants “made the decision in response to a 10,000 shekel ($3,220) fee imposed by Hamas on each truck entering Gaza” as well as a demand for 30 percent of all sales in Gaza to be carried out in cash.

This decision is expected to impact a crucial source of food and goods for the 2.1 million people in the Strip, who are completely reliant on Israel’s border crossings in a territory that is still suffering from famine.

Gaza’s government media office refuted the claims on Thursday and condemned the “blatant disinformation campaign and false statement”.

The media office instead said it was an attempt “to hold the government apparatus in Gaza responsible for the disruption of truck entry” and that the fee was a voluntary payment to a fund providing aid for those in need, such as widows and orphans.

It also said that cash payments were encouraged due to what it described as an acute cash shortage in the war-torn territory, but were never a mandatory requirement.

An already dire humanitarian crisis

The halt to commercial shipments, including fruit and winter clothing, cuts off a key source of food and other critical supplies as fears mount ahead of the encroaching winter.

Aid groups generally bring in staples such as flour, while merchants import more perishable foods like fruits and meat, according to data released earlier this year by COGAT.

The suspension is raising fears about affordability, with humanitarian workers saying a combination of aid and a robust commercial market is needed to keep prices under control.

“The humanitarian sector on its own cannot meet the needs of all the people,” said Shaina Low, a spokesperson for the Norwegian Refugee Council. “The markets need to be functioning.”

Local merchants step in

The head of Gaza’s private truckers union, Nahed Sheheiber, denied the Israeli narrative, saying: “The Israeli coordinator is claiming that Gaza’s merchants are responsible, but the truth is that the Israelis are the ones who imposed the restrictions.”

Following COGAT’s announcement, Sheheiber’s union met with Gaza’s Ministry of Economy to express concern and say Israel was citing fees levied by the ministry as a pretext to cut off commercial goods.

A global hunger monitor in July warned that more than two-thirds of people in Gaza could face acute hunger by the year-end.

Israel is obliged under a US-mediated agreement to allow a minimum of 600 trucks carrying humanitarian aid to enter Gaza each day.

Diplomats say that far fewer than 600 trucks normally enter Gaza each day. Sheheiber said the figure was closer to 300, with two-thirds carrying commercial goods.

At least 350 Palestinian children currently face “harsh conditions” in Israeli prisons.

Israeli forces have detained more than 2,000 Palestinian children since October 2023, the Palestinian Prisoner’s Society said.

In a report released on Wednesday, the Palestinian rights group said Israeli authorities continue to escalate their targeting of Palestinian children. At least 350 Palestinian children are currently facing “harsh conditions” in Israeli prisons.

On Tuesday, Israeli forces arrested at least six children from Hebron in the occupied West Bank, the report said.

The organisation said information regarding the number of children arrested in Gaza is unclear, given the thousands of missing persons in the besieged Gaza Strip, including children, and the ongoing policy of enforced disappearance.

The group said Israel’s policy of detention without charges or a release date constitutes “an additional violation and crime that leaves children facing the unknown and deprives them of family and educational stability”.

Cases of Palestinian children in prison

The report described Israeli practices that begin with “intimidation and arrest” and extend to “torture, starvation and denial of healthcare”.

The group highlighted the case of 15-year-old Mohammed Hamid, who contracted scabies, a contagious skin infestation, while he was detained in Ofer Prison, where rights groups have long documented abuses. He suffered severe infections, underwent heart surgery and was admitted to intensive care in critical condition. He subsequently had one of his legs amputated.

The organisation also highlighted the case of 17-year-old Walid Ahmed, who died in March 2025 after six months in Megiddo Prison. In December, an Israeli judge halted the investigation into his death, stating that although there was evidence of starvation, no definitive cause of death had been established.

American children in Israeli prisons

Ahmed was imprisoned in Megiddo with his friend Mohammed Ibrahim, a teenager from Florida. Ibrahim was released after months of advocacy from US-based organisations and appeals from high-ranking lawmakers.

Mohammed Ibrahim was not the only young American held in Israeli prison without charge – Israeli forces reportedly took Abdalkareem Issa Ahmed Safi from his West Bank home in a late-night raid in June. He turned 18 in detention, and authorities subsequently moved him from a youth holding area into an adult section at Ofer Prison.

Similarly, Israeli forces arrested 16-year-old Adam Wajeh Abdelfattah Karakrah, also an American, in July. Although he was set for release in August after his family secured bail, Israeli authorities abruptly reversed the decision to free him.

The Palestinian Prisoner’s Society called for “real international action” to ensure the release of arbitrarily detained children, enforce investigations and end torture, starvation and the denial of treatment in Israeli prisons.

Israeli forces have detained more than 25,000 Palestinians in the West Bank, and thousands more in Gaza, since Israel’s genocidal war began in October 2023.

The woman’s young daughter was rescued from a large fire inside the apartment caused by the attack.

An Israeli air strike on an apartment block in Gaza has killed a woman and wounded two other people, hospital officials said.

Reem Asaad Awad, 33, was killed in the attack early on Wednesday in the Al-Rimal neighbourhood of Gaza City, the Turkish state news agency Anadolu reported, quoting a source at Al Shifa hospital.

The source said the strike caused extensive destruction to the targeted apartment and nearby buildings.

The daughter of the woman who was killed was rescued from a large fire that broke out after the attack.

Israel says it is investigating the strike and claims it targeted a member of Hamas, without providing evidence.

Reporting from Gaza City, Al Jazeera’s Ibrahim al-Khalili said the strike happened at 4am (01:00 GMT).

Israel has killed 1,501 Palestinians in Gaza since it agreed a “ceasefire” with the Palestinian group Hamas last October. The truce was part of a wider United States-backed proposal to end Israel’s genocidal war against Palestinians in Gaza.

Talks aimed at advancing to the second phase of the US plan, which includes the withdrawal of Israeli forces and the disarmament of Hamas, have stalled.

The agreement states that 600 trucks of humanitarian aid are to be allowed into Gaza each day, but Israeli authorities have continued to impose severe restrictions on supplies entering the enclave, and reconstruction of the war-shattered territory has not begun.

Yemen has reported 8,034 suspected cases and 27 deaths this year, with a quarter of cases from the last four weeks.

Suspected cholera cases in Yemen have tripled in the past three weeks, the World Health Organization (WHO) has warned, as civilians have fled renewed fighting and sought safety in unsanitary camps.

Ramped up combat, which has pushed more than 200,000 people to flee their homes, the WHO added in a report on Tuesday, driving suspected cases from 217 in the week of September 6-12 to 647 in the week of September 27 to October 3.

“Families fleeing conflict are now facing another threat from diseases that can be prevented and treated,” said Annette Heinzelmann, the UN agency’s emergency director for the region.

“Without urgent funding and unimpeded access to safe water, vaccination and essential health services, outbreaks could spread rapidly among already vulnerable communities.”

This year, the global health watchdog said, Yemen had reported 8,034 suspected cases and 27 deaths, with a quarter of the suspected cases occurring in the last four weeks.

Five governorates hosting large numbers of displaced people in the southwest – Abyan, Lahij, al-Dhalea, Taiz and Aden – account for 92 percent of reported cases, they reported. The disease has also reached remote displacement camps in Hadramout in the country’s east that are particularly difficult for medical teams to access.

Emergency response underfunded

Cholera has ebbed and flowed for years as the conflict in Yemen has continued. In 2024, the WHO warned that the country was facing the “highest burden” of a global cholera outbreak. In 2017, a wave of the disease infected hundreds of thousands and killed at least 2,000.

Yemen was already suffering one of the “world’s worst humanitarian crisis” and has seen an escalation of circumstances since fighting reignited between the Houthis – an armed group known as Ansar Allah (Arabic for Supporters of God), and the internationally recognised Yemeni government.

Cholera is an acute intestinal infection that spreads through food and water contaminated with the bacterium Vibrio cholerae, often from faeces. It causes severe diarrhoea, vomiting and muscle cramps.

Contracting the illness can be deadly when not treated with oral rehydration or antibiotics for more severe cases.

The Geneva-based WHO said it had only secured $3.78m of the $31m needed for its 90-day emergency response in Yemen.

The funding is intended to help expand disease surveillance in displacement sites, deploy rapid response teams, strengthen cholera treatment and improve infection prevention in health facilities and cholera treatment sites.

The Cuban government is pushing ahead with its plans to transition to renewable energy, amid a de facto oil blockade from the United States that has strangled the island’s economy.

In an interview with the Reuters news agency on Monday, Cuban Minister of Energy and Mines Vicente de la O Levy explained that the blockade has forced Cuba to explore domestic alternatives to foreign fuel imports.

“We are seeking our own alternative solutions, using our own resources, our sun, wind, tides, fuel, Cuban crude oil and the gas produced in our wells,” de la O Levy said.

He said 144 solar farms with a combined capacity of about 1,418 megawatts have been installed on the island in recent years.

China has been the largest supplier of solar panels to the island, and shipments have increased since the blockade began in early January.

At the time, US President Donald Trump halted all oil shipments from Venezuela, a close ally of the Cuban government.

Later that month, Trump also announced he would impose heavy tariffs on any country that exported oil to Cuba, justifying the threat by calling the island’s government a “national security” threat.

Since then, only a single oil tanker from Russia has reached Havana. The US has increased its shipments of oil to Cuba’s private sector, but it has largely barred fuel exports for nationalised industries on the communist-led island.

The government-run electrical grid, widely considered to be antiquated, relies heavily on fossil fuels. Only 40 percent of Cuba’s electricity comes from ‌‌‌‌domestic ‌‌‌‌oil production, according to the International Energy Agency.

As of 2023, only nine percent of the country’s energy consumption was covered by renewable sources.

De la O Levy admitted in his interview with Reuters that the country was facing difficulties. The blockade has caused shortages of medicine, water and fuel, pushing Cuba to the brink of a humanitarian crisis.

“We are surviving and moving forward, little by little, even if not at the pace we would like,” he said.

“We face long hours of blackouts and lack fuel for cooking and transportation. We lack fuel, but we are gradually making headway through our own solutions and our people.”

Cuba’s production of domestic crude oil remains stable, he added, but is almost entirely allocated to power plants.

The United Nations and human rights watchdogs have criticised the oil blockade as a violation of international law.

Cuban Foreign Minister Bruno Rodriguez Parrilla also condemned the oil blockade in his speech at the UN General Assembly last month.

“It is an unusual and unprecedented action,” Rodriguez said of the blockade.

“A superpower unilaterally deprives all states of their right to export the commodities that they wish to the country that they wish.”

The US has maintained an economic embargo on Cuba for more than 60 years, since the Cold War era.

But since taking office for a second term as president, Trump has sought to squeeze Cuba’s economy further, as part of a “maximum pressure” campaign. His administration has indicated that it wants to topple Cuba’s government.

On October 7, US authorities announced they had seized 90 biodiesel fuel shipments valued at over $2.8m destined for Cuba.

“These shipments were part of an attempt to unlawfully export fuel to Cuba in violation of federal export laws,” US Immigration and Customs Enforcement (ICE) said in a statement.

But in his interview with Reuters, de la O Levy denied the Cuban government had any link to the shipments.

“No Cuban state-owned company has managed to secure a fuel contract, whether for small or large quantities,” he said.

He added that any US oil shipments to private firms fall far short of the country’s requirements.

“I would venture to say that the amount entering the country doesn’t even cover 3 percent of its fuel needs,” de la O Levy said.

Despite a ceasefire agreement reached between Israel and Lebanon in June, Israeli attacks continue.

Two men have been killed in southern Lebanon’s Bint Jbeil district while taking part in an annual olive harvest, according to Lebanese state media and local authorities, as attacks by Israel continue.

One of the men died Sunday in the village of Froun from a munition left behind by recent fighting and the other in Yater as a result of Israeli shelling that “targeted the outskirts of the town while he was inspecting his land and olive harvest”, according to the official National News Agency (NNA).

The Lebanese army blamed Israeli tank fire and called the ongoing attacks “a flagrant breach of existing agreements”.

Afterwards, the Yater municipality urged residents “to avoid the outskirts of the town and refrain from crossing the earthen barrier separating some unsafe neighbourhoods” for fear of Israeli attacks.

In Froun, the NNA reported that “a foreign object” left over from previous Israeli operations exploded and killed the man, who was an engineer, as he and others tended their trees.

The engineer had come down from Beirut, where he lives, for the harvest, Froun mayor Hassan Bazzi told AFP.

The incident prompted local residents to call off the harvest and wait for “the Lebanese army to complete the decontamination of the village”, Bazzi said.

Displaced people

Since an agreement between Lebanon and Israel was struck in June, violence in the south has lessened, but not stopped.

Lebanon was pulled into conflict on March 2, when Hezbollah struck Israel in support of Tehran during the US-Israel war on Iran. Subsequently, Israel launched a bombing campaign and a ground invasion that authorities say have killed more than 4,300.

In August, Lebanon’s Prime Minister Nawaf Salam accused Israel of intentionally targeting homes and civilian infrastructure across the country. The International Organization for Migration (IOM) recorded nearly 350,000 internally displaced people in late August, a sign of the worsening displacement crisis.

Volunteers from the nearby town of Jebchit and locals came to help their southern neighbours with the harvest in an act of solidarity.

“From north to south, one people and one land,” said organiser Ahmad Chahhal.

Government security forces regain control of Rumbek town after outsiders attempted to take control of the area.

Intercommunal clashes have killed 71 people in South Sudan’s town of Rumbek, in Lakes State, the caretaker government said in a statement.

“According to initial security reports, approximately 71 people were reportedly killed,” including four soldiers, the South Sudanese interim Ministry of Information said in a statement on Friday. The exact number of fatalities has yet to be verified.

According to AFP, witnesses said a group of people from outside Rumbek tried to take control of the town and briefly succeeded. The attackers withdrew when police and military reinforcements arrived. Two witnesses said the fighting moved outside the city limits.

The government statement said, “Rumbek town is currently under the control of Government security forces, and efforts are ongoing to restore normalcy”.

The caretaker government strongly condemned the violence and urged all communities to “exercise maximum restraint and refrain from acts of retaliation that could further escalate tensions”.

Interim government

On September 22, South Sudan’s President Salva Kiir dissolved the transitional government, three months before the country’s first election since its independence in 2011. Kiir appointed a caretaker administration as the country prepares for its first-ever national elections.

His decree ended a power-sharing arrangement set up under a 2018 peace deal that halted a five-year civil war in which about 400,000 people were killed.

Intercommunal conflict has continued across South Sudan, resulting in multiple deadly clashes.

On September 17, 26 people were killed, and 82 were injured during days of fighting in a disputed region on the border between South Sudan and Sudan.

In early March, intercommunal violence left at least 169 people dead after dozens of armed men attacked a town.