supplies

On a modest bed inside his war-battered home in the Khartoum North neighbourhood of the Sudanese capital, Khartoum, Murtada Mohieddin, a diabetic patient in his early 50s, carefully counts his remaining doses of insulin. His search for medicine has transformed into a harrowing battle – not just to find the treatment he needs to survive his diabetes, but to ensure the medicine is not expired or ruined.

“Sometimes the insulin is spoiled,” Mohieddin tells Al Jazeera, inspecting his limited supply. “You wouldn’t know if it is ruined or expired. You can check the expiration date, but it could still be damaged from poor storage.”

More than three years of civil war have crippled Sudan’s healthcare infrastructure: hospitals, health centres and pharmaceutical factories have been shut and vital medical supply chains and storage across the country have been disrupted.

The war, which erupted as a power struggle between Sudanese Armed Forces (SAF) and the paramilitary Rapid Support Forces (RSF), has killed more than 50,000 people and displaced 14 million – nearly a quarter of the country’s population.

The devastating conflict has paralysed domestic pharmaceutical production and collapsed vital supply chains across the country.

According to a World Health Organization (WHO) news release dated April 14, 2026, Sudan represents the world’s largest humanitarian crisis, with 21 million people lacking basic healthcare services out of 34 million needing aid.

In the void left by the closure of pharmaceutical companies, smuggling networks have flourished, flooding the market with unregulated drugs locally known as “Boko” medicines.

These include critical intravenous malaria medications smuggled across borders. Because they completely bypass strict temperature controls and quality checks during transit, these drugs are frequently spoiled, rendering them either totally ineffective or lethally toxic to patients.

A double threat

Inside local pharmacies in Omdurman, located on the outskirts of Khartoum, the crisis is not just limited to scarcity. Patients now face the double threat of exorbitant costs and life-threatening quality issues, as these illicit medicines are often severely spoiled due to a lack of proper storage and refrigeration.

Mutawakil Hamza, a pharmacist based in Omdurman, said the reliance on unregulated channels is putting lives at immediate risk.

“Most malaria medicines are now brought in through smuggling,” Hamza said. “These are ultimately injections for intravenous use, and this is highly dangerous to a patient’s health.”

Because intravenous treatments bypass the body’s natural defences and require absolute sterility, administering improperly stored or degraded smuggled injections can rapidly cause severe bloodstream infections, systemic shock, or death.

The war has effectively dismantled local manufacturing, reversing years of medical self-reliance. Yasser Ahmed Youssef, a pharmaceutical industry expert whose factory is located in Khartoum, noted the stark contrast to the pre-war era, when local factories managed to produce “very large quantities of life-saving medicines, including drugs for blood pressure, diabetes, colds, and paediatric care”.

Now, the majority of those production lines are silent, leaving the population dependent on a shattered healthcare system. According to the October 2025 Health Resources and Services Availability Monitoring System (HeRAMS) report cited in a WHO Public Health Situation Analysis from January 6, 2026, 40 percent of health facilities nationwide are entirely nonoperational.

The situation is even more drastic regionally, with 87 percent of facilities shut down in Khartoum and 85 percent closed in North Kordofan, whose control is contested between the rival sides.

In active conflict zones such as Gezira, Khartoum, Darfur and the Kordofan regions, the shortages are particularly dire.

A United Nations Population Fund (UNFPA) emergency report from August 2025 highlighted that the only functioning maternity hospital in the besieged city of el-Fasher faces critical medicine shortages and risks imminent closure.

El-Fasher, the last SAF stronghold in the western region of Darfur, was taken over by the RSF in late October 2025, trapping approximately 700,000 civilians – mostly women and children. People have been cut off entirely from food and medicine and subjected to attacks.

Collapsed warehouses and supply lines

In the government-funded public sector, the National Medical Supplies Fund maintains that it is working to secure essential medicines despite the fighting, claiming to have achieved 75 percent availability for cancer medications and fully secured supplies for kidney patients.

However, officials admit the overarching infrastructure is in ruins, with the local health ecosystem almost destroyed.

“We have been massively affected by the ongoing war inside Sudan,” said Abubakar Salouha, a department director at the fund. “The medical supplies have been severely impacted; there has been a collapse at the level of the main warehouses at the headquarters.”

International aid deliveries from neighbouring countries also face enormous logistical hurdles.

The WHO’s January 6 situation analysis detailed that cross-border transit times for medical commodities can take up to 90 days to reach remote regions like Darfur from the Cameroonian city of Douala via Chad. Compounding these suffocating delays, armed groups have repeatedly targeted medical infrastructure, looting pharmacies and stripping remaining hospitals of their vital medical supplies.

Recent attacks highlight this systematic destruction by rival sides. On March 20, 2026, a drone attack on Al-Daein Teaching Hospital in East Darfur state killed at least 64 people, including medical personnel, and injured 89 others. Sudanese rights group the Emergency Lawyers reported that the army was behind the attack.

On April 2, another drone attack struck Al-Jabalain Hospital in White Nile state, killing 10 staff members, including the hospital’s director while he was performing surgery. That same day, the Family Hospital in el-Daein was looted, and patients and health workers were assaulted and expelled. Similarly, a hospital in Kurmuk, Blue Nile state, was looted on March 25, its equipment destroyed, and patients forced out. The RSF was blamed for these attacks.

“Sudan is confronting one of the gravest humanitarian and public health emergencies in the world today. The ongoing conflict has pushed the health system to the edge of complete collapse,” warned WHO Director-General Tedros Adhanom Ghebreyesus on April 4.

“These incidents are stark reminders of the urgent need for renewed international solidarity and decisive political and humanitarian action. Sudan cannot endure this crisis alone.”

Firefighters battled a fire Sunday that erupted in the early morning and remained active well into the afternoon at a downtown L.A. office supplies store.

Roughly 120 firefighters were called about 4 a.m. to the two-story building with a mezzanine at 1225 S. Hope St. near West Pico Boulevard. Upon arrival, firefighters encountered heavy smoke and flames. One firefighter suffered minor injuries in the battle and was hospitalized.

Firefighters transitioned from offensive to defensive mode and used a remote-suppression robot to enter the building, LAFD spokesperson Jennifer Middleton said. Arson and emergency air units also were requested.

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1. Firefighters battled a fire Sunday that erupted in the early morning and remained active well into the afternoon at a downtown L.A. office supplies store. (Kayla Bartkowski/Los Angeles Times)

The blaze was initially contained by 5:52 a.m., but the building’s contents rekindled, said LAFD Battalion Chief Peter Hsiao.

About 10 a.m., firefighters were “trying to remove paper from the building to stop it from catching on fire,” Hsiao said.

By 10:30 a.m., the building’s roof had collapsed, according to Times photographer Kayla Bartkowski, who was at the scene. Thirty minutes later, the building was again engulfed in flames.

At 1:30 p.m., firefighters were trying to contain the blaze by using a forklift and heavy machinery to pull boxes of office supplies and pallets of paper out of the building, then spraying it all down with water.

Firefighters on the roof also were spraying the fire to prevent it from spreading, she added.

A blaze was reported at about 4 a.m. in downtown L.A. at 1225 South Hope St.

(Kayla Bartkowski / Los Angeles Times)

The address is associated with Bluebird Office Supplies. A voicemail left for a number listed for the business owner was not immediately returned.

No one was inside the building at the time of the blaze, Middleton said.

The cause of the fire is under investigation.

Fighters attack ‘Africa’s Alcatraz’, which detains high-value prisoners, and disrupt crucial supply chains to the capital.

In a new wave of attacks in Mali, an al-Qaeda-linked group has stormed a main prison housing fighters from the armed group and set fire to trucks with food supplies heading to the capital Bamako.

Fighters from the Jama’at Nusrat al-Islam wal-Muslimin (JNIM) group stormed the Kenieroba Central Prison, a recently built complex dubbed “Africa’s Alcatraz”, located about 60km (37 miles) southwest of Bamako, Al Jazeera’s Nicolas Haque reported on Wednesday.

The detention centre houses 2,500 prisoners, including at least 72 inmates considered “high value” by the Malian state, Haque said, adding that Malian armed forces were repelling the attack.

Among the prisoners are JNIM fighters and a number of people arrested following large-scale attacks last month by the group’s fighters and Tuareg separatists, the Azawad Liberation Front (FLA).

The fighters attacked several military bases across multiple cities, including areas where senior government officials live, and took control of the northern city of Kidal in a coordinated offensive on April 25 and April 26, which struck at the heart of the West African country’s military government.

One of those attacks killed Malian Defence Minister Sadio Camara and his family in their home in Kati, a garrison town near the capital. On Monday, the leader of the country’s military government, Assimi Goita, took on the role of defence minister. At least 23 others were also killed in the attacks.

Since then, “there has been a wave of arrests of former and current military officers, members of civil society, lawyers, members of the political opposition – all accused of colluding with al-Qaeda fighters,” said Haque, who has been reporting for years on and in Mali. He added that fighters linked to the armed group were also arrested.

Security sources told AFP news agency that opposition figures Mountaga Tall, Youssouf Daba Diawara, and Moussa Djire are among those “abducted”.

According to family members and security sources who spoke to the agency, Tall, a lawyer, was taken on May 2 in Bamako by hooded men on charges of plotting with opposition figures in the Senegalese capital, Dakar, to overthrow the military government. Since his arrest, Tall has been questioned at least once for “attempted destabilisation”.

The security sources said Diawara and Djire were suspected of links with, respectively, the influential imam Mahmoud Dicko and Oumar Mariko, two opposition figures in exile. At least two other civilians who are close to Mariko were also arrested following the attacks, a judicial source told AFP, without giving further details.

The military prosecutor’s office said on May 1 that it had “solid evidence” of the “complicity” of certain military personnel, accusing them of helping with the “planning, coordination and execution” of the attacks.

In a report published on Tuesday, the Office of the United Nations High Commissioner for Human Rights (OHCHR) said there have also been “gravely concerning reports of extrajudicial killings and abductions, allegedly carried out by members of the security forces” following the attacks.

The violence has set off fighting across Mali’s vast desert north, raising the prospect of significant gains by armed groups that have shown an increasing willingness to strike neighbouring countries.

JNIM has called on Malians to rise up against the government and transition to Islamic law. The group has also pledged to besiege Bamako, and on Friday, it had reportedly set up checkpoints around the city of four million.

Haque said the blockade has the potential to cause a humanitarian disaster.

“These are al-Qaeda fighters that have pointed 12.7mm machine guns on their motorbikes, stopping any outgoing or incoming traffic,” the correspondent said. “We have seen on social media these fighters stopping food trucks trying to enter the area. This blockade is not just affecting people living in Bamako; it’s affecting people throughout Mali.”

On May 3, the mayor of Diafarabe village, in the Mopti region, called on the authorities to act before people started dying of hunger, as the village had run out of food.

Normal flows of fossil fuels from the Gulf have effectively been at a standstill since the war broke out and the Strait of Hormuz was blockaded, leading to shortages and flight cancellations

Billionaires and the ultra-rich are taking more and more private jet flights despite a jet fuel crisis in commercial aviation.

While major airlines cancel tens of thousands of flights due to jet fuel issues caused by the Iran War, chartered and private aviation is booming, according to analysis shared with the Mirror.

“Aside from the Middle East, the global private jet industry has not been affected by rising fuel costs,” Nick Koscinski, analyst at WINGX Advance aviation data firm, told the Mirror. “In fact, global private jet flights are up 4.7% year-to-date through 19 April.”

In US cities that have been hit by Transportation Security Administration staff shortages amid a pay freeze, there have been much higher usage rises, with a 17% yearly increase in Washington, DC, and Houston.

Normal flows of fossil fuels from the Gulf have effectively been at a standstill since the war broke out and the Strait of Hormuz was blockaded. A fifth of the world’s oil and gas typically flows through the Strait.

Last week, global jet fuel shipments fell to the lowest recorded level. Just under 2.3m tonnes of jet fuel and kerosene were transported on ships in the seven days to 26 April, according to data company Kpler. The figure represents less than half the average weekly volume shipped before the war. Earlier this month, the International Energy Agency warned that Europe could run out of jet fuel in weeks.

WINGX Advance analysis notes that Jet A1 prices have approximately doubled since January, and they represent about 30% of variable operating costs for private jet operators.

“So this cost is significant. Our impression is that the cost increase has largely been passed through to end-users. As flight activity for private jets is up this year vs last year, clearly demand seems to be inelastic at least for now,” analyst Richard Koe added.

Flying in a private jet is one of the most fuel-intensive, emissions-spewing activities a human can engage in.

Overall, private aviation emissions increased by 46% between 2019 and 2023, with industry expectations of continued strong growth, according to a Nature journal Communications Earth & Environment study.

It also found that most of these small planes spew more heat-trapping carbon dioxide in about two hours of flying than the average person does in about a year.

In 2023, roughly a quarter million of the super wealthy, who were worth a total of $31 trillion, emitted 17.2 million tons (15.6 million metric tons) of carbon dioxide flying in private jets. That’s about the same amount as the overall yearly emissions of the 67 million people who live in Tanzania.

Stefan Gössling, a transportation researcher at the business school of Sweden’s Linnaeus University, said the issue wasn’t so much the emissions, which remain a small part of those produced globally, but the lack of fairness.

“The damage is done by those with a lot of money and the cost is borne by those with very little money,” Gössling said. A separate report by Oxfam claimed that billionaires emit more carbon pollution in 90 minutes than the average person does in a lifetime.