Starvation has killed at least 498 children in Sudan and "likely hundreds more" – four months into a war between rival generals, Save the Children said on Tuesday.
The conflict between the army under General Abdel Fattah al-Burhan and the paramilitary Rapid Support Forces (RSF) commanded by Mohamed Hamdan Daglo broke out on 15 April.
Around 5,000 people have been killed, according to the Armed Conflict Location and Event Data Project, and more than four million have been uprooted.
"At least 498 children in Sudan and likely hundreds more have died from hunger, including two dozen babies in a state orphanage," Save the Children said in a statement.
SUDAN CRISIS: Nearly 500 children die from hunger in #Sudan as fighting halts life-saving treatment programmes. @save_children has been forced to close 57 of its nutrition facilities, with 31,000 children missing out on treatment. https://t.co/b8ibo7XB6s pic.twitter.com/ZEGmGsWzGi
— Save the Children Global Media (@Save_GlobalNews) August 22, 2023
The British charity said it had been forced to close 57 of its nutrition facilities since the war began and that stocks were running "critically low" in the 108 it still operates.
"Never did we think we would see children dying from hunger in such numbers, but this is now the reality in Sudan," said Save the Children's Sudan country director, Arif Noor.
"Seriously ill children are arriving in the arms of desperate mothers and fathers at nutrition centres across the country and our staff have few options on how to treat them.
"We are seeing children dying from entirely preventable hunger."
Brink of famine
In a statement last week, the heads of 20 international humanitarian organisations warned that "more than six million Sudanese people are one step away from famine".
The violence continued on Tuesday, mainly in Khartoum and Darfur, a vast western region that is home to a quarter of Sudan's 48 million population.
The fighting in Darfur is concentrated in Nyala, Sudan's second city, where the United Nations says at least 60 people have been killed, 250 wounded and 50,000 since 11 August.
The army said its commander there had been killed on Monday.
Trucks carrying aid have been unable to gain access to Nyala, while the only hospital still operating in the South Darfur capital says it has been overwhelmed with wounded.
The war spread this month to the North Darfur state capital of El Fasher, with at least 27 localities burned down by the RSF and allied Arab militias, according to the Humanitarian Research Lab at the Yale School of Public Health.
"No one is stopping them. The RSF are moving freely while the army is turtled in its bases," Nathaniel Raymond, who heads the lab, told AFP.
(with newswires)