Al-Hilaliya Under Siege: 200 Dead as Crisis Deepens in Sudan

Besieged and Forgotten: The Humanitarian Tragedy in Sudan’s Al-Hilaliya Amid RSF Assaults

Overview

The humanitarian crisis in Al-Hilaliya, a city in Sudan’s central Al Jazirah state, has reached a dire level as ongoing violence, severe resource shortages, and alleged extortion by the Rapid Support Forces (RSF) paramilitary group continue to devastate the population. After two weeks under siege, the death toll has surpassed 200, a grim marker of the toll the ongoing conflict is taking on civilians. Health workers and aid organizations have raised alarms, reporting that people in the besieged city are facing starvation, untreated illnesses, and deadly dehydration due to a lack of safe drinking water. The lack of medical resources has left thousands without critical healthcare, deepening the crisis as diseases begin to spread among the vulnerable population.

Escalation of the RSF Assault on Al-Hilaliya

The RSF, a prominent paramilitary force in Sudan, has intensified its campaign on Al-Hilaliya since October 25. This escalation has involved both physical assaults and a strategic blockade that cuts off essential supplies. Witnesses and local activists report that the RSF has confined many residents in mosques, reportedly demanding large sums of money to allow them freedom of movement. Such actions have created an atmosphere of fear and desperation, as civilians remain effectively trapped in their city, lacking the resources or freedom to seek safety elsewhere.

This siege is just one incident in a broader, brutal conflict between the RSF and the Sudanese Armed Forces (SAF), a war that has spanned across 13 of Sudan’s 18 states since it erupted in April 2023. With each side vying for dominance, the intensity and reach of the violence have spread, inflicting massive civilian casualties and displacing millions from their homes. 

Humanitarian Catastrophe: Water, Healthcare, and Disease Outbreaks

Reports from the Sudan Doctors Syndicate indicate that the besieged residents of Al-Hilaliya have been pushed to drink from unsafe water sources, leading to outbreaks of waterborne illnesses. The blockade has restricted the entry of clean water, medical supplies, and other essentials, amplifying the suffering of the population. Many deaths in Al-Hilaliya have been linked not only to violence but also to starvation and preventable diseases that are running rampant due to the lack of healthcare access. Medical professionals have called for urgent intervention, warning that without immediate relief, disease outbreaks could spread uncontrollably, particularly among those weakened by malnutrition and stress.

The shortages of basic healthcare supplies and safe drinking water have placed already vulnerable individuals, particularly children and the elderly, at heightened risk. Medical facilities, where they exist, are overwhelmed or shuttered, and there are insufficient medical professionals to address the spiraling health needs of the community.

Widespread Conflict and the Role of the International Community

This violence in Al-Hilaliya is symptomatic of a larger power struggle within Sudan. The Sudanese Armed Forces (SAF) and RSF, initially partners in governing Sudan, have devolved into adversaries since mid-2023, with violent clashes erupting throughout the country. This struggle for control has resulted in over 20,000 civilian deaths and forced nearly 10 million people to abandon their homes, according to United Nations estimates. 

The humanitarian disaster unfolding in Sudan has elicited calls from the United Nations and international organizations for an end to the conflict. Yet, despite these appeals, the fighting has persisted, with reports indicating that the violence and food insecurity are affecting millions. As conflict zones expand, Sudan is edging toward a famine, especially in areas where crops have been abandoned, and supply lines are routinely disrupted.

Analysis: The Stakes and Solutions for Sudan

The crisis in Al-Hilaliya illustrates the complexity of Sudan’s current conflict, where violence, displacement, and human rights abuses compound one another in a cycle of instability. This conflict represents a profound political and humanitarian failure, where state institutions have splintered, allowing paramilitary groups to exploit local populations unchecked. The Sudanese government’s fractured structure complicates any hope for a straightforward resolution, as various factions continue to prioritize control over the well-being of Sudan’s citizens.

The international community’s role is critical in addressing this conflict. Diplomatic pressure, coupled with humanitarian aid, could help alleviate the suffering in besieged areas such as Al-Hilaliya. However, effective intervention requires coordinated action between international agencies and regional bodies, which can bridge the logistical and political gaps that currently hinder aid access. Without sustained diplomatic and economic pressure, as well as meaningful support for Sudanese civilians, the cycle of violence and deprivation may continue indefinitely.

A key solution lies in creating a humanitarian corridor allowing relief organizations to deliver food, water, and medical supplies to Al-Hilaliya and other besieged areas. Such corridors have been effective in conflict zones worldwide, temporarily relieving civilians caught in the crossfire. Additionally, targeted sanctions on RSF leaders could apply pressure, deterring further abuses by increasing the cost of their domestic and international actions.

Conclusion

The tragedy unfolding in Al-Hilaliya is a sobering reminder of the human cost of protracted conflict. The death toll, driven by violence, starvation, and disease, underscores the necessity for urgent, decisive action from both Sudanese authorities and the international community. The crisis in Al-Hilaliya is emblematic of Sudan’s current trajectory—a path marked by suffering, displacement, and an ever-deepening humanitarian crisis. Without a swift response, the people of Al-Hilaliya, like millions of other Sudanese civilians, may continue to face a future filled with unimaginable hardship and loss.

References

• Death toll exceeds 200 in Sudan city under RSF siege: Medical group
• Death toll exceeds 200 in Sudanese city under RSF siege: Medical group