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In mid-September, heavy fighting broke out in Eastern Equatoria between government forces and the Sudan People's Liberation Army, leading to a sharp increase in the number of war-wounded. Although the situation had calmed by November, access for humanitarian organizations still currently remains difficult, due to persistent volatility. Many destinations in the Upper Nile region also remain off-limits for security reasons.
Continual inter-factional fighting in this area, has caused population displacements, and hindered assessments and humanitarian work. Meanwhile, the eastern border around Kassala remains tense, with sporadic shelling and frequent population movements.
In the Bahr El Ghazal region, the original three-month cease-fire was extended for an additional three months from October until 15 January , to enable vital humanitarian activities to continue. However, the cease-fire only covers one of the three main regions of southern Sudan.
In August and September, areas of both northern and southern Sudan were badly affected by flooding caused by the extended rainy season which arrived late. As a consequence, there have been increased incidences of malaria, diarrhoea and other water-related diseases in these parts. The ICRC continues to respond to the prevailing situation through its offices in Khartoum, Wau, Yirol, Juba, Nairobi and Lokichokio and currently has some 74 expatriates 91 including the staff of Lopiding Hospital and almost national staff in Sudan and Lokichokio working on this operation.
Although the ICRC is not part of the OLS, it maintains close contact with their representatives to prevent duplication or overlapping of humanitarian programmes.