Health
Cholera outbreak in Unity State claims one life, infects 31 others

Cholera Outbreak in Unity State
At least one person has died from a Cholera outbreak and 31 others are battling the disease in Unity State. The patients exhibited symptoms such as watery diarrhoea, vomiting, and dehydration.
Confirmation and Response
Eight samples that were drawn from patients in Rubkona and Bentiu counties tested positive for the disease at the National Public Health Laboratory in Juba. The Unity State Ministry of Health has reported a total of 31 cases, including one death, from Rubkona town and Bentiu IDP camp.
The Ministry of Health and partners deployed a rapid response team to investigate the causes and support the state-level response following the initial confirmation of the disease on April 14.
Cholera Vaccination Efforts
Earlier this year, two rounds of oral cholera vaccine were administered in 20 spots across South Sudan. However, further case mapping is being conducted to identify additional cholera cases in the affected areas.
Preventive Measures
The public is urged to remain calm and observe precautionary measures to prevent community transmission and spread in populations with inadequate access to safe drinking water. Drinking safe water, washing hands regularly, and maintaining a clean environment are essential practices to prevent cholera.
Previous Outbreak and Prevention Practices
This is the first cholera outbreak in South Sudan since 2017, with factors contributing to community deaths including poor treatment-seeking behavior and limited awareness about cholera. It is crucial to follow cholera prevention practices such as drinking safe water, washing hands, using latrines, cooking food thoroughly, and maintaining a clean environment.
Health
Uganda officially ends Ebola outbreak

Uganda Declares End to Ebola Outbreak
Uganda has declared an end to the Ebola outbreak, less than three months after the so-called Sudan virus disease (SVD) subtype was confirmed in the capital Kampala, where a dozen cases were confirmed.
Outbreak Details
The country’s health ministry said on April 26 that the Ebola outbreak “has officially come to an end” after 42 days without a new case since the last confirmed patient was discharged on March 14 2025.
During the outbreak, 14 cases including 12 confirmed through laboratory tests, were reported, according to the World Health Organization (WHO).
Four deaths deaths occurred and ten people recovered from the infection, while 534 people were identified as having been in contact with the confirmed and probable cases and were closely monitored.
Response Efforts
The last confirmed patient was discharged on 14 March 2025, triggering the 42-day countdown to officially declare the end of the outbreak, in line with WHO guidelines.
Declared on 30th January 2025, this was Uganda’s second Ebola outbreak in less than three years. The UN health agency stated that it mobilized around 130 national and international staff to help in case investigation, contact tracing, laboratory diagnostics, and case management.
WHO also said it has facilitated the deployment of Emergency Medical Teams and anthropologists to reduce stigma, build trust and work with affected communities, which was critical in driving behavior change.
International Support
U.S. Ambassador to Uganda William W. Popp said 75 American government experts worked with the Ugandan health ministry to contain the outbreak, adding that Washington contributed $8 million for the health emergency.
“The U.S. is proud to have had more than 75 U.S. government experts work shoulder to shoulder with the Ministry of Health of Uganda since the first day of the outbreak, share state-of-the-art health treatments, and contribute nearly $8M to stop this outbreak and make U.S., Uganda and the world safer,” Mr. Popp said.
“We will continue our support with a Health and Human Service donation of 500 rapid tests for ongoing surveillance and prevention.”
Africa
South Sudan on the Brink of Civil War: Urgent Call for Peace Amid Rising Tensions

A Nation at a Crossroads
South Sudan on the brink of civil war once again reminds the world of the fragile dream born with so much hope on July 9, 2011. After decades of struggle against Sudanese rule, independence was supposed to bring peace, prosperity, and unity. Instead, old wounds, tribal loyalties, and political ambitions have reopened, threatening to undo the sacrifices of generations.
Today, with violence flaring between factions loyal to President Salva Kiir and those associated with former Vice President Riek Machar, South Sudan stands at a defining moment. Will it succumb to another devastating civil war, or will it find a new path forward? The answer will shape the destiny of Africa’s youngest nation for decades to come.
The Deep Roots of Conflict: A History Back to 1950

President Salva Kiir of South Sudan during official event
To understand South Sudan’s current crisis, one must travel back to the early 1950s. British colonial administrators, facing demands for Sudanese independence, ignored deep cultural, religious, and ethnic divisions between the Arab-Muslim north and the African-Christian south.
In 1956, Sudan gained independence. Almost immediately, tensions exploded. Southern Sudanese, who had little political representation, faced Arabization policies that marginalized their identity, language, and religion. By 1955, even before official independence, the First Sudanese Civil War had begun, lasting until 1972.
The Addis Ababa Agreement of 1972 provided autonomy for the south but failed to address deeper grievances. When President Jaafar Nimeiry attempted to impose Islamic law nationwide in 1983, the Second Sudanese Civil War erupted, leading to over two million deaths and four million displacements over 22 brutal years.
The Rise of SPLM/A
Emerging from the chaos was the Sudan People’s Liberation Movement/Army (SPLM/A), founded by Dr. John Garang. Garang envisioned a “New Sudan” of equality, not immediate secession. However, divisions even within the SPLM/A soon emerged, notably between Garang’s vision and the more secessionist agenda of others, including Riek Machar.
These early splits sowed seeds of mistrust that still haunt South Sudanese politics.
Independence and the Birth of a Fragile State
The Comprehensive Peace Agreement (CPA) in 2005 ended the civil war, granting the south autonomy and setting the stage for a referendum. Tragically, Dr. Garang died shortly after in a helicopter crash, removing a unifying figure.
In 2011, an overwhelming 98.83% of South Sudanese voted for independence. The Republic of South Sudan was born in a moment of euphoria, but with fragile institutions, an underdeveloped economy, and deep-seated ethnic divisions.
The Descent into Internal Conflict

Riek Machar Addressing South Sudan Crisis
The Kiir-Machar Power Struggle
Initially, President Salva Kiir and Vice President Riek Machar promised a broad-based government. Yet political rivalry and ethnic tension simmered beneath the surface: Kiir, a Dinka; Machar, a Nuer.
In 2013, amid accusations of an attempted coup by Machar’s allies, violence erupted in Juba. What began as a political struggle quickly spiraled into an ethnic bloodbath.
The South Sudanese Civil War (2013–2018) displaced four million people and killed nearly 400,000. Entire towns were razed. Neighbors turned against each other. The young nation plunged into despair.
The 2018 Peace Agreement: A Fragile Hope
The Revitalized Agreement on the Resolution of Conflict in South Sudan (R-ARCSS) in 2018 created a unity government. Machar returned as Vice President. Hopes rose, but implementation lagged. Key provisions—security sector reforms, constitutional review, elections—stalled.
Meanwhile, economic hardship deepened, fueled by corruption, declining oil revenues, and international aid fatigue.
The Current Crisis: 2025 and Beyond
Recent reports show rising tensions in Upper Nile State, Jonglei, and other regions. Factions loyal to both Kiir and Machar are rearming. Minor clashes have escalated into major skirmishes. Civilians are again fleeing into the bush.
According to the World Food Programme, over 7 million South Sudanese face severe food insecurity in 2025. Meanwhile, UNHCR reports that over 2.2 million people remain displaced within the country’s borders. The World Health Organization warns of escalating cholera outbreaks compounding the crisis. The overall humanitarian situation, as outlined by UN OCHA, impacts over 9.4 million South Sudanese civilians today.
Root Causes Behind Today’s Violence
- Unaddressed Historical Grievances: Colonial-era divisions and decades of war left deep scars.
- Ethnic Politics: Power is often seen through tribal lenses, not national unity.
- Weak Institutions: Courts, police, and government ministries are weak or politicized.
- Oil Dependency: Competition over control of oil fields fuels tensions.
- Lack of Reconciliation: Perpetrators of past atrocities have rarely been held accountable.
- External Meddling: Neighboring countries have often supported different factions for their own interests.
The Way Forward: Breaking the Cycle
1. National Dialogue Must Be Real, Not Cosmetic
A genuine, inclusive dialogue involving grassroots leaders, women, youth, religious leaders, and elders—not just political elites—is crucial.
2. Transitional Justice
Truth commissions, local justice initiatives, and hybrid courts must address past atrocities. Without accountability, there can be no trust.
3. Build National Identity
Civic education promoting “South Sudanese” identity over tribal affiliation must be introduced, especially in schools.
4. Diversify the Economy
Dependency on oil exports fuels corruption and competition. Investment in agriculture, education, and infrastructure will empower local economies and reduce grievances.
5. Empower Women and Youth
Women and youth made up the majority of victims and fighters. They must be at the center of any peacebuilding and leadership efforts.
A Message to the Future Generation of South Sudan

Young South Sudanese man proudly carrying national flag
To the young men and women of South Sudan:
You are not the prisoners of the past. You are the architects of tomorrow. Tribalism, hatred, and revenge are legacies you do not have to inherit.
Imagine a South Sudan where a child’s future is determined not by their tribe, but by their dreams. Imagine cities where Dinka, Nuer, Azande, Bari, and Murle live side by side, not as rivals but as brothers and sisters.
You can break the cycle.
Reject the politics of warlords. Reject the manipulation of identity. Build schools, not militias. Create art, not armies. Plant seeds, not landmines.
The world is watching. But more importantly, your children and grandchildren will be watching. What will you leave them?
You can leave them a nation reborn.
Conclusion: Hope Amid the Ashes
South Sudan’s story is not yet finished. Though the drums of war beat ominously, the song of peace can still rise.
It will not be easy. Forgiveness must overcome hatred. Courage must silence fear. Wisdom must replace blind ambition.
But the same spirit that carried South Sudanese through decades of struggle can carry them through this dark hour into a new dawn.
From the ashes of pain can rise a country that proves to the world—and to itself—that the dream of South Sudan is alive.
And it is worth fighting for, not with bullets, but with hope.
Health
Warrap State Cholera Outbreak: How Urgent Home Care Can Save Lives

Warrap State, Kuacjok — April 27, 2025 — Warrap State cholera outbreak continues to escalate, threatening lives across the region. As the death toll rises and over 1,139 suspected cases overwhelm health centers, the urgency to act immediately at the household and community level has never been greater.
According to the Ministry of Health’s official report from Kuacjok, 142 new suspected cholera cases were recorded in the last 24 hours, with 4 new deaths and 138 fresh hospital admissions.
In response, health leaders are issuing a life-saving call: families must take immediate action at home — and report any signs of cholera symptoms within 24 hours to the nearest health facility.

Dr. Donato Agim, Gogrial East County Health Director, and Duro Ngnog Kuot meet to coordinate cholera response efforts in South Sudan.
“Every minute matters when it comes to cholera,” stressed Dr. Donato Agim, Health Director for Gogrial East County.
“We urge families to act fast.
Reporting patients early saves lives — and protects entire communities from further devastation.” This surge in cases follows an earlier alert issued last week — read the full report here — where South Sudan Online covered the escalating situation across Gogrial East and Tonj North Counties.
Essential First Aid: How to Fight the Warrap State Cholera Outbreak at Home

Healthcare workers and volunteers in Gogrial East County standing beside medical supplies and a transport vehicle for cholera response.
When clinics are far or overwhelmed, your home becomes the first hospital. Immediate home interventions can prevent tragedy in the critical early hours.
Oral Rehydration Salts (ORS): The First Weapon Against Cholera
Every household must stock 20–30 ORS sachets.
Start rehydration the moment diarrhea begins — without waiting.
Zinc Supplements to Protect Children’s Lives
Give 10–20mg of zinc daily for 10–14 days.
Zinc dramatically shortens and softens the course of diarrhea in children.
Clean Water: The Lifeline for Every Household
Only drink boiled water or water purified with tablets like Aquatabs.
Unsafe water continues the cycle of infection — kill it before it kills.
Strict Handwashing: Break the Chain of Infection
Wash hands with soap or sanitizer before meals and after using the toilet.
Hygiene is the most powerful invisible shield in the cholera war.
Disinfection: Stop the Spread Inside the Home
Disinfect toilets, bedsheets, clothes, and floors with chlorine-based cleaners (like Jik).
Spilled vomit and diarrhea must be immediately and thoroughly sanitized.
Homemade ORS: A Family’s Lifeline During Supply Shortages
If ORS packets run out, don’t panic — act:
Mix:
6 level teaspoons of sugar
½ level teaspoon of salt
In 1 liter (5 cups) of clean drinking water
Important Tip:
Taste your solution — it should be no sweeter than tears.
Too much sugar or salt can harm the patient.
Without Zinc, Focus on Hydration
Even without zinc tablets, you must keep rehydrating:
Homemade ORS
Thin vegetable soups
Light porridge
Clean drinking water
Even after vomiting, resume small sips every few minutes until professional care is available.
The Critical 24-Hour Window to Save Lives During Cholera
Cholera kills through dehydration, often within just 6–12 hours if untreated.
Early rehydration and rapid referral to a clinic reduce the risk of death by over 90%.
Warrap State Cholera Outbreak Fast Facts (as of April 26, 2025):
Metric | Past 24 Hours | Total |
---|---|---|
Suspected Cases | 142 | 1,139 |
Deaths | 4 | 56 |
Admissions | 138 | 275 Active |
Recoveries | 129 | 808 |
(Source: Ministry of Health, Warrap State, Kuacjok)
United Communities Are Stronger: How Families Can Fight Back Together
The Ministry of Health urges urgent action:
Report suspected cases within 24 hours.
Continue basic treatment at home until help arrives.
Maintain sanitation practices daily.
Share accurate cholera prevention information with neighbors.
“If one household acts quickly, it saves others,” Dr. Donato Agim said.
“Together, our communities can defeat this outbreak.”
Hope Amid Crisis: Building a Future Beyond the Cholera Outbreak

Local health workers and officials meet in Warrap State to coordinate strategies against the escalating cholera crisis in South Sudan.
As South Sudan approaches its rainy season — when cholera risk peaks — families in Warrap State face a choice:
Will we surrender to fear? Or will we fight back, armed with knowledge, courage, and unity?
By reporting early, treating immediately, and preventing contamination, every home in Warrap State can become a fortress against cholera.
Together, we can save our children, our elders, and our future.
SouthSudanOnline.com will continue providing daily updates and real-time guidance throughout this emergency.
Stay informed. Stay prepared. Stay strong.
- Health2 days ago
Warrap State Cholera Outbreak 2025: Crisis Deepens Amid Rising Death Toll
- South Sudan2 weeks ago
No Political Motive in Giada Shootout
- South Sudan2 weeks ago
Western Equatoria Launches Peace Initiative for Youth and Women
- Sudan2 weeks ago
Sudan Army Thwarts RSF Drone Attacks
- South Sudan2 weeks ago
Bor Youth Petition for Wildlife Force Relocation Amid Tensions
- Africa2 weeks ago
Mali Officials Shut Down Barrick Gold’s Office Amid Tax Dispute
- Africa2 weeks ago
Investment App Freezes Users Out, Sparking Savings Loss Fears
- Africa2 weeks ago
Algeria Expels French Officials
You must be logged in to post a comment Login