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Warrap State Cholera Outbreak 2025: Crisis Deepens Amid Rising Death Toll

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Warrap State Cholera Outbreak 2025: Crisis Deepens Amid Rising Death Toll

The Warrap State cholera outbreak 2025 continues to deepen, pushing an already vulnerable region toward the brink of a humanitarian disaster. For over a month, communities in Warrap State, South Sudan, have been fighting a deadly wave of cholera infections. Despite controlling a similar outbreak in 2024, this year’s resurgence has worsened dramatically — and the government’s sluggish response is raising serious concerns.

Early Outbreak in Kuac South

Families and cholera patients gather at an outdoor emergency treatment center amid the Warrap State cholera outbreak 2025 crisis

Overcrowded emergency centers in Warrap State as communities battle the deadly cholera outbreak, April 2025.

The first confirmed cases of cholera appeared in February 2025 in Kuac South Payam, a rural community where access to healthcare is scarce. Within weeks, the disease had spread to Kuac North Payam, claiming lives and overwhelming local health centers.

By March, more than 80 patients had been hospitalized, with four confirmed deaths. As of April, 34 patients were still receiving treatment, highlighting the outbreak’s stubborn persistence despite initial containment efforts.

Spread to Tonj and Apuk Communities

Critically ill cholera patients receiving makeshift treatment during the Warrap State cholera outbreak 2025 in South Sudan

Patients in Warrap State receive life-saving IV treatment amid the worsening cholera outbreak, April 2025.

Apuk, officially divided into Gogrial East and Gogrial West (Aguok) counties, has become another hotspot. The disease has ravaged villages where clean water and sanitation facilities are almost non-existent.

Meanwhile, in Tonj North County—the most populated area of Warrap State—the situation is even graver. According to local health officials, dozens have died, and new infections are reported daily. Hospitals and clinics, already under strain from existing challenges, are running out of essential supplies.

Possible Causes of the Warrap State Cholera Outbreak 2025

The Warrap State cholera outbreak 2025 seems rooted in a combination of factors:

  • Population Movement: Thousands of returnees have traveled from urban centers to rural villages, possibly carrying the bacteria with them.
  • Poor Sanitation: Open defecation, lack of proper sewage systems, and contaminated drinking water have created fertile ground for cholera transmission.
  • Climate Impact: Flooding in parts of South Sudan has disrupted clean water sources and displaced communities, further exacerbating hygiene issues.

Experts warn that without addressing these root causes, future outbreaks are inevitable.

Impact Across Other States

Sadly, Warrap is not alone. Cholera has also re-emerged in:

  • Northern Bahr el Ghazal
  • Unity State
  • Upper Nile
  • Lakes State

Towns like Bentiu, Nasir, Ulang, and Fangak have all reported clusters of new cases. Regional flooding, poor infrastructure, and inadequate healthcare access have turned what might have been a localized outbreak into a national emergency.

Local Frustration Grows

Frustration among Warrap’s residents is reaching a boiling point.

“We have no medicines, no clean water, and no government support. People are dying every day, and yet nothing is being done,”
— said Mary Ajak, a community leader from Tonj North.

Many villages have not received any official aid or medical assistance since the outbreak began. Families are being forced to rely on traditional remedies and home care, with tragic results.

Government Response Under Scrutiny

The South Sudanese government’s response to the Warrap State cholera outbreak 2025 has been widely criticized as slow, disorganized, and insufficient. Despite repeated warnings from local health officials and humanitarian agencies, there has been little sign of an effective national strategy.

Even as the death toll rises across Warrap, Lakes, Northern Bahr el Ghazal, and Upper Nile, officials continue to downplay the situation. Many fear that unless immediate action is taken, the outbreak could mirror the devastating cholera epidemics witnessed elsewhere in East Africa.

The Urgent Need for Action

Humanitarian organizations are beginning to mobilize resources, but the scale of the outbreak demands a far more urgent and coordinated response:

  • Emergency medical teams must be deployed.
  • Clean water initiatives must be fast-tracked.
  • Public health education campaigns need to reach rural villages immediately.
  • International aid must be requested before the situation becomes irreparable.

Experts warn that the coming weeks will be critical. Without large-scale intervention, the Warrap State cholera outbreak could become one of the worst health disasters in South Sudan’s recent history.

 

The Warrap State cholera outbreak 2025 is a humanitarian emergency that demands immediate action. Rising deaths, overwhelmed hospitals, and growing frustration from local communities paint a grim picture. If the government and international partners do not act swiftly, Warrap—and possibly much of South Sudan—will face catastrophic consequences.

This is a developing story. Stay tuned for further updates as more information becomes available.

Health

Uganda officially ends Ebola outbreak

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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.”

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Africa

South Sudan on the Brink of Civil War: Urgent Call for Peace Amid Rising Tensions

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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

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

Dr. John Garang

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 speaking on South Sudan peace process

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

Youth with South Sudan Flag

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.


 

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Health

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

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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.

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