On 13 January at least 120 people were killed by indiscriminate shelling in Omdurman, with the death toll expected to rise. Sudan's civil war, between the army and the paramilitary RSF, began 21 months ago. It has claimed tens of thousands of lives, displaced over twelve million, and left the country on the brink of famine, described by the UN as a humanitarian disaster. Both sides have been accused of indiscriminately targeting civilians, including health workers, as fighting devastates Omdurman and neighbouring areas. Volunteers face severe challenges in accessing affected regions, and medical supplies are critically low. Recent weeks have seen the army intensify efforts to reclaim territory, seizing areas and confiscating weapons, while the RSF counterattacks. The recent skirmishes have forced emergency response rooms, which support local communities, to shut several health centres, affecting provision of medical services to thousands of residents.