The United Nations has expressed grave concern over reports of more than 300 civilians being killed in attacks on Sudan’s famine-distressed Zamzam displacement camp. The Office for the Coordination of Humanitarian Affairs (OCHA) said these included 10 humanitarian personnel from the NGO Relief International who lost their lives while operating one of the last functioning health centers in the Zamzam camp. UNICEF also reported that at least 23 children were killed in the attacks. The Zamzam camp is about 15 kilometers south of El Fasher, the capital and economic hub of North Darfur state. Abu Shouk camp is located on the edge of the city. The International Organization for Migration said at least 16,000 people were displaced from the Zamzam camp, with many fleeing to El Fasher and, to the west, Tawila. The humanitarian and security situation in El Fasher is rapidly deteriorating due to continued violence and a growing influx of displaced people. The World Health Organization said there have been about 160 attacks on healthcare facilities since the onset of the conflict two years ago, resulting in more than 300 deaths. One-third of hospitals are non-functional, and recent funding cuts have forced health partners to scale down support to more than 300 health facilities nationwide. Civil war erupted in Sudan on April 15, 2023, with attacks by the Rapid Support Forces militia on the capital, Khartoum.