A Sudanese doctor has told the BBC that he and his colleagues are “expecting… to get shot [at] any time” while working in a Khartoum hospital.
The doctor, who we are not naming, has been volunteering to treat sick people, most of whom have been shot.
He said he felt “helpless” and that it was “difficult” to “see people in front of you… dying”.
Both staff and patients at the hospital have been hit by stray bullets, he said.
He will no longer return to that hospital because it is not safe, but instead will treat patients at a different medical facility.
The Central Committee of Sudanese Doctors (CCSD) says 39 out of 59 hospitals in the capital, Khartoum, and nearby states are “out of service”, highlighting the worsening humanitarian situation in the country.
“Among the hospitals that have stopped working, there are nine hospitals that were bombed, and 16 hospitals that were subjected to forced evacuation,” the CCSD said.
Fighting between the Sudanese army and the rival paramilitary Rapid Support Forces (RSF) group is now in its fifth day, amid a power struggle in the country.
The doctor confirmed to the BBC that patients and doctors in at least 16 hospitals had been forcibly evacuated from hospitals by the RSF, although the BBC is not able to independently verify this report.
Patients are stranded in some hospitals with no clean water or food, and it is difficult to evacuate them because of “lack of transportation, the lack of safe passages and the lack of gasoline”.
He also said that several corpses had been left in hospitals that cannot be accessed.
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A second medic, Dr Ahmed Abbas who is a coordinator for the Sudan Doctors’ Union, told the BBC’s Newshour radio programme that the “situation is bad” and that very few Khartoum hospitals were functioning.
Those hospitals are struggling and “running short of oxygen” and life-saving drugs, while doctors have been working “round the clock” and are exhausted to the “point of collapse”.
Dr Abbas also warned that “people are dying from lack of staff” and blood supplies, while others were dying because of a “long wait” to get to the operating rooms, adding that the heath service was “beyond collapse”.
Both Dr Abbas and the unnamed Khartoum doctor told the BBC that some hospitals had been used by the factions as a refuge for their fighters.
Dr Abbas said five major Khartoum hospitals had been almost totally destroyed by “crossfire fighting”.
On Wednesday the International Committee of the Red Cross (ICRC) called for unimpeded access in Sudan and warned that the fighting was taking a “disastrous toll”.
The body’s regional director for Africa, Patrick Youssef, said the enormity of the situation was still unfolding. He called for “quick access and safety for ambulances, medical personnel, and humanitarian actors to be able to evaluate what is happening”.
An ICRC statement added that law and order had broken down in parts of the western region of Darfur, and that its offices in Nyala had been looted and a vehicle stolen.
About 270 civilians have been killed since fighting broke out on Saturday, according to a statement from Western diplomats based in Khartoum.
Large numbers of Khartoum residents have been fleeing, whilst others are trapped in their homes seeking shelter as a fresh wave of explosions erupted in the capital this morning.
Later in the day, the Sudanese army and the RSF agreed a fresh 24-hour truce, however some gunfire could still be heard after 18:00 local time (16:00 GMT), when it was supposed to take effect.