NAIROBI: The situation on South Sudan’s border was “completely overwhelming” as thousands flee war-torn Sudan each day, Doctors Without Borders (MSF) warned Monday.
The medical charity said up to 5,000 people were crossing the border every day. The United Nations recently put it even higher at 7-10,000 daily.
Sudan is suffering one of the world’s worst humanitarian emergencies since conflict broke out in April 2023 between the army and the paramilitary Rapid Support Forces, with tens of thousands killed and millions displaced.
An MSF emergency coordinator in Renk town, near a transit center holding some 17,000 people according to the UN, said they were working with the International Committee of the Red Cross to provide care.
“But the situation is completely overwhelming and it’s not enough,” said Emanuele Montobbio.
Facilities had been expanded to accommodate the arrival of war wounded, he said, but they were unable to treat everyone.
“Over 100 wounded patients, many with serious injuries, still await surgery,” Montobbio said.
Bashir Ismail, from Mosmon in Blue Nile state, was recovering in hospital in Renk after an air raid.
“Something hit me in the chest — it was the most painful experience of my life,” he said.
“I was so disoriented that it felt like I had lost my memory.”
MSF South Sudan’s deputy medical coordinator Roselyn Morales said thousands who had crossed faced “critical shortages of food and shelter, clean water, shelter and health care.”
South Sudan is ill-equipped to handle the arrival of thousands seeking shelter from war, with the young country itself battling violence, endemic poverty and natural disasters.
Alhida Hammed fled to Renk after his village was attacked and he was shot in Sudan’s Blue Nile state.
“The houses were blazing, and everyone was running in different directions,” he said.
He now has no shelter and is living under a tree, but does not want to return to Sudan.
“Home is no longer a home — it is filled with bad memories.”

BETHLEHEM: The Nativity Store in Manger Square has sold handmade olive wood carvings and religious items to people visiting the traditional birthplace of Jesus since 1927. But as Bethlehem prepares to mark its second Christmas under the shadow of the war in Gaza, there are almost no tourists, leaving the Nativity Store and other businesses unsure of how much longer they can hold on.
For the second straight year, Bethlehem’s Christmas celebrations will be somber and muted, in deference to ongoing war in Gaza. There will be no giant Christmas tree in Manger Square, no raucous scout marching bands, no public lights twinkling and very few public decorations or displays.
“Last year before Christmas, we had more hope, but now again we are close to Christmas and we don’t have anything,” said Rony Tabash, the third-generation owner of Nativity Store.
Israel’s war against Hamas has been raging for nearly 15 months, and there still is no end in sight. Repeated ceasefire efforts have stalled.
Since the war began, tourism to Israel and the Israeli-occupied West Bank has plummeted. And after Israel barred entry to most of the 150,000 Palestinians in the West Bank who had jobs in Israel, the Palestinian economy contracted by 25 percent in the past year.
The yearly Christmas celebrations in Bethlehem — shared among Armenian, Catholic and Orthodox denominations — are usually major boons for the city, where tourism accounts for 70 percent of its yearly income. But the streets are empty this season.
Tabash said he continues to open the store every day, but often an entire week will go by without a sale. Tabash works with more than 25 local families who create hand-carved religious items out of the region’s storied olive wood. But with no buyers, work has dried up for these families.
Lots of room at the inn
The number of visitors to the city plunged from a pre-COVID high of around 2 million visitors per year in 2019 to fewer than 100,000 visitors in 2024, said Jiries Qumsiyeh, the spokesperson for the Palestinian tourism ministry.
According to the Christmas story, Mary was forced to give birth to Jesus in a stable because there was no room at the inn. Today, nearly all of Bethlehem’s 5,500 hotel rooms are empty.
The city’s hotel occupancy rate plunged from around 80 percent in early 2023 to around 3 percent today, said Elias Al Arja, the head of Bethlehem Hoteliers Association. At his own hotel, the Bethlehem Hotel, he said he has laid off a staff of more than 120 people and retains just five employees.
The city hosts more than 100 stores and 450 workshops dealing with traditional Palestinian handicraft, Qumsiyeh said. But just a week before Christmas, when the city should be bursting with visitors, Manger Square was mostly empty save for a few locals selling coffee and tea. Only two of the eight stores in the main drag of the square were open for business.
Qumsiyeh worries that when the war ends and tourism eventually rebounds, many of the families that have handed down traditional skills for generations will no longer be making the items that reflect Palestinian heritage and culture.
Many are leaving the region entirely. “We have witnessed a very high rate of emigration since the beginning of the aggression, especially among those working in the tourism sector,” said Qumsiyeh.
A Christmas without joy
Almost 500 families have left Bethlehem in the past year, said Mayor Anton Salman. And those are just the families who moved abroad with official residency visas. Many others have moved abroad on temporary tourist visas and are working illegally, and it’s unclear if they will return, Salman said.
Around half of the population in the Bethlehem area, including nearby villages, works in either tourism or in jobs in Israel.
The unemployment rate in Bethlehem is roughly 50 percent, said Salman. Unemployment across the West Bank is around 30 percent, according to the Palestinian Economy Ministry.
Canceling Christmas festivities is one way to draw attention to the difficult situation in Bethlehem and across the Palestinian territories, said Salman. “This year we want to show the world that the Palestinian people are still suffering and they haven’t the joy that everybody else in the world having,” said Salman.
It is another blow to the Holy Land’s dwindling population over the decade due to emigration and a low birthrate.
Christians are a small percentage of the population. There are about 182,000 in Israel, 50,000 in the West Bank and Jerusalem and 1,300 in Gaza, according to the US State Department.
Finding the light in the night
Father Issa Thaljieh, the parish priest of the Greek Orthodox Church in the Church of the Nativity, said many families are struggling financially, leaving them unable to pay rent or school fees, much less buy Christmas presents or celebrate the holiday in other ways. The church’s social services have tried to help, but the needs are great, he said.
Thaljieh said his Christmas message this year focused on encouraging Palestinians in Bethlehem to stay despite the challenges.
“A church without Christians is not a church,” he said, as workers hand-polished the ornate brass candelabras in the cavernous, empty church a week before the holiday.
“The light that was born when Jesus Christ was born here is the light that moves beyond darkness, so we have to wait, we have to be patient, we have to pray a lot, and we have to stay with our roots because our roots are in Bethlehem,” he said.
Some families are finding ways to bring back pockets of joy.
Bethlehem resident Nihal Bandak, 39, gave into her three children’s requests to have a Christmas tree this year, after not having one last year. Decorating the tree is the favorite part of Christmas of her youngest daughter, 8-year-old Stephanie.
Mathew Bandak, 11 was thrilled his family brought back some of their traditions, but also torn.
“I was happy because we get to decorate and celebrate, but people are in Gaza who don’t have anything to celebrate,” he said.
Rony Tabash, the third-generation owner of Nativity Store, said he will continue to open the store, because it’s part of his family’s history.
“We are not feeling Christmas, but in the end, Christmas is in our hearts,” he said, adding that the entire city was praying for a ceasefire and peace. “We have a big faith that always, when we see Christmas, it will give us the light in the night.”