by SARAH ELIZABETH SCALES, BLAKE ESHARDT-OHREN, DEBARATI GUHA SAPIR, KHIDIR DALOUK, & ROHINI J. HAAR
©Scott Nelson/Getty Images/Amnesty International
The ongoing war in Sudan has often been overlooked amid higher-profile conflicts raging across multiple continents. Yet the lack of media and geopolitical attention to this 18-month-long conflict has not made its devastation in terms of human lives any less stark.
Since fighting broke out in April 2023 between the Sudanese Armed Forces and the paramilitary Rapid Support Forces, both of which had been part of a power-sharing military government, the country has seen the displacement of more than 14 million people and the carving up of the country by geography and ideology.
And while we may never know the exact death toll, the conflict in Sudan is certainly among the deadliest in the world today.
As scholars of public health, conflict and human rights and Sudanese-American health workers, we are keenly aware of how fraught it can be to estimate mortality in war for a slew of practical and political reasons. But such estimates are of critical importance: They allow us to understand and compare conflicts, target humanitarian aid for those still at risk, trigger investigations of war crimes, bear witness to conflict and compel states and armed groups to intervene or change.
The difficult work of counting the dead
A profound humanitarian crisis is occurring in Sudan, characterized by ethnic cleansing, mass displacement, food scarcity and the spread of disease, complicated further by flooding in the northern states.
Considering a death toll in such a conflict includes counting not only those who are killed as a direct result of violence – itself a difficult thing to determine in real time – but also those who have died by conflict-exacerbated factors, such as the absence of emergency care, the breakdown of vaccination programs and a lack of essential food and medicine. Estimating this latter death toll, called indirect mortality, presents its own challenge, as the definition itself varies among researchers.
In congressional testimony, U.S. special envoy to Sudan Tom Perriello recognized the estimation challenges when noting there had been anywhere between 15,000 and 150,000 deaths in Sudan – an exceedingly wide range that was attributable, in part, to the complexity of determining indirect mortality.
Armed Conflict Location and Event Data (ACLED), a nonprofit specializing in conflict-related data collection, has recorded an average of more than 1,200 direct conflict deaths per month in Sudan, with nearly 19,000 deaths in the first 15 months of the conflict. This figure is similar to the 20,000 deaths estimated by the Sudan Doctors Union and the 19,000 figure used by the Sudan Protection Cluster, a centralized group of U.N. agencies and NGOs that used World Health Organization data.
ACLED sources its estimates of deaths from traditional media, reports from international NGOs and local observers, supplemented by new media such as verified Telegram and WhatsApp accounts. The Sudan Doctors Union, on the other hand, gives on-the-ground estimates of conflict deaths.
When available, distinct data sources such as surveys, civil registers and official body counts can make an estimation more accurate. However, this data is often available only in retrospect, after the cessation of conflict. It is therefore critical to use both the available data and precedents from previous conflicts to capture a reasonable estimate of the human costs of an ongoing conflict.
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