El Geneina means "the garden" in Arabic, but its translation does not reflect the harsh reality experienced by its inhabitants. At least 500 people are estimated to have been killed since the conflict erupted.
A similar number of wounded remain trapped in the city, unable to receive medical care. An MSF surgical team is waiting in Adré, Chad, but it is currently impossible to evacuate patients due to ongoing fighting. The consequences of the escalation of the conflict are devastating, with attacks on humanitarian organizations.