AGP Executive Report

Refugee Health Pressure: A new ranking shows Lebanon hosting the highest refugee burden per capita (131 refugees per 1,000 residents), underlining how conflict proximity drives displacement and strains local services—an issue that matters for Chad as regional crises keep pushing people toward neighboring health systems. Cholera Alert in the Lake Chad Region: Médecins Sans Frontières reports 7,850 suspected cholera cases and 74 deaths in Borno between May 1 and June 7, with a sharp peak of over 500 admissions in one day—another warning that clean water and waste control are still failing where people need them most. Diphtheria Vaccination Gap: CDC issued a Level 2 travel health notice for seven countries including Chad after a large diphtheria outbreak since 2023, with 20,412 suspected cases and 1,252 deaths reported in 2025 across the region—boosters every 10 years are a key protection gap. Food Security Risk: The World Bank warns 52.9 million people across West and Central Africa could face acute food and nutrition insecurity in June–August 2026, hitting the Sahel and Lake Chad Basin hardest as conflict and fertilizer costs rise. Security and Health Access: Troops repelled a coordinated Boko Haram/ISWAP attack on a Borno base in Ngala, and injuries were treated at a battalion medical facility—while insecurity continues to threaten safe movement for health and humanitarian supplies. Climate Shock Watch: Experts say Saharan dust and a strengthening El Niño could worsen heat, dryness, and storm patterns—conditions that can indirectly raise disease and nutrition risks.

Cholera Watch in the Lake Chad Basin: Médecins Sans Frontières (MSF) reports 7,850 suspected cholera cases and 74 deaths in Borno between 1 May and 7 June, with a sharp surge to over 500 admissions on 5 June—another warning that clean water and waste control are still failing communities. Diphtheria Travel Alert: The CDC issued a Level 2 travel notice for Chad and six other Sub-Saharan countries after a large diphtheria outbreak since 2023, urging travelers to be up to date on vaccination. Food Security Pressure: The World Bank warns that 52.9 million people across West and Central Africa—including the Sahel and Lake Chad Basin—could face acute food and nutrition insecurity during June to August 2026 as conflict and higher fuel and fertilizer costs bite. Refugee Shelter Push in Chad: Arada Foundation and Big Heart Foundation plan year-round support, including 3,550 sustainable refugee shelters in Chad with UNHCR for families displaced by conflict. Health-linked Disruption from War: UNICEF says Middle East conflict is raising transport and logistics costs, slowing delivery of lifesaving supplies for children worldwide. Security and Health Access: In the Lake Chad region, troops repelled an ISWAP/JAS attack on a base in Ngala; a soldier was injured and evacuated, while clearance operations continue—conditions that can affect local access to care.

Cholera Watch in the Lake Chad Basin: Médecins Sans Frontières reports 7,850 suspected cholera cases and 74 deaths in Borno between 1 May and 7 June, with treatment centres seeing a sharp surge of over 500 admissions on 5 June—an urgent warning that clean water and waste control are still failing communities. Diphtheria Travel Alert: The CDC issued a Level 2 travel notice for Chad and six other countries after a large diphtheria outbreak since 2023, with 20,412 suspected cases and 1,252 deaths reported across WHO states in 2025—urging travelers to check vaccination status. Food Security Pressure: The World Bank warns 52.9 million people across West and Central Africa could face acute food and nutrition insecurity in the June–August 2026 lean season, with the Sahel, Lake Chad Basin and northeastern Nigeria hit hardest as fuel and fertilizer costs rise. Health in Conflict Zones: UN reporting highlights fragile access for aid routes into Darfur and the Kordofans, with bridge damage threatening movement as rainy season begins—raising risks for child health and basic services. Cancer Care Training in Chad: Merck Foundation says it is expanding oncology training scholarships and building cancer care capacity across multiple African countries, including Chad, to tackle late diagnosis and specialist shortages. Local Safety Note: A separate report on Saharan dust notes warmer, drier conditions and hazy skies—more a comfort and planning update than a health emergency.

Cholera Watch in Borno: Médecins Sans Frontières reports 7,850 suspected cholera cases and 74 deaths across Borno between 1 May and 7 June, with treatment centres in Maiduguri seeing peaks of over 500 admissions in a single day—an urgent reminder that clean water and safe sanitation are lifesaving, not optional. Diphtheria Travel Alert: The CDC issued a Level 2 travel notice for seven countries including Chad after a large diphtheria outbreak since 2023, with 20,412 suspected cases and 1,252 deaths reported across WHO African states in 2025—vaccination gaps are a key concern. Food Security Pressure: The World Bank warns 52.9 million people in West and Central Africa, including the Lake Chad Basin and northeastern Nigeria, could face acute food and nutrition insecurity during June–August 2026 as Middle East conflict raises fuel and fertilizer costs. Cancer Care Training: Merck Foundation and African First Ladies/health ministries continue expanding cancer capacity through scholarships and oncology training, including programs reaching Chad. Weather & Health Risk: Saharan dust is expected to bring warmer, drier, hazy conditions in parts of the region, which can worsen respiratory discomfort for vulnerable people.

Diphtheria Alert: The U.S. CDC has issued a Level 2 travel health notice for seven Sub-Saharan countries after a long-running diphtheria outbreak, including Chad, urging travelers to check they’re up to date on vaccination. Food & Nutrition Crisis: The World Bank warns 52.9 million people across West and Central Africa could face acute food insecurity in the June–August 2026 lean season, with risks highlighted for the Sahel and Lake Chad Basin as conflict and higher fertilizer and transport costs bite. Refugee Housing for Health: UAE’s Arada Foundation and Big Heart Foundation are expanding “Home for a Home,” including 3,550 refugee shelters in Chad with UNHCR support—aimed at safer living conditions for families displaced by Sudan’s conflict. Labour & Health Risks for Families: Kuwait has tightened domestic worker recruitment, banning hiring from Chad and many other countries while allowing only 10 approved sources—raising concerns about safer migration pathways for households. Climate Shock Watch: A new El Niño update says conditions are active and may strengthen into 2026–27, with scientists warning of major weather impacts that can worsen hunger and health risks.

Food Security Alert: The World Bank warns that 52.9 million people across West and Central Africa—including the Sahel, the Lake Chad Basin and northeastern Nigeria—could face acute food and nutrition insecurity during June–August 2026 as Middle East conflict pushes up fuel, transport and fertilizer costs, threatening the 2026/2027 farming season. Refugee Shelter Push in Chad: Arada Foundation and Big Heart Foundation are expanding “Home for a Home” into a year-round global initiative, with 3,550 sustainable refugee shelters planned in Chad in partnership with UNHCR. Climate Shock Risk: Scientists say El Niño has arrived and could become “very strong,” raising fears of severe droughts and crop failures that can worsen hunger and health risks. Health Workforce & Cancer Care: Merck Foundation says it’s training oncology specialists across multiple African countries, including Chad, to tackle late diagnosis and shortages of cancer care teams. Labour & Health Access: Kuwait’s new domestic worker recruitment rules restrict hiring from many African countries including Chad, which could affect household staffing and care arrangements for families.

Refugee Housing in Focus: Arada Foundation and The Big Heart Foundation are expanding the “Home for a Home” initiative into a year-round global programme, with 2026 plans to build 3,550 sustainable refugee shelters in Chad in partnership with UNHCR as more than 150,000 people flee conflict from Sudan. Food Security Alarm: The World Bank warns that 52.9 million people across West and Central Africa—including the Sahel, the Lake Chad Basin and northeastern Nigeria—could face acute food and nutrition insecurity during the June–August 2026 lean season, driven by higher fuel, transport and fertilizer costs linked to the Middle East conflict. Climate Shock Risk: NOAA says El Niño is now active and expected to strengthen into the 2026–27 winter, with a 63% chance it becomes “very strong,” raising fears of severe droughts and crop failures that have previously killed tens of millions. Water Safety Watch: A new global drinking-water assessment flags unsafe water as a major public health risk, with many of the lowest-ranked countries in Africa still struggling with weak infrastructure and sanitation. Health Workforce & Cancer Care: Merck Foundation says it is expanding cancer care capacity across Africa, including Chad, through scholarships and training aimed at reducing late diagnosis and specialist shortages. Labour Migration Rules: Kuwait’s Interior Ministry has restricted domestic worker recruitment to 10 approved countries and banned recruitment from 27 others, including Chad, citing oversight involving health and manpower bodies.

Migration & Health Risks: A new global peace report warns that as Kenya heads into elections, rising fuel prices and wider regional conflicts could worsen food security and security pressures—issues that also hit health systems across the region. Labour Policy & Vulnerability: Kuwait has tightened domestic worker recruitment, allowing hiring from only 10 countries and banning 27, including Chad—raising concerns for migrant health, safety, and access to care for families affected by job losses. Humanitarian Access in Conflict Zones: In Sudan’s Darfur, drone activity and damaged bridges are disrupting routes used for humanitarian supplies entering the region, threatening timely support for vulnerable people. Child Health & Supply Chains: UNICEF says Middle East war-related logistics disruptions are driving up transport costs and slowing delivery of lifesaving supplies for children worldwide. Cancer Care Capacity: Merck Foundation is expanding cancer training and awareness efforts across multiple African countries, including Chad, to reduce late diagnosis and specialist shortages. Water Safety: A new global assessment flags unsafe drinking water as a major public health risk, with many of the lowest-ranked countries in Africa.

Labour & Health Access: Kuwait’s Interior Ministry has tightened domestic worker recruitment, allowing hiring from only 10 approved countries and banning 27 others—including Chad—raising concerns for household health coverage and caregiver availability. Humanitarian Pressure in the Sahel: UN officials warn that Central Africa’s political gains are fragile as security breakdowns, hunger, and displacement multiply across the Sahel. Conflict & Care in Darfur/Sudan: Drone and bridge damage are disrupting routes for humanitarian supplies, threatening access to lifesaving support as rainy season risks worsen. Public Health Supply Chains: UNICEF says Middle East war-related logistics disruptions are driving up transport costs and slowing delivery of child health supplies worldwide. Water Safety: A new global assessment flags unsafe drinking water as a major public health risk, with many of the worst-ranked countries in Africa. Cancer Capacity in Chad & Region: Merck Foundation continues training cancer care teams across multiple African countries, including Chad, to tackle late diagnosis and specialist shortages. Security in Chad’s Neighbourhood: Reports highlight ongoing regional instability around the Lake Chad basin, with medical supplies and aid routes repeatedly affected. Climate-Health Link: Sahel hunger and climate shocks are pushing communities toward crisis, with health impacts tied to displacement and food insecurity.

Border Health Crisis: MSF says drone attacks near Tina, Darfur (close to Chad) have injured 116 people since May, with 69 admissions between May 17–26 and a strike on a crowded market sending 35 wounded to Tiné Hospital in one day; MSF warns delays in evacuation are cutting survival chances, with more women and children among the injured. Regional Aid Disruption: UNICEF reports the Middle East conflict is raising transport and logistics costs and slowing delivery of lifesaving supplies for children worldwide. Labour & Health Policy Link: Kuwait has restricted domestic worker recruitment to 10 approved countries and banned 27 others, including Chad; the decision cites input from Kuwait’s Ministry of Health and manpower authorities, with some limits applying to female workers. Security & Public Health: Sudan fighting has damaged key bridges used for aid routes into Darfur, raising fears that rainy-season conditions will trap communities without viable alternative routes.

Cancer Care Boost: Merck Foundation is expanding cancer training across Africa, including Chad, with hundreds of scholarships and new capacity-building for oncology and pain management, aiming to cut late diagnosis and specialist shortages. Border Health Under Strain: MSF reports a sharp rise in injuries from drone attacks near Tina on the Chad–Sudan border, treating 116 wounded since May began, with severe trauma and more women and children among casualties. Sahel Humanitarian Pressure: The UN says about 24 million people across the Sahel—including Chad—need humanitarian help as violence spreads, schools and health centres close, and climate shocks worsen displacement. Water Safety Warning: A new global drinking-water assessment highlights unsafe water risks, with many African countries among the lowest-ranked—an urgent public health issue for communities relying on unprotected sources. Security Context in Chad: Analysis points to overlapping drivers of military violence in Chad—weak institutions, resource pressures, regional conflicts, and political instability—helping explain why crises can escalate quickly. Health Workforce & Access: Even where care exists, conflict and insecurity are repeatedly disrupting access, from border hospitals to closed facilities across the region.

Border Health Under Strain: MSF says drone attacks near Tina (Darfur, near the Chad border) have injured 116 people since May began, with 69 admissions between May 17–26 and a market strike sending 35 wounded to Tiné Hospital in one day—many women and children, and deaths reported on arrival. Lake Chad Basin Security & Care: Nigeria’s army reports rescuing 360 Boko Haram captives in Borno, but also says two children died from exhaustion; survivors were evacuated for medical and humanitarian support. Humanitarian Pressure in Chad Region: UN says about 24 million people across the Sahel need help, with violence forcing schools and health centres to close in Chad and the wider Lake Chad Basin. Water Safety Warning: A new global assessment flags unsafe drinking water as a major public health risk, with many African countries among the lowest-ranked—an urgent reminder for Chad’s water and sanitation priorities. Health-Related Conflict Spillover: Reports also describe intercepted medical supplies allegedly meant for ISWAP fighters in Borno, highlighting how medicines can be diverted during conflict.

Border Health & Trauma Care: MSF says drone attacks near Tina (Darfur, near the Chad border) have injured 116 people since May began, with 69 admissions between May 17–26; a strike on a crowded market sent 35 wounded to Tiné Hospital in one day, including women and children, and MSF warns delays in evacuation are cutting survival chances. Humanitarian Pressure in the Sahel: UN reports about 24 million people across the Sahel need humanitarian help as violence spreads across the Lake Chad Basin and Central Sahel, forcing schools and health centres to close, while floods and droughts keep worsening conditions. Security With Health Impacts: Nigeria’s army says it rescued 360 Boko Haram captives in Borno, but two children died from exhaustion during captivity and the rescue; officials add the survivors are being evacuated for medical care and support. Chad–Nigeria Cross-Border Access: Borno’s governor says security talks aim to reopen a strategic waterway linking northern Borno to Chad to revive trade, and he inspected a General Hospital and other services in Kukawa. Wellness Spotlight: India’s hosts dominated the World Yogasana Championships 2026 with 102 gold medals, highlighting growing global interest in mind-body fitness.

Border Health Under Strain: MSF says drone strikes near Tina (Darfur, Sudan) have intensified since May, with 116 injured treated at Tiné Hospital and 69 admissions between May 17–26; a May 24 strike hit a crowded market café, sending 35 people to hospital, including women and children, while MSF warns delays in evacuation are cutting survival chances. Humanitarian Pressure in the Sahel: UN officials report about 24 million people need humanitarian help across the Sahel, including Chad, as violence spreads, schools and health centres close, and climate shocks worsen conditions. Water and Care Infrastructure: In Borno, Nigeria’s governor discussed reopening a strategic waterway linking to Chad to revive trade, and inspected projects including a general hospital—highlighting how security and access shape health services. Safe Water Risk: A global drinking-water assessment flags unsafe water as a major public health threat, with many African countries among the lowest-ranked for water safety. Security Context for Chad: A report on why military violence persists in Chad points to overlapping drivers like weak institutions, resource competition, regional conflicts, and environmental pressures.

Border Health Under Strain: MSF says drone attacks near Tina (Darfur, Sudan) have injured 116 people since May began, with 69 treated between May 17–26 and a crowded market strike sending 35 wounded to Tiné Hospital in one day—many women and children, and deaths reported on arrival. Regional Security & Cross-Border Links: Borno Governor Babagana Zulum met security commanders in Baga and Kukawa to plan reopening a strategic waterway to Chad, aiming to restore trade while inspecting health and education projects. Safe Water Warning: A new Environmental Performance Index assessment flags unsafe drinking water as a major public health risk, with many African countries among the lowest-ranked due to weak infrastructure and sanitation. Humanitarian Pressure in the Sahel: UN officials warn about 24 million people need aid across the Sahel, including Chad, as violence and climate shocks keep forcing schools and health centres to close. Counter-Terror Medical Supply Intercepts: DSS and forest guards intercepted medical supplies allegedly destined for ISWAP fighters in Borno, including pain relief, anti-malaria injections, antibiotics and other pharmaceuticals. Hostage Rescue With Tragedy: Nigeria’s army says it freed 360 people from Boko Haram in southern Borno, but two infants died from exhaustion during the mountainous extraction.

Unsafe Water Watch: A new Environmental Performance Index assessment flags unsafe drinking water as a major public health risk, with many African countries among the lowest-ranked—linked to weak infrastructure, poor sanitation, and climate pressure, leaving rural communities relying on unprotected wells, rivers, and seasonal sources. Border Health Under Fire: MSF reports a sharp rise in injuries from drone strikes near Tina (Darfur) on the Chad-Sudan border, treating 116 wounded since May began, including 35 hurt in one market attack; MSF warns delays in evacuation and a growing share of women and children among casualties. Humanitarian Strain in the Sahel: UN officials say about 24 million people across the Sahel—including Chad—need humanitarian help as violence spreads, schools and health centres close, and climate shocks worsen food and health access. Health Diplomacy: South Korea signals expanded cooperation with Chad in education, healthcare, and development assistance as both mark 65 years of ties.