Thousands of fleeing civilians made easy pickings for RSF fighters and Arab militia, who fired at the crowds and at passing vehicles, according to survivors. One witness described “a scene from hell” with dozens of bodies along the roadside and washed up on the banks of a nearby river, some with their hands tied.

The hospital run by Médecins Sans Frontières in the Chadian town of Adré received more than 850 patients with bullet, stab and shrapnel wounds between 14 and 17 June.

Sexual violence was a feature of the bloodshed with gunmen rounding up and raping women and girls.

El Geneina once had a mixed population of more than half a million. Today, its Masalit neighbourhoods are deserted. “There’s nobody there, it’s ghostly quiet,” says an aid worker who visited recently. “It is horrific to see areas that used to be bustling, full of life, now totally empty.”

The cycle of violence would repeat itself in early November after the RSF captured the military base in Ardamata, a few miles from El Geneina. The garrison fell amid days of killings and looting . Last month, Alice Wairimu Nderitu, the UN’s genocide prevention adviser, warned that Darfur risked becoming a “forgotten crisis” .

H alf a million people now live in hastily assembled camps in Chad. Cash-strapped aid agencies are struggling to respond: the refugees do not have enough mosquito nets, blankets or water. About 175,000 are living in grass huts they weaved themselves.

“Nearly every person who crossed the border has some sort of trauma,” says Eric Kwakya, a psychologist with the International Rescue Committee. “They have seen terrible things.”

Sherif al-Deen, a social worker, was drinking coffee in an El Geneina marketplace when RSF fighters and Arab militia first attacked on 24 April. He raced home, narrowly avoiding bullets ricocheting through the streets. He spent the next seven weeks volunteering at a clinic, collecting the wounded and dead from around the city with a team of volunteers. Bodies were wrapped in blankets and loaded on to donkey carts.

Sherif saw a group of Arab fighters fire on a crowd with a machine gun, killing eight. Several of his colleagues were shot. “It was very dangerous work, but I had to do it for my people,” he says.

Burying the dead carried risks. To avoid being targeted by snipers, mourners held clandestine funerals for their loved ones at night, says Abdulmonim Adam, a lawyer and human rights monitor, who attended a dozen night burials between April and June.

At one funeral, the mourners came under fire and had to abandon the bodies beside half-dug graves. “If they see you burying the dead – if they see even the flash of a torch – they will kill you,” he says.

One of the deadliest attacks came on 12 and 13 May. At least 280 people were killed over those two days, according to the Sudan Doctors’ Trade Union .

We could hear gunfire for two months but our commanders told us it was a tribal conflict and not for us to intervene

Sara Mohamed* described gunmen looting her home on 12 May. During the attack, they shot her neighbour’s 10-year-old daughter. “I rushed to hold her, to stop the bleeding, but she died in my arms,” she says.

Another young girl was wounded, and a woman was shot through the stomach. When the militia returned a few hours later, they shot Mohamed’s father and burned down her home.

The massacre unfolded in stages over several weeks. Throughout the bloodshed, the Sudanese garrison at Ardamata’s military base did not venture beyond its blast walls. “We could hear gunfire for two months,” says one soldier. “But our commanders told us it was a tribal conflict, that it was not for us to intervene.”

Mohamed and another woman interviewed by the Guardian were raped during the violence. Mohamed was gang-raped at knifepoint. The second woman was abducted off the street by a group of men, who covered her head and bundled her into a car. It was a targeted attack. “They called me by my name,” she says. “They said, ‘We know you are writing about the RSF on Facebook.’” Eventually she was driven back to El Geneina and dumped outside a clinic, hands still tied behind her back.

S ix months on, Sudan’s war is poised to escalate. Having captured most of Darfur, the RSF appears to be cementing its grip over Khartoum. This month, the paramilitaries took Wad Madani , the country’s second city, which had been hosting 500,000 refugees from Khartoum and serving as a logistics hub for aid agencies.

Close to 7 million people have been uprooted across Sudan, the world’s biggest displacement crisis. More than half the population need aid, and 3.5 million children under five are malnourished.

“A country of 46 million people is heading rapidly towards collapse, with very little attention from the outside world,” says Toby Harward, the UN’s deputy humanitarian coordinator for Sudan. “While acknowledging other crises elsewhere in the world right now, the scale of this crisis is unmatched, and it will have significant ramifications for the region and beyond.”

The international response to the crisis in Darfur has been “completely absent”, says Cameron Hudson, a former White House official. Hudson is critical of US-led attempts to mediate an “elite deal” between the RSF and the Sudanese military. “The US is worried the RSF won’t keep showing up if it holds them responsible for their atrocities and introduces sanctions,” he says. “They are holding the US government hostage.”

Meanwhile, among the Sudanese refugees camping in the desert in Chad, unease is growing. “Even here, I do not feel safe,” says Gamar al-Deen, the teacher.

* Name has been changed to protect identity

• Information and support for anyone affected by rape or sexual abuse issues is available from the following organisations. In the UK, Rape Crisis offers support on 0808 500 2222 in England and Wales, 0808 801 0302 in Scotland , or 0800 0246 991 in Northern Ireland . In the US, Rainn offers support on 800-656-4673. In Australia, support is available at 1800Respect (1800 737 732). Other international helplines can be found at ibiblio.org/rcip/internl.html
  

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