U.S. state officials have updated a do not travel advisory to a war-torn African nation.

The Level 4 Advisory for the Sudan has been in effect since 2023 after a civil war between rival military factions began in the country in northeast Africa, but a health risk was also added to the advisory this week.

Officials note that medical services in Sudan are extremely limited with adequate medical treatment for routine and emergency procedures often not available. Even minor health issues could require medical evacuation at the traveler’s expense, officials said.

The U.S. Embassy in Khartoum suspended its operations in April 2023 while Khartoum International Airport is currently closed to commercial traffic and commercial service to the Port Sudan International Airport has been limited at

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