Morning Edition · Monday, September 21, 2026Published at 1:16 AM EDT · New York
Gold near 4,370 dollars an ounce is increasing incentives for informal and armed-group mining in two active war zones at once, and Sudan's doctors say the health system that treats the casualties is failing.

At least six artisanal miners were killed and dozens injured when four shafts collapsed at the Oni El Dakkan mine in Sudan's Red Sea state, Radio Dabanga reported. Miners said the injured were taken for treatment in conditions that the country's medical system can barely provide.
In the Democratic Republic of the Congo, Amnesty International says fighters of the M23 group abused miners and trafficked gold and coltan to Rwanda, conduct the organisation says may amount to the war crime of pillage. Amnesty's secretary general Agnès Callamard said Rwanda has continued to profit illegally from Congolese mineral wealth. Rwanda's government has repeatedly rejected accusations of that kind in previous reports and denies controlling M23.
The medical context is deteriorating in parallel. The preparatory committee of the Sudanese doctors' union warns that the health system is approaching collapse as disease spreads amid poor sanitation, overcrowding and the destruction of medical facilities during the war. Separately, 202 Sudanese refugees returned from Uganda on two voluntary repatriation flights to Khartoum and Port Sudan.
Gold trading near 4,370 dollars an ounce creates an income opportunity that ungoverned territory converts into hand-dug shafts and armed control of deposits. The metal that serves as a store of value in financial centres is produced at the margin in places where safety standards, taxation and title do not function, and both the deaths in Red Sea state and the trafficking allegations in eastern Congo follow from that price.
Kinshasa, which gains external corroboration for its case against Kigali, and Western refiners and regulators building the evidence base for sourcing restrictions, while armed intermediaries retain the revenue.
Amnesty's findings rest on 26 interviews plus photographic and video analysis and neither M23 nor the Rwandan government answered its requests for comment, so the specific allegation of Rwandan state complicity remains an inference from trade flows rather than a documented order, and the Sudanese shaft collapse death toll is itself unsettled, with Radio Dabanga reporting six killed and other outlets reporting 10 or 11.
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What this means
Refiners, jewellery groups and electronics manufacturers face the compliance side of high metal prices, because gold and coltan entering the supply chain from conflict zones carry documented sourcing risk that buyers are required to screen. Sudan's central bank depends on gold exports for hard currency, so informal output that leaves the country undeclared costs the state reserves it needs to pay for fuel and wheat imports. The Congolese government loses the same revenue to a neighbour it accuses of taking it, which keeps the conflict financed.
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