As the war in Sudan nears four months of intense fighting, morgues in the capital Khartoum have reached their full capacity leaving thousands of corpses to rot on the streets while doctors and relief organizations warned of a looming cholera outbreak, CNN reported.

Khartoum’s morgues have reached “breaking point,” international aid group Save The Children said earlier this week.

Bodies in the morgues are also decomposing as prolonged power outages have left them without refrigeration, the group said. There is also no medical staff left, leaving the corpses “exposed and untreated.”

The disaster is the latest hazard after months of clashes between the Sudanese Armed Forces (SAF) and the paramilitary Rapid Support Forces (RSF), which broke out in mid-April as both parties tried to take control of the capital, CNN reported.

The violence has killed at least 1,105 people and injured 12,115 as of July 11, the UN’s Office for the Coordination of Humanitarian Affairs (OCHA) reported last month, citing data from the Federal Ministry of Health. It said the actual numbers are likely much higher.

At least 435 children have been killed and at least 2,025 others injured, said UNICEF. On average, a child is killed or injured every hour, the UN body calculates, CNN reported.

“A horrifying combination of rising numbers of corpses, severe water shortages, non-functioning hygiene and sanitation services, and lack of water treatment options are also prompting fears of a cholera outbreak in the city,” Save The Children said in a statement.

The disease often surges in war zones, spreading rapidly through contaminated water. Sudan typically witnesses a rise in cholera cases during its annual rain season, which began in June, the aid group said, but the current absence of functioning public health labs makes it “difficult to assess the state of the crisis.”