A report that an army controls a city answers a territorial question. It does not establish that a medical team can cross a checkpoint, that an ambulance has fuel, or that someone in an outlying village can reach a hospital. Those are separate checks, not conditions we have verified today.
What the operational sources actually cover
The UN coordinator's 30 September warning, documented in our linked record, concerns aid assets over a much longer period than this week's fighting. It should not be repackaged as a new incident count for 4 October.
MSF's 28 September update describes hospital admissions through 25 September and says its Alamata and outreach activities were suspended. It also describes continuing support in Shire, Sheraro and Korem. A suspension of one organisation's activities does not establish that every provider stopped working.
These accounts concern different organisations, reporting periods and measures. They cannot be added together into a casualty toll or a single measure of access. Nor does either establish present-day service availability.
What would count as improvement
Our reporting priorities are practical: dated confirmation that suspended services have resumed; completed deliveries rather than announced corridors; and evidence that patients can reach facilities outside the regional capital. Any route information should remain aggregated where detail could endanger staff or civilians.
A change in control may change conditions for relief work. We will not infer that improvement from the change in control alone. The next update needs operational evidence, not another battlefield claim.