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Death and disease stalk the flood-affected people of Pakistan
14 August 2006
by John Tulloch, Communications coordinator for the International Federation in Rashang, North West Frontier Province
Zahid Akbar is three-months-old, his mother and three-year-old sister are dead and his home is now a pile of rubble and mud. Zahid’s family is one of the thousands that have suffered as a result of the severe monsoon flooding, which has hit Pakistan in recent weeks.

Ten people died in the extremely remote village of Rashang, where Zahid’s family lives high in the hills of the Allai Valley in the North West Frontier Province (NWFP). In total, at least 200 people have died due to the flooding in Pakistan since monsoon season began.

Zahid’s father, Shamsul, almost beyond speech with grief, recounts how his family was sound asleep when disaster struck in the middle of the night on 3 August.

“I didn’t even know there was a storm happening I was so fast asleep,” he says. “All of a sudden, water rushed in, completely sweeping the house away... The pressure was so great we were thrown a great distance.

“I rushed to safety but did not know where my wife and daughter were,” he adds.

Shamsul’s 22-year-wife, Farikhoon, and daughter, Sonia, were killed. Just a week later, he sits distraught, gazing vacantly into space, while Zahid’s uncle, Waliullah Undu, cradles the baby.

The Pakistan Red Crescent Society (PRCS) and the International Federation of Red Cross and Red Crescent Societies are working hard to respond to the immediate needs of families such as Shamsul’s.

Tents, blankets, medicine and hygiene kits are being distributed in various locations in NWFP, while the PRCS is coordinating its response in Pakistan-administered Kashmir with the International Committee of the Red Cross (ICRC).

A relief distribution has already been made in baby Zahid’s village of Rashang. But his future is an uncertain one with no mother, no home and winter around the corner. Much of the village is still piles of rubble, remnants of last October’s earthquake. Villages such as this one are desperately in need of ongoing assistance, with the floods acting as yet another blow to an already vulnerable community.

Following the deathly landslides and torrential floods, disease is now a major threat. Areas of Batagram and Allai have had outbreaks of virulent diarrhea, overwhelming local authorities.

The local district hospital in Batagram only has a 37-bed capacity and has been unable to deal with the hundreds of patients pouring into since early August. People have been arriving suffering from vomiting, severe diarrhea and subsequent dehydration.

The PRCS, International Federation and the French Red Cross, already working in Batagram, have responded with personnel, drugs and tents.

The International Federation’s health coordinator, Jos Miesen, says stocks for just this type of outbreak were already on hand because of the earthquake operation, so the Red Cross and Red Crescent has been able to respond very quickly.

“The local hospital was struggling to cope,” says Miesen. “They were putting three people in a bed when patients suffering from this kind of outbreak need to be isolated.”

It is difficult to ascertain exactly how widespread the outbreak is, but the International Federation alone has dealt with 989 cases so far and the patients keep coming.

The combined resources of the Red Cross and Red Crescent Movement partners have supplied eight doctors, five nurses, three pharmacy dispensers and two community health promoters to help ease the hospital’s burden. Around 5,000 kilograms of medical equipment have also been provided, including antibiotics, oral rehydration solution, IV drips, soap, disinfectants and chloride tablets, along with four tents.

Supplies have been provided to Batagram, Allai and Mardan, where outbreaks have been recorded. These are designed to provide water purification capacity for up to 30,000 people and to deal with 1,875 acute cases.

Miesen says the heavy flooding has created numerous problems, leaving communities particularly vulnerable.

“The flood conditions make the water supply unsafe and people get sick,” he explains. “Then the landslides and flood waters means it is difficult to get access to them.”

Miesen says the long-term solution to combating such outbreaks is prevention. Access to clean water and sanitation, good hygiene and awareness are the key. These are all areas the PRCS and the International Federation are addressing as part of a three-year operation in response to the 2005 earthquake.
Rashang blanket distribution: the PRCS and the International Federation are making relief distributions such as this one in Rashang Village, helping flood-affected people with shelter, medicine and various other relief items. (p14471)
Rashang blanket distribution: the PRCS and the International Federation are making relief distributions such as this one in Rashang Village, helping flood-affected people with shelter, medicine and various other relief items. (p14471)
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Baby Zahid, Uncle Waliullah Unda, Father Shamsul Akbar: three-month-old Zahid is cradled by his uncle, Waliullah, while his father, Shamsul, sits consumed with grief at the loss of his wife and daughter. (p14474)
Baby Zahid, Uncle Waliullah Unda, Father Shamsul Akbar: three-month-old Zahid is cradled by his uncle, Waliullah, while his father, Shamsul, sits consumed with grief at the loss of his wife and daughter. (p14474)
Site of house of Shamsul Akbar: All that remains of the home of Shamsul Akbar. (p14473)
Site of house of Shamsul Akbar: All that remains of the home of Shamsul Akbar. (p14473)