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Province Total affected districts
Districts affected
AJK 7 Bagh, Kotli, Mirpur, Muzaffarabad, Neelum, Poonch, Sudhonti
Balochistan 6 Barkhan, Bolan, Jhal Magsi, Kohlu, Naseerabad, Jaffarabad, Sibi
Gilgit- Baltistan 4 Diamer, Ghanche, Ghizer and Skardu
KP/ FATA 19
Bannu, Battagram, Buner, Charsadda, Chitral, Dera Ismail Khan, Haripur, Kohat, Kohistan, Lower Dir, Mansehra, Mardan, Nowshera, Peshawar, Shangla, Swat, Tank & Upper Dir, Mohmand Agency
Punjab 18
Attock, Bhakkar, Chakwal, Gujrat, Hafzabad, Jhang, Khushab, Lahore, Leiah, Mianwali, Multan, Muzaffargarh , Nankanasahib, Rahim Yar Khan, Rajanpur , Sargodha and Sialkot
Sindh 19
Badin, Benazirabad, Dadu, Ghotki, Hydrebad, Jacobabad, Jamshoro, Kambar, Kashmore, Khairpur, Larkana, Matiari, Naushero feroz, Shikarpur, Sukkur, Tando Allah Yar, Tando Muhammad Khan, Thatta and Umerkot
Total 73Source: NDMA, PDMA
Province Deaths Injured Houses Damaged Population Affected
Balochistan 45 98 75,261 672,171
Khyber Pakhtunkhwa 1,068 1,056 179,874 4,365,909
Punjab 103 350 500,000 8,200,000
Sindh 71 408 462,251 3,684,267
AJK 69 83 6,472 245,000
Gilgit Baltistan 183 60 2,820 8,561
Total 1,539 2,055 1,226,678 17,175,908
Source: NDMA, PDMA
Total population *17.1 million
Male 8,379,000
Female 8,721,000
Women of CBA 3,762,000
Pregnant Women 513,000
Children Under five 2,907,000
Above 65 684,000
*Source: NDMA
Province Population Affected
Affected under 5
years of age
Maternal Health Services
Expected Diarrhoeal
Cases
Expected Malarial
Cases
Balochistan 672,171 114,269 20,166 67,217 46,916
KP 4,365,909 742,205 130,977 436,591 654,886
Punjab 8,200,000 1,394,000 246,000 820,000 1.230,000
Sindh 3,684,267 626,325 110,528 368,427 552,640
AJK 245,000 41,650 7,350 24,500 36,750
Gilgit Baltistan 8,561 1,455 257 856 1284
Total 17,175,908 2,919,905 515,278 1,717,591 2,522,477
Source : WHO
Province No. of Assessed HF Partially damaged Fully damaged
KP 288 51 13
Sindh 103 23 0
Balochistan 189 28 14
Punjab 388 284 104
Total 968 386 131
Source: WHO
Number of cases
Punjab Khyber Pakhtunkhwa
Sindh Balochistan Total
Total Consultations 958,951 318,032 292,973 26,006 1,595,962Diseases/ConditionsAcute Diarrhea 99,056 51,822 47,103 6,063 204,044
Bloody Diarrhea NR 1,578 8,553 1,138 11,269
Acute Respiratory Tract Infections
105,350 47,200 48,262 3,835204,647
Suspected Malaria NR 2,059 31,654 5,493 39,206
Skin Infections 151,703 55,780 51,641 4,232 263,356
Unexplained fever 83,240 8,418 380 92,038
Snake bite 332 NR 200 137 669
Dog bite 691 NR NR 23 714Source: WHO
Daily pattern of diarrhoel diseases reported from the flood affected districts, Pakistan (29 July - 18 August, 2010)
0
5
10
15
20
25
30
35
40
7/29
/201
0
7/30
/201
0
7/31
/201
0
8/1/
2010
8/2/
2010
8/3/
2010
8/4/
2010
8/5/
2010
8/6/
2010
8/7/
2010
8/8/
2010
8/9/
2010
8/10
/201
0
8/11
/201
0
8/12
/201
0
8/13
/201
0
8/14
/201
0
8/15
/201
0
8/16
/201
0
8/17
/201
0
8/18
/201
0
Perc
enta
ge
Balochistan Khyber Pakhtunkhwa Punjab Sindh
15%
17%16%
20%
18%17%17%
15%
13%
14%15% 15% 16%
15%18%
19%
18% 18%
0
5
10
15
20
25
31-Jul
1-Aug 2-Aug 3-Aug 4-Aug 5-Aug 6-Aug 7-Aug 8-Aug 9-Aug 10-Aug
11-Aug
12-Aug
13-Aug
14-Aug
15-Aug
16-Aug
17-Aug
18-Aug
Pe
rce
nta
ge
Weekly pattern of acute diarrhea, IDP crisis and hosting districts, Khayber Pakhtunkhwa (2009-2010)
1
3
5
7
9
11
13
15
1 2 3 4 5 6 7 8 9 10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
Epi-week
Pe
rce
nta
ge
2009 2010
17%16%
15%
18%17%17%
14%
17%
12%11%
17%17%
15%
0
5
10
15
20
25
6-Aug 7-Aug 8-Aug 9-Aug 10-Aug 11-Aug 12-Aug 13-Aug 14-Aug 15-Aug 16-Aug 17-Aug 18-Aug
Pe
rce
nta
ge
23%
17%
19%19%18%
25%26%
23%18%
14%
20%
15%
20% 21%19%
21%
26%24% 23%
33%
0
5
10
15
20
25
30
35
40
29-Jul
30-Jul
31-Jul
1-Aug
2-Aug
3-Aug
4-Aug
5-Aug
6-Aug
7-Aug
8-Aug
9-Aug
10-Aug
11-Aug
12-Aug
13-Aug
14-Aug
15-Aug
16-Aug
17-Aug
18-Aug
Pe
rce
nta
ge
14%
10%9%
8%8%
14%
10%
0.35%
11%
9%7%
10%
9% 18%6%
8%
0
2
4
6
8
10
12
14
16
18
20
3-Aug 4-Aug 5-Aug 6-Aug 7-Aug 8-Aug 9-Aug 10-Aug 11-Aug 12-Aug 13-Aug 14-Aug 15-Aug 16-Aug 17-Aug 18-Aug
Perc
enta
ge
Province Alerts Out breaks Deaths
KP 41 14 11
Punjab 3 3 0
Sindh 8 2 6
Balochistan 1 0 2
AJK 1 0 0
Total 54 19 19
Province Cholera Kit
IEHK EH kit Medicines(Tons)
Basic surgical kit
Anti Snake Venom
Coverage population
wise
Balochistan 11 2 11 13 3 1150 151,550
Gilgit-Baltistan 3 16 - 18,000
KhyberPakhtunkhwa 87 3 115 35 600 1,032,120
Punjab 21 6 36 61 150 426,173
Sindh 57 8 35 36 5 700 549,700
Grand Total 176 19 200 161 8 2,800 2,677,543
Province BCG OPV Pentavalent Measles TT Vit. A
Balochistan 387 4,629 123 5,570 890 1,105
KP 3,183 199,746 4,442 187,562 23,404 167,969
Punjab 6,928 43,117 17,356 39,265 8,063 10,270
Sindh 4,699 20,709 8,510 13,584 5,788 12,831
Total 15,197 268,201 30,431 245,981 38,145 192,175
Current passive surveillance into active surveillance
Federal task force on diarrheal disease activated
Establishment of Diarrheal Treatment Center (DTCs)
Cholera kits being prepositioned at Multan, Sukkur and Peshawar
hubs
Distribution of 2 million water purification tablets
47 water purification units functional (0 Balochistan, 14 KP, 17
Punjab,15 Sindh,1 AJK)
Province No. of District
Total DTC Established In progress
Under discussion
KP 15 27 11 10 6
Sindh 16 23 1 3 19
Balochistan 8 8 0 4 4
Punjab 8 11 9 0 2
Total 47 69 21 17 31
Establishment of 180 MNCH service delivery points Antenatal services Skilled Birth services Postnatal services Family Planning
Challenges Malnourishment: high rate of abortions and miscarriages Lack/retention of trained Human resource Lack of referral mechanism/services
Federal task force activated- National and International experts
Distribution of 200,000 primaquin anti malarial tablets
Anti malarial medicines delivered in all kits
Distribution of 40,000 LLINs
Long lasting impregnated nets, larvicidal, rapid diagnostic kits
being procured
Mosquitoes repellents are made part of Medical kits being
distributed
Arial spray to be commenced shortly
All the coordination of Foreign teams being carried out at NHEPRN
UAE, Sri Lankan, Jordanian and Palestinian teams on ground and
deployed at Multan, Nowshera, Multan and D I Khan
Turkish Field Hospitals deployed at Sibbi and Khairpur
Saudi Team arriving on 25th of August
Spanish, Italian, Bangladeshi, Saudian and Australian teams have
committed
MoH through PIMS (KP) and JPMC (Sindh)
Launched on 19th Aug 2010
Mobile teams with medicines
40 most affected districts
Male and female doctors, LHVs & nurses, dispensers and
attendant
840 applications received in three days
Logistics and deployment to be finalized in coordination with
Provincial Governments
National Steering Committee on Health Emergency Management
Strong Coordination Mechanism Federal, Provincial & District - NHEPRN Immediate nomination of coordinators- Provincial & District
Establishment of active disease surveillance (DEWS)
Prime Minister’s National Health Volunteer Programme – Coordinated
implementation with the Provinces
Establishment of Diarrheal Treatment Centers at district level