Pakistan: 2022 Monsoon Floods - Situation Report No. 11 (As of 11 November 2022)

This report is produced by the OCHA Humanitarian Advisory Team (HAT) in Pakistan in collaboration with humanitarian partners. It covers the period from 28 October - 11 November 2022. The next report will be issued on or around 25 November 2022.

Highlights

• As people continue to return to their places of origin and with the winter season approaching, the vulnerabilities of the flood-affected people are further heightened with an immediate need for adequate shelter, food items and tents.

• More than 5.1 million women are of reproductive age, including an estimated 410,846 pregnant women. Approximately 136,950 births are expected in the next three months.

• A comparison of pre-flood (June) and post-flood (September) prices of some food commodities indicates a huge increase in prices.

• As of 11 November, humanitarian partners have reached 2.7 million people with life-saving assistance in flood-affected areas.

• Vector-borne and water-borne diseases remain a major concern in flood-affected areas. Around 1,000 confirmed cholera cases and 64,767 dengue fever cases, with 147 deaths, have been reported.

SITUATION OVERVIEW

Over the past few weeks, flooded waters have continued to recede in many flood-affected areas across Pakistan, although vast volumes of persistent flood waters remain stagnant in many places, particularly Sindh and Balochistan provinces. Based on observations by the United Nations (UN) Satellite Centre between 03 October and 09 October 2022 and compared with observations between 11 and 17 October 2022, the overall flood water continues to decrease with approximately 200 km2 in Balochistan, 100km2 in Punjab and 4000 km2 in Sindh. According to the latest data, large parts of Kashmore, Jacobabad, Mirpurkhas and Sanghar in Sindh observed significant water reduction. In most affected districts of Sindh, local governments are de-watering land to allow people to resume their livelihoods.

In the flood-impacted areas, many households rely on agriculture and livestock production for their livelihoods, and damage to these sectors will have a major impact on food security and the agriculture sector in the coming months. According to information from the field, farmers reported debt of around PKR 100,000-150,000 on average due to damages to their crops. Most of the Kharif season crop damage occurred in Sindh, Punjab, Balochistan, and Khyber Pakhtunkhwa provinces, and most of the livestock losses occurred in Balochistan, Sindh, and Punjab.

The uncertain economic situation in the country, exacerbated by the heavy monsoon floods, is creating significant challenges to local ecosystems and food supply chains. According to World Food Program (WFP), a comparison of pre-flood (June) and post-flood (September) prices of some food commodities indicated a huge increase in prices - wheat flour 32%, pulse moong 57%, tomatoes 138%, potatoes 45%, and onions 44%. In September alone, prices increased for staple cereals, including wheat flour (+17.2%), wheat (+10.2%), rice Irri-6 (+7.9%), and rice Basmati (+2.3%) compared to August 2022. As for non-cereal food commodities, the trend remains - a significant increase was noted in the average retail prices of pulse Moong (18.6%), live chicken (14.1%), eggs (13.8%), pulses Gram (6.7%) and Mash (6.5%).

Cases of water and vector-borne diseases and acute respiratory illnesses, especially among children and older adults, remain a key public health challenge in flood-affected areas of Sindh and Balochistan. As of 8 November, according to World Health Organization (WHO), around 8 million flood-affected people need health assistance, including the provision of essential medical supplies and access to essential health care. As the displaced people return to their places of origin, they face an increased risk of disease transmission driven by damaged infrastructure, stagnant water, and inadequate sanitation facilities. Since the beginning of the year, around 1,000 confirmed cholera cases and 64,767 dengue fever cases, with 147 deaths, have been reported. Furthermore, according to United Nations Population Fund (UNFPA), as of 10 November, more than 5.1 million women are of reproductive age (15-49 years), including an estimated 410,846 women who are currently pregnant, with approximately 136,950 births expected in the next three months. For these women, there is a need to strengthen health systems, train health workers, educate midwives and improve access to the full range of reproductive health services.

Water, sanitation and hygiene face heightened challenges due to the destruction of water infrastructure and low availability of clean water for bathing, cooking and drinking, with families resorting to contaminated water for daily use. Even before the floods, according to the World Bank, the country faced high water shortage risks for non-agricultural purposes. Under a high-growth (4.9 per cent per year) and high-warming (3°C by 2047) scenario, water demand is projected to increase by almost 60 per cent, with the highest rates of the increase coming from the domestic and industrial sectors. Climate warming will account for up to 15 per cent of this increase in demand. Moreover, climate-related shocks like the current floods will continue to put additional strain on access to safe water for communities.

As of 11 November, the National Disaster Management Authority (NDMA) has recorded 1,739 deaths and 12,867 injuries since mid-June. In addition, more than 2.2 million houses have been damaged or destroyed, 13,115 kilometres of roads damaged, 439 bridges destroyed, and over 1.1 million livestock lost. Furthermore, as the winter season in many of the affected areas is approaching fast, the vulnerabilities of the flood-affected people are further heightened with the immediate need for shelter, food items and non-food items.