http://english.aljazeera.net/news/asia/2010/08/2010816112835740506.html

Monday, August 16, 2010 
23:06 Mecca time, 20:06 GMT

Disease risk for Pakistani children 
           
            Al Jazeera's Imran Khan reports on unforeseen problems in the aid 
effort  
     
  

Millions of children in Pakistan are at high risk from deadly water-borne 
diseases in the wake of the country's worst flooding in living memory, the UN 
has warned.

The World Health Organisation (WHO) has been placed on standby to deal with a 
potential cholera outbreak following warnings from medical experts of "a second 
wave of death" in the disaster zone.

"WHO is preparing to assist up to 140,000 people in case there is any cholera, 
but the government has not notified us of any confirmed case," Maurizio 
Giuliano, a spokesman for the UN Office for the Coordination of Humanitarian 
Affairs (OCHA), said on Monday.

"Up to 3.5 million children are at high risk of deadly water-borne diseases 
including diarrhoea-related, such as watery diarrhoea and dysentery," he said, 
estimating the total number at risk from such diseases to be around six million.

OCHA said figures for how many people may have already died from disease 
following the floods were not available, but insisted work was being done to 
assess the situation. 

"The mortality caused by the incidence of these diseases is increasing. We 
don't have figures at this moment, but WHO is working round the clock in 
support for the government to come up with numbers," he said.

Patients turned away

Medical teams working on the ground are in no doubt as to the scale of the 
threat posed by diseases. At the Dera Ismail Khan government hospital in 
Peshawar on Monday, staff reported being inundated with hundreds of patients 
suffering from diarrhoea and vomiting. 

      Special coverage 
     
Many were turned away from the hospital as doctors focused their resources on 
helping sick children, staff said.

Cholera, which can spread rapidly after floods and other disasters, poses a 
serious threat, says the UN. The disease has been detected in the northwest, 
but there have been only a few reported cases so far.

Typhoid and hepatitis outbreaks are also a risk as survivors of the floods, 
which have killed at least 1,600 people, are forced to drink unclean water to 
survive.

The health warning comes a day after Ban Ki-moon, the UN secretary-general, 
said that the disaster was the worst he had ever seen and renewed calls for 
international aid donations.

The UN has appealed for an inital $460 million to provide relief, but only 20 
per cent of the total has so far been pledged. Officials say that billions more 
will be needed for reconstruction after flood waters recede.

With more than 20 million people made homeless by the floods, authorities have 
been overwhelmed by the scale of disaster, and many have been angered by the 
lack of assistance they have received.  

Angry protests

In the hard-hit Sukkur area in southern Sindh province, hundreds of flood 
victims blocked a major road with stones and rubbish to protest what they 
described as a slow delivery of aid. 

      IN VIDEO 

      Al Jazeera's Jonah Hull meets a US helicopter crew delivering aid to 
flood victims 
     
Kalu Mangiani, one of the protesters, said government officials only came to 
hand out food when media were present.

"They are throwing packets of food to us like we are dogs. They are making 
people fight for these packets," he said.

Al Jazeera's Imran Khan, reporting from Sukkur, said it was clear that not 
enough aid was getting to flood victims.

"Without a co-ordinated effort by the government or aid groups, delivering 
supplies becomes a piecemeal effort that falls short of what is needed," he 
said.

"The scale of this disaster is overwhelming and the lack of a centralised 
effort means good intentions can go to waste."







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