Impact of Communicable Diseases during Flood Disaster in Pakistan, What’s Next?
Unusual weather patterns have led to immense climatic transformation and the global concern over climate change is growing. Every part of the world is now being impacted by climate change, but the Asian and African continents are the most affected. Several climatic factors affecting the transmi...
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Format: | Article |
Language: | English |
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Liaquat National Hospital and Medical College
2023-04-01
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Series: | Liaquat National Journal of Primary Care |
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Online Access: | https://journals.lnh.edu.pk/lnjpc/pdf/1422914c-7143-4f57-a5f4-01ccb43a9a2d.pdf |
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author | Saima Ayub Halima Sadia Safila Naveed |
author_facet | Saima Ayub Halima Sadia Safila Naveed |
author_sort | Saima Ayub |
collection | DOAJ |
description | Unusual weather patterns have led to immense climatic
transformation and the global concern over climate
change is growing. Every part of the world is now being
impacted by climate change, but the Asian and African
continents are the most affected. Several climatic factors
affecting the transmission of infectious diseases include
humidity, precipitation, and temperature. Infectious
disease transmission potential and vector density are
both significantly affected by climate change [1].
The most grievous flood disaster that could ever affect
Pakistan was in 2022, which started in June and
continued to spread havoc. More than 1000 individuals
have already died as a direct consequence of the floods
as result of the floods that were brought on by the
prolonged monsoon rains that began in mid-July in 116 of
Pakistan’s 154 districts. Rural areas such as Jafarabad
and other areas of southeastern Sindh, with persistent
health, education, and resource disparities, were the
most affected. The current situation adds more burden
on rural populations and has the potential to undo the
moderate progress in improving access to healthcare,
education, and employment prospects that have been
accomplished over the past few years [2, 3]. As per the
World Bank report, the total damage cost exceeds 30
billion USD and would require more than 15 billion USD
for the reconstruction in the affected areas [4].
According to a preliminary assessment made by World
Health Organization (WHO) and humanitarian partners,
the current level of destruction is unprecedented and
exceeds damages induced by the 2010 floods. According
to Dr. Ahmed Al-Mandhari, (a Regional Director for the
Eastern Mediterranean at WHO), WHO has launched an
emergency operation to treat the injured, supply health
centers with life-saving supplies, and support mobile
health teams to prevent the transmission of diseases [5].
The general public’s health is in danger. Doctors and aid
workers have reported that more than 3 million people
are suffering from emotional trauma as a result of the
flooding. Hundreds of cases of diarrhea, skin infections,
and other waterborne diseases have also been reported
among people of all ages. Early estimates indicate
that five million people, including children, are at high
risk from the outbreak of waterborne and vector-borne
diseases [2]. According to information released by Khyber
Pakhtunkhwa province, 350 dengue cases were reported
in the province, and 1,241 cases are now active, bringing
the total number of recorded cases this year to 4,538.
Furthermore, the Punjab provincial health department
reported that Punjab’s metropolis Lahore recorded 62
dengue cases, followed by Rawalpindi, which recorded
80 new patients. This year, 3,101 dengue cases have
been documented within the province. Additionally, the
provincial health officials announced that the southern
Sindh province experienced 388 new cases. There have
already been 5,203 cases reported in the province so far
this year [6, 7].
Women who are pregnant or nursing are particularly
vulnerable, with more than 70,000 in their last trimester
predicted to give birth soon. There is a risk of ongoing
disease outbreaks, including watery diarrhea, cholera,
typhoid, gastroenteritis, dengue fever, and malaria in
flood-devastated areas where there is no access to
clean drinking water. Malaria, polio, and COVID-19 are
also more likely to occur especially in camps where
water and sanitation infrastructure has been damaged
[2]. 4531 new measles cases and 15 cases of wildpoliovirus have been recently reported in Pakistan.
Current weather conditions as of July-August 2022
have disturbed the countrywide polio-vaccine campaign,
particularly in affected areas [5].
According to previously published articles, the country’s
geographical location and extreme climatic conditions
are key hotspots for vector-borne disease transmission
[8]. There is a paucity of literature about the impact of
climate change on vector-borne diseases in Pakistan
[1]. According to Dr. Azra Fazal Pechuho (Minister for
Health and Population Welfare, Sindh), waterborne
diseases such as cholera and diarrhea are on the rise
due to contamination of water following the province’s
heavy monsoon rains [9].
The ongoing weather situation has put further pressure
on the already struggling healthcare system. Currently,
people in Pakistan are suffering from typhoid, dengue,
malaria, measles, and COVID-19. Symptoms like fever,
headache, and body pain are more or less similar to
these diseases. Definite diagnosis without accurate laboratory tests combined with antibacterial resistance
has led to fewer choices of available antibiotic treatments
for already drug-resistant bacterial strains. This would
lead to future outbreaks of diseases and could lead to
the spread of diseases to other countries. There is a dire
need to restore key infrastructure on a priority basis:
proper sanitation, availability of clean drinking water,
and provision of proper waste management system
in flood-affected areas. When available, drugs should
be distributed to local populations to immunize them
against infectious diseases. Awareness campaigns
about hygiene practices should be developed to limit the
spread of future infectious disease outbreaks.
CONFLICT OF INTEREST
The authors declare no conflict of interest.
ACKNOWLEDGEMENTS
None. |
first_indexed | 2024-04-10T17:42:34Z |
format | Article |
id | doaj.art-c5f9b955dd0849549c64839ff4d41f0f |
institution | Directory Open Access Journal |
issn | 2707-3521 2708-9134 |
language | English |
last_indexed | 2024-04-10T17:42:34Z |
publishDate | 2023-04-01 |
publisher | Liaquat National Hospital and Medical College |
record_format | Article |
series | Liaquat National Journal of Primary Care |
spelling | doaj.art-c5f9b955dd0849549c64839ff4d41f0f2023-02-03T11:00:14ZengLiaquat National Hospital and Medical CollegeLiaquat National Journal of Primary Care2707-35212708-91342023-04-0151585910.37184/lnjpc.2707-3521.5.6Impact of Communicable Diseases during Flood Disaster in Pakistan, What’s Next?Saima Ayub0Halima Sadia1Safila Naveed2Department of Pharmacy Practice, Faculty of Pharmacy, Jinnah University for Women, Karachi, PakistanDepartment of Pharmacy Practice, Faculty of Pharmacy, Jinnah University for Women, Karachi, PakistanDepartment of Pharmacy Practice, Faculty of Pharmacy, Jinnah University for Women, Karachi, PakistanUnusual weather patterns have led to immense climatic transformation and the global concern over climate change is growing. Every part of the world is now being impacted by climate change, but the Asian and African continents are the most affected. Several climatic factors affecting the transmission of infectious diseases include humidity, precipitation, and temperature. Infectious disease transmission potential and vector density are both significantly affected by climate change [1]. The most grievous flood disaster that could ever affect Pakistan was in 2022, which started in June and continued to spread havoc. More than 1000 individuals have already died as a direct consequence of the floods as result of the floods that were brought on by the prolonged monsoon rains that began in mid-July in 116 of Pakistan’s 154 districts. Rural areas such as Jafarabad and other areas of southeastern Sindh, with persistent health, education, and resource disparities, were the most affected. The current situation adds more burden on rural populations and has the potential to undo the moderate progress in improving access to healthcare, education, and employment prospects that have been accomplished over the past few years [2, 3]. As per the World Bank report, the total damage cost exceeds 30 billion USD and would require more than 15 billion USD for the reconstruction in the affected areas [4]. According to a preliminary assessment made by World Health Organization (WHO) and humanitarian partners, the current level of destruction is unprecedented and exceeds damages induced by the 2010 floods. According to Dr. Ahmed Al-Mandhari, (a Regional Director for the Eastern Mediterranean at WHO), WHO has launched an emergency operation to treat the injured, supply health centers with life-saving supplies, and support mobile health teams to prevent the transmission of diseases [5]. The general public’s health is in danger. Doctors and aid workers have reported that more than 3 million people are suffering from emotional trauma as a result of the flooding. Hundreds of cases of diarrhea, skin infections, and other waterborne diseases have also been reported among people of all ages. Early estimates indicate that five million people, including children, are at high risk from the outbreak of waterborne and vector-borne diseases [2]. According to information released by Khyber Pakhtunkhwa province, 350 dengue cases were reported in the province, and 1,241 cases are now active, bringing the total number of recorded cases this year to 4,538. Furthermore, the Punjab provincial health department reported that Punjab’s metropolis Lahore recorded 62 dengue cases, followed by Rawalpindi, which recorded 80 new patients. This year, 3,101 dengue cases have been documented within the province. Additionally, the provincial health officials announced that the southern Sindh province experienced 388 new cases. There have already been 5,203 cases reported in the province so far this year [6, 7]. Women who are pregnant or nursing are particularly vulnerable, with more than 70,000 in their last trimester predicted to give birth soon. There is a risk of ongoing disease outbreaks, including watery diarrhea, cholera, typhoid, gastroenteritis, dengue fever, and malaria in flood-devastated areas where there is no access to clean drinking water. Malaria, polio, and COVID-19 are also more likely to occur especially in camps where water and sanitation infrastructure has been damaged [2]. 4531 new measles cases and 15 cases of wildpoliovirus have been recently reported in Pakistan. Current weather conditions as of July-August 2022 have disturbed the countrywide polio-vaccine campaign, particularly in affected areas [5]. According to previously published articles, the country’s geographical location and extreme climatic conditions are key hotspots for vector-borne disease transmission [8]. There is a paucity of literature about the impact of climate change on vector-borne diseases in Pakistan [1]. According to Dr. Azra Fazal Pechuho (Minister for Health and Population Welfare, Sindh), waterborne diseases such as cholera and diarrhea are on the rise due to contamination of water following the province’s heavy monsoon rains [9]. The ongoing weather situation has put further pressure on the already struggling healthcare system. Currently, people in Pakistan are suffering from typhoid, dengue, malaria, measles, and COVID-19. Symptoms like fever, headache, and body pain are more or less similar to these diseases. Definite diagnosis without accurate laboratory tests combined with antibacterial resistance has led to fewer choices of available antibiotic treatments for already drug-resistant bacterial strains. This would lead to future outbreaks of diseases and could lead to the spread of diseases to other countries. There is a dire need to restore key infrastructure on a priority basis: proper sanitation, availability of clean drinking water, and provision of proper waste management system in flood-affected areas. When available, drugs should be distributed to local populations to immunize them against infectious diseases. Awareness campaigns about hygiene practices should be developed to limit the spread of future infectious disease outbreaks. CONFLICT OF INTEREST The authors declare no conflict of interest. ACKNOWLEDGEMENTS None.https://journals.lnh.edu.pk/lnjpc/pdf/1422914c-7143-4f57-a5f4-01ccb43a9a2d.pdfcommunicable diseasesflood disasterpakistan |
spellingShingle | Saima Ayub Halima Sadia Safila Naveed Impact of Communicable Diseases during Flood Disaster in Pakistan, What’s Next? Liaquat National Journal of Primary Care communicable diseases flood disaster pakistan |
title | Impact of Communicable Diseases during Flood Disaster in Pakistan, What’s Next? |
title_full | Impact of Communicable Diseases during Flood Disaster in Pakistan, What’s Next? |
title_fullStr | Impact of Communicable Diseases during Flood Disaster in Pakistan, What’s Next? |
title_full_unstemmed | Impact of Communicable Diseases during Flood Disaster in Pakistan, What’s Next? |
title_short | Impact of Communicable Diseases during Flood Disaster in Pakistan, What’s Next? |
title_sort | impact of communicable diseases during flood disaster in pakistan what s next |
topic | communicable diseases flood disaster pakistan |
url | https://journals.lnh.edu.pk/lnjpc/pdf/1422914c-7143-4f57-a5f4-01ccb43a9a2d.pdf |
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