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5 million feared sick over next 12 weeks in flooded areas due to disease outbreak

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  • People likely to get diarrhea, cholera, gastroenteritis, typhoid, dengue and malaria.
  • Children at risk of getting measles, which can spread like fire among the displaced populations, and polio.
  • A disease outbreak would initially require medicines and medical supplies worth Rs1 billion.

Health experts have sounded the alarm regarding the outbreak of disease in flood-affected areas, estimating around five million people to fall sick in the next four to 12 weeks, The News reported.

People in the flooded areas of Sindh, Balochistan, southern Punjab and Khyber Pakhtunkhwa are likely to get diarrhea, cholera, gastroenteritis, typhoid and vector-borne diseases like dengue and malaria, the health experts warned on Tuesday.

It is estimated that a disease outbreak would initially require medicines and medical supplies worth Rs1 billion, they said, and urged donors, philanthropists and common people to donate these after consulting health experts and officials of rescue and welfare organisations.

“Of the 33 million people affected due to monsoon rains and floods across Pakistan, it is estimated that around five million people, including children, would get sick due to outbreak of water-borne and vector-borne diseases in the next four to 12 weeks.

“As there is no clean drinking water available in the flood-ravaged areas, there is a risk of outbreak of diarrhea, cholera, typhoid, gastroenteritis, dengue and malaria,” renowned public health expert and Vice-Chancellor of the Health Services Academy (HSA) Islamabad Dr Shahzad Ali told The News on Tuesday.

He said children would be more vulnerable due to weak immunity and warned that an outbreak of acute watery diarrhea, and other water-borne diseases could kill hundreds of children and adults if immediate preventive measures were not adopted.

“There is an urgent need to vaccinate all the people in the flood affected areas against typhoid-cholera. This vaccine is available in the country and it can be deployed to prevent deaths from typhoid and cholera in Sindh and Balochistan. Similarly, prophylactic treatment of malaria should also be started to prevent deaths from the vector-borne disease,” Dr Khan said.

Urging the authorities to make anti-snake venom and anti-rabies vaccines available in abundance, he said hundreds of incidents of snake-bite and dog-bite had been reported from KP, Sindh and Balochistan.

Former health director-general and an expert on infectious diseases Dr Rana Muhammad Safdar was of the opinion that children in the flood affected areas were the most vulnerable and needed immediate medical attention, saying immunisation programmes of the provinces should reach out to unvaccinated children.

“In addition to diarrhea and other water-borne diseases, children are at the risk of getting measles which can spread like fire among the displaced populations. Polio is another threat and unfortunately, we have seen wild poliovirus 1 circulating in many cities of KP and Punjab, while it can travel to the other cities where it has not yet been found,” Dr Safdar said.

On the other hand, officials of the welfare organisations working in the flood-hit areas said a large number of people, including women and children, had already started suffering from water-borne infections, including diarrhea, gastroenteritis, cholera, fever, flu, allergy, scabies and other fungal skin ailments.

“We also believe that around Rs1 billion would be required initially to meet the medical needs of sick people in the flood-hit areas as hundreds of people are getting sick due to water-borne and vector-borne diseases in these areas,” said Sufyan Ahmed, Managing Director of the Al-Khidmat Health Foundation, who is coordinating with the charity and welfare organisations for relief operations in the flood-hit areas across Pakistan.

According to Ahmed, in the absence of any guidelines, a huge quantity of unwanted medicines were being donated which go to waste or are misused in the name of flood victims.

“In these circumstances, we have prepared guidelines for relief operations with the assistance from Pakistan Society of Health-System Pharmacists. These guidelines provide a complete list of medicines, medical supplies and other stuff that is needed by the patients in distress at the moment,” Ahmed said.

He then referred to the guideline which carried details of several medicines for anti-infectives (oral), cough and cold preps, pain/colic, fever management (oral), pregnancy or female care, antacids, wound dressing, vomiting/nausea (oral), anti-diarrheal (oral) and others as basic first aid supplies. The list also identified several medicine supplies for the healthcare units, which are required in the flood hit areas.

The health authorities, he said, were also coordinating with the local pharmaceuticals and charity and welfare organisations to help them reach out to the affected areas in dire need of medical supplies.

“One such engagement was facilitated between local pharmaceutical company Pharmevo and Al-Khidmat Foundation and the former is providing Rs5 million medicines to the latter for the affected areas of Sindh and Balochistan in the first phase,” he said. “It’s a gigantic task and the government alone cannot handle the situation. So we are engaging all individuals and organisations and channelising the operation for effective results.”

The fresh initiative, he said, was aimed at giving patients access to basic clinical services for their medicinal needs, better than what the local infrastructure has to offer in a very disastrous situation.

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Supreme Court annuls trials of civilians in military courts

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In a unanimous verdict, a five-member bench of the Supreme Court on Monday declared civilians’ trials in military courts null and void as it admitted the petitions challenging the trial of civilians involved in the May 9 riots triggered by the arrest of Pakistan Tehreek-e-Insaf (PTI) chief Imran Khan in a corruption case.

The five-member apex court bench — headed by Justice Ijaz Ul Ahsan, and comprising Justice Munib Akhtar, Justice Yahya Afridi, Justice Sayyed Mazahar Ali Akbar Naqvi and Justice Ayesha Malik — heard the petitions filed by the PTI chief and others on Monday.

The larger bench in its short verdict ordered that 102 accused arrested under the Army Act be tried in the criminal court and ruled that the trial of any civilian if held in military court has been declared null and void.  

The apex court had reserved the verdict earlier today after Attorney General of Pakistan (AGP) Mansoor Usman Awan completed his arguments centred around the domain and scope of the military courts to try the civilians under the Army Act. 

At the outset of the hearing today, petitioner lawyer Salman Akram Raja told the bench that trials of civilians already commenced before the top court’s verdict in the matter.

Responding to this, Justice Ahsan said the method of conducting proceedings of the case would be settled after Attorney General of Pakistan (AGP) Mansoor Usman Awan completed his arguments.

Presenting his arguments, the AGP said he would explain to the court why a constitutional amendment was necessary to form military courts in 2015 to try the terrorists.

Responding to Justice Ahsan’s query, AGP Awan said the accused who were tried in military courts were local as well as foreign nationals.

He said the accused would be tried under Section 2 (1) (D) of the Official Secrets Act and a trial under the Army Act would fulfill all the requirements of a criminal case.

“The trial of the May 9 accused will be held in line with the procedure of a criminal court,” the AGP said.

The AGP said the 21st Amendment was passed because the terrorists did not fall in the ambit of the Army Act.

“Amendment was necessary for the trial of terrorists [then] why amendment not required for the civilians? At the time of the 21st constitutional amendment, did the accused attack the army or installations?” inquired Justice Ahsan.

AGP Awan replied that the 21st Amendment included a provision to try accused involved in attacking restricted areas.

“How do civilians come under the ambit of the Army Act?” Justice Ahsan asked the AGP.

Justice Malik asked AGP Awan to explain what does Article 8 of the Constitution say. “According to Article 8, legislation against fundamental rights cannot be sustained,” the AGP responded.

Justice Malik observed that the Army Act was enacted to establish discipline in the forces. “How can the law of discipline in the armed forces be applied to civilians?” she inquired.

The AGP responded by saying that discipline of the forces is an internal matter while obstructing armed forces from discharging duties is a separate issue.

He said any person facing the charges under the Army Act can be tried in military courts.

“The laws you [AGP] are referring to are related to army discipline,” Justice Ahsan said.

Justice Malik inquired whether the provision of fundamental rights be left to the will of Parliament.

“The Constitution ensures the provision of fundamental rights at all costs,” she added.

If the court opened this door then even a traffic signal violator will be deprived of his fundamental rights, Justice Malik said.

The AGP told the bench that court-martial is not an established court under Article 175 of the Constitution.

At which, Justice Ahsan said court martials are not under Article 175 but are courts established under the Constitution and Law.

After hearing the arguments, the bench reserved the verdict on the petitions.

A day earlier, the federal government informed the apex court that the military trials of civilians had already commenced.

After concluding the hearing, Justice Ahsan hinted at issuing a short order on the petitions. 

The government told the court about the development related to trials in the military court in a miscellaneous application following orders of the top court on August 3, highlighting that at least 102 people were taken into custody due to their involvement in the attacks on military installations and establishments. 

Suspects express confidence in mly courts

The same day, expressing their “faith and confidence” in military authorities, nine of the May 9 suspects — who are currently in army’s custody — moved the Supreme Court, seeking an order for their trial in the military court be proceeded and concluded expeditiously to “meet the ends of justice”.

Nine out of more than 100 suspects, who were in the army’s custody, filed their petitions in the apex court via an advocate-on-record.

The May 9 riots were triggered almost across the country after former prime minister Imran Khan’s — who was removed from office via a vote of no confidence in April last year — arrest in the £190 million settlement case. Hundreds of PTI workers and senior leaders were put behind bars for their involvement in violence and attacks on military installations.

Last hearing

In response to the move by the then-government and military to try the May 9 protestors in military courts, PTI Chairman Imran Khan, former chief justice Jawwad S Khawaja, lawyer Aitzaz Ahsan, and five civil society members, including Pakistan Institute of Labour Education and Research (Piler) Executive Director Karamat Ali, requested the apex court to declare the military trials “unconstitutional”.

The initial hearings were marred by objections on the bench formation and recusals by the judges. Eventually, the six-member bench heard the petitions.

However, in the last hearing on August 3, the then-chief justice Umar Ata Bandial said the apex court would stop the country’s army from resorting to any unconstitutional moves while hearing the pleas challenging the trial of civilians in military courts.

A six-member bench, led by the CJP and comprising Justice Ijaz Ul Ahsan, Justice Munib Akhtar, Justice Yahya Afridi, Justice Sayyed Mazahar Ali Akbar Naqvi, and Justice Ayesha Malik, heard the case.

In the last hearing, the case was adjourned indefinitely after the Attorney General for Pakistan (AGP) Mansoor Usman Awan assured the then CJP that the military trials would not proceed without informing the apex court.

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Pakistan

Sea conditions ‘very high’ as Cyclone Tej moves towards northwestward

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An Extremely Severe Cyclonic Storm (ESCS) named “Tej”, which has been brewing in the southwest Arabian Sea for the past few days, has continued to move northwestward toward the Arabian Peninsula’s coast.

According to the Pakistan Meteorological Department (PMD), over the past 12 hours, Cyclone Tej has been moving in a northwestward direction and is now “centred around latitude 14.4 N & longitude 53.2 °E”.

The update, which was issued today (Monday) at 10:00am (PST), also revealed that the brewing cyclone is situated “about 300km southwest of Salalah (Oman), 220km southeast of Al Ghaydah (Yemen) and 1520km southwest of Gwadar (Pakistan)”.

Additionally, the cyclone’s maximum sustained surface winds are between 150-160km/h, with gusts reaching 180km/h.

Moreover, sea conditions are currently very high, with maximum wave heights of 35ft around the system centre, according to the Met Office.

The system is expected to continue moving in a northwest direction and is likely to cross the Yemen coast, near Al Ghaydah by midnight as a very severe cyclonic storm (VSCS) with winds packing speeds of 120-130km/h and gusts reaching 150km/h.

However, it is important to note that there will be no impact on any of Pakistan’s coastal areas from this system.

According to PMD’s Daily Forecast, the weather is expected to remain dry for the next few days in most districts of Sindh, one of the coastal provinces of Pakistan.

Meanwhile, strong winds and thundershowers are likely to occur in and around some parts of Balochistan today, but dry weather is expected for the next few days.

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PCB ‘dismisses’ objections over players support for Palestinians

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LAHORE: Pakistan’s cricket team, which is currently busy participating in the ICC Men’s T20 Cricket World Cup, has shown their firm support and shared their prayers for all Palestinians suffering at the hands of Israel.

However, there have been many questions raised by Indian fans and cricket experts on the players’ constant support for Palestine asking ICC — the governing body of the game — whether such moves were allowed in the tournament.

According to sources, the Pakistan Cricket Board (PCB) rejected the objections over players’ conduct saying: “The team’s expression of solidarity was a personal decision.”

Pakistan’s national team on Wednesday, posted a picture of the Palestinian flag on their individual X, formerly known as Twitter, accounts to show that they stand in solidarity with Palestine and that they are praying for the people suffering there including children.

Prior to this Pakistan’s wicket-keeper batsman, Mohammad Rizwan, dedicated the team’s victory over Sri Lanka to his “brothers and sisters in Gaza”.

Meanwhile, Indian fans and cricket experts used the team’s support for Palestine to create controversies, claiming that the national team had violated ICC rules.

Sources from PCB added that the team is “allowed to express whatever they wanted to,” and that the players “did not violate any code of conduct by the ICC or PCB”.

The Health Ministry in Gaza reports that at least 3,061 Palestinians have died and over 13,750 more have been injured as a result of Israel’s shelling.

Pakistan has categorically condemned the Israeli atrocities and called for an immediate cessation of the bombardment, which has not even spared hospitals or schools, in solidarity with its Palestinian brothers and sisters.

Even Pakistani cricket legends who are not participating in the team anymore showed their support for Palestine.

Moreover, Pakistan is set to face Australia tomorrow (Friday) in M Chinnaswamy Stadium, Bengaluru after a few days of rest.

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