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September 12, 2022
Pakistan's 2022 Floods and Implications for U.S. Interests

Overview
In mid-June 2022, at the beginning of monsoon season,
heavy rains began flooding areas of Pakistan. Estimates
range from double to several times the normal monsoon
rainfall. By late August, flooding had worsened to historic
and catastrophic levels, reportedly affecting more than 33
million people, injuring at least 13,000 and killing more
than 1,300. With more than one-third of the country
reportedly submerged, agricultural losses appear to be
extensive, affecting housing, infrastructure, and livelihoods.
Pakistan's government has estimated the cost of flood
damage at $30 billion and cut its projected annual economic
growth for this fiscal year from 5% to 3%.
Successive U.S. Administrations have described a stable,
democratic, and prosperous Pakistan as critical to U.S.
interests. This crisis may have U.S. security implications.
Responding to this disaster is taxing a Pakistani government
already struggling with political upheaval, worsening
economic and debt crises, unsettled civil-military relations,
and rising public discontent. Regional stability and efforts
to counter militancy and terrorism are U.S. concerns; both
may face negative impacts from the current crises. For
example, following 2010 flooding, some banned Pakistani
terrorist groups apparently were at the forefront of rural
relief efforts and could gain popular support through such
activities; Pakistan's government denies that any banned
groups are involved in flood relief in 2022. Congress may
wish to consider whether or not U.S. assistance in response
to the catastrophic floods would serve U.S. interests,
including economic and security objectives.
Flood Damage-Initial Assessments
Pakistan's National Disaster Management Authority
(NDMA) is the lead federal agency for disaster relief
coordination, including relief operations supported by
Pakistan's army, navy, and air force. So far, the provinces
of Sindh and Balochistan appear most affected (see Figure
1). As of September 9, 2022, the NDMA is reporting the
following damage due to flooding since June 14, 2022:
 1,396 persons killed (39% Sindh, 20% Khyber
Pakhtunkhwa or KP, 21% Balochistan, 14% Punjab) and
12,728 injured;
 Affected population: more than 33 million (44% Sindh,
28% Balochistan, 13% KP, 15% Punjab);
 Rescued population: 177,265 (43% Punjab, 39% KP)
 Population in official government of Pakistan
displacement sites: 663,869 (87% Sindh);
 Livestock deaths: more than 750,000 (67% Balochistan,
27% Punjab);
 Damaged homes: more than 1.7 million (87% Sindh);

* Damaged roads: more than 4,100 miles (39% Sindh,
24% KP, 23% Balochistan); damaged bridges: 269
(40% KP, 26% Gilgit-Baltistan, 23% Sindh).
Figure I. Homes Damaged in Pakistan's 2022 Flooding
(as of September I, 2022)

Source: U.N. Office for the Coordination of Humanitarian Affairs.
Hurmanitarian Needs
Pakistan's affected populations reportedly are in dire need
of relief supplies, including shelter, food, and water,
sanitation, and hygiene (WASH). Experts say that floods
are likely to exacerbate food availability across the country,
particularly for those already experiencing food insecurity.
More than 600,000 people have taken refuge in official
Government of Pakistan displacement sites, but the number
of people displaced without shelter is likely much higher.
The United Nations (U.N.) reports that, of those displaced,
many are staying as close to their homes and the affected
areas as possible due to concerns that lack of land
ownership documentation could prevent future returns. In
many affected areas the humanitarian response has been
hampered by damaged roads and bridges. Humanitarian
organizations assert that maternal health and protection
from gender-based violence are also of concern, as well as
an increased risk of vector-borne disease (such as malaria)
and water-borne disease (including diarrhea and cholera)
along with threats from venomous wildlife such as
poisonous snakes. The floods also may exacerbate
preexisting outbreaks of coronavirus disease (COVID-19)
and other medical conditions, particularly as vaccine
campaigns are suspended and access to care is limited.
National and International Responses
Government of Pakistan. Prime Minister Shehbaz Sharif
said he intends to set up a National Flood Response and
Coordination Center to facilitate a multiagency response in
coordination with the NDMA. So far, the government has
established 147 camps for populations displaced by the
floods. Pakistan is planning to provide cash assistance to

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