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Updated September 23, 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 nearly 13,000 and killing more than
1,600. With more than one-third of the country reportedly
submerged, housing, infrastructure, and livelihoods are
negatively affected, and agricultural losses appear to be
extensive. Pakistan's government has estimated the cost of
flood damage at $30 billion and cut its projected annual
economic growth for its fiscal year ending June 2023.
Successive U.S. Administrations have described a stable,
democratic, and prosperous Pakistan as critical to U.S.
interests. This situation 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 among U.S. concerns; both may face negative
impacts from the current situation. For example, following
2010 flooding, some banned Pakistani terrorist groups
reportedly were at the forefront of rural relief efforts and
may gain popular support through such activities;
Pakistan's government denies any banned groups are
involved in flood relief in 2022. Congress may 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. The provinces of
Sindh and Balochistan appear most affected (see Figure 1).
As of September 23, 2022, the NDMA is reporting the
following damage due to flooding since June 14, 2022:
 1,606 persons killed (45% Sindh, 19% Balochistan, 19%
Khyber Pakhtunkhwa or KP, 12% Punjab) and 12,863
injured;
 Affected population: more than 33 million (44% Sindh,
28% Balochistan, 13% KP, 15% Punjab);
 Livestock deaths: more than 1 million (50+%
Balochistan, 32% Sindh);
 Damaged homes: more than 2 million (88% Sindh);
 Damaged roads: more than 8,100 miles (64% Sindh);
damaged bridges: 392 (42% Sindh, 27% KP).

Figure I. Homes Damaged in Pakistan's 2022 Flooding
(as of September 15, 2022)

Source: U.N. Office for the Coordination of Humanitarian Affairs.
Humanitarian Needs
Pakistan's affected populations are in 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. The United
Nations (U.N.) estimates that 7.6 million people have been
displaced, some of whom have taken refuge in official
Government of Pakistan displacement sites. The United
Nations also 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 Interna-ona         Responses
Government of Pakistan. Prime Minister Shehbaz Sharif
established a National Flood Response and Coordination
Center to facilitate a multiagency response in coordination
with the NDMA. The government established camps for
populations displaced by the floods. Pakistan is providing
cash assistance to those affected, while provincial
governments may redirect development funds to flood

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