Laidback Show Episode 22 – Flood Relief

Faisal Kapadia and Dr. Awab Alvi head to Sukkur and Shikarpur along with offroadpakistan & SA Relief to deliver relief to the affectees in the region. During the trip they produced the 22nd episode of the Laidback Show
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Flood Relief Mission #3 to Thatta

Starting this third flood relief mission, yet again we will document it live via GPS and also CoveritLive. I believe that is the only way to share with the world what we see and hear on the ground. GPS tracking powered by InstaMapper.com
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Report: Flood Relief Mission #2 to Shikarpur

On return after our first relief effort to Sukkur two weeks back we had several meetings amongst the core group of volunteers adopting a long term medical relief and rehabilitation strategy, however during the subsequent week we continued to receive urgent demands for help emanating from many of the inundated villages of Sukkur and Shikarpur Thus in response to these pleas we embarked yet again on the 21st of August with a convoy of 8 trucks laden with relief goods of which seven were carrying relief hampers while one carried the load of a hundred tents accompanied by their donor. The convoy consisted of 7 cars and we made our way to Sukkur at around 5 pm passing through Hyderabad and Kotri which was slowly becoming inundated with flood water as the water levels had considerably increased since our first relief mission a week earlier. Our staging area & warehouse was arranged by Taimur Mirza through the local MNA Agha Taimur located on the main Shikarpur - Sukkur link road. We immediately offloaded our seven trucks of relief goods into this warehouse and with the help of the U.N coordination center in Sukkur dispatched the 100 tents to a PAF-managed IDP relief campsite on the Sukkur Bypass road Day 1 The first night a few of our volunteers oversaw the construction of the 100 tents in the PAF enclave in an organized manner, the slow process continued the next three days and we ensured our constant presence at the site ensuring the construction to our total satisfaction. Returning home late that night to our accommodations in Sukkur we hit the bed immediately preparing to start early the next day for distribution with the help of smaller hired datsuns pick-ups. The reason for taking datsuns was because the larger trucks could not be taken into the deeper areas of Essani, and other inundated villages which were being pointed out by the accompanying leader Day 2 We left at 9am the next morning and after a short recon of the areas we were planning on distributing in, set off in two teams one led by Atif Ashraf and the other by Awab Alvi to different villages totally inundated by water, this place has been so remote that no food had reached for a couple of days, we were greeted with eager people anxious to get this aid and it is our estimate that we may have been successful in providing relief to over 500 families waiting in desperation. Next we liaised with three NGO’s, first is a Karachi based school organization called Reflections who has rented houses in order to provide shelter in Shikarpur and Sukkur housing a large number of pregnant women and their children and are definitley doing a splendid job on the ground, We also liaised with an NGO called Hands who is running quite a number of tent-cities around Kandkot, Jacobabad, Larkana, Shikarpur and Sukkur. The third NGO also is a Karachi based organization run by a few Karachi based architects called Karachi Relief Trust. All three organizations were thoroughly evaluated by us and were seen to be doing a genuine hard work on the ground and dservedly needed to be supported, we then dispatched a sizable quantity of relief hampers into their camps sites to augment their depleting food resources. After accounting for these relief distribution we still had two datsuns full of relief supplies and three datsuns worth of water bottles left for handing out. We ran a few sorties of water-bottle distribution along the highway passing these out to many thirsty people who under the scorching sun on roads of Shikarpur Day 3 While doing water sorties the day earlier one of our team members Rehan Bandukda helped identify a school run by SSG&C, they had 1600 registered IDP families inside in squalid conditions. We visited this establishment with 2 datsuns of water and two datsuns of food hampers, we also had over 700 packets of ready to eat sheermal, milk and khajur packets all of which was quickly picked up by the residents of this camp. As this distribution in schools was going on, two of our team members Nabil Jangda and Atif Ashraf seeing the dilapidated conditions in the area also ordered fresh cooked of dal and roti packets for 700 people which we then continued to distribute till 5pm despite our planned departure at 2pm which would have allowed us to traverse the National Highway during the daylight hours, but this last minute distribution had us running late, we finally got done by 5pm and headed for Karachi reaching home by 11:30 pm. Reaching safe and sound, this last minute decision to feed another 700 people was well worth the inconvenience As expected the on ground difficulties included extreme heat (48-50C) and a fluid situation of refugees settlements and their needs forced us to improvise on the ground practically making us come up with a new strategy at every puzzle. Gladly we had the mettle to make this happen on the spot. The overall security situation was also a lot riskier then we faced last week, in Sukkur as we were one of the first people to arrive back then, the towns are now littered with rioters, professional con men posing as NGO’s as well as political misfits of every variety out to make a fast buck. By the grace of god I am happy to claim we negotiated the various pitfalls with success. We may have stumbled but we did not fall!! Our future plans are now being formulated and should revolve around supporting some genuine aid teams working on the ground in a long term basis augmenting with medical and rehabilitation requirements which we can possibly address
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PICTURES: Flood Relief Mission #2 to Shikarpur

Pictures from our Flood Relief mission to Shikarpur this weekend in conjunction with OffroadPakistan and SARelief.com [nggallery id=86]
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Pakistan Flood Relief: Field Notes from Doctors to Sukkur – Day 2

If there is anything the government should learn from this flood, it is to take education and women empowerment more seriously. The enormous task of taking care of so many IDPs iz only magnified many fold by lack of a good base. If these IDPs were a little better educated it would have been so much easier for the govt. to house them. How can a mother take care of 10-15 children? It is simply not possible. Corroborating Dr Nighats experience when told about family planning theyre responses were 'have you no fear of Allah' or 'our husbands want it-they beat us' Many females do understand but the men dont. A woman came to one of our camps today asking for birth control pills an amazing happening, to our shame- we had none with us - I wonder if medical teams should carry IM depoprovera-council them and administer? We went to 3 camps today All of them were tent villages Need to refunctionalize the schools We saw suspected cases of Malaria and Typhoid today -this may be the next major problem.  Conjunctivitis and skin infections account for a great proportion of the complaints. At times these occur simultaneously in the same child.  We went to an army camp today too. It waz well managed, organized clean and ppl were well provided for-all except medical treatment On the way to Sukkur a mob attacked our pick up truck and stole many boxes of medicines -running alongside our moving vehicle.  People have accumulated along the sides of the highway between sukkur and khairpur- and I cannot curse enough people coming in big cars throwing stuff out of the windows- what are they thinking how is that helping anyone but their own conscious-they are creating serious problems We met with about 35 lady health care workers today for 2hours The training session based around teaching them to teach and ensure Feeling a greater need I thought it prudent to turn the training session into a motivational session- we talked interactively abt how they are so important and vital- how they save lives, I told them I respect them much to be working so well with such minimal compensation We learnt that they do not go to their duties- I hope our exchange atleast made them feel better abt themselves and motivated them to show up at work tomorrow Many changes are needed- at all levels, the health system 4rm the basic level to the tertiary level is in shambles- this will not change because of a flood I am confused about training other LHWs here and in sukkur- is it worth it? If they go to every camp it would be but that wont happen There are almost 1500 of them in sukkur and khairpur but why they cant go to the 280 camps is a mathetical conundrum stressing the benefits of handwashing with soap multiple times brought us a promise of adding a bar to their rations. Speaking of rations we learnt the world food program's rations consist of wheat and oil - thats it! -I wonder how retarded can one be 'oh the staple food of pakistan iz wheat so giving them just wheat would be enough' Meds in need are Tomorrow we go to kodgi I strongly maintain that the best thing that any disaster relief cell can do in a developing country is education and women empowerment Regards Syed Nabeel Zafar MBBS, MPH Instructor (Research) Department of General Surgery Aga Khan University.
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Flood Relief Mission 2 – Live Tracking & Tweeting

As customary to our Relief trips to the flooded areas, Faisal Kapadia and I will be live GPS tracking and Live Tweeting all along the way. Our plan is to depart Karachi on the morning of Sunday 22nd August accompany a convoy of 8 relief good trucks, be joined by 7-8 accompanying vehicles with around 25 odd volunteers to head to Shikarpur. We hope to offload all the goods in a secure warehouse in Shikarpur and from there strategically disburse the relief to deserved people in the area. As different from the previous CoverItLive we launched last time, our emphasis is to concentrate / share tweets from only the people taking part in this particular mission and the readers will not be bothered or overwhelmed by the other twitter chatter. GPS Tracking will be maintained for record sake, to be transmitted every 5-10 minutes from our phones GPS tracking powered by InstaMapper.com
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Pakistan Flood Relief: Field Notes from Doctors to District Khairpur – Day 1

Dr. Nighat Shah's brief about our trip: Khairpur at this moment is housing huge bulk of displaced people from Larkana, Jacobabad, Shikarpur, and many smaller villages like thul, ghouspur etc. The registered displaced people are more than 50,000. Around 120 camps are housing people in small clusters. These range from 250-300 people in smaller schools to 5000-8000 in bigger schools. In all camps, the majority is of children and the  statistics are mind boggling! In a camp at Ghari Mori, district Khairpur,  housing 280 people, there were 44 men, 67 women and 169 children. Almost all children are sick, ranging from stunted growth, severe malnourishment, diarrhoea and skin problems. Almost all women are anemic, weak, malnourished, perpetually pregnant or breast feeding, and the sad part is that there is no milk but the baby is still latched, always! More than 20-25 percent are pregnant. Brief review of our activities- Day 1 As a team comprising of a retired pediatrician (working at SOS villages), a local gynecologist / obstetrician, 2 soon to be graduates from AKU and I, a recent Masters in Public Health graduate from Harvard and an instructor in the Dept. of General Surgery, AKU, Karachi, visited displaced peoples camps in District Khairpur. We left around 7 a.m. for the visit but worked early in the morning to organize the medicines available in boxes so prescription would be faster. The hospitality of our hosts is of tremendous. I had to have two cups of tea in the morning (that is more than I drink in a year :-). They do not let you work until you are well provided for and do not stop asking you to drink up and eat up. Our first stop was the APWA school where around 400 people mostly from Thul are housed. It was nice to see displaced people having shelter from rain and the hot weather and a place to rest. The schools have lots of open space so the camps are not very congested. However, this is coming at the cost of education of the local children. Schools are closed. I hope alternate efforts are planned - The IDPs are not suiting the schools well and the furniture and facilities are taking a toll. There were no toilet facilities available - the school's toilet was clogged so the openess of the grounds was being used as a substitute. Upon inquiry we found out that sanitation work is underway and they just havent reached this school yet. Yes, we saw pit latreens in all of the other places we visited today. It was also nice to see that handpumps were being constructed - almost all of the camps we visited had them. How potable that water is something requiring thought. We plan on taking a few samples with us back to khi to be tested - we have to keep in mind the arsenic incident in Bangladesh. But atleast that water is fit for washing and showering and we did see lots of showering as we went along. The problem was the choice of place to construct the hand pump - it was not rare to see water having standing on the ground. No drainage was thought of while contructing these - we provided these observations to authorities who instructed those planting these pumps to do something about the standing water. Standing water is an issue that needs to be taken care of urgently. This camp was clean, the headmistress was paying the kids to clean up - but the garbage was being collected at one place in a heap - no city truck ever came to take this away - and as is the garbage disposal system of most of Pakistan - this garbage was scheduled to be burnt. As mentioned before - problems are not only due to the flood - but the baseline itself is a low health state. We divided ourself in two teams and began seeing all kinds of patients - women , children and men. I was surprised to see that even the men were so anemic - women and children always are, this is the first time I saw such a high proportion of men being anemic. Gastroenteritis, skin conditions (scabies, impitigo, fungals) were expectedly quite common. There was high volume of URTI and LRTI prescriptions were mostly, amox, cipro, ORS, vitamins, benzylbenzoate, FeSO4. However, a feeling of helplessness was frequently encountered when we encounter patients with epilepsy, angina, Colon Ca (most likely), Nephrotic (most likely), Hypertension. What does one do about these patients in a camp? we tried sending them to hospitals but common complaints were, 'they prescribe meds that we cannot afford', ' we cannot affort tests', 'doctors are never available', 'doctors do not treat us'. Some of these complaints are not appropriate. Many had cannulas in their hands, meaning they were going to hospitals regularly and receiving IV fluids - sent back to the camps for the night to return the next day (not an ideal way to deal with things - but a good way to deal with the high volume of patients and lack of resources). The teachers of the school were a huge force - educated women who understood and spoke Urdu. They were coming  everyday on duty, however, they were not doing much. We encouraged them to teach the children running about (atleast teach poems etc.) We encouraged them enforce handwashing, general hygeine and cleanliness. They are definitely a force to be utilized in the right way - dispensing ORS and maybe vaccination? Of mention is a vaccinator who was idly sitting at the school. We asked her to administer polio to all children and TT to all pregnant women (she actually had those vaccines), but her reply was, 'but they are pregnant' to the TT request. We explained to her what she can do - her response was 'acha'. I hope she does some vaccinations tomorrow (she needs to bring the shots from storage). Our next stop was Salimabad. The condition there was terrible. Almost 50% of the displaced people there had watery diarrhea. We sent two patients immediately to the hospital in our ambulance. In one of the rooms was a dead body of a 20 year old female who died of watery stools. She had died in the morning. They were around 250  people and had been staying there for 10 days. What is this besides cholera? I certainly fear more deaths will occur here. Our treatment was based on IMCI - ciproflox for 3 days and ORS. We immediately got them to fill three water coolers (half of what they had) and filled these with ORS. We adviced everyone with diarrhea to immediately drink plenty from those coolers. ORS is life saving in these situations! Handwashing with soap was emphasized. We heard of another neonatal death in another one of the camps. Of note: In this camp there was no one incharge - these people were just brought here and left on their own - there was no one there to look after them, but it seems like they were supplied with water and food. There were pit latrines made by UNICEF, however, feces was piled in these pit latrines. The people of camp said that someone used to come everyday to maintain this latrines but after a 'foreigner' came and looked at them no one has come back even once. The last visit was 5 days ago. An appeal to those deploying the pit latrins. Please educate people on how to use them and maintain them - the latrines are really good and are an amazing help but that benefit is severely stunted if feces is lying open to the millions of flies buzzing around. From there on we went from camp to camp repeating the same. Taking a look at water sanitation and hygeine and seeing if we could do something, treating patients, educating on handwashing with soap and improving health and hygiene awareness. We have brought soap with us and will be distributing it tomorrow. We understood the issue of intestinal worms is an endemic problem , however we had no medicines for that purpose. Instead of asking about we thought we would buy Albendazole and give stat doses to everyone we enounter. We aim to deworm all camps. Many organizations are setting up medical camps in various camps - we faced a bit of disorganization today and some time was wasted in looking for camps without doctors. We are meeting with the EDO health tonight and hope to resolve this issue and make full use of available resources What is needed: Education material Health and Hygiene workers (more important than doctors at the moment.) Note: there is not much need of doctors in the camps at the moment. But local hospitals are understaffed and in need of trained personnel and equipment. There are many many lessons to be learnt from Bangladesh. We should make use of the experience, expertise and material available there. Food was not a problem in the camps we visited today. Although they found the food too spicy. But there are a number of people in tents (not schools). They crowded around us expecting food. They had been left there with no one to supervise them. The local government is extending us great support and we also crossed paths with high officials in the field a number of times who were doing visits and trying to solve the numerous problems. Signing out for today Syed Nabeel Zafar MBBS, MPH Instructor (Research) Department of General Surgery Aga Khan University.
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Pakistan Flood Relief: Notes from Kot Addu and Sukkur

Both Awab and I recently went on separate trips to Kot Addu and Sukkur, into just some of the areas affected by the flood. I think that by now, the scale of the disaster is hitting people- even Ban Ki Moon’s statement sent everyone scurrying for ideas and strategies to deal with the flood. The food relief truck I went with was organized by Saad Sarfraz Sheikh, an inspiring photographer and friend, who pulled in food through donations, and had someone arrange for a truck to transport it all to Kot Addu. I must also mention that even now, Saad’s father remains trapped at the PARCO refinery in the Kot Addu area. I realize that we’re going through the greatest natural disaster that we’ve gone through- ever, and what’s more important, is that the world is realizing this as well. Rather than going into the usual analysis-paralysis of why the floods were so bad this year, or why the politicians are so indifferent, this article candidly shares what Awab and I have learned from our short trips into the field (Awab is more experienced with relief work, since he also helped out with earthquake and army-operation refugees earlier). I’m also cowriting this with him so that we share experiences from different affected floodzones. If you are working in Balochistan or Khyber Pakhtunwa or any of the many, many regions that we aren’t please get in touch or just write your thoughts out as a comment. No time for formalities here. Normally, a social worker would write this, but I wanted us, normal people with no training, to put out thoughts together on what worked, and what didn’t work based on our experiences. Why? Because the majority of Pakistanis who can help- are average people like Awab, Saad, myself and you. NOTES/ OBSERVATIONS Khurram Siddiqi: Kot Addu Awab Alvi : Sukkur In closing, if you’d like to help out or contribute to the efforts, here are the next trips planned by Saad, and Awab: ____________________________________________________________________________ Saad Sarfraz Sheikh Targeting 100 families this time, I’ve used up all my funds, but still need the following quantities to accomplish the task… You can either donate these items or fund them by transferring money to my account… Total cost: 93,687 More of Saad’s details: Drop stuff at 72-FCC, Gulberg 4, anytime before 6pm. If you put an assortment of goods in a bag, kindly attach a list so that we can distribute equally. Contact me (Khurram) if you need his bank details- he will be needing money as well. ____________________________________________________________________________ Awab Alvi is also embarking on a Second Rescue Mission read more in detail here MEDIA Some pictures from the trips: Kot Addu: http://picasaweb.google.com/ksiddiqi/FloodRelief# Sukkur: http://teeth.com.pk/blog/2010/08/17/pictures-offroadpakistan-takes-flood-relief-to-sukkur Some videos from the Kot Addu trip: [youtube]http://www.youtube.com/watch?v=1fT1XAz4HJU[/youtube] [youtube]http://www.youtube.com/watch?v=nwwxsTEHarM[/youtube] [youtube]http://www.youtube.com/watch?v=Wcm3hKB1zFA[/youtube]
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Relief Cannot Wait – Flood Relief Mission 2 – this weekend

With a very heavy heart I write this blog post urging for immediate suport for the flood relief victims. We have been receiving word from many sources that there is dire need for food relief in the disaster stricken areas people may possibly be dying while we sit comfortably in our homes enjoying those lavish iftaris. With 20 million poeple suffering from the disaster we simply cannot wait for International donor agencie to suddenly wake up and come running, they simply are not too concerned the political leadership PPP despite being in power has zero presence in this region and all feudal lords are busy protecting their own lands while the rest can go to hell. This last week a group of friends from OffroadPakistan and MotorSports Club of Pakistan embarked upon a relief mission to Sukkur, One team setup a small tent city of about 50 odd tents provided them with food and water, while the remaining hampers were distributed in and around the disaster area. Another team took the step to head towards Kashmore with about 1800 food hampers, went door to door and they got a first hand glimpse of what hunger and starvation has done to these dislocated people. Frantic requests have come forth to come now not later, and to come repeatedly, have emerged from all these areas, whatever we do, is at best a small drop, but help nevertheless to hopefully save our people. OffroadPakistan was envisioning a longer planned approach with the establishment of a tent city to the likes of over 500 tents housing 5000 people with total logistical support for the next 3 months. With the repeated pleas for help, it has compelled us not to sit back and plan, but to delivery NOW targeting remote locations where aid has not reached, being offroading enthusiasts we need to push the envelop to go further and deeper. So hence forth launches the effort for our second relief mission this weekend Saturday we depart and with the hope to return Monday evening if not sooner. To plan for this sudden trip we have some donations left over from last week which can be diverted to acquiring one truck of food hampers [600 from makro, we have commitment for a truck of bread [Papay]. We are issuing an urgent call for donation, the best way is to donate cash to me personally [23-B Sindhi Muslim Society] alternatively you can arrange for goods in-kind but preferably in pre-packaged hampers [which should be ready to depart on Friday night] as usual the entire trip will be documented via Twitter, GPS and Facebook, so everyone will have live updates of where we are and what we are doing. Step up NOW, pakistan simply cannot wait
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PICTURES: OffroadPakistan takes Flood Relief to Sukkur

Offroadpakistan in conjunction with MotorSports Club of Pakistan and SARelief we embarked upon a relief mission to Sukkur. Offroadpakistan took charge of three trucks and distributed the goods by establishing a tent city on the outskirts of Sukkur while the MotorSports Club of Pakistan went ahead to Kashmore to distribute the remaining three trucks. Pictures from the offroad team is included here [nggallery id=84]
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Flood Relief Drive to Sindh – Live Tracking

It seems we are finally off on our mission to provide relief to the flood affected region in Sukkur, Sindh. The OffroadPakistan has collected some significant funding for taking 6 trucks of relief good valued at more then Rs. 2.4 Million - four trucks of standardized basic food valued at Rs. 16,80,000, one truck containing a mixture of food hampers acquired from Makro at a cost of Rs. 4,43,585 and the sixth truck laden with tents and water bottles valued at Rs. 6,75,000. We are also trucking 250 1-kg tin cans of read-to-eat biryani generously donated by a friend of ours. We are not taking any medicine, but hope to concentrate on a medical relief later. The cost of trucking is approximately Rs. 25,000 per truck and im sure there shall be incidentals in between for this transportation process IIt must be remembered that all this is the effort of quite a lot of people and the generous contribution of Pakistanis wanting to help their fellow citizens who are suffering in these devastated areas. We as representatives of OffroadPakistan are headed towards Sukkur hoping to distribute three trucks there while our friends at MotorSports Club of Pakistan shall accompany three trucks with an attempt to approach Jacobabad and hope to disburse it there. Our plans are that we do plan for a phase 2 of the relief effort which we hope shall be a larger and grander push, this first trip shall serve as a reconnaissance trip for the bigger push in 10-12 days after this. With so much of confusion in the area we are hoping to do our best, to keep track of our progress I have installed a GPS tracker on my Blackberry which will transmit our location every 60 seconds, it will be a drain on the battery but it shall remain on as long as Mobilink service supports GPRS in the area. @FaisalKapadia and I [@DrAwab] will be feverishly tweeting along the trip and taking abundant pictures. We hope to make this a total digitally monitored relief trip. We shall be exclusively using the #PkField & PkOprel hashtag for sharing our progress from Karachi to Sukkur <a href="http://www.coveritlive.com/mobile.php/option=com_mobile/task=viewaltcast/altcast_code=ff70ee95e5" mce_href="http://www.coveritlive.com/mobile.php/option=com_mobile/task=viewaltcast/altcast_code=ff70ee95e5" >Flood Relief to Sindh #PkRelief</a>
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Flood Relief Incident Reporting goes Live

The past seven days Faisal Chohan a TEDFellow has been feverishly working to establish an incident reporting website at http://pakrelief.crowdmap.com/ to monitor the flooding situation in Pakistan. This is technically a Ushahidi platform connected to an SMS shortcode allowing people with cell phones to give live updates of issue on the ground. Ideally this incident reporting portal should then be used by humanitarian relief organizations to adequately divert resources where needed. To submit an incident all you need to do is sto end message Type FL “Your needs/ situation/emergency” and send it to FL 3441. It will cost the user Rs. 2.00 per message. You can also send the report to pkfloods@gmail.com or fill out this incident reporting form on the website. After proper verification of the incident which may even mean calling the incident reporter back it shall be shared with the world. Read more about his effort at the TED Fellows Blog. He is slowly ironing out the bugs with tremendous cooperation from the International community of technologists and an amazing team on the ground in Pakistan.
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Op-Ed: Managing the Disaster Managers

One often wonders how a country run by a bunch of total lunatics can be expected to perform a reasonable job when confronted with a natural disaster. It may be a harsh generalisation, but Pakistan suffers far more seriously at the hands of bureaucratic pencil-pushers during natural disasters, while millions of Good Samaritans chip in to provide relief in a far more organised and generous way than the very people they have voted into power. In recent times, we have had our fair share of natural and man-made disasters and each has left a lasting scar. By the grace of God we have somehow managed to pull through, but I often wonder if we had been better prepared would we have been able to save even one more life from the hundreds that lay at our feet? In the aftermath of the 2005 earthquake, the National Disaster Management Authority (NDMA) was formed by a constitutional amendment. The initiative, setting up a federal body deputed to coordinate all stakeholders in an attempt to implement a national and provincial strategy on better ways to manage, fund, organise, stockpile and train first-responders, was a step in the right direction. In an ideal set-up, the first-responders would have been a well-rehearsed team micromanaging any eventuality at the district level. Slowly, the provinces would step in to manage the calamity at a macro level, leaving the national body to attend to larger issues. The disaster management team should have been well-oiled administratively and trained strategically towards effectively saving lives in the times of disaster. Ever since its inception, the NDMA may have at best had a brief dream of coming up with a national policy for calamities. But, in turn, it was greeted with a Pandora’s box of bureaucratic red-tape across the board. A retired lieutenant-general headed the organisation and was viewed suspiciously by the provinces as part of the Musharraf lobby. For this reason, the provinces did not support and accept the NDMA and instead chose to fend for themselves. Punjab, for example, insisted on implementing their own Emergencies Act of 1952 and proceeded to form the 1122 emergency service unit which, while a brilliantly run service, does not come under the jurisdiction of the national body. Herein starts the cobweb of nightmares that prevent the effective operation of a national disaster response unit. The lack of interest in coordinating with the national body lead to the provinces managing calamities on their own, creating ad-hoc crisis management cells entrusted to save lives. These cells were unprepared and adopted a do-the-best-you-can approach. It’s interesting that the vigilant public has more or less seen through this disorganisation and has taken proactive measures to do their own part trying to overcome the shortfall, though these efforts, despite being well-intentioned, lacked coordination on a macro level. This left some areas well looked after, but far flung regions were ignored and left at the mercy of lacklustre government response. With such an incoherent disaster management framework, there needs to be a serious effort to fix the problems from the core. If such bureaucratic red-tape is impossible to dissolve then, for the sake of the millions of Pakistanis, it might be best to create an independent consortium of various important stakeholders, including key figures from civil society, and entrust them with the management of future disasters. Disaster management is a science that enables you to be better prepared and the more rehearsed your team is, the better its chances that it will save lives. In the chaos that ensues after a calamity, a well-rehearsed team can be the difference saving or losing a live. Published in The Express Tribune, August 11th, 2010.
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Some thoughts into Planning for the Flood Relief in Sindh

Over the past two days our team of volunteers at Motorsports Club of Pakistan and the OffroadPakistan have been in some intense discussion on what might be the best course of action. We have been busy raising funds locally and commitments have reached to a tune of close to Rs. 2.5 million. The online drive at SARelief has touched $2278 from a few generous donors, as the message spreads im sure this easy PayPal payment option, so close to the Islamic month of Ramadan will most likely get a considerable level of funding for the devastation in Pakistan. Flood has started to reach Sindh from the last two days, the winding Indus river which curves and twists across Sindh is likely to significantly change the terrain for a long time to come, it is anticipated that with the immense pressure of the water it is definite that the water will overrun the pre charted course of the Indus River and alter its embankments cutting a new course towards the sea spreading its wings wide across the plains of Sindh in its due course. A few major concerns do remain, the question that lurks in the minds of many, will the barrages hold up. It seems the Sukkur barrage is as of now holding strong, credit can be equated to calculated and unplanned rupture of a few embankments upstream which have helped soften the pressure of the main flood, these leaks will continue to seep the pressure and lessen the impact in sindh, sadly it also does mean more flooding in the affected areas. The most damage is happening in many low lying areas or the katcha villages, the population that inhabited these areas was forewarned and has been able to scamper towards safety meaning minimal loss of human life as seen in the Pakhtoonkhwa region where the poor folks never expected these floods, The devastation of property and crops will be exorbitantly high all across the country. There are reports that the Government of Pakistan has provided these disaster area with sufficient funds for evacuation and basic support, some of the nazims, MPAs and MNAs have utilize the funds judiciously and these areas are fortunate to be faring well, but quite a large area of Sindh lies at the hand of corrupt leaders and feudalz who chose to siphon off the disaster relief into their own pockets, these localities are mostly suffering it is also being reported that it is these areas where the screams for aid is the largest. Its sad that even at times of disaster the corrupt are heartless even in such a situation. Another concern that has come to light from a few strategic planners is to monitor the situation as the flood finally makes its way into the Arabian Sea, the mere mammoth amount of flood water colliding with the ocean will create a backlash, with high tide coming in there are good chances that the area surrounding areas will be inundated for example Keti Bunder, which are large plains at sea level will be at best drowned, Karachi is too far to be threatened but the marsh areas near the mouth of the Indus will be bad There are various concerns with taking relief deep into Sindh, firstly one must asses the vehicular traffic going up north as two highways serve Sindh, Indus and the National Highway. The proximity of the Indus River to both must be monitored with care, the looping Indus River might wash away some major sections of the highway making the areas beyond it inaccessible. The road beyond Sukkur is already inaccessibly meaning Kashmore, Gothki and Shikarpur are already cut away from Karachi, as the flood flows southward more regions are to be affected hence impacting the delivery of relief goods and volunteer transportation, we would not like to risk the noble effort but accidentally creating more of a mess. The flooding will generally subside in 10-12 days, though Sukkur barrage still awaits one major push of water which is expected to hit the area in few days, after which water levels will go down. The displaced people who have run to high ground with bare minimal belongings in tow will return after the flooding reduces and then hope to rebuild their homes At the moment these refugees need cooked food, as there is no wood and shortage of eatables, if relief agencies plan then a kitchen is one best sought after relief, manning this for 10-12 days cooking 2 meals a day of rice and daal, one only needs a dependable volunteer commitment and decent logistical support, security I am told will be provided by the local administration as there is a definite chance of stampede at each meal. The flood affected people also need medical assistance, snake bites, mosquitoes, and relief from other water borne diseases. It has been repeatedly suggested not to over burden these people with other relief goods while they are in temporary shelter as in a few days they will return, if they are showered with large quantities of relief rations it will be next to impossible for them to carry it all back, in these days the greed of stockpiling will overcome the actual needs of these poor dislocated people. Opportune time for relief goods, building material and other essential items can be strategically sent 10-12 days later when they are closer to their houses Our effort with the Motorsports Club of Pakistan is to send out a scouting team with some minimal aid to evaluate and help the needy in whatever way possible, mostly medical assistance, return safely with sufficient information to plan for the larger push 10 odd days later after the flood has subsided and the roads are capable of transporting relief trucks up into deeper areas of Sindh. It is expected that Faisal Kapadia and I [Awab Alvi] along with a few more friends cram into 3-4 offroad vehicles to embark on the scouting trip into sindh for 2-3 days, where then we can better gauge the impact of flood in the region. I hope to keep everyone posted as more information becomes available with time . PS- This post has been a summary of the abundant discussion we have had over the past two days in planning for the Flood Relief effort to Sindh, if I am mistaken at a certain point or if I am wrong to have reached a certain conclusion then please correct me, my attempt is to share all the information as best as I have understood
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Pakistan Flood Relief Campaign – Donate Generously

The earthquake's that have hit Pakistan in 2005 and 2008  were regarded as the worst tragedy for the nation. Few have realized that the recent floods have in fact caused more damage then those earthquake's did. As per latest reports official figures stand at 1600 dead and 12 million left homeless. The Monsoon rains began  two weeks ago and have washed away roads, bridges and communications lines, hampering rescue efforts by aid organizations and the government. The downpours have grounded many aircraft trying to rescue people and ferry aid, including six helicopters manned by US troops on secondment from Afghanistan. Currently 30,000 Pakistan Army troops are busy in rescue and relief efforts. Where as  the Earthquake of 2005 and 2008 and the IDP crisis were devastating,  unlike the Flooding they were contained within a geographic area. Flooding has been reported  from Kyhber-Pakthunkwa all they way down to Southern Punjab and  Sindh. There is only so much the government and the armed forces can do in the face of such a massive disaster and so we as citizens have undertaken the mantle of trying to add our little drop to the ocean To that end, we have decided to take up relief efforts to the areas of Sindh in an attempt to help bring relief to the suffering. The idea is initially to partner with a team of who is willing to take the relief goods up. We hope to launch such an intiative with Motorsports Club of Pakistan and our very own OffroadPakistan group to some part of Sindh and personally deliver the goods there. To help our international donors we have partnered with SA Relief operating under the aiegus of Paksef a US Tax-deductible 501(c)(3) NGO registered in California to enable our US based well wishers to contribute to the relief via Chipin and Paypal The online collection is slated to run through out Ramazan to tap into the generous Zakat giving ability of Muslims around the world, ideally this would mean two missions, one from the cash funds collected personally in Karachi while the second mission will utilize the generous contribution from online donations. It is my personal promise that all funds collected will be disbursed off in a total transparent manner as possible, all recipts and travel expenditures will be posted online for the world to see. Like the IDP Relief effort we did in 2009 here, here Donations can be made directly into Behbood Association Karachiaccount at Standard Chartered in Karachi. A/C#08-2315386-01 [PakRs] Swift Code SCBLPKKXXX or even online on the widget provided above which is processed via Paypal and these online contributions are being collected by PAKISTAN SCIENCE & ENGINEERING FOUNDATION a 501(c)(3) registered California based not-for-profit organization, EIN# 20-2950808. For info contact: info@paksef.org.
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