VoH Report
HUNZA, Nasirabad: The body of deceased is kept on ground in front of people before burial. Image by: Shams
VoH Report
the capital of Gilgit-Baltistan is currently under the wave of terror. According to the media reports, region was hardly able manage to get out of hurdles inflicted by floods that destroyed links for three weeks, fresh wave of sectarian violence has posed lives of common man on stake. Unknown assailants reportedly killed two persons in Khomer locality and one sustain injuries, plunging city into fear and uncertainties. Law enforcement agencies including army have been called in to control situation. Pillion riding is prohibited and curfew has been imposed to avert any further mishap and restore law and order situation in violence hit areas like Kashrote, Khomer, and Nagheral in the city.
An intense gun battle that ensued between the two sides following an attack on a vehicle at Yadgar Chowk the whole city fell into hand of culprits for many hours on Wednesday too. Following a high level meeting, presided by Interior Minister Rehman Malik and Chief Minister Syed Mehdi Shah, authorities decided to impose curfew and issued shoot to kill at sight door to door search operations in the city.
In spite of vigilance of law enforcement agencies, successive incident at different vicinities have increased anxiety of citizens who have been confined to their residences during curfew. Humanitarian organizations have demanded of government to give ease for few hours to public to allow them to buy the necessities of life.
Monitoring Report
Gilani when informed that the area had only ten days more of wheat left, assured that the government would ensure supply of wheat to the area. Accompanied by Ministers of Information Qamar Zaman Kaira, Water and Power Raja Pervaiz Ashraf, Law Babar Awan, Communications Arbab Alamgir Khan and Chairman Pakistan Baitul Maal Zamurrad Khan, Gilani later went to visit Ganche and Diamir, to see for himself the devastation. Prime Minister Gilani met Chief Operating Manager of World Health Organisation Dr Altaf Musani while on his way to Gilgit from Islamabad, and assured that the organisation would do all to counter any epidemic in the flood affected areas, The Nation Reports.
Monitoring desk
NDAR VILLAGE, Ghizer, Aug 23 (APP): Prime Minister Syed Yusuf Raza Gilani had an aerial view of the flood affected areas of District Ghizer in Gilgit Baltistan on Monday and extended full support of the federal government to the rain and flood affected people.Gilani visited the Hundar village in District Ghizer and paid his respects at the grave of Lalak Jan Shaheed by laying a wreath.He was accompanied by Ministers of Information Qamar Zaman Kaira, Water and Power Raja Pervaiz Ashraf, Law Babar Awan and Communications Arbab Alamgir Khan, and Chairman of Pakistan Baitul Maal Zamurrad Khan. He later went around a medical relief camp set up for flood affected people of Ghizer by District Support Unit in coordination with Peoples Primary Health Care Initiative (PPHI). Addressing a gathering, Prime Minister Gilani assured rebuilding and reconstruction of destroyed infrastructure, including roads, bridges, schools and other facilities. He said the people of Ghizer always supported the political philosophy and policies of Shaheed Zulfiqar Ali Bhutto and Benazir Bhutto and said the government would not leave them alone in this hour of trial. The Prime Minister said he had come to express solidarity with the people affected by floods and share their grief at this difficult time. He accepted all demands of the displaced people and directed the authorities not to dislodge them from the relief camps and schools and make some alternate arrangements for the students of this school. Gilani said he was aware of the food availability problem in the area and had given money to the Chief Minister so that he might get essential food supplies. The Prime Minister also talked to some children and women and listened to their problems. Chief Minister Mehdi Shah hailed Gilani as a leader following the foot prints of Shaheed Zulfiqar Ali Bhutto and Benazir Bhutto and visiting far flung areas to address the problems of people. He said Ghizer was a stronghold of PPP and can be termed as Larkana of Gilgit-Baltistan.
HUNZA, GOJAL, Gulmit: The two boats that collided with each other following a rift between its operators are being brought to Gulmit Police station for endangering lives of dozens of people on board. Photo by: Shams
Two hours later, the rift among both resulted into collision of boats coming from opposite directions. Nasir Ahmed, a resident of Gulmit told VoH that when the boats came in closed to Gulmit, the tehsil headquarter of Gojal, Upper Hunza; one of the operator brought his boat suddenly in front of other heading towards barrier, exchanged hot words immediately, collided into another and those on deck fell on the its floor. Fortunately, neither of the boat overturned in the incident. Annoyed travelers tried to teach lesson to the operators. Yet, elders on the occasion intervened and both the operators were handed over to police after filing an FIR for jeopardizing lives of people on board.
Locals have blamed local administration for taking huge amounts from boat owners and operators who let them loose to misbehave overcharge travelers. They have demanded of authorities to take action against some of the personnel of local administration filling their pockets through unfair means.
Vulnerable patients in Gilgit-Baltistan
BY: Dr.Emma Varley
VoH Watch
August 11 in the Labour Room at the Family wing of Gilgit Town’s District Headquarters Hospital (DHQ), Gilgit-Baltistan’s only tertiary-level referral hospital, a Lady Health Visitor (LHV) doubled-up in pain from stomach cramps while waiting to help deliver ‘Shaista’. The frightened young mother, expecting her first child, had been brought by her family to deliver at the DHQ from Shikyot, a 35-minute drive from Gilgit Town. Following the birth of a healthy baby girl, a Senior LHV stitched ‘Shaista’s’ episiotomy wound under the weak light of a cell phone held by a trainee midwife. Without electricity or overhead fans, the room was darkened and stifling; two small curtained windows were open to catch what was only a light summer breeze.
Many of the DHQ’s Family Wing staff complained that, due to contaminated drinking water, they are falling ill with dysentery. They added that, as a result of a total lack of in-town electricity and running water, they are also unable to clean the Labour Room or adequately sterilize surgical instruments. The Labour Room’s one small autoclave is now non-operational so, between patients, the DHQ’s Lady Health Visitors resort to bathing instruments in a sterilising solution of Biodine. Attending staff attempt to offset the potential for postpartum infections by living prescriptions for antibiotics to every patient. However, in light of high regional rates of Hepatitis, the risks facing delivering mothers and attending staff at the under-equipped DHQ are now significantly amplified. Because no generator is available to supply power to the Family Wing’s Operation Theater, delivery patients are being shifted by the hospital’s one working ambulance to the DHQ’s primary Operation Theater, a short drive down the road from the Family Wing. Women arriving at the hospital during the overnight shift are being delivered by candle-light.
In the ante-natal and postpartum suites adjacent to the Labour Room, flies circled over beds covered by soiled and wrinkled sheets. Without water or power, the beds had not been changed in over a week. In between patients on what turned out to be an unusually busy day, the Labour Room staff spoke emotionally about the challenges they face while handling numerous complicated delivery cases over extended shifts in the total absence of basic necessities. Given nearly non-existent supplies of diesel and petrol and a shortage of public transportation, they also shared the difficulties they experience trying to reach the DHQ from in-town mohallas and the villages surrounding Gilgit’s outskirts. Some also personally recounted the troubles posed by the recent crisis. Speaking to me from a patient’s bedside in the postpartum recovery room, a dayah (midwife), her eyes red from exhaustion, recounted how her family has recently lost most of their agricultural fields to a surge of floodwater in Nomal, a village above the Hunza River a short drive to the north of Gilgit.
Following the start of rains yet again today, the situation at the DHQ continues to deteriorate. With Gilgit-Baltistan’s maternal Mortality ratio (MMR) already hovering somewhere between 250 and 600 per 100,000 live births – among the highest in Pakistan – one can only imagine how many women will lose their life to pregnancy or childbirth complications during these trying days. In the meantime, with the Karakoram Highway still blocked, the supplies necessary to ensure safe deliveries at the DHQ are quickly disappearing. The pressures placed on this hospital by the needs of an estimated 1.5 million residents – especially at a time when floods and landslides are directly and indirectly affecting hundreds of thousands throughout Gilgit-Baltistan – are profound. As of August 13, methergine (to prevent postpartum hemorrhage), ldomet (to treat hypertensive patients), buscopan (an antispasmodic), socigone (a painkiller), dextrose IVs and injectible antibiotics are not currently available and are urgently needed. Rahnuma-Family Planning Association of Pakistan’s Family Health Hospital which, after the DHQ, boasts the highest regional OB-GYN outpatient attendance rates, has closed as a result of acute supply shortages. And the Aga Khan Health Service’s Gilgit Medical Center, which had shifted from its original riverside location to the Family Health Hospital building in May due to the
impending threat posed by the Attabad dam, has also shut down. The only remaining maternity hospitals are the DHQ, which continues to suffer from no power and water, and the fully-operational Combined Military Hospital (CMH), where patient access is limited due to the comparatively high cost of its services. On a day ordinarily marked by festivities, and with streets free of traffic, this increasingly silent city demonstrated no signs of Jashn-e-Azadi celebrations. The flags and banners characteristic of previous years’ events were not to be seen.
Dr.Emma Varley is a Killam Post-Doctoral Fellow, Department of Bioethics (Dalhousie University) and a visiting professor, Dept of Humanities & Social Sciences (LUMS).
Source: Dawn

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