At least nine more people have died from water-borne diseases in flood-hit areas of Pakistan, officials said on Tuesday, warning they risked losing control of the spread of infections in a crisis that UNICEF described as "beyond bleak".
An intense and long monsoon dumped around three times as much rain on Pakistan than on average in recent weeks, causing major flooding which killed 1,559 people, including 551 children and 318 women, according to the disaster management agency.
This figure does not include those killed by disease in the aftermath.
Hundreds of thousands of people displaced by the floods are living in the open and as flood waters spread over hundreds of kilometres start to recede, which officials say may take two to six months, stagnant waters have led to diseases like malaria, dengue fever, skin and eye infections and acute diarrhoea.
"There is already the diseases outbreak," said Ahsan Iqbal, Pakistan's planning minister, who is also the head of a national flood response centre jointly run by the government and the military.
"We fear it may get out of control," he told a news conference in Islamabad.
The World Health Organization (WHO) has said the surge in diseases has the potential for a "second disaster".
In Sindh, the region worst hit by the floods, the provincial government said nine people died of gastroenteritis, acute diarrhoea and suspected malaria on Monday, bringing the total number of deaths from diseases to 318 since July 1.
Over 2.7 million people have been treated for water-borne diseases at makeshift or mobile hospitals set up in flood-hit regions since July 1, it said, with 72,000 people treated at these facilities on Monday alone.
Three other provinces have also reported thousands of disease cases.
The influx has overwhelmed Pakistan's already weak health system. Sindh provincial government has said that over 1,200 medical facilities were still marooned in flood water.
Malaria and diarrhoea are spreading fast, said Moinuddin Siddique, director at the Abdullah Shah Institute of Health Sciences at Sehwan city, which is surrounded by the flood waters. "We're overwhelmed," he told Reuters.
At the news conference, planning minister Iqbal appealed to the affluent members of society to come forward to help the flood relief efforts, and asked medical volunteers to join hands with the government.
He appealed for two million nutrition packs for mothers who are expecting and new born babies, saying the government was setting up more mobile hospitals and clinics in the affected areas.
Record monsoon rains and glacial melt in northern Pakistan triggered the flooding that has impacted nearly 33 million people in the South Asian nation of 220 million, sweeping away homes, crops, bridges, roads and livestock in damages estimated at $30 billion. Scientists say the disaster was exacerbated by climate change.
The government says GDP growth is likely drop to 3% from a previous estimate of 5% for the 2022-23 financial year.
UNICEF has termed the situation of the families "beyond bleak."
It says an estimated 16 million children have been impacted, and at least 3.4 million girls and boys remain in need of immediate, lifesaving support.
Gerida Birukila, the UNICEF Pakistan Chief field Officer in southwestern Balochistan province, described the situation "utterly heartbreaking."
The children were surrounded by pools of stagnant water poisoned with fertilizers and faeces and swarming with diseases and viruses, sometimes meters away from where they sleep, she told a news briefing in Geneva on Tuesday, according to a statement.
"Many families have no alternative but to drink the disease-ridden water," she said, adding, "Everywhere we go, we see desperation and despair growing."
Actor Angelina Jolie arrived in Pakistan on Tuesday, said deputy commissioner Murtaza Ali Shah, adding she visited flood victims in Dadu district in southern Pakistan.
Jolie visited Pakistan after deadly flooding in 2010.