In Pakistan’s Sindh, rabies treatment faces unlikely adversary: traditional healers

A boy gestures beside stray dogs at the Edhi Animal Home on the outskirts of Karachi, Pakistan, on August 17, 2016. (AFP/File)
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Updated 17 June 2021
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In Pakistan’s Sindh, rabies treatment faces unlikely adversary: traditional healers

  • Hundreds die of rabies in Pakistan every year because families seek traditional healers instead of professional medical help
  • World Health Organization estimates about 500 to 5,000 people die of the virus in Pakistan each year

KARACHI: When Junaid Ahmed Khan was brought to Jinnah Postgraduate Medical Center (JPMC) in Karachi last week, he was suffering from high fever and delirium. 
Doctors diagnosed the 45-year-old with rabies and began treatment — but it was too late.
On Monday this week, Khan passed away.
Months had passed since he had been bitten by a stray dog — precious time his family wasted in seeking treatment from local faith healers and trying home remedies. 
Indeed, Khan is one of hundreds of people who die of rabies in Pakistan every year because families prefer to see traditional healers instead of visiting hospitals and getting anti-rabies vaccines in time, doctors in Karachi told Arab News this week.
Rabies is endemic in Pakistan, with human infections mostly due to dog bites. The World Health Organization estimates about 500 to 5,000 people die of the virus in Pakistan each year.
And while the Global Alliance for Rabies Control says more than 80,500 cases of dog bites are reported by basic health units across Pakistan annually, those managed by spiritual healers are not recorded. Doctors believe the real number of cases may be significantly higher.
“Seven patients brought to the hospital since the beginning of the year, including Khan, were not administered anti-rabies vaccines on time,” Jinnah Postgraduate Medical Center (JPMC) executive director, Dr. Seemi Jamali, told Arab News. 
“He was brought to us nearly three months after he was attacked by a stray dog,” she said. “When he first developed symptoms of rabies, his family took him to a faith healer instead of bringing him here.”
“People do not get timely treatment due to lack of awareness,” the doctor said, lamenting that patients often first tried home remedies like rubbing various substances like pepper and antimony into their wounds. 
Two hospitals in Karachi, the Indus Hospital and JPMC, have together already handled 8,500 dog bite cases since the beginning of the year.
“The figures provided by hospital authorities are just the tip of the iceberg,” Aftab Gohar, manager of the Rabies Prevention Center at the Indus Hospital in Karachi, said. 
He said at least four patients died at his hospital this year because it was too late to start treatment by the time they were brought in.
It was ignorance that mostly led to such incidents, Gohar said, as rabies treatment, although it costs about Rs12,500 ($80), was administered free of charge at many Karachi hospitals.
“In rural areas of the province, dog bite cases are not taken seriously, and people are mostly rushed to faith healers or shrines,” Gohar said, adding that cases were also mismanaged at local health centers. “Even if someone goes to a local hospital for dog bite treatment, some doctors and nurses are unaware of how to deal with the problem under the World Health Organization’s guidelines.”


Buttler keen for England to show their mettle at T20 World Cup

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Buttler keen for England to show their mettle at T20 World Cup

  • Buttler’s men went to the one-day international World Cup in India in October as double world champions but lost six of their nine matches
  • A four-match T20 series against Pakistan, whom they defeated in T20 World Cup final in Melbourne in 2022, starts at Headingley on Wednesday

LONDON: Jos Buttler wants his England team to show they are still a force to be reckoned with at the T20 World Cup after last year’s shambolic 50-over title defense left them with “dented” pride.
Buttler’s men went to the one-day international World Cup in India in October as double world champions but lost six of their nine matches to exit with a whimper.
A four-match Twenty20 series against Pakistan, the team they defeated in the T20 World Cup final in Melbourne in 2022, starts at Headingley on Wednesday.
Both teams will then travel to the tournament in the West Indies and United States.
Reflecting Tuesday on the impact of their poor showing in India, England captain Buttler said: “The pride was obviously dented and it was a really disappointing competition.
“But life moves on, it’s a chapter in the book and there’s lessons you learn but we’re presented with a new opportunity now, in a different format.
“We go to the West Indies and want to give a better account of ourselves. It’s a real honor to go to another World Cup as defending champions again but it also feels like a new time.”
Buttler was a key voice in England’s decision to pull all of their squad members back from the Indian Premier League to prepare as a collective.
The hard-hitting batsman said the IPL should not clash with international cricket.
“As England captain, my main priority is to be playing for England,” he said. “It’s really important for us to spend this time together.
“Leading into a World Cup, your number one is performing for England and it feels like this is the best preparation.
“But it’s my personal opinion there shouldn’t be any international cricket that clashes with the IPL — these games have been in the calendar a long time.”
Two of England’s 15-man squad are unavailable for the opening fixture in Leeds, with Liam Livingstone and Mark Wood both working through knee problems.
Paceman Jofra Archer will make his first England appearance for 14 months but Buttler said it was important not to expect too much from a bowler who has been plagued by injuries.
“We all know what a superstar he has been, but let’s manage those expectations,” he said. “Don’t expect too much, too soon.
“A great success would be him coming through this series with a big smile on his face and his body holding up.”
There are questions over Buttler’s own availability in the coming days, with his wife Louise expecting the couple’s third child.
The vastly experienced Moeen Ali stands by to take the reins if required.
“My family comes first. I’ll be at the birth,” Buttler said. “I don’t think they quite tell you when they’re going to come, but we’ve got a plan in place and fingers crossed everything will go well.”
England launch the defense of their T20 World Cup crown on June 4 against Scotland in Barbados.


Journalists, activists decry ‘draconian’ Punjab defamation law aimed at regulating social media

Updated 16 min 2 sec ago
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Journalists, activists decry ‘draconian’ Punjab defamation law aimed at regulating social media

  • Punjab passed law on Monday, while federal government has constituted a body to propose similar amendments to existing laws
  • Journalists and digital rights activists have said the legislations are part of a “greater design” to curb dissent on social media

ISLAMABAD: Pakistani journalists and digital rights activists on Tuesday decried a “draconian” legislation aimed at regulating social media content in the country’s most populous Punjab province, calling it an attempt to “stifle the press” and demanding a thorough consultation with civil society to protect fundamental rights.
Amid opposition protests, the Punjab Assembly on Monday passed the Defamation Bill, 2024, which proposes a special tribunal to try those involved in drafting, publishing and/or airing “fake news.” The tribunal shall decide a case within six months and may impose a fine of up to Rs3 million ($10,776).
The development came as the federal government constituted a committee to discuss establishment of a Digital Rights Protection Authority by amending existing laws to promote “responsible” use of the Internet, which activists fear would be another attempt to regulate social media content and stifle the press.
Zohra Yusuf, a former chairperson of the Human Rights Commission of Pakistan (HRCP), said the Punjab government was establishing a parallel judicial system through the defamation law to prosecute people, adding that it would be a violation of the fundamental rights of people.
“The federal and Punjab government are trying to pass the legislations to regulate content on the social media, stifle press freedom and restrict the dissenting voices,” she told Arab News.
“A slew of defamation laws and regulations already exist on violation of privacy, propaganda against the state institutions like army or judiciary. Therefore, there is no need to enact new laws.”
Punjab Information Minister Azma Bukhari and Federal Law Minister Azam Nazeer Tarar did not respond to Arab News’ request for a comment.
Successive governments in Pakistan have enacted different laws and introduced amendments in the existing laws to enhance their control over the social media content and discourage the dissent by filing cases against journalists and activists for violating the laws.
Usama Khilji, a digital rights activist, said the authorities had controlled the mainstream media, but social media was becoming a “problematic platform for them being an unrestricted media.”
“The government wants to intimidate people through the legislation that if you criticize them, you’ll be fined or sent to jail,” Khilji told Arab News, adding the legislation would have a “chilling effect” on the constitutional rights like the freedoms of expression and press.
In the past, he said, courts had intervened after such legislations were made by parliament and struck them down for being in violation of the constitution. “The whole world is decriminalizing defamation laws, but we are enacting new laws to crack down on the democratic rights,” he said.
Separately, the Pakistan Federal Union of Journalists (PFUJ) on Tuesday staged nationwide protests against the Punjab defamation law, urging authorities to refrain from implementing the legislation that was bound to curtail press freedom and control social media content.
“We want to cooperate with the government in promotion of responsible use of the Internet, but we cannot allow them to enact censorship laws,” PFUJ President Afzal Butt told Arab News.
“The federal government has promised to engage in meaningful consultation with journalist bodies on the proposed digital rights protection authority, but this has yet to begin.”
He said the proposed legislations were “part of a greater design” to curb dissent on social media.
Farieha Aziz, a digital rights activist, said the federal government’s committee had not shared any draft law with relevant stakeholders for discussion and it would be a disaster if they passed the law by bulldozing public opinion.
“The government is obviously making Pakistan a pariah state through these legislations as they would end up withdrawing digital rights and facilities to entrepreneurs and start-ups, besides intimidating journalists and social media activists,” she told Arab News.


Two more flights bring over 300 Pakistanis home from Bishkek days after mob attacks

Updated 21 May 2024
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Two more flights bring over 300 Pakistanis home from Bishkek days after mob attacks

  • Frenzied mobs targeted hostels of medical universities, lodgings of international students, including Pakistanis, in Bishkek last week
  • Pakistan has since then ramped efforts to repatriate its students from the city and over 1,000 Pakistani students have returned home

ISLAMABAD: More than 300 Pakistanis returned home on Tuesday from Bishkek via two Pakistan International Airlines (PIA) flights, the PIA said, days after mob attacks on foreign students in the Kyrgyz capital.
Frenzied mobs targeted hostels of medical universities and private lodgings of international students, including Pakistanis, in Bishkek on May 17 after videos of a brawl between Kyrgyz and Egyptian students went viral on social media. The attacks raised concerns about safety of students from Pakistan, India, Bangladesh and other countries.
Pakistan has since then ramped efforts to repatriate its students from the city and more than 1,000 Pakistani students have returned home via different flights. According to official statistics, around 10,000 Pakistani students are enrolled in various educational institutions in Kyrgyzstan, with nearly 6,000 residing and studying in Bishkek.
On Tuesday, a group of 167 students arrived in Islamabad from Bishkek via a PIA flight, while another flight carrying 169 students landed in the eastern city of Lahore where they were received by PIA Deputy General Manager Athar Hassan and Station Manager Ashfaq Awan, according to the PIA.
“The national airline always stands by its compatriots in times of trouble,” a PIA spokesperson said in a statement. “Additional flights will also be operated as per government guidelines and as per requirement.”
The development came a day after Pakistan Deputy Prime Minister Ishaq Dar met Kyrgyz Foreign Minister Jeenbek Kulubaev in Astana, Kazakhstan on the sidelines of a meeting of the Shanghai Cooperation Organization (SCO) Council of Foreign Ministers.
Dar told his Kyrgyz counterpart that Pakistan’s main concern was the well-being of its nationals, especially the students who were primarily affected by last week’s violence, according to Pakistani state media.
Kulubaev said the Kyrgyz government had taken swift action to restore law and order in the country, and the perpetrators of the mob riots would be punished under the Kyrgyz law.


Pakistan approves petrol, diesel supply agreement between Saudi Aramco, GO Petroleum

Updated 21 May 2024
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Pakistan approves petrol, diesel supply agreement between Saudi Aramco, GO Petroleum

  • Under the agreement, Aramco will meet GO Petroleum’s petrol, diesel demand for its outlets in Pakistan
  • Pakistan last month approved the Saudi oil giant’s move to acquire a 40 percent stake in GO Petroleum

KARACHI: The Competition Commission of Pakistan (CCP) has granted a time-bound exemption on relevant clauses of a product supply agreement between Saudi oil giant Aramco and Gas & Oil Pakistan Ltd. (GO Petroleum) for the import and sale of petrol and diesel products to Pakistan, the CCP said on Tuesday.
Aramco Trading Company (ATC) Fujairah FZE Ltd. is one of the world’s largest integrated energy and chemicals companies, while GO Petroleum is an oil-marketing company (OMC) registered in Pakistan that operates a network of retail outlets across the country that sell petrol, diesel and lubricants.
Under the agreement, ATC Fujairah intends to meet GO Petroleum’s demand for essential petroleum products for its outlets, which primarily includes petrol and diesel.
“The parties submitted to the CCP that this arrangement is expected to achieve economies of scale in procurement for GO Petroleum, potentially resulting in better prices for Pakistani consumers,” the CCP said in a statement.
“The exemption sought was on exclusivity aspects of the commercial agreement to supply 100 percent demand of imported products for GO Petroleum’s retail outlets. The CCP has accordingly granted exemption on the product supply agreement with certain conditions included therein.”
The CCP grants exemptions pursuant to Section 9 of the Competition Act, 2010, ensuring that such exemptions have economic benefits that outweigh anti-competitive effects.
“The CCP’s conditions stipulate that both parties must refrain from engaging in anti-competitive activities. Importantly, the exemption does not include approval on any pricing terms and mechanisms related to the products,” the CCP statement read.
“Additionally, as the agreement has referred to certain off specification products, however approval of concerned sector regulator should be ensured for import and sales. The applicants have also been directed to ensure required approvals on their terminals and storage facilities by relevant authorities to be used in the execution of this agreement.”
Subject to the conditions, the CCP said, it had granted the exemption until June 2026 and both applicants could approach it for an extension with required details and also identifying the benefits that have accrued to the improved distribution network of petroleum products and enhanced competition in the market.
Last month, the CCP approved Saudi oil giant Aramco’s move to acquire a 40 percent stake in Go Petroleum, officially marking the Saudi company’s entry into Pakistan’s fuels retail market.
The CCP said it had authorized the merger after determining the acquisition would not result in the acquirers’ “dominance” in the relevant market post-transaction. The acquisition would help bring much-needed foreign direct investment in Pakistan’s energy sector, contributing to economic growth and development of the country, it added.
In February 2019, Pakistan and Saudi Arabia inked investment deals totaling $21 billion during the visit of Saudi Crown Prince Mohammed bin Salman to Islamabad. The agreements included about $10 billion for an Aramco oil refinery and $1 billion for a petrochemical complex at the strategic Gwadar Port in Balochistan.
Both countries have lately been working to increase bilateral trade and investment, and the Kingdom recently reaffirmed its commitment to expedite an investment package worth $5 billion.


Pakistan’s Sirbaz Khan scales Mt Everest without supplementary oxygen

Updated 21 May 2024
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Pakistan’s Sirbaz Khan scales Mt Everest without supplementary oxygen

  • Khan is the first Pakistani to summit 11 out of 14 ‘eight-thousanders’ without using supplementary oxygen
  • He was part of ‘Imagine Nepal 2024 Everest Expedition,’ which included 14 international climbers, 18 sherpas

KHAPLU, GILGIT-BALTISTAN: Pakistani mountaineer Sirbaz Khan on Tuesday achieved another milestone by successfully scaling the world’s tallest mountain, Mount Everest, without supplementary oxygen, Pakistani and Nepalese expedition organizers said.
Born and raised in Ali Abad village in Pakistan’s mountainous Hunza district, Khan has previously summited 13 of the 14 peaks in the world above the height of 8,000 meters, including K2.
He was part of the ‘Imagine Nepal 2024 Everest Expedition’ team, which included 14 international climbers and 18 sherpas who reached the 8,849-meter-high summit on Tuesday morning, according to the Imagine Nepal tour company and the Alpine Club of Pakistan.
“Congratulations to Sirbaz Khan on successfully summiting Mount Everest 8,848.86 meters (29,031.69 feet) without the use of supplemental oxygen,” Karrar Haidri, secretary-general of the Alpine Club of Pakistan, said in a statement.
The team of 14 international climbers and 18 sherpas summitted Everest in “various hours between NPT 5:15 a.m. and 10:00 a.m. on the morning of 21 May 2024,” the Imagine Nepal tour company said in a Facebook post.
Khan’s family celebrated the feat in Pakistan, according to his younger brother, Shahbaz Khan.
“We are very happy because today Sirbaz summited Everest without supplementary oxygen. We are celebrating this moment and especially our mother is very excited. There is an environment of festivity at our home,” Shahbaz told Arab News over the phone.
“Whenever he [Sirbaz] starts his summit push, we offer special prayers for him. Because you know, we can’t trust the mountains. However, when he summits, we celebrate. Now we are also offering prayers for his safe descent.”
Khan planned to summit the 8,027-meter Shishapangma peak — the last of the 14 peaks above 8,000 meters — but had to delay the expedition as China did not open the mountain to international climbers, according to his brother.
He also climbed Everest in 2021 and is the first Pakistani to climb 11 out of 14 ‘eight-thousanders’ without oxygen support. Khan had summitted only Annapurna and Kangchenjunga peaks using oxygen support.
“Congratulations @sirbazkhan_mission14 for climbing Everest without supplemental oxygen and a personal sherpa. He is now the only Pakistani to climb 11 peaks without Oxygen,” Naila Kiani, a Pakistani woman climber, said in an Instagram post.
“Sirbaz is the second [Pakistani after] Sajid Ali Sadpara to climb Everest without O2, following our younger brother @sajidalisadpara, who climbed it last year. Sirbaz is also the only Pakistani to climb Everest twice. Climbing Everest without oxygen is a true test of human grit. Congratulations, Ustad.”