In Pakistan, ICU occupancy reaches breaking point as virus cases surge

Pakistani doctors would need to triage COVID-19 patients in the coming weeks if the government failed to ensure a stricter lockdown. (Photo Courtesy: SKMCH&RC)
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Updated 27 April 2020
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In Pakistan, ICU occupancy reaches breaking point as virus cases surge

  • Private hospitals no longer accepting COVID-19 patients who require ventilators
  • At least 253 medical practitioners are infected with coronavirus with three doctors’ deaths

ISLAMABAD: Pakistani doctors would need to triage COVID-19 patients in the coming weeks if the government failed to ensure a stricter lockdown and as hospitals run out of intensive care unit [ICU] beds and ventilators, the Pakistan Medical Association said on Sunday.

Doctors and lawyers have been pushing the federal government for a stricter nationwide lockdown to ensure social distancing and stem the rapid spread of the virus. But authorities say they are trying to save people and the economy from the virus through a “smart lockdown” –   a partial lockdown of cities with some exemptions to businesses and industry.

“We are currently having around 75 to 80 percent occupancy of ICU beds, while private hospitals have stopped taking [COVID-19] patients on ventilators,” Dr. Qaisar Sajjad, secretary-general of Pakistan Medical Association told Arab News.

In the next ten days, the number of coronavirus cases is projected to reach at least 25,000, when public hospitals will not have ventilators for their seriously ill patients, he said.

“Ultimately, the doctors will have to triage between a father and a son,” he said. “And if we prioritize to treat the son first, there is no guarantee he’ll recover. We should be prepared for the worst.”

Sajjad said that his association had repeatedly warned the government about rapid growth in cases, but that their advice had fallen on deaf ears.

“If the number [of cases] keeps increasing, then nobody will be safe including the rulers,” he said.

The only treatment for the pandemic is social distancing, he said, urging the government to ensure strict lockdown at least for two weeks to flatten the curve.

Healthcare practitioners are frontline workers against the disease and are faced with multiple challenges to treat patients, including a shortage of personal protection equipment [PPE], ventilators and beds. At least 253 medical practitioners have been infected with the coronavirus in Pakistan so far including 124 doctors, 39 nurses and 90 health workers according to the Ministry of National Health Services.

“We are losing precious lives to coronavirus while the government is not consulting PMA to formulate an effective strategy to safeguard health practitioners,” Sajjad said while referring to the deaths of three doctors and a nurse due to COVID-19.

Pakistan has 1,279 public sector hospitals; 5,527 basic health units; 686 rural health centers and 5,671 dispensaries. These facilities, together with 220,829 registered doctors, 22,595 registered dentists and 108,474 registered nurses mean there is one healthcare practitioner for 963 people and one hospital bed for 1,608 people in the country of 210 million, according to Pakistan Economic Survey 2018-19.

Echoing doctors’ concerns, the Pakistan Bar Council – the highest elected body of lawyers in the country – has also urged the government to impose a stricter lockdown for two weeks to contain the spread of the virus.

“As the situation emerges, Pakistan can see a peak by end of May if the social distancing isn’t ensured in markets and mosques,” Syed Amjad Shah, vice chairman Pakistan Bar Council, told Arab News on Sunday.

He said that the courts could continue with “urgent work only” for the next two to three weeks. “We should sacrifice at least two weeks under the stringent lockdown to save our lives and protect others too around us,” Shah added.

Pakistan reported its highest 24-hour surge in virus cases since the outbreak on Sunday, with the tally at 12,723 COVID-19 cases and 269 deaths. Experts however, believe the number of suspects could be much higher in the impoverished nation as testing rates are still low.

Prime Minister Imran Khan’s special assistant on Information and Broadcasting Firdous Ashiq Awan said on Sunday that the government was doing its work, but that the public was still not practicing social distancing and self-isolation.

“We are taking into account the reservations put forward by doctors regarding leniency in the lockdown,” she said, while talking to reporters on Sunday.

However, Awan said the government’s decision of a ‘smart lockdown’ would continue to help save people from the virus. 

“Only those areas will be locked down where clusters of the virus are suspected,” she said while ignoring calls for a stricter government-imposed lockdown.


Pakistan’s finance minister discusses Panda Bond launch with China’s central bank governor in Beijing

Updated 39 sec ago
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Pakistan’s finance minister discusses Panda Bond launch with China’s central bank governor in Beijing

  • The bonds are denominated in China’s currency and will provide Pakistan access to Chinese capital markets
  • The finance minister also discusses the next CPEC stage, expected to emphasize business-to-business ties

ISLAMABAD: Federal Minister for Finance and Revenue Muhammad Aurangzeb briefed Governor of People’s Bank of China (PBoC) Pan Gongsheng on Pakistan’s plan to launch Panda Bonds during a meeting in Beijing on Friday in which they discussed a wide range of economic issues.
Panda Bonds are sold in China’s domestic market and are denominated in its currency, though they are issued by non-Chinese entities. Pakistan plans to issue these bonds to diversify its funding sources and strengthen its foreign exchange reserves by attracting Chinese investors.
According to local media reports, the initial issuance is expected to raise between $250 million and $300 million, helping Pakistan improve its financial stability amid economic challenges like high inflation and declining forex reserves.
The minister spoke about the government’s economic policy during the meeting in which reprentatives of other financial institutions were also present.
“Underlining Pakistan’s plan to launch Panda Bonds, Minister for Finance briefed PBoC and other Financial Institutions about the steps taken so far and sought cooperation of the Chinese institutional investors in the capital market to seek benefit from the pro-business policies of the new [Pakistani] Government,” said a statement issued by the finance division after the meeting.
The Pakistani official also highlighted his country’s improving macroeconomic indicators, reforms in tax collection and energy sector and privatization of loss-making state-owned enterprises.
He applauded Chinese President Xi Jinping’s Belt and Road Initiative while reviewing the progress of its flagship China-Pakistan Economic Corridor (CPEC) project.
The minister noted the next phase of CPEC would focus on strengthening business-to-business cooperation, with private sector playing the central role in the development and economic growth.
He arrived in China on Thursday to open talks on power sector structural reforms suggested by the International Monetary Fund, two government sources quoted by Reuters.
Aurangzeb is also accompanied by Pakistan’s Power Minster Awais Ahmed Khan Leghari.
According to Reuters, both officials are expected to take up several proposals with the Chinese side, including reprofiling of nearly $15 billion energy sector debt.


Pakistani craftsman strives to preserve antiques in a dying industry

Updated 28 min 51 sec ago
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Pakistani craftsman strives to preserve antiques in a dying industry

  • Based in Rawalpindi’s Bhabra Bazaar, Mohammad Shakeel Abbasi has restored centuries-old bugles, decorative dishes, jars, vases and teapots 
  • Artifacts at Abbasi’s shop sell for anywhere between $40 to $1,000, many collectors place orders after coming across antiques online

RAWALPINDI: Antiquarian Mohammad Shakeel Abbasi pulled open the shutter of his shop in the Pakistani city of Rawalpindi to reveal a small space choke-full of bugles, decorative dishes, jars, vases, teapots, bowls and plates inscribed with ancient motifs.
Located in the historic Bhabra Bazaar, Abbasi’s shop, lit up by a few naked light bulbs, is among a dwindling number of antique restoration workshops in the garrison city. The 71-year-old inherited the craft from his forefathers and set up the shop nearly 40 years ago in 1985, now employing three workers who help him repair, polish and electroplate copper and brass relics to be sold to customers in Pakistan and abroad.
“Since then [1985] I’ve been in this business,” Abbasi told Arab News at his shop earlier this month as he dusted an antique bugle. “We purchase antique items and repair them and polish them and then sell them to our dedicated customers.” 
Buyers reach out to him from as far as the UK and US, he added. 
Abbasi mainly sources copper and brass items from households and scrap dealers, who scour heaps of imported items that first land at the port in Pakistan’s commercial hub of Karachi. 
“The traders who buy them, they contact us,” the craftsman said. “They are broken items, and we have to repair them and polish and recondition them to the extent that you cannot even tell that this was an old item.”
Antiques at Abbasi’s shop can sell for anywhere between $40 to $1,000, but the art of antique preservation and restoration is now at risk of being lost as the new generation is opting out of the profession. 
“The problem is that the craftsmen who used to work [on antiques] are no longer available. Not a lot of attention is given to this craft, The government has also not prioritized training craftsmen,” Abbasi lamented. 
“Antiquarians quit the business due to lack of business, and some passed away and the new generation isn’t interested in this line of work.”
Customers and collectors who frequent Abbasi’s shop often place orders after coming across antique items on the Internet.
“I have liked an antiques page [on social media]. I searched for an item on the Internet and told him [Abbasi] about it and he arranged it for me,” Dr. Ahmad Ali, an antique collector, told Arab News. “It was the same thing that I had ordered.”
Shamas Rehman, who has been a collector for over two decades, praised Abbasi’s fine craftsmanship. 
“My forefathers were collecting antiques, it was their hobby, and now I have been collecting them since 2003,” he said, “and from wherever we can get the antiques, we buy them, collect them and place them in our homes, and this goes on.”


Government orders police to ensure ceasefire after nine killed over property dispute in northwest Pakistan

Updated 26 July 2024
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Government orders police to ensure ceasefire after nine killed over property dispute in northwest Pakistan

  • The deadly and ongoing clashes over property dispute broke out on Wednesday 
  • Kurram has seen conflicts between tribes and religious groups in the past

PESHAWAR: The provincial administration of Pakistan's northwestern Khyber Pakhtunkhwa (KP) province on Friday instructed police to take necessary steps to end ongoing clashes in Kurram district over a property dispute, with nine people killed and dozens injured.

Located along Pakistan’s border with Afghanistan, the area has witnessed deadly conflicts among tribes and religious groups in the past as well as sectarian clashes and militant attacks. A major conflict that began in Kurram in 2007 continued for years before it was ended with the help of a jirga, a traditional assembly of tribal elders.

The current clash over a land dispute broke out on Wednesday and quickly spread to several villages and nearby settlements. 

According to an official statement circulated by the KP government, Chief Minister Ali Amin Gandapur directed the district administration and police to ensure a ceasefire.

“No one will be allowed to take the law into their own hands or disturb the peace of the area,” Gandapur was quoted as saying. “The administration and police must ensure the rule of government and law in the area. The parties to the dispute are also urged to resolve the property issue through a jirga according to tribal traditions.”

Syed Mir Hassan Jan, the Medical Superintendent at the District Headquarters Hospital in Kurram, said nine bodies and 58 injured people linked to the clashes had been brought to the hospital in the last three days.

The District Police Officer in Kurram, Nisar Ahmad Khan, said sporadic attacks were still ongoing.

“The conflict intensifies at night,” he said. “Sporadic exchange of fire has been going on between the tribes during the past two days.”

Khan said a large number of police and army personnel had been deployed at various locations to prevent clashes.

“The jirga, district administration, army and police have intervened to control the situation,” he added. 

The roads leading to Kurram have also been shut down since the clashes began.

“The entrances and exits were closed so that any third-party intervention could be avoided,” the DPO said.


Security forces kill militant in intelligence-based operation in Pakistan’s northwest

Updated 26 July 2024
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Security forces kill militant in intelligence-based operation in Pakistan’s northwest

  • ISPR calls the slain militant a close associate of Hafiz Gul Bahadur, a high-value target
  • It says he facilitated a suicide bombing that killed seven Pakistani security personnel

ISLAMABAD: Security forces have killed a militant in an intelligence-based operation in Pakistan’s northwestern Khyber Pakhtunkhwa province, the military’s media wing, Inter-Services Public Relations (ISPR), said on Friday, adding that he facilitated suicide bombings and was involved in target killings.

KP, which borders Afghanistan, has seen a surge in attacks on security forces, government officials and anti-polio vaccination teams in recent weeks. In a major attack in the province’s Bannu district, ten soldiers were killed when militants launched a coordinated attack on a military cantonment on July 15.

Islamabad blames the recent surge in attacks, including the attack on the army cantonment in Bannu, on Tehreek-e-Taliban Pakistan (TTP), a proscribed armed network, which it says operates out of neighboring Afghanistan. Kabul denies the allegations and says rising violence in Pakistan is a domestic issue for Islamabad.

“Security forces conducted an intelligence-based operation in the North Waziristan district on the reported presence of terrorists,” the ISPR said, adding that during the course of the operation, a militant named Razzaq was killed.

The slain militant was a close associate of Hafiz Gul Bahadur, a high-value target, and remained involved in numerous militant activities in the area including the target killing of Malik Sher Muhammad, a local leader, earlier this year apart from facilitating a suicide bombing in March that resulted in the killing of seven soldiers.

The ISPR said a “sanitization operation” was being conducted to eliminate any other militant found in the area, adding that the security forces remained determined to eliminate extremist violence from the country.


Pakistan rejects Modi’s accusations Islamabad using ‘terrorism, proxy war’ to stay relevant

Updated 26 July 2024
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Pakistan rejects Modi’s accusations Islamabad using ‘terrorism, proxy war’ to stay relevant

  • Modi promised to defeat Pakistan’s ‘unholy plans’ against India on the anniversary of Kargil conflict
  • Pakistan says India should reflect on its own targeted assassination campaigns in foreign territories

ISLAMABAD: Pakistan criticized the “belligerent remarks” of Indian Prime Minister Narendra Modi on Friday after being accused by him of employing “terrorism” in its eastern neighborhood to advance its strategic interests.

Modi’s comments came at an event to mark the 25th anniversary of a military conflict between the two nuclear-armed rivals in the Himalayan region of Kargil.

Both neighboring states share an uneasy relationship, with India accusing Pakistan of using militant groups as proxies to fight its rule in Kashmir, the Himalayan region both claim in full but rule only in part.

Pakistan has denied New Delhi’s accusations, saying it only provides diplomatic and moral support to Kashmiris seeking self-determination, though it has fought two out of three wars with India over Kashmir.

“Pakistan rejects the Indian Prime Minister’s belligerent remarks made in Drass, Ladakh on 26 July 2024,” the foreign office said in a statement.

“Bravado and jingoism undermine regional peace, and are totally counter-productive for resolution of long-standing disputes between Pakistan and India, especially the core dispute of Jammu and Kashmir,” it continued.

The foreign office said such statements by Indian leaders could not deflect international attention from New Delhi’s “heavy-handed approach” to suppress the struggle of Kashmiri people.

“Instead of maligning others for terrorism, India should reflect on its own campaign of orchestrating targeted assassinations, subversion and terrorism in foreign territories,” it added.

The statement also highlighted Pakistan’s ability to safeguard its sovereignty, making a reference to the February 2019 downing of an Indian fighter jet in response to an aerial incursion.

It noted that while Pakistan was ready to “counter India’s aggressive actions,” it was committed to promoting peace and stability in the neighborhood.

Earlier, Modi said he wanted to “tell these patrons of terrorism that their unholy plans will never be successful” against his country.

India-Pakistan relations have been largely frozen as the two countries downgraded their diplomatic ties in tit-for-tat moves in August 2019 after New Delhi scrapped Kashmir’s special status and split it into two federally administered territories.

Ties were further strained after a suicide bombing of an Indian military convoy in Kashmir was traced to Pakistan-based militants, prompting India to carry out an airstrike on what it said was a militant base in Pakistan.

Earlier this year, Pakistan said there was credible evidence linking Indian agents to the killing of people on its soil — accusations that India termed “fake.”

Indian Foreign Minister Subrahmanyam Jaishankar said last month that India would look for a solution to cross-border terrorism, which “cannot be the policy of a good neighbor.”

With input from Reuters