Pakistani health practitioners alarmed over surge in chikungunya, diphtheria infections in Sindh

In this picture taken on May 11, 2022, a patient suffering from heat stroke is treated at a hospital in Jacobabad, in the southern Sindh province. (AFP/File)
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Updated 16 October 2024
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Pakistani health practitioners alarmed over surge in chikungunya, diphtheria infections in Sindh

  • At least 34 people have died this year from mosquito-borne diphtheria infections in Sindh, as per official data 
  • Health practitioners say official figures massively underreported, call for increased government interventions

KARACHI: Pakistani health practitioners on Wednesday expressed alarm over a surge in cases of chikungunya and diphtheria diseases this year in the southern Sindh province, calling on the masses to adopt preventive measures and for government interventions to keep people safe. 
At least 34 people have died this year in Pakistan’s Sindh province due to diphtheria, a highly contagious and infectious disease that causes breathing and swallowing problems. In 2024, 184 suspected cases of the disease have been reported in Sindh from January to September, up from 155 in the same period last year. 
The southern port city of Karachi recorded 82 suspected cases of diphtheria this year, down from 125 in 2023,a s per official data. Other Sindh divisions reported 102 cases, a significant increase from 30 last year. 
Experts believe the 34 deaths linked to diphtheria are massively underreported.
“Karachi per se has seen localized outbreaks this year and last year. There have been clusters of cases,” Professor Dr. Fatima Mir, a pediatrician at the city’s Agha Khan Hospital, told Arab News. She shared that the first diphtheria outbreak in Pakistan occurred in 2013, with sporadic localized outbreaks taking place between 2017 and 2022.
In 2022, nearly 1,000 cases were reported nationwide out of which only 82 were confirmed by laboratory results, she added.
“Diphtheria is one of those infections in which in an outbreak situation, even vaccinated children are not completely protected,” Dr. Mir explained. 
Waqar Bhatti, a senior health journalist, described the surge in cases of both chikungunya and diphtheria cases as alarming. Contrary to official figures, he said diphtheria this year caused the deaths of over 100 children in Karachi. 
“This surge is being attributed to failures in routine immunization efforts as the disease is largely preventable with vaccination,” Bhatti said, adding that the city’s health facilities are facing a severe shortage of the life-saving Diphtheria Anti-Toxin (DAT) necessary to treat infected individuals.
“Hospitals, particularly the Sindh Infectious Diseases Hospital, are struggling to cope with the influx of cases and authorities are facing criticism for not adequately addressing the vaccine supply gaps,” he added. 
CHIKUNGUNYA’S ‘SIGNIFICANT RISE’
Cases of dengue and chikungunya, another infection caused by mosquitoes, have surged in Karachi this year as per official data. Health practitioners blame poor sanitation, stagnant water, and insufficient mosquito control efforts in the city for the rise in the number of cases. 
From May to September, 894 suspected cases of chikungunya, with 164 confirmed positive out of a total of 761 screened ones, were reported from Karachi. Health practitioners and experts say the numbers are underreported. 
“We can’t call it an outbreak since it’s not life threating but there is significance increase in cases of chikungunya since 2018 when Malir, one of seven districts of the city, had witnessed a massive surge,” Dr. Muhammad Inam Khan, an associate professor in medicine at the Jinnah Postgraduate Medical Center, said.
He added that the disease has spread across the city and if not contained, might spread to other parts of the country.
“Dengue was first reported in Karachi but it spread in other parts of the country,” Khan warned, calling for fumigation to be carried out in various parts of the city. “Chikungunya also needs to be controlled.”
Dr. Muhammad Omer Sultan, a general physician at Dow University of Health Sciences, said that if on average five chikungunya patients used to be brought to the hospital’s outpatient department, that number has now increased to 40.
“Of these majority are chikungunya cases,” he explained, calling on people to protect themselves from mosquito bites. 


IMF hails Pakistan privatization drive, calls PIA sale a ‘milestone’

Updated 10 January 2026
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IMF hails Pakistan privatization drive, calls PIA sale a ‘milestone’

  • Fund backs sale of national airline as key step in divesting loss-making state firms
  • IMF has long urged Islamabad to reduce fiscal burden posed by state-owned entities

KARACHI: The International Monetary Fund (IMF) on Saturday welcomed Pakistan’s privatization efforts, describing the sale of the country’s national airline to a private consortium last month as a milestone that could help advance the divestment of loss-making state-owned enterprises (SOEs).

The comments follow the government’s sale of a 75 percent stake in Pakistan International Airlines (PIA) to a consortium led by the Arif Habib Group for Rs 135 billion ($486 million) after several rounds of bidding in a competitive process, marking Islamabad’s second attempt to privatize the carrier after a failed effort a year earlier.

Between the two privatization attempts, PIA resumed flight operations to several international destinations after aviation authorities in the European Union and Britain lifted restrictions nearly five years after the airline was grounded following a deadly Airbus A320 crash in Karachi in 2020 that killed 97 people.

“We welcome the authorities’ privatization efforts and the completion of the PIA privatization process, which was a commitment under the EFF,” Mahir Binici, the IMF’s resident representative in Pakistan, said in response to an Arab News query, referring to the $7 billion Extended Fund Facility.

“This privatization represents a milestone within the authorities’ reform agenda, aimed at decreasing governmental involvement in commercial sectors and attracting investments to promote economic growth in Pakistan,” he added.

The IMF has long urged Islamabad to reduce the fiscal burden posed by loss-making state firms, which have weighed public finances for years and required repeated government bailouts. Beyond PIA, the government has signaled plans to restructure or sell stakes in additional SOEs as part of broader reforms under the IMF program.

Privatization also remains politically sensitive in Pakistan, with critics warning of job losses and concerns over national assets, while supporters argue private sector management could improve efficiency and service delivery in chronically underperforming entities.

Pakistan’s Cabinet Committee on State-Owned Enterprises said on Friday that SOEs recorded a net loss of Rs 122.9 billion ($442 million) in the 2024–25 fiscal year, compared with a net loss of Rs 30.6 billion ($110 million) in the previous year.