Fasting on the frontline: Karachi ambulance driver navigates chaos to save lives during Ramadan

The Edhi Foundation, one of the world’s largest charities, operates nearly 1,800 ambulances. (Supplied)
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Updated 15 March 2025
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Fasting on the frontline: Karachi ambulance driver navigates chaos to save lives during Ramadan

  • For Ghulam Nabi and hundreds of other Edhi ambulance drivers, Ramadan does not change their daily duties
  • Nabi says his iftar often consists of just dates and water, eaten on the road between emergencies

KARACHI: In Karachi, where traffic is relentless and sirens are a constant, 63-year-old Ghulam Nabi has spent the past 14 years behind the wheel of an Edhi Foundation ambulance, responding to emergencies in a city where every second can mean the difference between life and death.

The Edhi Foundation, one of the world’s largest charities, operates nearly 1,800 ambulances, including over 200 in Karachi, where it was founded by the late veteran philanthropist Abdul Sattar Edhi, who passed away in July 2016. Nabi is one of the hundreds of drivers keeping the wheels of these ambulances going.

Even during the Muslim fasting month of Ramadan, he remains committed to his duty. Often, his iftar — the evening meal to break the fast, which most people share with their families at home — happens on the road, between dispatches.

“Whether it’s sunny, hot, stormy, rainy, Ramadan or Eid, no matter what, we have to do our duty and serve humanity,” he said in a recent conversation with Arab News.

Living in an old apartment in the city’s historic Kharadar area, he begins his day by walking to the Edhi headquarters nearly a kilometer away. From there, his shift unfolds unpredictably, sometimes requiring him to attend to road accidents, rush cardiac arrest patients to hospitals or transport the deceased to their final resting places.

“Just yesterday, it was time to break the fast. Five-to-ten minutes before iftar, we were informed that an accident had occurred on Mai Kolachi Road,” Nabi recalled, adding that he had to leave iftar and rush to the spot.

“On the way, someone gave us dates, and we broke our fast with them,” he added.

Nabi recalled that at one point during Ramadan, he was asked to pick up a corpse from a house where it had remained unattended for nearly a week. As he reached the place, he realized it was decomposed and in such a condition that no one wanted to go near it.

But Nabi handled it, giving it to the relatives in a casket after completing the required legal procedures.

“We had to carry the body while fasting,” he said.

‘FRONTLINE HEROES’

Muhammad Amin, who oversees the Karachi Control Room at the Edhi Foundation, holds his team, particularly Nabi, in high esteem.

“He is an excellent driver, and all the qualities required in his job are found in him,” he told Arab News. “From keeping the ambulance clean to its general upkeep, following driving protocols and handling emergencies, Ghulam Nabi excels in all these aspects.”

Amin noted Ramadan always brought unique challenges to the drivers since their workload never decreased.

“There was a fire near Chakar Hotel on the Super Highway (yesterday), where our team, which included the drivers, went,” he said. “The drivers were fasting, but they worked through the fire and performed their duties.

“If you look at it, these drivers can truly be called our frontline heroes,” he added.

Nabi said his entry into this line of work was unexpected. He used to run a small business that suffered losses, forcing him to shut it down. As he started looking for employment opportunities, a friend referred him to Edhi in 2010.

“Since that day, I have been engaged in humanitarian work,” he said.

‘SAVING HUMANITY’

Karachi, a megacity with over 20 million people, suffers from broken roads, congested streets and widespread disregard for traffic rules. These conditions significantly increase the challenges of Nabi’s job, making him fear that he might not be able to reach people in need on time.

Despite such hardships, he said he was proud of his work and found fulfillment in transporting patients and the injured to hospitals for treatment.

“Whoever saves a life, saves all of humanity,” he said, his eyes shining.

To Nabi, his work is a continuation of the legacy of Abdul Sattar Edhi, the late humanitarian whose foundation has provided free ambulance services for decades.

“Here, we are carrying forward Edhi Sahib’s mission,” he said. “Humanitarian work will never stop.”

As dusk falls and families across Karachi gather for iftar at home, Nabi finds himself away from his loved ones.

“Our hearts also long to break our fast with our children, but our iftar is often on the road or in the ambulance, and we have to break our fast with dates or water,” he said, as he ended his fast with the evening prayer call while sitting on a roadside bench in a Karachi street.

 


Judge bars federal prosecutors from seeking the death penalty against Luigi Mangione

Updated 3 sec ago
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Judge bars federal prosecutors from seeking the death penalty against Luigi Mangione

  • Judge Margaret Garnett’s Friday ruling foiled the Trump administration’s bid to see Mangione executed
  • Garnett dismissed a federal murder charge against Mangione, finding it technically flawed. She left in place stalking charges that could carry a life sentence
NEW YORK: Federal prosecutors can’t seek the death penalty against Luigi Mangione in the killing of UnitedHealthcare CEO Brian Thompson, a federal judge ruled Friday, foiling the Trump administration’s bid to see him executed for what it called a “premeditated, cold-blooded assassination that shocked America.”
Judge Margaret Garnett dismissed a federal murder charge that had enabled prosecutors to seek capital punishment, finding it technically flawed. She wrote that she did so to “foreclose the death penalty as an available punishment to be considered by the jury” as it weighs whether to convict Mangione.
Garnett also dismissed a gun charge but left in place stalking charges that carry a maximum punishment of life in prison. To seek the death penalty, prosecutors needed to show that Mangione killed Thompson while committing another “crime of violence.” Stalking doesn’t fit that definition, Garnett wrote in her opinion, citing case law and legal precedents.
In a win for prosecutors, Garnett ruled they can use evidence collected from his backpack during his arrest, including a 9mm handgun and a notebook in which authorities say Mangione described his intent to “wack” an insurance executive. Mangione’s lawyers had sought to exclude those items, arguing the search was illegal because police hadn’t yet obtained a warrant.
During a hearing Friday, Garnett gave prosecutors 30 days to update her on whether they’ll appeal her death penalty decision. A spokesperson for the US attorney’s office in Manhattan, which is prosecuting the federal case, declined to comment.
Garnett acknowledged that the decision “may strike the average person — and indeed many lawyers and judges — as tortured and strange, and the result may seem contrary to our intuitions about the criminal law.” But, she said, it reflected her “committed effort to faithfully apply the dictates of the Supreme Court to the charges in this case. The law must be the Court’s only concern.”
Mangione, 27, appeared relaxed as he sat with his lawyers during the scheduled hearing, which took place about an hour after Garnett issued her written ruling. Prosecutors retained their right to appeal but said they were ready to proceed to trial.
Outside court afterward, Mangione attorney Karen Friedman Agnifilo said her client and his defense team were relieved by the “incredible decision.”
Jury selection in the federal case is set for Sept. 8, followed by opening statements and testimony on Oct. 13. The state trial’s date hasn’t been set. On Wednesday, the Manhattan district attorney’s office urged the judge in that case to schedule a July 1 trial date.
“That case is none of my concern,” Garnett said, adding that she would proceed as if the federal case is the only case unless she hears formally from parties involved in the state case. She also said the federal case will be paused if the government appeals her death penalty ruling.
Thompson, 50, was killed on Dec. 4, 2024, as he walked to a midtown Manhattan hotel for UnitedHealth Group’s annual investor conference. Surveillance video showed a masked gunman shooting him from behind. Police say “delay,” “deny” and “depose” were written on the ammunition, mimicking a phrase used by critics to describe how insurers avoid paying claims.
Mangione, an Ivy League graduate from a wealthy Maryland family, was arrested five days later at a McDonald’s in Altoona, Pennsylvania, about 230 miles (about 370 kilometers) west of Manhattan.
Following through on Trump’s campaign promise to vigorously pursue capital punishment, Attorney General Pam Bondi ordered Manhattan federal prosecutors last April to seek the death penalty against Mangione.
It was the first time the Justice Department sought the death penalty in President Donald Trump’s second term. He returned to office a year ago with a vow to resume federal executions after they were halted under his predecessor, President Joe Biden.
Garnett, a Biden appointee and former Manhattan federal prosecutor, ruled after hearing oral arguments earlier this month.
Besides seeking to have the death penalty rejected on the grounds Garnett cited, Mangione’s lawyers argued that Bondi’s announcement flouted long-established Justice Department protocols and was “based on politics, not merit.”
They said her remarks, followed by posts to her Instagram account and a TV appearance, “indelibly prejudiced” the grand jury process resulting in his indictment weeks later.
Prosecutors urged Garnett to keep the death penalty on the table, arguing that the charges were legally sound and Bondi’s remarks weren’t prejudicial, as “pretrial publicity, even when intense, is not itself a constitutional defect.”
Prosecutors argued that careful questioning of prospective jurors would alleviate the defense’s concerns about their knowledge of the case and ensure Mangione’s rights are respected at trial.
“What the defendant recasts as a constitutional crisis is merely a repackaging of arguments” rejected in previous cases, prosecutors said. “None warrants dismissal of the indictment or categorical preclusion of a congressionally authorized punishment.”