US firm launches groundbreaking obesity therapy in Pakistan as health crisis deepens

A patient walks on a treadmill to work on endurance and cardio at the ORA ORA follow-up care and rehabilitation centre (Soins de Suite et Readaptation - SSR) for patients with overweight issues or obesity, in Pirae, Tahiti, French Polynesia, on September 10, 2021. (File/ AFP)
Short Url
Updated 04 September 2025
Follow

US firm launches groundbreaking obesity therapy in Pakistan as health crisis deepens

  • Boston Scientific introduces endoscopic sleeve gastroplasty at Karachi institute
  • Experts warn that over 100 million adults in Pakistan are overweight or obese

KARACHI: US medical device giant Boston Scientific has launched a minimally invasive obesity treatment in Pakistan, as health experts warn that more than 100 million adults in the South Asian nation are overweight or obese, straining one of the region’s most fragile health care systems.

The procedure, known as endoscopic sleeve gastroplasty (ESG), will be available exclusively at the Sindh Institute of Advanced Gastroenterology (SIAG) in Karachi. 

ESG reduces stomach volume without surgery, offering patients a new option to manage obesity and related conditions such as diabetes and heart disease.

“This launch demonstrates how American innovation drives transformative health care solutions worldwide,” US Consul General Charles Goodman said at the launch event. “This collaboration between Boston Scientific and SIAG reflects the strong US–Pakistan partnership, delivering advanced medical technologies to address obesity, diabetes and heart disease.”

Officials said the introduction of ESG underlines US commitment to investing in Pakistan’s health sector while expanding access to innovative treatments in one of the world’s fastest-growing obesity markets.

Pakistan faces one of the world’s most alarming obesity epidemics. Experts say more than three out of every four adults are overweight or obese, making excess weight the leading driver of diabetes, hypertension, strokes, cancers and kidney failure in the country.

Nationwide, only one in five adults is within a normal body mass index, according to findings presented at the American Society for Preventive Cardiology in Boston earlier this year.

Health specialists warn that without urgent action, obesity could cripple Pakistan’s health system. 

“Obesity is the mother of all sins — controlling it can help prevent and manage most major diseases afflicting our population,” said Dr. Riasat Ali Khan, president of the Primary Care Diabetes Association of Pakistan.

Boston Scientific’s launch adds to a growing wave of anti-obesity treatments becoming available in Pakistan, including generic tirzepatide, a diabetes and weight-loss therapy hailed globally as a breakthrough drug.


Islamabad dismisses claims about paying up to 8 percent interest on foreign loans as ‘misleading’

Updated 22 February 2026
Follow

Islamabad dismisses claims about paying up to 8 percent interest on foreign loans as ‘misleading’

  • Pakistan has long relied on external loans to help bridge persistent gaps in public finances and foreign exchange reserves
  • Pakistan’s total external debt, liabilities stand at $138 billion at an overall average cost of around 4 percent, ministry says

KARACHI: Pakistan’s finance ministry on Sunday dismissed as “misleading” claims that the country is paying up to 8 percent interest on external loans, saying the overall average cost of external public debt is approximately 4 percent.

Pakistan has long relied on external loans to help bridge persistent gaps in public finances and foreign exchange reserves, driven largely by a narrow tax base, chronic trade deficits, rising debt-servicing costs and repeated balance-of-payments pressures.

Over the decades, successive governments have turned to multilateral and bilateral lenders, including the International Monetary Fund, the World Bank and the Asian Development Bank, to support budgetary needs and shore up foreign exchange reserves.

The finance ministry on Sunday issued a clarification in response to a “recent press commentary” regarding the country’s external debt position and associated interest payments, and said the figures required contextual explanation to ensure accurate understanding of Pakistan’s external debt profile.

“Pakistan’s total external debt and liabilities currently stand at $138 billion. This figure, however, encompasses a broad range of obligations, including public and publicly guaranteed debt, debt of Public Sector Enterprises (both guaranteed and non-guaranteed), bank borrowings, private-sector external debt, and intercompany liabilities to direct investors. It is therefore important to distinguish this aggregate figure from External Public (Government) Debt, which amounts to approximately $92 billion,” it said.

“Of the total External Public Debt, nearly 75 percent comprises concessional and long-term financing obtained from multilateral institutions (excluding the IMF) and bilateral development partners. Only about 7 percent of this debt consists of commercial loans, while another 7 percent relates to long-term Eurobonds. In light of this composition, the claim that Pakistan is paying interest on external loans ‘up to 8 percent’ is misleading.

The overall average cost of External Public Debt is approximately 4 percent, reflecting the predominantly concessional nature of the borrowing portfolio.”

With respect to interest payments, public external debt interest outflows increased from $1.99 billion in Fiscal Year (FY) 2022 to $3.59 billion in FY2025, representing an increase of 80.4 percent, not 84 percent as reported. In absolute terms, interest payments rose by $1.60 billion over this period, not $1.67 billion, it said.

According to the State Bank of Pakistan’s records, Pakistan’s total debt servicing payments to specific creditors during the period under reference were as follows: the IMF received $1.50 billion, of which $580 million constituted interest; Naya Pakistan Certificates payments totaled $1.56 billion, including $94 million in interest; the Asian Development Bank received $1.54 billion, including $615 million in interest; the World Bank received $1.25 billion, including $419 million in interest; and external commercial loans amounted to nearly $3 billion, of which $327 million represented interest payments.

“While interest payments have increased in absolute terms, this rise cannot be attributed solely to an expansion in the debt stock,” the ministry said. “Although the overall debt stock has increased slightly since FY2022, the additional inflows have primarily originated from concessional multilateral sources and the IMF’s Extended Fund Facility (EFF) under the ongoing IMF-supported program.”

Pakistan secured a $7 billion IMF bailout in Sept. 2024 as part of Prime Minister Shehbaz Sharif’s efforts to stabilize the South Asian economy that narrowly averted a default in 2023. The government has since been making efforts to boost trade and bring in foreign investment to consolidate recovery.

“It is also important to note that the increase in interest payments reflects prevailing global interest rate dynamics. In response to the inflation surge of 2021–22, the US Federal Reserve raised the federal funds rate from 0.75-1.00 percent in May 2022 to 5.25–5.50 percent by July 2023. Although rates have since moderated to around 3.75 percent, they remain significantly higher than 2022 levels,” the finance ministry said.

“The government remains committed to prudent debt management, transparency, and the continued strengthening of Pakistan’s macroeconomic stability,” it added.