Pakistan vaccinates 19 million children in polio drive as floods disrupt eradication push

A health worker administers a polio vaccine to a child in a school, in Karachi, Pakistan, on September 1, 2025. (AP)
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Updated 06 September 2025
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Pakistan vaccinates 19 million children in polio drive as floods disrupt eradication push

  • Polio cases rose to 74 in 2024 from six the year before, alarming Pakistan’s health officials
  • Authorities have postponed the drive in nine Punjab districts, Bajaur and Upper Dir in KP

ISLAMABAD: Pakistani authorities said on Saturday they have vaccinated more than 19 million children in an ongoing anti-polio drive, part of a nationwide campaign to eradicate the crippling disease.

Polio is an incurable, highly infectious virus that can cause lifelong paralysis and can only be prevented through repeated oral vaccination and routine immunization. Pakistan recorded 74 cases in 2024, a sharp rise from six in 2023 and just one in 2021, highlighting the challenge of eradication.

Overall, the country has made major gains since the 1990s, when annual cases exceeded 20,000, reducing the toll to eight by 2018.

“All segments of society must play their national role in eliminating polio,” the National Emergency Operations Center (NEOC) said in a statement. “Welcome polio teams and ensure that every child under five is given drops in every campaign to protect them from the disease.”

The statement added more than 19.2 million children have so far received polio drops in the campaign that began Sept. 1 across 99 districts.

The breakdown included around 4 million in Punjab, nearly 8.4 million in Sindh, 3.96 million in Khyber Pakhtunkhwa and 2.16 million in Balochistan.

In Islamabad, more than 442,000 children were vaccinated, while figures stood at 112,000 in Gilgit-Baltistan and 164,000 in Azad Jammu and Kashmir.

Efforts to eliminate the disease have been hampered by parental refusals, widespread misinformation and repeated attacks on polio workers by militant groups. In remote and volatile areas, vaccination teams often operate under police protection, though security personnel themselves have also been targeted during these campaigns.

The NEOC said the campaign has also been complicated by seasonal floods, which have forced authorities to postpone the drive in nine districts of Punjab.

It added that the vaccination push in Bajaur and Upper Dir located in the northwestern Khyber Pakhtunkhwa province will begin on Sept. 15.


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

Updated 22 February 2026
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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.