Image: A Pakistani flood survivor
Mohammad Sajjad  /  AP
A Pakistani flood survivor walks amid of rubble of her house near Peshawar, Pakistan on Monday. Thousands of people streamed back to this historic southern city Monday where new levees hastily built from clay and stone held back floodwaters that have inundated much of Pakistan.
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updated 8/30/2010 2:09:55 PM ET 2010-08-30T18:09:55

Needing cash not food, refugees in Pakistan's flood-ravaged northwest do not have to look far for buyers for their rations. Outside an aid warehouse, middlemen buy U.S.-branded oil, flour and biscuits and supply shops across the city.

The trade is not illegal, but appears to strengthen arguments by aid groups who say that giving money to those recovering from disasters or war is often cheaper, more effective and efficient than doling out food or other assistance like housing materials, seeds or agricultural tools.

Some large charities have already begun handing out money to victims of this summer's devastating floods and others say they have plans to so, continuing a trend that began in earnest after the 2004 Indian Ocean tsunami and has picked up pace ever since.

But some in the humanitarian community remain resistant to the idea, especially those in the larger U.N. agencies, where there are fears that cash can cause inflation and fuel corruption. Many Pakistanis apparently share the same concern. They have preferred to give food, clothes and medicine to flood victims instead of money because of worries it could be misused.

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The floods started about a month ago in the northwest after extremely heavy monsoon rains and have slowly surged south along the Indus River, devastating towns and farmland. More than 1,600 people have died and 17 million have been affected by the floods. Water levels are beginning to drop in southern Pakistan as the floodwaters flow down the Indus River into the Arabian Sea.

While giving money in environments where there is no food to buy on the market and banks and distribution networks have been damaged is clearly wrong, in many parts of Pakistan — even those affected by the floods — those conditions do not apply, aid groups say.

"We have other needs too," said Paenda Mohammad, who sold part of his rations from a World Food Programme warehouse in the northwestern city of Peshawar last week to one of several middlemen waiting outside. "Each time we get just flour and oil and this bunch of tasteless biscuits."

Mohammad is one of several hundred people who receive a sack of 180 pounds (80 kilograms) of flour, along with cooking oil, pulses, sugar and high-energy biscuits from the warehouse every month. The goods are clearly marked "Not to be Sold or Exchanged." The flour sacks have American flags emblazoned on them.

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Mohammad and his family have been displaced by fighting over the last two years between the Pakistani army and the Taliban in tribal regions close to the Afghan border, not by the floods, which have hit communities elsewhere in the northwest.

Men with pushcarts then take the goods to shops around 100 yards (100 meters) away, where shopkeepers display them prominently.

"This is very fine flour and cost-effective too," said Nawab Ali, who bought a 100-pound (50-kilogram) sack and rode off with it, and his two young children, on a motorbike.

"We mix it with a little local whole-wheat flour and make good bread out of it."

The World Food Programme said it monitored markets in the northwest to see how much of its supplies were ending up for sale and that levels in Peshawar were not unusually high.

American officials said they were not so concerned about people selling the aid, but would investigate whether any supplies had been stolen from somewhere in the distribution network and then put up for sale.

While aid groups use the term "cash-based programming," actual money is rarely given because of security reasons. The assistance is mostly in the form of checks, vouchers, food stamps or remittances at banks.

Some aid experts say the resistance to cash by some aid groups is as much cultural as anything else. They say it challenges deep-seated and largely unspoken assumptions that Western countries know best what the poor in developing countries need.

Several studies have shown that a main argument once used against giving cash — that recipients would spend it on cigarettes, alcohol or drugs — is not true.

"We can trust people. They are wise enough," said Claudie Meyers from Oxfam GB, which has already given checks of around $60 to 7,000 families in the northwest and plans to give out similar amounts to 40,000 more.

"They can prioritize their needs. If I was in this situation, I would buy food. They do the same."

The WFP, which plans to be feeding 6 million people in Pakistan by the end of September, recently concluded a pilot project in Buner district in the northwest where it gave cash vouchers to people rather than food. It found that recipients spent 70 percent of the money on food and the distribution costs were around five percent cheaper than trucking in food.

The study also reported a significant boost to local shops.

Wolfgang Herbinger, WFP's country director in Pakistan, said there would likely be more cash-programming in the future in the country, but said the agency still "tended to be a bit cautious."

"Many people are fairly ideological on cash, I find, but the analysis and evidence is not there," he said. "There is currently so much hype, every donor says it stimulates the economy," he said, adding there was a risk that "if you throw the money, it does not add a kilogram of food, it only drives up prices."

Many governments around the world already give their poorest citizens cash handouts or food stamps.

Pakistan has a scheme named after the slain former prime minister Benazir Bhutto that gives out the equivalent of $24 every two months to its poorest people. The United States has donated at least $85 million dollars to that fund.

The government has also announced plans to give $250 to families affected by the floods.

Paul Harvey, an independent aid consultant who has studied the use of cash in emergency situations, said that so long as aid groups were responsible, it was a very effective response. He said that in reality a mix of food, other aid and cash was often the ideal choice.

"Cash should be part of the tool box and could be used more than it currently it is," he said. "People prefer having cash. It is a more dignified way of doing things."

Several flood victims returning to their villages in the northwest said they would prefer money.

Many people have complained over the last month of humiliation when scrounging for food thrown from a helicopter or the back of a truck.

"We prefer the cash. Because whenever this stuff comes — whether it is food or anything else — the distribution is not very good. Undeserving people get things that other people truly need," said Mirbat Khan who was looking at the remains of his village in Nowshera district.

Copyright 2010 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Video: Millions in Pakistan still waiting for help

  1. Closed captioning of: Millions in Pakistan still waiting for help

    >>> in pakistan, the situation is growing more desperate by the hour. the united states is redirecting $50 million from aid funding to emergency relief . some 800,000 people remain isolated by rising floods. stephanie goss gosk joins us by phone. $50 million, how to get it to them is a big question because of how isolated people are. describe what you've been seeing?

    >> turning this money into relief on the ground is really the biggest problem right now. you mention 800,000 people that are isolated to the north. that's an area that lost almost all of their bridges, huge swaths of road that literally crumbled into the river. the only time to reach these people really is by helicopter. the u.s. marines have been pliing to the uppermost region and helping people there. but there are hundreds of villages and town that's have yet to see a helicopter land. and groups like world food program have been trying to distribute food to the people but they can only get to the last city reachable by car. people have to come in on foot by days to get the aid they need. you're seeing this across the country, just the logistics of reaching people. 20% of this country and 8 million people in need , it's extremely difficult now that pakistani military has been out in force and doing quite a good job. most people acknowledge that, but they still kneeled a lot of help. there are plenty of people that have yet to be reached that need food and shelter and water.

    >> stephanie , i saw you get on one of those rafts and it looked terribly dangerous, frankly. but you're imitating and remy indicating what they are doing on these rafts that are loaded with supplies. it's truly unbelievable how they are trying to navigate these waters.

    >> you know, in a lot of ways, the necessity has ingeneral uty. they are setting up zip lines and people are getting in these rick ety crates and crossing the river 250 feet above it to get to the other side. it is difficult and it is dangerous, but absolutely necessary because they are bringing food back to the villages that are cut off.

    >> stephanie , it's been amazing just what you've been experiencing and witnessing, thank you so much for your coverage.

    >> thank you.

Photos: Floods ravage Pakistan

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  1. A malnourished Pakistani girl named Khadija cries at the Railway Hospital in Sukkur, Sindh province in southern Pakistan on Sept. 13. According to UNICEF, more than 100,000 children are in danger of dying of starvation. (Aaron Favila / AP) Back to slideshow navigation
  2. A submerged strip of land is pictured from a Pakistani Army helicopter dropping aid in Khairpur Nathan Shah town, in the Sindh province, on Sept. 14. (Carl De Souza / AFP - Getty Images) Back to slideshow navigation
  3. Flood victims, trapped on a roof top, scramble for food rations dropped by a Pakistan Army helicopter during relief operations Sept. 14 in the submerged town of Khairpur Nathan Shah in Dadu district in Sindh province, Pakistan. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  4. Internally displaced Pakistani grandmother Janal holds the hand of her three-day-old grandchild at a camp in Sukkur on Thursday, September 9. (Adek Berry / AFP - Getty Images) Back to slideshow navigation
  5. An aerial view of flooded areas in Jampur, Pakistan on Friday, Sept. 10. (Mk Chaudhry / EPA) Back to slideshow navigation
  6. Villagers rush to board a small rescue boat operated by the Pakistani special forces Navy, north of Dadu, Sindh province, Pakistan, on Friday, September 10. (Carl De Souza / AFP - Getty Images) Back to slideshow navigation
  7. Flood victims scramble for food rations as they battle the downwash from a Pakistan Army helicopter during relief operations on Monday, September 13 in Sindh province, Pakistan. Over six weeks after flooding began, new devastation continues across the Sindh province of Pakistan, as flood waters, still on the rise, continue to overcome new villages. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  8. Pakistani flood affected children scramble to get gifts from women volunteers as they prepare to celebrate Eid, which ends the fasting month of Ramadan, at a camp setup for displaced people in Muzaffargarh district, Punjab province, Pakistan on Thursday, Sept. 9. (Aaron Favila / AP) Back to slideshow navigation
  9. The body of five-day-old Akash is carried by his uncle and accompanied by other relatives during his funeral in Pakistan's Muzaffargarh district on Monday, Sept. 6. The baby died five days after he was born in a flooded village due to lack of medical support, family members said.. (Damir Sagolj / Reuters) Back to slideshow navigation
  10. Flood victims and relatives of five-day-old Akash grieve over his body before his funeral. (Damir Sagolj / Reuters) Back to slideshow navigation
  11. A Pakistani woman displaced by flooding cooks at Motehin Camp organized by Qarshi Dawakhana NGO, in Sultan on Sept. 6. (Carl De Souza / AFP - Getty Images) Back to slideshow navigation
  12. A sick flood victim, Gulzar, 9, lies on his mother's lap in a private hospital converted into a flood relief camp providing free medical treatment at Sukkur, in Pakistan's Sindh province, on Sept. 5. (Athar Hussain / Reuters) Back to slideshow navigation
  13. A displaced Pakistani girl pumps water in an area which has been occupied by flood victims in front of the DPS thermal power station in Muzaffargah on Sept. 5. (Carl De Souza / AFP - Getty Images) Back to slideshow navigation
  14. Pakistanis wade through floodwaters to return to their home in Sujawat, Sindh province, in southern Pakistan on Sept 4. (Vincent Thian / AP) Back to slideshow navigation
  15. A Pakistani woman walks by dead cotton crops as floodwaters slowly recede at the mostly agricultural lands of Shah Jamal village, Muzaffargarh district, Punjab province, Pakistan. (Aaron Favila / AP) Back to slideshow navigation
  16. Children fly a kite from the roof of an abandoned building where their families found shelter in Pakistan's Muzaffargarh district of Punjab province on Sept. 4. (Damir Sagolj / Reuters) Back to slideshow navigation
  17. An aerial view shows Pakistanis displaced by floods taking shelter on higher ground in Retla area in Punjab province on Aug. 31. (Arif Ali / AFP - Getty Images) Back to slideshow navigation
  18. A woman, whose familiy was displaced by floods, sits on a makeshift bed on the higher ground of a bund on Aug. 29, in Thatta. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  19. Pakistanis affected by the floods carry a sick boy in Thatta on Aug. 29. (Pedro Ugarte / AFP - Getty Images) Back to slideshow navigation
  20. A young flood victim drinks from a tap as others fill containers with clean water to take back to their relief camp in Nowshera on Aug. 29. (Damir Sagolj / Reuters) Back to slideshow navigation
  21. Villagers affected by the floods walk through the water in Thatta on Aug. 29. Torrential monsoon rains have triggered massive floods that have moved steadily from north to south over the past month, engulfing a fifth of the volatile country and affecting 17 million of its 167 million people. (Pedro Ugarte / AFP - Getty Images) Back to slideshow navigation
  22. A farmer harvests crops as he restores agricultural land near flooded areas in Multan on Aug. 29. (Shabbir Hussein Imam / EPA) Back to slideshow navigation
  23. Children catch fish in flood water in Basera on Aug. 28. The United Nations has warned that up to 3.5 million children were at risk from water-borne diseases in the flood-hit country and said it was bracing to deal with thousands of potential cholera cases. (Shabbir Hussein Imam / EPA) Back to slideshow navigation
  24. People use a damaged railway track to cross heavy floodwater in Sultan Kot on Aug. 28. (Anjum Naveed / AP) Back to slideshow navigation
  25. Covered with flies, a two-year-old girl, who is suffering from diarrhea, lies on her mother's lap outside her family's tent in a village in Rajanpur district of Punjab province on Aug. 28. (Asim Tanveer / Reuters) Back to slideshow navigation
  26. A man pauses from the task of clearing shoulder-high sediment, left by floodwaters, from his shop in Margala on Aug. 28. (Tim Wimborne / Reuters) Back to slideshow navigation
  27. A man negotiates floodwaters with his chickens in the remote village of Ali Pur town in Muzaffargarh district, Punjab Province, on Aug. 28. (Aaron Favila / AP) Back to slideshow navigation
  28. Six-month-old Raja rests in a hammock while his mother cooks at an overhead bridge next to a flood relief camp in Sukkur on Aug. 28. (Athar Hussain / Reuters) Back to slideshow navigation
  29. A child waits for his turn to get food at a camp in Sukkur, southern Pakistan, on Aug. 28. (Anjum Naveed / AP) Back to slideshow navigation
  30. Boats carrying flood survivors arrive on higher ground after their evacuation from flooded areas of Jampur on Aug. 28. (Arif Ali / AFP - Getty Images) Back to slideshow navigation
  31. An army paramedic treats a flood-affected man at a medical center in Rajanpur District in the far south-western part of Punjab on Aug. 28. (Arif Ali / AFP - Getty Images) Back to slideshow navigation
  32. Four-year-old flood survivor Hajani drinks her morning tea while taking refuge with her family in a relief camp in Sukkur, in Pakistan's Sindh province on Friday, Aug. 27. Officials say as many as 20 million people have been affected by Pakistan's worst flooding in 80 years. (Athar Hussain / Reuters) Back to slideshow navigation
  33. Neighbors help each other rebuild homes destroyed by the floods after the waters receded enough for them to return to their villages in Sanawa, near Muzaffargarh, Pakistan on Thursday, Aug. 26. (Shabbir Hussein Imam / EPA) Back to slideshow navigation
  34. A young Pakistani girl, displaced from her home by flooding, helps prepare dinner for her family near Sukkur in Sindh province, Pakistan. The country's agricultural heartland has been devastated with rice, corn and wheat crops destroyed by floods. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  35. Pakistanis displaced by flooding sit outside tents at a temporary camp operated by the Pakistan Army, in Sukkar, Sindh province, southern Pakistan, Thursday, Aug. 26. (Kevin Frayer / AP) Back to slideshow navigation
  36. Pakistanis reach for food thrown by an aid volunteer outside a temporary camp operated by the Pakistan Army, in Sukkar, Sindh province, southern Pakistan, on Thursday Aug. 26. (Kevin Frayer / AP) Back to slideshow navigation
  37. Nasiba, 3-months-old, sleeps in a hammock while taking refuge from the flood with her family in a classroom in Sukkur, Pakistan, Aug. 25. (Akhtar Soomro / Reuters) Back to slideshow navigation
  38. People move to high ground after fresh flood warnings were issued in Jamshoro, Pakistan, Aug. 25. The United Nations has warned, that up to 3.5 million children are at risk from water-borne diseases in flood-hit Pakistan. the organization is preparing to deal with thousands of potential cholera cases. More than 1,500 people across Pakistan have been killed and hundreds of thousands stranded due to flash floods triggered by the ongoing spell of monsoon rains. (Nadeem Khawer / EPA) Back to slideshow navigation
  39. Allah Detta, 26, a flood affected villager suffering from high fever and spasms, receives medical treatment, Aug. 25, at the makeshift medical centre in the Sultan Colony Army flood relief camp near Muzaffargarh, Pakistan. The country's agricultural heartland has been devastated, with rice, corn and wheat crops destroyed by floods. The UN has described the disaster as unprecedented, with over a third of the country under water. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  40. Workers unload relief goods from a truck at an army relief camp at Sultan Colony in Muzaffargarh district, Punjab province, Pakistan on Aug. 25. Pakistan will have to demonstrate it can spend relief funds transparently and well if it wants more help in rebuilding after its massive floods, the U.S. aid chief said. (Aaron Favila / AP) Back to slideshow navigation
  41. Pakistanis displaced by floods reach out for milk during an aid distribution at a temporary camp in Sukkar, Pakistan on Aug. 25. (Kevin Frayer / AP) Back to slideshow navigation
  42. One and a half year old Mudasar, suffering from diarrhea, is consoled by his mother as receives treatment at the District Headquarters Hospital, Aug. 23, in Muzaffargarh in Punjab, Pakistan. Officials say as many as 20 million people have been affected during the region's worst flooding in 80 years. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  43. Pakistani flood-affected villagers wait to board an army boat as they evacuate Kamria village in the Sindh province, on Aug. 23. (Rizwan Tabassum / AFP - Getty Images) Back to slideshow navigation
  44. A Pakistani boy swims as he tries to keep his food dry in a flooded area near Basira village in Punjab on Aug. 22. U.N. agencies stepped up calls for donors to deliver on their pledges for Pakistan to prevent what UN chief Ban Ki-moon called a "slow-motion tsunami" from wreaking further catastrophe. (Pedro Ugarte / AFP - Getty Images) Back to slideshow navigation
  45. A Pakistan Army helicopter flies over the Garhi Khairoo, area near the new flood zone of Shahdakot, Pakistan on Sunday. (Paula Bronstein / Getty Images) Back to slideshow navigation
  46. A flood victim takes bath in a bucket while taking refuge at a relief camp in Sukkur in Pakistan's Sindh province Sunday. (Akhtar Soomro / Reuters) Back to slideshow navigation
  47. Flood victims travel through flood waters on Sunday in the village of Shah Jamaal west of Muzaffargarh in Punjab, Pakistan. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  48. A man and a woman displaced by floods, walk through flood waters on Sunday in the village of Baseera near Muzaffargarh in Punjab, Pakistan. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  49. A child receives medical treatment at a local hospital in Pakistan's Muzaffargarh district of Punjab province Sunday. (Reinhard Krause / Reuters) Back to slideshow navigation
  50. Flood victims line up for food distribution by the World Food Program (WFP) at a tented camp on Aug. 21 in Sukkur, Pakistan. (Paula Bronstein / Getty Images) Back to slideshow navigation
  51. People make their way through a flooded street on Aug. 21, in Jampur, Pakistan. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  52. A 7-year-old flood victim runs towards a food distribution truck while on the road with her family in Sukkur, Pakistan, on Aug. 21. (Akhtar Soomro / Reuters) Back to slideshow navigation
  53. U.S. Sen. John Kerry, left, talks to flood refugees as Pakistan President Asif Ali Zardari looks on in Jampur, Pakistan, on Aug. 19. (B.k.bangash / AP) Back to slideshow navigation
  54. A Pakistani family stands on its farm compound surrounded by flood water, near Bachel in Sindh Province, southern Pakistan, on Aug. 19. (Kevin Frayer / AP) Back to slideshow navigation
  55. A flood survivor hangs on to a hovercraft and waits to get relief food distributed by naval officials in Sangi Village near Sukkur in southern Pakistan on Aug. 19. (Shakil Adil / AP) Back to slideshow navigation
  56. Flood victims run after a truck that the Pakistan military was using to give away aid at a tent camp Aug. 19 in Sukkur, Pakistan. The country's agricultural heartland has been devastated, with rice, corn and wheat crops destroyed by floods. (Paula Bronstein / Getty Images) Back to slideshow navigation
  57. Lal Pir power generating station is submerged in flood waters, further increasing a power crisis in Muzaffargarh near Multan, Pakistan on Aug. 19. Islamist terrorists may exploit the chaos and misery caused by the floods in Pakistan to gain new recruits, the country's president said. (B.k.bangash / AP) Back to slideshow navigation
  58. People struggle to get relief foodstuffs distributed by volunteers at outside a camp for flood-affected people in Hyderabad, Pakistan on Aug. 18. (Pervez Masih / AP) Back to slideshow navigation
  59. The Pakistani army distributes food to stranded flood victims in Basera, near Muzaffargarh in Punjab province, Pakistan on Aug. 18. (Matiullah Achakzai / EPA) Back to slideshow navigation
  60. A helicopter provided by the United Arab Emirates fly food supply over flood infected areas in Pakistan's near Taunsa Sharif in Punjab province Aug. 18. (Asim Tanveer / Reuters) Back to slideshow navigation
  61. Pakistani flood victims sit in a packed a U.S. Navy MH-53E helicopter during a rescue and aid mission by the U.S. Marine Expeditionary Unit on Aug. 17 in Kalaam, Pakistan. (Paula Bronstein / Getty Images) Back to slideshow navigation
  62. Pakistanis displaced by flooding reach to grab a bag of food aid during a distribution on the road near the flood line outside of Sukkar, southern Pakistan, Tuesday. (Kevin Frayer / AP) Back to slideshow navigation
  63. A flood victim walks on a damaged railway track while crossing floodwaters to reach his village in Sultan Kot, about 31 miles from Sukkur in the Sindh province, on Tuesday, Aug. 17. The World Bank will release $900 million dollars to help fund relief efforts for Pakistan's flood disaster as international agencies warned millions of people were at risk from disease. (Akhtar Soomro / Reuters) Back to slideshow navigation
  64. Flood victims wait as doctor Zahid Uall treats a girl at an emergency medical center in Charsadda, in the northwest Khyber-Pakhtunkhwa province, on Aug. 17. (Tim Wimborne / Reuters) Back to slideshow navigation
  65. A flood victim holding her sibling cries after having her donated rice snatched from her by passing vehicles, along the roadside in the Muzaffargarh district of Punjab province on Aug. 16. (Adrees Latif / Reuters) Back to slideshow navigation
  66. Flood victims hang on to the back of a truck while evacuating from Pakistan's Muzaffargarh district of Punjab province on Aug. 16. (Adrees Latif / Reuters) Back to slideshow navigation
  67. Flood victims fight for relief food distributed by volunteers in Shekarpur on Aug. 16. Angry flood survivors blocked a highway to protest slow delivery of aid and heavy rain lashed makeshift housing. (Shakil Adil / AP) Back to slideshow navigation
  68. A World Food Program worker sleeps on top of flour sacks in a hanger at an airbase in Pakistan's northwest Khyber-Pakhtunkhwa province, as poor weather prevents U.S. military helicopters from delivering aid to flood victims on Aug. 15. (Tim Wimborne / Reuters) Back to slideshow navigation
  69. Children are reflected in a window at a camp for people affected by floods in Nowshera, Pakistan on Aug. 15. (Aaron Favila / AP) Back to slideshow navigation
  70. Pakistani boys displaced by floods stand in the smoke as health workers spray against diseases at a camp in Nowshera on Saturday, Aug. 14. Pakistan's Prime Minister Yousuf Raza Gilani said 20 million people had been affected by the worst floods in the country's history as the United Nations confirmed the first cholera case. (A Majeed / AFP - Getty Images) Back to slideshow navigation
  71. A Pakistani flood victim sleeps on a hammock in a flooded area of Shah Jamal village on Friday, Aug. 13. Water levels receded in Pakistan but survivors of record floods endured grim conditions in makeshift tent cities, as the UN appealed for millions of dollars in urgent foreign aid. Pakistan's government says 14 million people have been affected by the floods. (Arif Ali / AFP - Getty Images) Back to slideshow navigation
  72. A combination of satellite images shows Nowshera, Pakistan, and the surrounding area on Oct. 7, 2007, on the left and on Aug. 5, 2010, on the right, after flooding struck the region. (DigitalGlobe satellite / Reuters) Back to slideshow navigation
  73. Flood-affected people wade through water for higher ground in Muzaffargarh near Multan on Aug. 13. (K.M. Chaudary / AP) Back to slideshow navigation
  74. Pakistani flood affected villagers wash themselves after digging out their belongings from the rubble of their houses in Aza Kheil near Peshawar on Friday. (Mohammad Sajjad / AP) Back to slideshow navigation
  75. Pakistan army soldiers distribute food among flood survivors to break their fast on the first day of the Muslim fasting month of Ramadan in Muzaffargarh on Aug. 12. The normally festive time is marked this year in Pakistan by misery. (K.M.Chaudary / AP) Back to slideshow navigation
  76. People dodge an army truck carrying relief supplies through floodwaters in the Muzaffargarh district in Punjab province on Aug. 11. (Adrees Latif / Reuters) Back to slideshow navigation
  77. Villagers displaced from their homes travel through flood waters on the back of a truck Aug. 11 on the outskirts of Muzaffargarh in Punjab. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  78. Pakistani flood survivors catch water bottles distributed by a military helicopter in Bssera village near Muzaffargarh on Aug. 11. (Arif Ali / AFP - Getty Images) Back to slideshow navigation
  79. A refugee from Afghanistan removes debris from her flood-destroyed house in Nowshera. (A Majeed / AFP - Getty Images) Back to slideshow navigation
  80. Mohammad Omer stands with his belongings on a road near his village Karam Pur, 43 miles from Sukkur in Pakistan's Sindh province, as he flees rising flood waters. (Akhtar Soomro / Reuters) Back to slideshow navigation
  81. U.S. Army and Pakistani soldiers sit on the cargo bay ramp of a CH-47 heavy-lift helicopter while flying over a flooded area in the Swat Valley on Aug. 10. The United States has sent helicopters and naval ships to deliver supplies and rescue people. (Behrouz Mehri / AFP - Getty Images) Back to slideshow navigation
  82. Flood victims wade through waters to get to higher ground on Aug. 9, near to Kot Addu in the Muzaffargarh district in Punjab. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  83. Flood survivors receive donated food at a relief camp established by volunteers on the outskirts of Sukkur on Aug. 9. (Asif Hassan / AFP - Getty Images) Back to slideshow navigation
  84. Children jostle for relief food in Nowshera, northwest Pakistan, on Aug. 9. (B.k. Bangash / AP) Back to slideshow navigation
  85. Grandmother Miru Mai smiles as she adjusts a blanket of newborn twin grandchildren, as mother Zada Perveen lies covered up after being rescued by Pakistan soldiers during air operations Aug. 9 in the village of Sanawan in the Muzaffargarh district. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  86. Navy soldiers attempt to distribute food to stranded flood victims in Pannu Aqil, Sindh province, on Aug. 9. (Nadeem Khawer / EPA) Back to slideshow navigation
  87. Villagers wade through floodwaters with their livestock while looking for higher ground in Sukkur on Aug. 8. (Akhtar Soomro / Reuters) Back to slideshow navigation
  88. Pakistani children wait as donated food is handed out at a relief camp set up by volunteers on the outskirts of Sukkur on Aug. 9. (Asif Hassan / AFP - Getty Images) Back to slideshow navigation
  89. Flood victims flee Pannu Aqil in Sindh province on Aug. 8. (Nadeem Khawer / EPA) Back to slideshow navigation
  90. A police officer uses a baton to control flood victims looting donated food from a bus in Azakhel on Aug. 8. (Anjum Naveed / AP) Back to slideshow navigation
  91. People check an unconscious baby, who had been bitten by a snake inside her flooded house, after being rescued by a naval boat in Sukkur, Pakistan, on Aug. 8. Pakistani navy boats traveled through miles of flood waters to rescue people stranded in a disaster that has angered many over the government's response. (Akhtar Soomro / Reuters) Back to slideshow navigation
  92. Pakistani villagers stand on the remains of a bridge washed away by heavy flooding in Bannu on Aug. 8. (Ijaz Mohammad / AP) Back to slideshow navigation
  93. Marooned flood victims looking to escape grab the side bars of a hovering Army helicopter which arrived to distribute food in the Muzaffargarh district of Pakistan's Punjab province on Saturday, Aug. 7. (Adrees Latif / Reuters) Back to slideshow navigation
  94. Afghan families, also hit by the floods which have devastated Pakistan, work to rid their homes of mud, on Aug. 7 in the south of Kabul, Afghanistan. More than 500 hundred families have been forced to evacuate their homes due to flooding, which originated on the country's border with Pakistan. (Majid Saeedi / Getty Images) Back to slideshow navigation
  95. A woman and her baby wait for food handouts with other flood victims as they take refuge at a make-shift camp in Sukkur, Pakistan on Aug. 7. (Akhtar Soomro / Reuters) Back to slideshow navigation
  96. A man walks through a flooded house in the Muzaffargarh district of Pakistan's Punjab province on Aug. 7. (Adrees Latif / Reuters) Back to slideshow navigation
  97. Afghan families, hit by the floods which have devastated Pakistan, work to rid their homes of mud, on Aug. 7, in the south of Kabul, Afghanistan. (Majid Saeedi / Getty Images) Back to slideshow navigation
  98. Children, whose families have declined to be rescued, wade in rising flood waters on Friday, Aug. 6 in the village of Panu Akil, near Sukkur, Pakistan. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  99. Flood-affected people jostle for food relief in Nowshera in northwest Pakistan on Aug. 6. Stormy weather grounded helicopters carrying emergency supplies to Pakistan's flood-ravaged northwest Friday as the worst monsoon rains in decades brought more destruction to a nation already reeling from Islamist violence. (Mohammad Sajjad / AP) Back to slideshow navigation
  100. A Pakistani man carries a small boat on a donkey-cart to rescue people trapped in flooded areas in Sukkur on Aug. 6. (Asif Hassan / AFP - Getty Images) Back to slideshow navigation
  101. A paramedic vaccinates a child at a medical camp on the outskirts of Peshawar on August 4. (Mohammad Sajjad / AP) Back to slideshow navigation
  102. In this image released on Aug. 6, severe flooding continues in northwest Pakistan. (Merlin NGO via Reuters) Back to slideshow navigation
  103. Pakistani army soldiers in a helicopter rescue families stranded by flood watesr in Sanawan near Multan in central Pakistan on Thursday, Aug. 5. U.S. Army choppers flew their first relief missions in Pakistan's flood-ravaged northwest on Thursday, airlifting hundreds of stranded people to safety. (Khalid Tanveer / AP) Back to slideshow navigation
  104. Volunteers search for victims after a passenger bus plunged into the flooded Jhelum river in Pakistani administered Kashmir on Thursday. At least 22 people were killed. (Nasiruddin Mughal / EPA) Back to slideshow navigation
  105. Families set in for the evening in their makeshift tent homes located on a median strip on Tuesday, August 3, in Pabi. Rescue workers and troops in northwest Pakistan struggled to reach tens of thousands of people affected by the region's worst floods since 1929, according to officials. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  106. An army personnel carries a flood victim to a helicopter in Sanawa, a town located in the Muzaffar Ghar district of Pakistan's Punjab province on Thursday. (Str/pakistan / Reuters) Back to slideshow navigation
  107. Residents salvage valuables from their destroyed home on Wednesday, August 4, in Pabbi near to Nowshera, Pakistan. Rescue workers and troops in northwest Pakistan struggled to reach thousands of people affected by the region's worst floods since 1929, according to officials. Residents are bracing themselves for the worst as more rains are expected. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  108. Flood survivors jostle for relief food on the outskirts of Peshawar, Pakistan on Aug. 3. Relief work has been hampered by submerged roads, washed out bridges, and downed communication lines. (Mohammad Sajjad / AP) Back to slideshow navigation
  109. People wait to cross a flooded road in Bannu, northwestern Pakistan on Aug. 3. (Ijaz Mohammad / AP) Back to slideshow navigation
  110. Residents scramble to recover water bottles dropped from a Pakistan Air Force helicopter on Monday, Aug. 2 in Nowshera, Pakistan. Rescue workers and troops in northwest Pakistan struggled to reach thousands of people affected by the region's worst floods since 1929. (Daniel Berehulak / Getty Images) Back to slideshow navigation
  111. Vehicles are stuck in a traffic jam because of a demonstration by flood-affected people demanding the government provide aid to victims in Nowshera on Monday. (Anjum Naveed / AP) Back to slideshow navigation
  112. A bridge is washed away following flooding in the Swat region of Khyber-Pakhtunkhwa Province on Monday. The United Nations and the United States announced $10 million in emergency aid for Pakistan on Sunday. (W. Khan / EPA) Back to slideshow navigation
  113. People camp along railway tracks on Monday after their homes were destroyed by flooding in Nowshera. (Mohammad Sajjad / AP) Back to slideshow navigation
  114. Army soldiers carry the body of a flood victim to higher ground on July 31. (Adrees Latif / Reuters) Back to slideshow navigation
  115. Flood-displaced residents take shelter in a school at the Mohib Bhanda area in Nowshera on July 31. (A. Majeed / AFP - Getty Images) Back to slideshow navigation
  116. A man tries to cross a makeshift bridge to escape his flooded home in Nowshera on July 31. (Adrees Latif / Reuters) Back to slideshow navigation
  117. Pakistani soldiers carry an injured Chinese engineer in Manshera, Pakistan, on July 31. The main was rescued from a hydropower plant in a flood-hit area of Dubair. (Strdel / AFP - Getty Images) Back to slideshow navigation
  118. Stranded Pakistani villagers wait for rescue helicopters on their house in Nowshera, Pakistan, on July 30. (Mohammad Sajjad / AP) Back to slideshow navigation
  119. Flash floods were triggered by heavy monsoon rains in river Neelum in Pakistani administered Kashmir on July 30. Hundreds of people across Pakistan have been killed and thousands stranded in the ongoing spell of monsoon rains with most of the casualties caused by falling roofs and walls or electrocution. (Nasiruddin Mughal / EPA) Back to slideshow navigation
  120. An elderly man crosses part of the Islamabad - Peshawar tollway which washed away due to heavy floods in Charsadda, part of Pakistan's Northwest Frontier Province on Friday, July 30. Over 400 people have been killed by flash floods in the last week, with the country's northwest and Baluchistan provinces bearing the brunt of the storms. (Adrees Latif / Reuters) Back to slideshow navigation
  121. Residents take shelter on high grounds from floods in Risalpur,in Pakistan's Northwest Frontier Province on Friday, July 30. (Adrees Latif / Reuters) Back to slideshow navigation
  122. Residents use buckets to scoop water from their house after it was destroyed by floods in the outskirts of Peshawar, July 30. (Fayaz Aziz / Reuters) Back to slideshow navigation
  123. Pakistani residents stand by flood water that entered a residential area of Muzaffarabad on July 30. (Sajjad Qayyum / AFP - Getty Images) Back to slideshow navigation
  124. An aerial view of flood-hit areas on the outskirts of Dera Ismail Khan, on July 30. (Saood Rehman / EPA) Back to slideshow navigation
  125. Pakistani local residents cross a flooded street on the outskirt of Peshawar on July 28. (A Majeed / AFP - Getty Images) Back to slideshow navigation
  126. Flash floods fill the streets after a heavy downpour in Peshawar, July 28. (EPA) Back to slideshow navigation
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