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Updated October 28, 2022
Pakistan’s 2022 Floods and Implications for U.S. Interests
Overview 
  Livestock deaths: more than 1.1 million (43+% 
The summer 2022 floods in Pakistan created a humanitarian 
Balochistan, 37% Sindh, 18% Punjab); 
crisis and raised environmental and governance issues with 
implications for U.S. interests. In mid-June, at the 
  Damaged homes: more than 2.2 million (82% Sindh); 
beginning of monsoon season, heavy rains flooded areas of 
  Damaged roads: more than 8,100 miles (64% Sindh); 
Pakistan. Estimates range from double to several times the 
damaged bridges: 439 (38% Sindh, 24% KP).  
normal monsoon rainfall. By late August, flooding had 
worsened to historic and catastrophic levels, reportedly 
Figure 1. Homes Damaged in Pakistan’s 2022 Flooding 
affecting more than 33 million people, injuring nearly 
(as of September 15, 2022) 
13,000  and killing more than 1,700. More than one-third of 
the country was reportedly submerged at the height of the 
rainfall, negatively affecting housing, infrastructure, and 
livelihoods and creating extensive agricultural losses. In 
early October, floodwaters began to recede. Pakistan’s 
government has estimated the cost of flood damage at $30 
billion and cut its projected annual economic growth for its 
fiscal year ending June 2023. Islamabad reportedly will 
pursue the rescheduling of about $27 billion in external 
debt largely owed to China, and may seek to suspend 
international debt repayments. Winter could also pose 
further challenges for millions of flood-affected people. 
Successive U.S. Administrations have described a stable, 
democratic, and prosperous Pakistan as critical to U.S. 
interests. Responding to this disaster is taxing a Pakistani 
 
government already struggling with political upheaval, 
Source: U.N. Office for the Coordination of Humanitarian Affairs. 
worsening economic and debt crises, unsettled civil-
military relations, and rising public discontent. Regional 
Humanitarian Needs  
stability and efforts to counter militancy and terrorism are 
Pakistan’s affected populations need relief supplies, 
among U.S. concerns; both may face negative impacts from 
including shelter, food, and water, sanitation, hygiene 
the current situation. For example, following 2010 flooding, 
(WASH) and winterization assistance. Floods have 
some banned Pakistani terrorist groups reportedly were at 
exacerbated food insecurity across the country. The United 
the forefront of rural relief efforts  and may gain popular 
Nations (U.N.) estimates that 7.9 million people have been 
support through such activities; Pakistan’s government 
displaced, with nearly 600,000 living in relief sites. The 
denies any banned groups are involved in flood relief in 
United Nations also reports that, of those displaced, many 
2022. Congress may consider whether or not U.S. 
are staying as close to their homes and the affected areas as 
assistance in response to the floods would serve U.S. 
possible due to concerns that lack of land ownership 
interests, including economic and security objectives. 
documentation could prevent future returns. Pakistan hosts 
roughly 800,000 Afghan refugees some of whom also have 
Flood Damage—Initial Assessments 
been affected. In many areas, damaged roads and bridges 
Pakistan’s National Disaster Management Authority 
hampered the humanitarian response. Even as floodwaters 
(NDMA) is the lead federal agency for disaster relief 
recede, the risk remains of vector-borne disease (such as 
coordination, including relief operations supported by 
malaria) and water-borne disease (including diarrhea and 
Pakistan’s army, navy, and air force. The provinces of 
cholera) as well as threats from venomous wildlife such as 
Sindh and Balochistan appear most affected (see Figure 1). 
poisonous snakes. With vaccine campaigns suspended and 
As of October 28, 2022, the NDMA is reporting the 
access to care limited, maintaining maternal health and 
following damage due to flooding since June 14, 2022: 
protection from gender-based violence, and addressing 
outbreaks of coronavirus disease (COVID-19) and other 
  1,735 killed (46% Sindh, 19% Balochistan, 18% Khyber  medical conditions are a priority. 
Pakhtunkhwa or KP, 13% Punjab) and 12,867 injured; 
National and International Responses 
  Affected population: more than 33 million (44% Sindh, 
Government of Pakistan. Prime Minister Shehbaz Sharif 
28% Balochistan, 15% Punjab, 13% KP); 
established a National Flood Response and Coordination 
Center to facilitate a multiagency response in coordination 
with the NDMA as well as relief sites for the displaced. 
https://crsreports.congress.gov 
Pakistan’s  2022  Floods and Implications  for U.S.  Interests 
Pakistan is providing cash assistance to those affected, 
decreased by at least 80% since its 1947 independence. The 
while provincial governments may redirect development 
annual rate of forest loss in Pakistan in the last three 
funds to flood relief. Islamabad also has verified several 
decades is one of the highest in Asia, according data 
fund-raising agencies on the GoFundMe website. 
compiled by the Food and Agriculture Organization. 
International Responses. In October 2022, the United 
Poor governance and planning, and lack of political will, 
Nations issued a revised Humanitarian Appeal for $816 
also might contribute to Pakistan’s vulnerability to floods. 
million to support an Islamabad-led flood response through 
Inadequate water management likely played a role. 
May 2023. The Appeal identified 9.5 million people in 
Following the 2010 floods, the government reportedly 
particularly urgent need of humanitarian assistance in the 
failed to implement plans that would have reduced the 
34 most affected districts in Balochistan, Sindh, KP, and 
consequences of future floods by preventing rebuilding in 
Punjab. The U.N. High Commissioner for Refugees 
and repopulating of flood-prone areas. Laws barring 
launched an appeal for $65.8 million focused on flood-
construction too close to river banks apparently were 
affected Afghan refugees and host communities in four 
widely violated. Current political divisions in Pakistan may 
districts: Peshawar, Quetta, Nowshera, and Karachi. Other 
complicate federal-provincial coordination. 
international relief agencies have also launched funding 
appeals. The U.N. Secretary-General called for “massive” 
In his September address to the U.N. General Assembly, 
international support. Other organizations are promoting 
President Joe Biden singled out Pakistan’s disaster as an 
“climate justice,” arguing for recognition of climate 
example of the “human cost of climate change.” The U.N. 
change’s role in this disaster and the burden on Pakistan. 
Secretary-General and Pakistan’s prime minister are among 
Humanitarian efforts also aim to provide early recovery 
those positing a causal link between climate change and 
programming, as populations require less life-saving 
recent flooding. A rapid, non-peer-reviewed September 
assistance and need more resilience activities. International 
“attribution” study suggested “climate change could have 
financial institutions have pledged funds for Pakistan 
increased the rainfall intensity” in Pakistan in 2022, among 
disaster relief and development, with the majority coming 
several factors that experts identify as contributing to the 
from the World Bank. 
event. Some analyses see Pakistan as especially vulnerable 
to climate-related extreme weather events. Yale 
U.S. Response to Pakistan’s Floods 
University’s 2022 Environmental Performance Index gave 
In August 2022, the U.S. Ambassador to Pakistan issued a 
Pakistan an overall ranking of 176th of 180 countries, 
disaster declaration. The U.S. Agency for International 
including 175th in “climate change mitigation” (mainly 
Development (USAID) has since established teams to 
reduction of greenhouse gas emissions). A June 2022 U.N. 
assess the impact of the floods and to coordinate the U.S. 
report projects that, in a “worst-case climate change 
government flood response in Islamabad and Washington, 
scenario,” Pakistan could realize average annual economic 
DC, respectively. As of October 27, for FYs 2022-2023,  the 
losses equal to more than 9% of its GDP. Going forward, 
U.S. government had provided $83.5 million in 
Pakistan may join other developing nations in pushing to 
humanitarian assistance. (Earlier in FY2022,  USAID also 
establish international funding for recovery from natural 
provided $3 million in Early Recovery, Risk Reduction, and 
disasters that they say are caused by climate change. 
Resilience funding.) During September, the Pentagon’s 
Central Command flew USAID relief supplies from 
Issues for Congress 
USAID’s Dubai warehouse to Pakistan to support USAID-
For over a decade, Congress annually has enacted security- 
led humanitarian response operations. Bilateral U.S. 
and human rights-related conditions on bilateral aid to 
development aid to Pakistan—estimated at $71 million for 
Pakistan. Congress may consider whether and if so, how to 
FY2022,  with $84 million  requested for FY2023—is 
address the crisis in Pakistan through humanitarian or more 
expected to continue, including over $1 million in grants 
strategic long-term assistance amid unprecedented global 
and project support provided in August, and with programs 
humanitarian need and competing priorities. Congress 
adapting, in part, to address the long-term impact of the 
could consider whether the United States should provide 
2022 floods. In late September, the United States suspended 
humanitarian assistance through multilateral channels such 
service payments on $132 million  of Pakistan’s debt. 
as the United Nations or nongovernmental implementing 
partners, and monitor how the executive branch allocates 
Environmental and Governance Issues 
such assistance. Bilateral development activities could be 
Pakistan suffers from environmental and governance 
aligned more closely with U.S. objectives in Pakistan and 
challenges that potentially worsen natural disasters, 
also channeled through the government. For all U.S. 
including flooding. A World Bank Vulnerability 
support, Congress could conduct oversight of the delivery 
Assessment found that “Pakistan faces some of the highest 
challenges encountered, including access and security 
disaster risk levels in the world.” In mid-2010, the country 
conditions in Pakistan, which could undermine the 
experienced the most catastrophic flooding in its history 
effectiveness of humanitarian operations and development 
until then, a disaster that officially killed more than 1,700 
aid; and/or assess the flood disaster responses of the 
persons, affected more than 20% of the land area and 20 
Islamabad government and international donors so as to 
million people, and caused billions of dollars in damage. 
improve disaster preparedness and prevention activities, 
According to a Scientific American assessment later that 
and to reduce the harm caused by future flood events. 
year, the scale of that flooding was “made worse by a 
history of deforestation and land-use changes in the affected 
K. Alan Kronstadt, Specialist in South Asian Affairs  
areas.” Analysts estimate that Pakistan’s tree cover has 
https://crsreports.congress.gov 
Pakistan’s  2022  Floods and Implications  for U.S.  Interests 
 
IF12211
Rhoda  Margesson, Specialist in International 
Humanitarian Policy   
 
 
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https://crsreports.congress.gov | IF12211  · VERSION  6 · UPDATED