Is anything worse than usual in Ghotki right now?

Yes. Flu-like illness is well above usual: 2.7× its usual for these weeks. Five more are above usual: bloody diarrhoea, dog bite, pneumonia in under-fives, hepatitis B, C and D, non-cholera diarrhoea and tuberculosis.

Well above usual · 2.7×

338 flu-like illness cases a week, against a usual 125.

0200400600usual range2026JanAprJulOct

Read from these four weekly reports by Field Epidemiology and Disease Surveillance Division, National Institutes of Health, Islamabad:

  • Week 36, 2026
  • Week 37, 2026
  • Week 38, 2026
  • Week 39, 2026
The 8 reports behind "usual"
  • Week 36, 2024
  • Week 37, 2024
  • Week 38, 2024
  • Week 39, 2024
  • Week 36, 2025
  • Week 37, 2025
  • Week 38, 2025
  • Week 39, 2025

The publisher's own list of its weekly reports

⅛×usual8×

How this is worked out. The last four weeks against the same four weeks of the two years before, for this district alone. Illnesses with fewer than 5 cases a week here are left out: too few to compare.

What makes the most people ill here?

Malaria and non-cholera diarrhoea: 69 of every 100 reports here this year.

  • Malaria46 in 100
  • Non-cholera diarrhoea23 in 100
  • Hepatitis B, C and D8 in 100
  • Pneumonia in under-fives8 in 100
  • Tuberculosis8 in 100
  • 6 others7 in 100

198,302 reports from Ghotki so far in 2026.

Which illnesses are coming into season here?

Pneumonia in under-fives, malaria, tuberculosis and hepatitis B, C and D usually peak here in the next three months.

2024 peak2025 peakNext ten weeks

How does Ghotki compare with the rest of Pakistan?

Ghotki is 2nd of the 61 districts with enough flu-like illness to compare, each against its own usual.

usual⅛×8×32×country 1.1×Abbottabad: 0.8×Badin: 1.9×Bajaur: 0.0×Barkhan: 0.7×Batagram: 1.8×Chagai: 1.1×Charsadda: 0.5×Chitral Lower: 0.3×Chitral Upper: 0.6×Dadu: 1.8×Upper Dir: 0.9×Ghotki: 2.7×Hangu: 0.0×Haripur: 0.9×Harnai: 0.4×Hyderabad: 0.9×Jacobabad: 0.7×Jaffarabad: 0.1×Jamshoro: 0.2×Jhal Magsi: 0.1×Central Karachi: 1.3×East Karachi: 0.1×Karachi Keamari: 2.3×Korangi Karachi: 0.8×Malir Karachi: 1.0×West Karachi: 1.7×Karak: 0.1×Kashmore: 0.6×Kech: 1.3×Khairpur: 0.8×Kharan: 1.3×Khyber: 0.3×Killa Abdullah: 1.7×Kolai Palas Kohistan: 0.7×Lasbela: 2.0×Loralai: 1.4×Malakand: 6.4×Mansehra: 1.2×Mardan: 0.5×Mastung: 1.4×Mirpur Khas: 0.6×Nasirabad: 0.0×Naushahro Feroze: 1.4×Nowshera: 0.5×Nushki: 0.0×Peshawar: 0.3×Sanghar: 1.3×Shaheed Benazir Abad: 0.4×Sohbatpur: 0.7×South Waziristan (Lower): 0.7×South Waziristan (Upper): 0.1×Sukkur: 1.4×Swabi: 1.3×Swat: 0.3×Tando Allahyar: 1.9×Tando Muhammad Khan: 0.0×Tank: 0.3×Tharparkar: 0.4×Thatta: 1.3×Upper Kurram: 0.5×Usta Muhammad: 1.4×Ghotki

Across Pakistan as a whole, flu-like illness is at 1.1× its usual; here it is 2.7×.

Why each district against itself. A large district always has more cases than a small one. Each dot is a district against its own usual, so size drops out.

Where can people get care in Ghotki?

Dooram has not yet found a government list of Ghotki's hospitals. Volunteers have mapped 1 hospital and 2 clinics here so far.

Where volunteers on OpenStreetMap have mapped hospitals and clinics. Their map shows where they have been, not everything that exists.

HospitalClinic or doctor

Source: OpenStreetMap contributors, via the Humanitarian OpenStreetMap Team, licence ODbL 1.0.

How far is care from here?

Most people (81%) live more than an hour's walk from a hospital or clinic.

Walking time to the nearest hospital or clinic, for everyone living in Ghotki. Half of people are within 147 minutes.

  • Within an hour's walk19%
  • One to two hours21%
  • More than two hours60%

What people say

In Sindh, 26% of women say the distance to a health facility is a big problem when they need care (36% in rural areas), against 42% across Pakistan.

Sources: walking times, Weiss and others, Nature Medicine 2020 (Malaria Atlas Project), a model at walking pace from facilities mapped in 2019; where people live, WorldPop 2020; what people say, National Institute of Population Studies and ICF, Pakistan Demographic and Health Survey 2017-18, table 9.17.

How well are children and mothers looked after in Ghotki?

Better than Pakistan as a whole on 1 of 5, worse on 1.

From the government's household survey of 2019-20, the newest that goes down to each district. It is not this week's news: it shows the care people in Ghotki could reach.

  • Are children fully vaccinated?

    70% of children aged 1 to 2, by their vaccination card. About the same as Pakistan as a whole.

    In 2014-15: 9% here, 60% across Pakistan.

  • Is a doctor, nurse or midwife at the birth?

    70% of recent births. About the same as Pakistan as a whole.

  • Do mothers get a check-up after birth?

    36% of mothers. Worse than Pakistan as a whole.

  • Do children with diarrhoea get ORS?

    98% of children under 5 who had diarrhoea. Better than Pakistan as a whole.

    In 2014-15: 92% here, 72% across Pakistan.

  • Do homes have a toilet?

    9% of homes have none. About the same as Pakistan as a whole.

Source: Pakistan Bureau of Statistics, Pakistan Social and Living Standards Measurement Survey, District Level, 2019-20, tables 4.3 B, 4.7 B, 4.11, 4.12, 7.2. The birth figure adds together doctors, nurses, midwives and lady health visitors, the report's own definition of skilled help at a birth (page 197 of the PDF).

Can we trust this week's numbers for Ghotki?

Yes, for this week. Ghotki sent figures in 42 of the last 52 weekly reports.

Weekly reports with figures from Ghotki, most recent last

A reported case means someone reached a clinic and a form was filed, so these count reports, not everyone who was ill.

Sources. Field Epidemiology and Disease Surveillance Division, National Institutes of Health, Islamabad, weekly report. District maps: World Food Programme Spatial Data Infrastructure, published as a Common Operational Dataset by the UN Office for the Coordination of Humanitarian Affairs.