Is anything worse than usual in Lower Dir right now?

Yes. Dog bite is above usual: 1.7× its usual for these weeks. Two more are above usual: typhoid and non-cholera diarrhoea.

Above usual · 1.7×

68 dog bite cases a week, against a usual 40.

050100150usual 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 7 reports behind "usual"
  • Week 36, 2024
  • Week 37, 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?

Non-cholera diarrhoea: 86 of every 100 reports here this year.

  • Non-cholera diarrhoea86 in 100
  • Malaria4 in 100
  • Bloody diarrhoea4 in 100
  • Dog bite3 in 100
  • Typhoid1 in 100
  • 8 others2 in 100

65,217 reports from Lower Dir so far in 2026.

Which illnesses are coming into season here?

Too few weeks of reports, or too few cases, to show a season in Lower Dir yet.

How does Lower Dir compare with the rest of Pakistan?

Lower Dir is 22nd of the 56 districts with enough dog bite to compare, each against its own usual.

usual⅛×8×32×country 1.0×Abbottabad: 1.4×Badin: 1.2×Bajaur: 1.5×Barkhan: 0.6×Buner: 5.5×Charsadda: 1.3×Chitral Lower: 0.7×D. I. Khan: 2.1×Dadu: 1.0×Lower Dir: 1.7×Upper Dir: 2.9×Ghotki: 1.6×Haripur: 5.1×Hyderabad: 3.6×Jacobabad: 1.4×Jaffarabad: 0.1×Jamshoro: 2.0×Jhal Magsi: 0.0×Kambar Shahdad Kot: 1.3×Central Karachi: 6.1×East Karachi: 4.5×Malir Karachi: 1.3×West Karachi: 1.4×Karak: 2.2×Kashmore: 1.4×Khairpur: 1.5×Khyber: 1.1×Kohat: 1.4×Lakki Marwat: 1.7×Larkana: 2.7×Lasbela: 2.1×Loralai: 0.5×Mardan: 5.4×Mastung: 0.2×Matiari: 2.5×Mirpur Khas: 2.1×Nasirabad: 0.7×Naushahro Feroze: 1.4×Nowshera: 5.3×Peshawar: 1.5×Sanghar: 2.0×Shaheed Benazir Abad: 1.8×Shangla: 2.6×Shikarpur: 1.4×Sohbatpur: 0.0×South Waziristan (Lower): 0.5×Sujawal: 1.4×Sukkur: 1.2×Swabi: 1.0×Swat: 2.1×Tando Allahyar: 2.8×Tando Muhammad Khan: 1.4×Thatta: 1.1×Tor Ghar: 2.0×Upper Kurram: 1.2×Usta Muhammad: 0.3×Lower Dir

Across Pakistan as a whole, dog bite is at 1.0× its usual; here it is 1.7×.

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 Lower Dir?

Dooram has not yet found a government list of Lower Dir's hospitals. Volunteers have mapped 3 hospitals here so far. No clinics are on their map yet.

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 (62%) live more than an hour's walk from a hospital or clinic.

Walking time to the nearest hospital or clinic, for everyone living in Lower Dir. Half of people are within 85 minutes.

  • Within an hour's walk38%
  • One to two hours27%
  • More than two hours34%

What people say

In Khyber Pakhtunkhwa, 50% of women say the distance to a health facility is a big problem when they need care (58% 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 Lower Dir?

Better than Pakistan as a whole on 1 of 5, worse on 2.

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 Lower Dir could reach.

  • Are children fully vaccinated?

    72% of children aged 1 to 2, by their vaccination card. About the same as Pakistan as a whole.

    In 2014-15: 77% here, 60% across Pakistan.

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

    77% of recent births. Better than Pakistan as a whole.

  • Do mothers get a check-up after birth?

    38% of mothers. About the same as Pakistan as a whole.

  • Do children with diarrhoea get ORS?

    80% of children under 5 who had diarrhoea. Worse than Pakistan as a whole.

    In 2014-15: 89% here, 72% across Pakistan.

  • Do homes have a toilet?

    16% of homes have none. Worse than 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 Lower Dir?

Yes, for this week. Lower Dir sent figures in 40 of the last 52 weekly reports.

Weekly reports with figures from Lower Dir, 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.