The risk of a nuclear “Armageddon” is at its highest level since the 1962 Cuban Missile Crisis, US President Joe Biden has said.

Mr Biden said Russia’s President Vladimir Putin was “not joking” when he spoke of using tactical nuclear weapons after suffering setbacks in Ukraine.

The US was “trying to figure out” Mr Putin’s way out of the war, he added.

The US and the EU have previously said Mr Putin’s nuclear sabre-rattling should be taken seriously.

However, the US National Security Adviser Jake Sullivan last week said that, despite Moscow’s nuclear hints, the US had seen no signs that Russia was imminently preparing to use a nuclear weapon.

Ukraine has been retaking territory occupied by Russia during its invasion that began on 24 February, including in the four regions Russia illegally annexed recently.

For several months US officials have been warning that Russia could resort to the use of weapons of mass destruction, if it suffers setbacks on the battlefield.

During a speech last Friday, the Russian leader said the US had created a “precedent” by using nuclear weapons against Japan at the end of World War Two – a comment that would not have gone unnoticed by Western governments, our Russia editor Steve Rosenberg points out.

Mr Putin has also threatened to use every means at his disposal to protect Russian territory.

President Biden said the reason the Russian leader had not been “not joking” when he talked about using tactical nuclear, biological or chemical weapons – “because his military is, you might say, significantly underperforming”.

“For the first time since the Cuban Missile Crisis, we have a direct threat to the use of nuclear weapons, if in fact things continue down the path they’d been going,” Mr Biden told fellow Democrats.

“We have not faced the prospect of Armageddon since Kennedy and the Cuban missile crisis.”

 

In 1962, the US and the Soviet Union – under President John F Kennedy and Nikita Khrushchev – came close to a nuclear showdown over the deployment of Russian nuclear weapons in Cuba.

The confrontation is considered by many experts to be the closest the world has ever come to a full-scale nuclear war.

Mr Biden told fellow Democrats the use of tactical nuclear, biological or chemical weapons could quickly spiral out of control.

He was speaking at the New York home of James Murdoch, son of media mogul Rupert Murdoch, for the Democratic fundraising event.

Mr Putin is facing a very difficult picture on the battlefield. Even as he signed the final papers formally annexing four regions of Ukraine – Luhansk, Donetsk, Zaporizhzhia and Kherson – Kyiv’s forces were advancing inside those areas he had claimed.

Hundreds of thousands of men have been fleeing Russia rather than wait to be drafted to fight in Ukraine.

Ukraine’s President Volodymyr Zelensky has previously dismissed Moscow’s nuclear threats as a “constant narrative of Russian officials and propagandists”.

Paul Stronski, of the Carnegie Endowment for International Peace ,told the BBC that Russia’s “destabilising rhetoric” is aimed at deterring the West, even though the West appears resolved to push back on it.

There has also been some pushback against Moscow’s nuclear threats in Russia itself. An editorial in the country’s mainstream Nezavisimaya Gazeta newspaper was heavily critical of “senior Russian officials” for “talking about the nuclear button”.

“To allow, in thoughts and words, the possibility of a nuclear conflict is a sure step to allowing it in reality.”

Russia’s foreign ministry spokeswoman told reporters on Thursday that Moscow had not changed its position that nuclear war “must never be waged”.

Prime Minister Liz Truss labelled Emmanuel Macron a “friend” as they announced plans to work together at the first meeting of a new political club of nations.

Ms Truss had declined to say whether the French President was a “friend or foe”, during her leadership campaign.

The French President said he hoped for a “new phase” in post-Brexit relations.

The pair agreed to step up cooperation on “ending” small boat crossings in the Channel and announced a summit in 2023.

Leaders from the EU, the UK, Turkey, Norway and the Balkans met at the first European Political Community in Prague on Thursday.

They discussed energy, migration and security, with a particular focus on the war in Ukraine. Ukrainian President Volodymyr Zelensky spoke via video link.

The summit, billed as a European Political Community beyond the EU, has been championed by Mr Macron, who told reporters on Thursday it sent a “message of unity”.

Among the European leaders taking part were Liz Truss (top left) and Turkey’s Recep Tayyip Erdogan (bottom row, 7th from the right)

The prime minister and Mr Macron released a joint statement promising an “ambitious” package of measures aimed at “ending” small boat crossings on the Channel.

Mr Macron said: “We have values and history so I’m happy that we meet again.

“This is an island, but this island didn’t move from the rest of the continent so we do have so many things in common.”

The UK and France have clashed over several issues in recent years, including migrant boat crossings in the Channel, a military pact between Britain, the US and Australia, and Brexit measures involving Northern Ireland.

Standing up to Russia

Ukraine’s president told the summit: “You and I are now in a strong position to direct all the possible might of Europe to end the war and guarantee long-term peace for Ukraine, for Europe, for the world.”

Following the meetings, Ms Truss said: “Leaders leave this summit with greater collective resolve to stand up to Russian aggression.

“What we have seen in Prague is a forceful show of solidarity with Ukraine, and for the principles of freedom and democracy.”

As well as the UK, non-EU members Switzerland, Turkey, Norway, Iceland, Georgia, Azerbaijan and western Balkan countries took part in the first gathering of the EPC.

Britain is now expected to host the fourth EPC meeting in 2024, with Moldova and Spain to hold the second and third respectively.

Presentational grey line

What is the European Political Community?

Critics see it as a vague regurgitation of old ideas. Its exact role is still evolving.

When he proposed the plan this year, Mr Macron said it would “offer a platform for political co-ordination” for countries, both those in the EU and those not.

Russia’s invasion of Ukraine gave new impetus for co-operation among nations beyond the EU’s 27 member states.

But the EPC has no institutions or dedicated staff. That has led to questions about how any decisions would be implemented.

If it proves to be a success, it may continue to take place up to twice a year. If it’s a failure, it could fizzle out.

Centre for European Reform Director, Charles Grant said one of the measures of success will be “does it persuade Serbia, Azerbaijan and Turkey to lean a bit more to the West and less towards Russia”.

Blast hits Kabul mosque in vicinity of interior ministry, kills 2

KABUL: A blast hit a mosque in Afghanistan’s capital in the vicinity of the heavily fortified interior ministry compound on Wednesday, officials said, killing at least two people and wounding 18, according to medics.

The government did not immediately say what caused the explosion in Kabul, where militants have carried out a number of attacks in recent months.

“The mosque was used by visitors and sometimes by interior ministry employees,” interior ministry spokesman Abdul Nafi Takor said.

Italian NGO aid group Emergency, which runs a hospital in Kabul, said on Twitter it received 20 patients from the blast, two of whom were dead on arrival.

The interior ministry compound is in a secure area next to Kabul international airport.

The ruling Taliban have said they have secured the country since taking over in 2021. But though widespread fighting has ended, a series of blasts have hit urban centres in recent months.

An explosion at an education centre in West Kabul on Friday killed 53 people, most of them young women, according to the United Nations’ Mission to Afghanistan.

No talks with Pakistan, says Indian minister

Speaking in Baramulla for the first time since the abrogation of Article 370 that granted special status to Indian-held Jammu and Kashmir (J&K), Mr Shah focused his ire on the “three families that ruled Kashmir for seventy years”.

The Indian Express quoted him as saying that elections to the Indian-held J&K Assembly would be held as soon as the election commission completes the process of revision of electoral rolls.

“Some people are giving me suggestions that I should talk to Pakistan, those who have ruled here for seventy years are giving me suggestions,” Mr Shah told the rally. “But I am clear, I don’t want to talk to Pakistan. I would talk to Gujjars and Paharis of Baramulla. I will talk to the youth of Kashmir.

“They (Pakistan) have spread terrorism here. What good have they done for Kashmir.”

Read: FO rebukes Indian foreign minister’s comment implying Pakistan’s involvement in terrorism

The rally was held in Baramulla amid multi-tier security arrangements, the Express said.

It was attended by over 10,000 people, most of whom were from the areas near the Line of Control like Tangdhar, Uri and Bandipora.

Mr Shah used a large part of his 25-minute speech to slam the “three families that have ruled Kashmir for 70 years”. While the BJP leaders have often hit out at the families of Abdullahs and Muftis, it was for the first time that Shah brought Gandhis, too, in the line of his attack.

“I saw a tweet of Mehbooba (Mufti) ji. She had said that the home minister should go back only after giving account of what they have given to Kashmir,” Mr Shah said. “Mehbooba ji, listen with open ears and eyes, what we have done, I will give its account, but what you and Farooq (Abdullah) Sahib have done, you should give that account later…

“I have come here to ask you, Mehbooba and Farooq Sahib, tell us how much investment has come to Kashmir in 70 years, how many industries have been set up, how many factories have been opened and how many youth have been given employment.

“(There has been an investment of) only 15,000 crore (rupees) in 70 years. In three years, (prime minister) Modi ji brought an investment of 56,000 crore.”

The home minister said the Modi government’s “achievement” was to take democracy to the grassroots in held Jammu and Kashmir. “Before that democracy was limited to 87 legislators, six parliamentarians and three families — Mufti family, Abdullah family and Gandhi family,” he claimed. “We have taken it to villages, to 30,000 panches and sarpanches (local bodies).”

Mr Shah said 42,000 people had been killed in J&K due to terrorism since 1990. “Who is responsible for the deaths of these 42,000 people? The three families, who ruled Kashmir for 70 years, are responsible,” he alleged. “You know the most difficult thing is to shoulder the coffin of your son. But 42,000 people have been killed here. Has the son of any leader been killed ever?

“We want that the fear of separatism should go away from Kashmir, terrorism should go away and Kashmir becomes the paradise of India.”

He said Kashmir was a “hotspot of terrorism” earlier, but had now turned into a “hotspot of tourism” under the BJP dispensation.

Focus on long-term Pak-US defence partnership: Lloyd Austin

WASHINGTON: US Defe­nce Secretary Lloyd J. Austin said on Wednesday that his talks with visiting Pakistan Army Chief Gen Qamar Javed Bajwa focused on the long-standing partnership between the two defence establishments and on areas of mutual interest.

Underlining the importance of this partnership in a tweet he posted on his official site, Secretary Austin noted that this year marks the 75th anniversary of relations between the United States and Pakistan.

In a separate statement, his office said that on Oct 4, Secretary Austin hosted Gen Bajwa at the Pentagon during the 75th anniversary of relations between the United States and Pakistan.

“This long-standing partnership continues today with discussions focused on opportunities to address key mutual defence interests,” the Pentagon said.

 

The military’s media department, ISPR, also highlighted this point in its statement, saying that the two leaders also discussed the “regional security situation and bilateral cooperation in various fields”.

Additional points in the ISPR statement included the need for continued assistance from Pakistan’s global partner for the rehabilitation of flood victims in Pakistan and enhancing trade and economic ties between the two allies.

“Both sides had convergence on major international issues, including Afghan­istan,” and also on the “need for cooperation to avoid humanitarian crisis and improving peace and stability in the region”.

Diplomatic sources in Washington, however, say that the talks with US officials focused on renewing the strong defence partnership that once existed between the two allies.

Diplomatic observers view this effort against the backdrop of a recent announcement by the US State Depar­tment that it has asked Cong­ress to release $450 million for the sustenance of Pakis­tan’s fleet of F-16 aircraft.

After the announcement, the US rejected India’s criticism that those planes would be used against New Delhi.

”Pakistan’s programme bolsters its capability to deal with terrorist threats emanating from Pakistan or from the region. It’s in no one’s interests that those threats be able to go forward with impunity,” US Secretary of State Antony Blinken said last week.

Indian Foreign Minister Jaishankar was also present at the event where Mr Blin­ken defended Pakistan’s right to maintain those pla­nes, but he ignored the rem­arks, although he had earlier said that such statements were “not fooling anybody”.

North Korea fired another two ballistic missiles on Thursday – the sixth such banned launch in less than two weeks.

Pyongyang on Wednesday described its recent blitz as “just counteraction measures” to joint US and South Korean military drills.

On Tuesday Pyongyang fired a missile over Japan, prompting the US to call an emergency UN Security Council meeting.

At the meeting the US accused Russia and China of protecting the North from stronger sanctions.

By opposing further sanctions Moscow and Beijing had given Pyongyang “blanket protection”, the US ambassador to the UN said. The Chinese and Russian representatives said increased dialogue was better than punishment.

For the past two months the US, South Korea and Japan have been holding a series of combined exercises as they practice how to defeat and deter a North Korean attack. These drills have antagonised North Korean leader Kim Jong-un, who sees them as proof his enemies are preparing for war.

In its statement the North accused the US of “escalating the military tensions on the Korean peninsula”.

On Wednesday the US, Japan and South Korea carried out further drills, which they said were a response to Tuesday’s launch. The US said there was “no equivalency” between a banned missile test-fire and security drills.

The US also redeployed its aircraft carrier the USS Ronald Reagan near the Korean peninsula.

South Korea and Japan said the first of Thursday’s missiles, launched at about 06:00 local time (21:00 GMT) flew about 350km (217 miles) with a maximum altitude of around 100km, while the second missile had a flight range of about 800km at an altitude of around 50km.

The recent flurry of launches is strongly reminiscent of the period leading up to its last nuclear weapon test in 2017.

Back then, as is happening now, the North tested missiles, there was no dialogue with the US, and Pyongyang fired two missiles over Japan.

Satellite imagery shows that the North has been restoring tunnels at their nuclear testing site, which they had claimed to have destroyed in 2018 during a short-lived diplomatic rapprochement with the US under President Trump.

Last month, North Korea also revised its nuclear laws, with leader Kim Jong Un declaring his country an “irreversible” nuclear power.

With everything in place, Kim appears to be waiting for a politically opportune moment to carry out its seventh nuclear test.

Analysts believe a test is most likely to happen during the window of three weeks between the Communist Party Congress in China later this month and the US mid-term elections in early November.

North Korea’s recent launches

  • Sunday 25 September: A short-range missile fired the day after a US naval carrier arrived in waters around the Korean peninsula. 600km distance/60km altitude
  • Wednesday 28 September: Two short-range missiles fired on the eve of US Vice President Kamala Harris’ visit to Seoul and the DMZ. 360km distance/30km altitude
  • Thursday 29 September: Two short-range missiles after Harris departed South Korea. 300km distance/50km altitude
  • Saturday 1 October: Two short-range missiles fired amid continuing US-South Korea-Japan drills. 400km distance/50km altitude
  • Tuesday 4 October: An intermediate-range ballistic missile fired over Japan. 4,500km distance/2,800km altitude
  • Thursday 6 October: Two more short-range missiles fired. 800km distance/50km altitude

Russia’s President Vladimir Putin has signed the final papers to annex four regions of Ukraine – even as his military suffered further setbacks.

The Luhansk, Donetsk, Zaporizhzhia and Kherson regions are “accepted into the Russian Federation” the documents say.

But in two of those areas – Luhansk and Kherson – Ukraine said it has been retaking more villages.

Mr Putin also signed a decree to formalise Russia’s seizure of the nuclear power plant in Zaporizhzhia.

Last Friday, the Russian leader held a grand ceremony in the Kremlin, where he signed agreements with the Moscow-installed leaders of the four regions.

The move followed self-proclaimed referendums in the areas, denounced as a “sham” by the West.

But on the ground there appears to be a different reality, with Ukrainian forces making gains in both the south and the east.

Serhiy Haidai, Ukrainian governor of Luhansk, told the BBC on Wednesday that six villages in the region had been recaptured.

And President Zelensky later said Ukraine had liberated three more villages in the southern region of Kherson.

That followed a series of gains in Kherson the previous day, including the strategically key village of Davydiv Brid.

Meanwhile, the southern city of Zaporizhzhia was rocked by a series of huge explosions an hour or so before dawn.

Local authorities say seven Russian missiles hit residential buildings and that people are under the rubble. There has been no information on casualties so far.

The BBC’s Paul Adams, who is in the city, says rescue workers are combing through the shattered remains of an elegant five storey apartment building in the middle of the city.

Zaporizhzhia was rocked by a series of huge explosions an hour or so before dawn on Thursday

Kremlin spokesman Dmitry Peskov said Russia would retake any territory that had been lost to Ukrainian forces.

Facing questions over the recent losses, he told reporters: “There is no contradiction here. They will be with Russia forever, they will be returned.”

In a speech to teachers on Russian teachers’ day, Mr Putin said he would “calmly develop” the annexed territories.

But Andrey Kartopolov, the chairman of the State Duma defence committee, told state media that Russia needed to stop lying about what was happening on the battlefield, saying that Russians were not stupid.

Russia is still working to mobilise reservists, after Mr Putin announced a call-up last month of 300,000 people who had completed compulsory military service.

But Mr Putin has rowed back on which groups will be affected, after strong opposition and protests in Russia against the move.

He has signed a decree exempting several categories of students, including first-time students at accredited institutions, and certain types of postgraduate students – such as those in the field of science.

 

In another move, President Putin has signed a decree to formalise Russia’s seizure of the nuclear power plant in one of the annexed regions – Zaporizhzhia – which has been occupied by Russian troops since the early days of the war.

Russia says the plant – Europe’s largest nuclear facility – will be operated by a new company, but Ukraine’s nuclear operator has dismissed the move as “worthless”.

Rafael Grossi, the head of the UN’s nuclear watchdog, the IAEA, has said he will hold consultations with the two sides following the development.

He is heading to Kyiv and then Moscow, seeking to establish a protection zone around the plant, which is situated near the front line of fighting.

The Royal College of Nursing is balloting all of its UK members for strike action for the first time in its 106-year history.

The union is recommending its 300,000 members walk out out over pay, with the result of the ballot due next month.

If strikes go ahead, the RCN says they would affect non-urgent but not emergency care.

The government has urged nurses to “carefully consider” the impact on patients.

 

The RCN has been calling for a rise of 5% above the RPI inflation rate of 12%, but no UK nation has offered close to that.

In England and Wales, NHS staff, including nurses, are being given an average of 4.75% more, with extra for the lowest paid, while in Scotland, 5% has been given. In Northern Ireland, nurses are yet to receive a pay award.

The RCN said it had commissioned research showing average pay had fallen by 6% between 2011 and 2021 – once inflation had been taken into account – compared with the 4.6% average for the whole economy.

General secretary Pat Cullen said: “This is a once-in-a-generation chance to improve pay and combat the staff shortages that put patients at risk.

“Governments have repeatedly neglected the NHS and the value of nursing. We can change this if together we say enough is enough.”

Starting salaries for nurses in England are currently just above £27,000, rising to nearly £55,000 for the most senior nurses.

The RCN said the average pay for a full-time established nurse was just above £32,000 last year – similar to average pay across the economy.

The union is inviting members of the public to co-sign a letter to Prime Minister Liz Truss, backing its stance.

The Department of Health and Social Care in England said it valued “the hard work of NHS nurses”

The 380,000 members of Unison, including about 50,000 nurses, are also being balloted.

These ballot papers have been sent out in Scotland, with the rest of the UK following suit in the coming weeks.

Midwives in Scotland have also been balloted on strike action by the Royal College of Midwives, while the British Medical Association has said it will ballot junior doctors over industrial action.

A spokeswoman for the Department of Health and Social Care in England pointed out the independent NHS Pay Review Body had recommended its pay award.

And it followed a 3% pay rise last year, in recognition of work during the pandemic, despite a public-sector pay freeze.

“We value the hard work of NHS nurses and are working hard to support them. Industrial action is a matter for unions and we urge them to carefully consider the potential impacts on patients,” she added.

Scottish Health Secretary Humza Yousaf said: “Any ballot for industrial action is disappointing. We are engaged with health unions and I hope we can come to an agreement on pay in the near future.”

In 2019, RCN members went on strike in Northern Ireland over pay, while nurses who are members of Unison walked out in 2014 over pay.

During strike action, some nurses will continue to work to ensure emergency and urgent services continue.

Prime Minister Liz Truss will seek to assert the UK’s role in Europe when she attends a historic first meeting of a new political club of nations.

More than 40 countries will be at the summit of the European Political Community (EPC) in Prague.

World leaders will discuss energy, migration and security, with a focus on the war in Ukraine.

Ms Truss will say Russian aggression means Europe is facing its “biggest crisis since the Second World War”.

Downing Street only confirmed her attendance late last week, with the prime minister travelling from a Conservative Party conference overshadowed by divisions and the economic fallout from her tax-cutting mini-budget.

Ms Truss will hold talks with French President Emmanuel Macron and others on Thursday, in what could mark a new phase in the UK’s post-Brexit relations with Europe.

The UK, Switzerland, Turkey, Norway, Iceland, Georgia, Azerbaijan and Western Balkan countries are among non-EU members who will join the first gathering of the EPC.

The EU’s 27 member states will also be there, ahead of a separate meeting on Friday.

The EPC has been championed by the French President Emmanuel Macron but there’s scepticism, even within the EU, about the new forum.

Critics see it as a vague regurgitation of old ideas.

But France believes it is a “historic” gathering – unique in scale and context – that can help “rebuild stability on our continent” in the wake of Russian President Vladimir Putin’s decision to invade Ukraine.

Ms Truss had been hostile to the EPC project, so what changed?

Warming up

Some observers point out it was never likely she would voice passionate enthusiasm for a French-led European meet-up while vying for the Tory leadership.

But once in power she appeared to warm to the idea, although Downing Street is reluctant to accept suggestions Mr Macron won her over.

It might prove to be a “modest” turning point in EU-UK relations, says the director of the Centre for European Reform, Charles Grant.

While a row about post-Brexit arrangements for Northern Ireland remains unresolved, talks are restarting this week.

“Neither side is trying to push that issue to the brink at the moment,” says Mr Grant. “So this summit could be a sign of a modest rapprochement.”

The official line is that the PM is heading to Prague because she wants to “shore up” support for Ukraine and “galvanise” collective action on energy security and migration.

Downing Street says Ms Truss will call on leaders to keep oil and gas interconnectors open this winter while taking part in talks on joint projects to develop new nuclear and offshore wind capacity.

She’ll have a one-on-one with Mr Macron, as France and the UK continue to clash over how to tackle dangerous small-boat crossings in the Channel.

Another draw for the UK is Turkey, a big non-EU player. Norway, a key supplier of energy to the UK, is also showing up.

The UK has been less keen to talk about security, with jitters that the EPC could be seen as somehow cutting across the Nato military alliance.

However, Russia’s invasion of Ukraine is a key part of the picture.

Diverse agendas

The UK isn’t alone in hoping that the meeting will demonstrate European unity.

A senior EU diplomat said the meeting would send a “strong signal” to President Putin.

If the EPC does prove short on solid outcomes, then expect it to be long on messages about support for Ukraine and condemnation of the Kremlin.

In the opening session, Ukrainian President Volodymyr Zelensky will give a video address while Ms Truss will also take the floor, where she’ll say the threat from Russia was “left to fester for far too long”.

Ukrainian President Volodymyr Zelenskyy will address the summit via video-link

But not all those attending are of one mind on the conflict.

“One of the measures of success will be does it persuade Serbia, Azerbaijan and Turkey to lean a bit more to the West and less towards Russia?” says Mr Grant.

Turkey’s talked of a “balanced” approach to Russia and hasn’t signed up to Western sanctions.

“When first proposed by Macron, the EPC was supposed to be club with shared democratic values but it’s now more about making sure Europe as a whole isn’t Russia’s friend,” says Mr Grant.

Uncertain identity

A sign of the uncertainty about what the EPC is really for is that there have been far clearer messages about what it is not.

It’s not a substitute for NATO or the G7, we’re told.

It’s not a slightly comfier “waiting room” for countries eager to join the EU.

Nor it is a forum that will be dominated by EU institutions.

That’s despite invites having been issued by the president of the European Council, Charles Michel, while the meeting itself has been tacked onto the front of an EU summit.

Brussels insists it has merely been facilitating the forum – it’s not “the EU plus plus”, insisted one senior official.

The next EPC, in either six months or a year’s time, is likely to be held in Moldova.

If the project survives, the UK is currently fourth in line to host a summit.

But British officials are keen to play it cool on the EPC, insisting they will walk away if it evolves in an undesirable direction.

Pakistan out of money for flood recovery, UN boosts aid request: minister

ISLAMABAD: Pakistan is out of money to spend on recovery from devastating floods, its climate change minister said on Tuesday, urging prompt international help at the UN launch of an aid appeal as funds needed by the country were ramped up five-fold.

The United Nations revised up its humanitarian aid appeal for Pakistan five-fold to $816 million from $160 million, as a surge of water-borne diseases and fear of growing hunger pose new dangers after weeks of unprecedented flooding linked to climate warming.

The meeting was told that the UN has received only $90 million so far out of the $160-million previous appeal for aid.

“We have no space to give our economy a stimulus package, which would create jobs, and provide people with the sustainable incomes they need,” the climate change minister, Sherry Rehman, told the conference in Geneva aimed at seeking aid for Pakistan.

She urged the developed world to accelerate funding for the ongoing domestic climate-linked disaster, terming it “the meta-climate event of a century.”

Pakistan has already dispersed cash handouts worth $264 million to 2.47 million people affected by the disaster, she added.

She said 7.9 million people have been displaced.

“We are gathered here to reboot your compassion simply because the numbers are too staggering to service for any one country alone,” she said.

The European Union (EU) scaled up its flood assistance to 30 million euros (6.7 billion Pakistani rupees), according to a statement after the EU commissioner for crises management, Janez Lenarčič, met Prime Minister Shehbaz Sharif in Islamabad.

Pakistan’s economic affairs minister Ayaz Sadiq told the gathering that it would take “years and years” for the country to rebuild and help rehabilitate millions of people whose homes were destroyed by the flooding.

The floods, caused by abnormal monsoon rains and glacial melt, have submerged huge swathes of the South Asian country and killed nearly 1,700 people, most of them women and children.

Hundreds of thousands of displaced people who are living in the open are being exposed to diseases like malaria, diarrhoea, dengue fever, severe skin and eyes infections, cholera, dog and snake bites, all of which are fast spreading amid stagnant floodwaters that officials say will take several months to recede.

The diseases have killed hundreds in addition to the 1,700 deaths from the flooding, and tens of thousands of them are treated daily at make-shift hospitals.

Tedros Adhanom Ghebreyesus, director general of the World Health Organisation (WHO), told the meeting Pakistan needed an urgent and robust response, supported by sustainable funding, to control the spread of outbreaks.

“We are on the verge of a public health disaster,” he said and added: “The water has stopped rising, but the danger has not.”

He said the WHO needed $115 million to meet the health emergency.

Approximately 10% of Pakistan’s health facilities have been damaged, leaving millions without access to health care, he said, adding that the stocks of essential medicines and medical supplies were limited or had been washed away.

Urgent need for medicine

The deluge has impacted 33 million people out of a population of 220 million, and caused damage the government estimates at $30 billion as crops, roads, livestock, bridges, houses, schools, and medical facilities were washed away.

The government and the United Nations have blamed climate change for the disaster.

Julien Harneis, the UN resident coordinator and humanitarian coordinator in Pakistan said the $816 million target for the appeal was “absolutely not enough”.

“We need all of these funds and we need it quickly,” he said.

Rehman said 8.2 million people were in urgent need of medicine, including 4% of the disaster-affected population that was pregnant, and export crops were almost all wiped out, pushing the country to import food.

“These are real people on the ground, whose eyes are still vacant from shock, who have overnight been turned into poster-children of extreme vulnerability, with futures that are entirely precarious,” she said.