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. Since then, nearly 300,000 people have been evacuated from flood-hit areas, said Irfan Ali Kathia, director general of the Punjab Disaster Management Authority.

Twenty people have died in this week’s floods in Punjab, raising the nationwide death toll to 820 since flash floods in late June, Kathia said.

Nearly 1,100 relief and medical camps are operating in the province to provide temporary shelter and treatment, with more medical camps being set up in flood-hit areas, he added.

Authorities have struggled to respond to the floods. Many people said Friday they were still without any government help and urgently needed food and medical supplies.

An Associated Press reporter on Thursday saw village after village underwater. Floodwaters covered fields and streets and thousands of people sat along the roadsides. Many had fled their homes in haste, carrying little or no food.

“We are in great misery. Neither the government nor anyone else has come to inquire about us,� said Mohammad Saleem, a farmer in Narowal, sitting on a road surrounded by water with hundreds of other people.

Rana Hanan, a lecturer at Narowal University, said more than 100 houses in his community were destroyed. “When the water came, people saved themselves on their own,� he said.

In some areas, residents clung to rooftops awaiting rescue, while those who reached higher ground reported hunger, skin infections, and diarrhea.

Private charity Sahara Foundation has set up a medical camp in Kartarpur village to treat those suffering from illnesses caused by a lack of clean water and food.

Dr. Bilal Siddiq, a senior physician with Sahara Foundation, said 50 nearby villages remain submerged. “Fungal and skin infections are everywhere,� he said. “We’re also seeing rising cases of diarrhea, gastric pain, and malaria.�

Haji Amjad, 45, showed his infected feet as he sat outside his flooded home for a fourth day. “My whole-body itches, my stomach hurts, and there’s no medicine,� he said.

But even as water levels begin to recede in some areas, some residents say their problems are mounting. With fodder destroyed, livestock are falling sick without veterinary care.

Nargis Bibi, 45, broke down as she described how floods had ruined her grain stores. “The floods have destroyed everything. Only our lives remain,� she said.

Punjab Chief Minister Maryam Nawaz Sharif said in a statement Friday that damages to homes, crops, and livestock are being assessed and promised that all losses would be compensated.

She added that her priority is saving lives and delivering aid to displaced people, and urged residents in flood-hit areas to move to safer locations.

Reports of new possible flooding have where 2022 flooding killed hundreds of people, claiming a total of 1,739 lives across the country.

In Indian-controlled Kashmir, the floods have killed nearly 100 people, according to Indian officials.

The crisis in Pakistan’s Punjab province underscores the growing challenges of with the country ranked among the 10

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Associated Press writer Asim Tanveer contributed to this story from Multan, Pakistan.