Water-borne diseases are rampant in parts of Pakistan’s flood-ravaged regions, which have killed 324 people so far, authorities said on Wednesday. Hundreds of thousands of people displaced by the floods are living in the open, and as floodwaters – spread over hundreds of kilometres – may take two to six months to recede, stagnant waters have led to serious health issues. With Pakistan’s already weak health system and lack of support, displaced families have complained of being forced to drink and cook with disease-ridden water. Authorities have also warned that the situation may get out of control if required aid doesn’t arrive. “We know it can sicken us, but what to do, we have to drink it to stay alive,” flood victim Ghulam Rasool told a private news channel as he stood near where his home was washed away. “The aid is slow to arrive,” said Dr Farah Naureen, Mercy Corps’ country director for Pakistan after visiting several submerged regions. “We need to work in a coordinated manner to respond to their immediate needs,” she said in a statement, prioritising clean drinking water. Health and nutrition stand out as the most important needs of the displaced population, she said. The Sindh government on Wednesday said makeshift health facilities and mobile camps in the flooded areas had treated more than 78,000 patients in the last 24 hours, and more than 2 million since July 1. Out of them, six died, it said. Deaths from diseases aren’t among the 1,569 people who were killed in flash floods, including 555 children and 320 women, the National Disaster Management Authority (NDMA) said on Wednesday. A historic and intense monsoon dumped about three times as much rain on Pakistan as the three-decade average, which, combined with glacial melt, caused unprecedented flooding. The deluge has affected nearly 33 million people in the South Asian nation of 220 million, sweeping away homes, crops, bridges, roads and livestock in damages estimated at $30 billion. Officials are warning they now risk losing control of the spread of infections in a dire situation that the World Health Organisation (WHO) described as “utterly heartbreaking”.