KARACHI - Severe food insecurity and malnutrition are causing increase in deaths as well as spreading of diseases among the flood affected communities in Sindh due to limited government and international humanitarian response. This has been stated in a report titled Civil Society Flood Situation Report issued here on Friday by a civil society network Peoples Accountability Commission on Floods. The 10-page report covers different aspects of the situation of flood-affected communities of Sindh. According to the report, the international humanitarian support is very limited. The UN had issued flash appeal for US$357 million which was made on Sept 18, 2011 in Rapid Response Plan lead by the UN Agencies. Despite passage of more than one and half months, only 23 percent of the assessed funding requirements have been received, the report adds. Discussing the limited support in provision of shelter to the flood-hit, the report said that 1.5 million houses were damaged in the floods. However, the international community have provided tents and tarpaulins to only 374,827 which constitute only 35 percent of the shelter support suggested in the Rapid Response Plan prepared for the flash appeal. It means 65 percent of the flood affected communities are still living under open skies. According to the report, almost all the tents are non-winterised, which means none of the tents would withheld the severe cold resulting in increased deaths and diseases among the flood affected communities. Tarpaulin sheets are never substitute of proper tent even non-winterised. Similarly, the government and international humanitarian agencies have failed in providing adequate support to the flood-affected communities. More than 90 percent of the flood affected communities are yet deprived of blankets, kitchen sets, mats and other basic necessities. The report while quoting the UN reports says that 3 million flood-affected people are remain highly vulnerable and in need of immediate food assistance in Sindh and Balochistan. Reports of high levels of malnutrition are being received from the flood affected areas, compounding an already dire nutrition situation in Sindh. However, the support in providing food is very limited in Sindh by the government and international humanitarian agencies. Only 18 percent of the overall food security appeal amount has been collected, resultantly the humanitarian agencies are facing problems in providing flood support to the affected communities. Millions of flood-affected farmers intend to cultivate winter crops especially wheat crop on the land where flood water has receded. However, despite announcements the federal and Sindh government have failed in initiating distribution of seed and other inputs to the flood-affected farmers. If the distribution of seed and other inputs is not initiated within a week, the farmers would be unable to cultivate wheat crop which would further increase food insecurity in the province, the report warns. With the passage of days, health related issues of flood affected communities are increasing as rainwater is stagnant and winter is fast approaching. Acute diarrhoea, skin diseases, malaria and acute respiratory infections (ARI) as the main diseases are most prevalent and incidents of water borne diseases (including acute watery diarrhoea), vector borne diseases (dengue and malaria) and ARI are increasing with the onset of winter. Relief support to the flood affected communities in water, sanitation and hygiene is also limited. According to report yet 65 percent of the flood affected communities are not receiving safe drinking water and 76 percent have not received 76 sanitation facilities. Report says that the process of water receding from the flooded areas is very slow as the government has failed to import dewatering machines despite the Presidents instructions. Still 60 percent of the flood-hit area of district Badin is under water while in other districts including Sanghar, Mirpurkhas and Umerkot, still 50 percent areas are under floodwater. Report has also come heavily on the governments flawed early warning systems and what it has called political favouritism in distribution of relief among the flood affected communities.