Hundreds of thousands of people displaced by the floods in Pakistan are living in the open, exposed to swarms of mosquitoes and other hazards. Despite the efforts of government and relief organisations, families need more food, shelter, medical assistance, medicines, and clean water. Stagnant floodwaters, covering hundreds of kilometres, may take up to six months to recede. There are widespread cases of skin and eye infections, diarrhoea, malaria, typhoid and dengue fever. On 24 September the Sindh provincial government said makeshift health facilities and mobile camps had treated over 78,000 patients in just 24 hours. Malaria spreads quickly around stagnant waters. The UN said malaria, typhoid and diarrhoea patients in large numbers were entering medical camps and hospitals; more medicine and test kits are needed. Families are forced to drink and cook with unsafe water. They need to drink to stay alive.

On 20 September, Uganda’s health authorities declared an Ebola outbreak after a Sudan strain was confirmed in central Uganda. Five days later 36 people had Ebola, 26 had died, 399 contact cases were identified, and 104 were in follow-up. Symptoms take two to 21 days to develop. Uganda's excellent road infrastructure allows infected people to travel in any direction for some time before becoming symptomatic, making tracing known contacts significantly more difficult. Pray for the national task force, meeting every day. Pray for Doctors Without Borders (MSF) as they set up an Ebola treatment centre. Pray for WHO as it deploys medical supplies and provides logistics and more staff, to help Ugandan authorities to halt Ebola’s spread. Pray for those setting up isolation units to have all the equipment and protective clothing they need. See also

Each zone in Nigeria has unique challenges and opportunities. Christian persecution increases, especially in the north. Some Muslim groups have killed thousands and destroyed hundreds, possibly thousands, of churches. Persecution unites Christians, driving them to the Lord in prayer. It also threatens the core of society and statehood. Pray for restoration and recovery for those who suffer from loss, or rape. Pray for forgiveness and freedom from a spirit of revenge. Pray that believers respond in the most Christ-like way possible, and for enemies of Christ to become His followers. In the south oil industries have polluted pristine agricultural land but only an elite (corrupt) few have benefited. Pentecostal churches are growing: may God give them sacrificial concern for the less privileged in the less-reached areas. Muslim missionary activity has intensified to win ethnic religions and backsliding Christians. Pray for cross-cultural outreach and true conversion of youth.

On 27 September Florida’s governor told millions, ‘You must evacuate now’. By the 29th Hurricane Ian, the worst storm in US history, had devastated Florida with cars submerged, power lines downed, and rivers sweeping away homes. Storm surges of 18 feet are forcing water inland across 250 miles of coastline. At the time of writing a 140-mile wide system is crawling towards Orlando. 24 inches of rainfall is expected in the next 48 hours. The storm surge flooded Port Charlotte’s hospital emergency room, and fierce winds ripped away the intensive care roof. Pray for the evacuated 2.5 million people, the 30,000 search and rescue teams, the ambulance and medical teams, and the 7,000 National Guards ready to help once the weather clears. The hurricane knocked out Cuba’s entire electricity grid before reaching the USA.