More from Pakistan:

Between 5% and 10% of the city’s population of 350,000 are still stuck in their flooded homes. Those who can, travel around by boat. Others swim in the flood waters with a stick to get about. Sewage and flood waters have mixed to a dirty green. Interviews with local people painted a picture of a disaster on a scale that the government and NGOs were unable to cope with.

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Dadu and neighbouring Qambar Shahdadkot are the worst-affected districts in the Sindh province, itself the worst-hit province. Flood water inundates roads for miles, making many towns inaccessible. Displaced people live in tents and makeshift homes on roadsides.

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Manzoor Ali, also from Nurang Chandio, said villagers had built the tents and makeshift houses on their own. “We are running out of food,” he said. “We eat once a day. My daughter, who is just two years old, has a recurrent high fever and there are no medical facilities here.”

Holding her son close to her, Ghulam e Kubra said: “There is nothing for us. Children are falling sick and we are helpless. We don’t have clean drinking water, food and medicine. We don’t know what to do with our lives.”

Here the cruise ships are getting ready for another afternoon departure.