Pakistan Country Report
The PTI-led government encourages foreign direct investment, and has signalled intent to improve the country's operating environment. Details have not yet been released, but any plan would have to tackle Pakistan's governance issues, corruption, and excessive regulation. The emphasis on CPEC is likely to shift towards developmental, industrial, and transport sectors as the initiative's focus shifts towards improving exports and actualising CPEC's primary objective of developing trade and connectivity between China, Pakistan, and the broader region. Strikes are particularly likely in the transportation and power transmission sectors, and pose risks of collateral damage to property.
Non-state armed group attacks decreased by 28% across the country during 2018, marking a fourth consecutive year of declining attacks. The data underline that Islamist militant groups continue to struggle to reorganise following military operations against their strongholds in 2014, reducing the frequency and capability of their attacks. We expect the terrorism risk to airports, ports, hotels, infrastructure, and government installations to reduce further over the coming year, although there is an increasing risk of separatists staging suicide assaults or improvised explosive device attacks against restaurants and hotels frequented by Chinese nationals in Balochistan and Sindh.
The Kashmir dispute continues to strain relations with India, and skirmishes between the two countries have increased since 2014. Intensified cross-border fighting along the Line of Control, as well as less likely along the northern borders of Punjab, is unlikely to abate in the one-year outlook. Full-scale military confrontation with India nevertheless remains unlikely despite increasing rhetoric in both countries. A major militant attack in India, however, would increase the likelihood of limited conflict. Challenging relations with Afghanistan and border fencing by Pakistan will also raise the risks of intermittent fighting on Pakistan's western border, but wider escalation is unlikely.
Vaccinations required to enter the country
Proof of vaccination against yellow fever is required for travelers over nine months of age arriving from a country with risk of yellow fever (YFV) transmission and for travelers who have been in transit for >12 hours in an airport located in a country with risk of YFV transmission.
Hepatitis A: A vaccine is available for anyone over one year of age. The vaccine may not be effective for certain people, e.g. those born before 1945 and who lived as a child in a developing country and/or have a past history of jaundice (icterus). These people can instead get a shot of immune globulin (IG) to boost their immunity against the disease.
Hepatitis B: A vaccine is available for children at least two months old.
Diphtheria-Tetanus-Polio: A booster shot should be administered if necessary (once every ten years).
Typhoid Fever: If your travels take you to regions with poor sanitary conditions (for children two years old and up).
Rabies: For prolonged stays in an isolated region (for children from when they can walk).
Japanese Encephalitis: For stays of longer than one month in a rural zone during the rainy season (for children over the age of one). The vaccine is administered in a local medical facility.
Malaria: Recommended preventive medication - mefloquine (sometimes marketed as Lariam) or doxycycline (sometimes marketed as Vibramycin).
For Children: All standard childhood immunizations should be up-to-date. In the case of a long stay, the BCG vaccine is recommended for children over one month and the MMR (measles-mumps-rubella) vaccine for children over nine months.
Pakistan is particularly vulnerable to natural disasters. A massive earthquake took place in October 2005 in Azad Kashmir, resulting in 80,000 deaths.
The country regularly experiences flooding, which is often deadly. In June 2017, severe flooding killed 164 people and injured 200 more. Unprecedented flooding that occurred in August 2010 after an unusually heavy monsoon season left 3 million people homeless and impacted 17 million people overall.
The Pakistani state's capacity to deal with the challenges presented by natural disasters is often insufficient.
Due to locals' dangerous driving habits, often substandard highways, and a general disregard for rules of the road - in addition to the added risk of an armed attack - the use of public transportation (buses as well as trains) is ill-advised. Travelers should be extremely cautious while driving on highways outside of cities.
Driving becomes particularly hazardous during the winter months, as the sudden increase in the demand of electricity prompted by falling temperatures results in heavy smog and poor visibility on the roads, especially in the densely populated urban areas of Sindh, Punjab, and Baluchistan provinces. No less than 50 smog-related traffic accidents were reported in the Lahore region in a three-day period of severe air pollution in early November 2017.
Pakistan has a continental climate; weather conditions can vary greatly from region to region as well from season to season and from day to day. Generally speaking there are three main seasons: a cool to cold winter (October to February), a hot summer (March to June), and a hot, humid, and rainy monsoon season (July to September). Temperatures tend to be higher in the south, cooling progressively as you travel north.
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