SUKKUR — In the ad-hoc child malnutrition facility at the Railway Hospital in Sukkur, mothers cradle and nurse their toddlers, all emaciated and weakened. A row of beds runs either side of the ward in the brown and gray-painted Raj-era hospital, upon one of which sits three year-old Zamina. She was malnourished before the floods hit, but the flight from the family farm in Thulla to this heaving city in northern Sindh worsened the tiny girl’s condition considerably, says Dr Sakina Jafri, pausing to speak as she moved from bed to bed. “With the threat of disease all around, young children are most prone,” she said. “And when they are so young and are malnourished, it only adds to that level of vulnerability.”