Woman of vision: A life spent preventing blindness in Pakistan

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Updated 15 December 2019
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Woman of vision: A life spent preventing blindness in Pakistan

  • Dr. Pramila Lall is Pakistan’s first female eye specialist who has saved thousands from visual impairment
  • The female ophthalmologist has conducted the highest number of eye surgeries in Asia

TAXILA: In the archaeological city of Taxila, some 32 kilometers northwest of Pakistan’s capital Islamabad, lives an eye doctor of Indian origin, the country’s first female ophthalmologist, who has saved hundreds of thousands of people from visual impairment and continues her crusade against blindness despite crossing her retirement age.
Dr. Pramila Lall, 87, was born in Kerala, India, in 1932. She immigrated to Pakistan in 1957 after receiving MBBS from the Christian Medical College and marrying her Pakistani classmate, Dr. Ernest Lall, who advised her to become an eye specialist. Since then, she has dedicated her life to the cause and is said to have conducted over 500,000 surgeries, the highest number of such operations performed by any single doctor in Asia.
In 1987, Lall became member of the American Academy of Ophthalmologists, and the London Royal College of Ophthalmologists awarded her a fellowship in 1990.
Hailing from a family of academics, she recently narrated her journey from India to Pakistan while talking exclusively to Arab News at the Christian Hospital, Taxila, which was built in 1922 by missionaries.
“When I was young, I had a speech defect. I couldn’t speak out. If the teacher asked me anything, I would know the answer, but I closed my mouth, put my head down like I didn’t know it. It used to make me very ashamed of myself. My only hope was to be a veterinarian and take care of animals since I didn’t need to talk to them,” Lall said while she sat on her favorite black chair next to an old eye examination equipment.
“It was my mother,” she continued, “who told me: ‘You don’t take care of animals; you take care of human beings. You’ll become a doctor.’ My father said, ‘No, we don’t have money to send her to a medical college.’ But my mother said, ‘This daughter of mine is going to do medicine.’”
Lall enrolled in the medical school where she met her future husband, a Pakistani “Punjabi boy” who told her that there was “a lot of eye work required across the border” and advised her to do her residency in ophthalmology.
“I came to Pakistan on the 27th of September, 1957, at 4 o’clock in the evening. I was wearing a sari I didn’t have any socks on my feet and no shoes. I had only chappals, because in India that’s what we used all the time. We wore chappals and we wore saris.”
She had Pakistani visa stamped on her Indian passport and was accompanied by her husband. At the Amritsar border, she said, an “Indian immigration officer said, ‘Two doctors going off to Pakistan. We need doctors in India. You people better not go, you better stay in India.’”
Crossing over, the Pakistani immigration official said: “Welcome to Pakistan. We need doctors in this country.” It was a big welcome, she added, though she had to change her nationality within the first six months to permanently stay in the country.
Since then, Lall has returned to India once to receive the Paul Harrison Award in 1985 after previously being denied entry in 1965 when the two South Asian rivals suspended diplomatic relations while fighting a full-scale war.
“We needed to get an Indian visa to collect an award. The [Indian] embassy officer said, ‘You are a Pakistani. How come you are getting an award from India?’ I had to explain to him, that we came from India. We studied in Vellore, our work was there, training was there, and that was the reason why the Indians were giving me the award because I had done so much for the prevention of blindness in Pakistan. Only then he understood why I wanted to go to India,” Lall said, adding she did not have the urge to return to her country of origin. “Whatever I have are my staff and my friends in this country,” she said.
In 2002, President General (r) Pervez Musharraf gave her Tamgha-e-Imtiaz, an award of excellence conferred by the state, and she capitalized on the opportunity by requesting him to allow Christians to vote.
“When I got the award, I thanked the president and said I had one request: ‘I want you to do something for the rights of the minorities. We are not allowed to vote.’ He said, ‘I’ll do something about it,’” Lall said, smiling.
Discussing her career, she said there came a time when she was not able to take the pressure and influx of patients. She also faced hardships during the 1965 and 1971 wars since she was treated as a suspect due to her Indian origin.
“I just wrote a small message to my father and said, ‘Enough of Taxila. We are going to Canada. We are going to work over there. We’ll get good money over there and we won’t have all this business of being in Pakistan.’ My father wrote back and said, ‘Have you forgotten? Once you put your hand to the plow, you don’t turn back. Stick to your job and have faith in God. That’s the most important thing.’ The Lord had saved me. I am in my 80s now, and I keep praying, ‘Lord! Use me as long as you can, but I am ready to go to you whenever you call me,’” she told Arab News.
Lall continues her mission, though she now feels lonely since her husband passed away in March this year, her children live in the United States, and there is no one left in her family in India.
“I have stopped doing surgery now for four years. But I keep training others who come here so they can develop their skills and be good surgeons. I don’t want to be a burden. I have only one woman [maid] at home and one dog. I keep telling her, ‘If any day you find I am not breathing properly, this is the phone number. You call this ward and tell them, Please come and see Mrs. Lall.’”


Pakistani military blames ‘Indian-sponsored’ militants for children’s death in northwest this week

Updated 21 May 2025
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Pakistani military blames ‘Indian-sponsored’ militants for children’s death in northwest this week

  • Protests broke out in North Waziristan after a suspected drone strike reportedly led to the killings of four children
  • The military says initial investigations have revealed the incident was carried out by ‘Fitna Al Khwarij’ militants

ISLAMABAD: Pakistan’s military on Wednesday denied responsibility for the death of four children in North Waziristan earlier this week, attributing the incident to a proscribed militant network which it said was operating on “the behest of their Indian masters.”

The incident occurred on May 19 in the Hurmuz village of Mir Ali tehsil, where a suspected drone strike reportedly led to the death of four children from the same family and injuries to five others, including a woman.

The tragedy sparked protests in the area, with locals staging a sit-in and refusing to bury the deceased until authorities provided clarity on the incident and ensured accountability for the loss of innocent lives.

In a statement released on Wednesday, the Inter-Services Public Relations (ISPR), the military’s media wing, dismissed allegations implicating Pakistan’s security forces in the strike, labeling the accusations as “entirely baseless” and part of a “coordinated disinformation campaign” aimed at discrediting the military’s counterterrorism efforts.

“Initial findings have established that this heinous act has been orchestrated and executed by Indian-sponsored Fitna Al Khwarij,” the statement said, using a term commonly employed by Pakistani authorities to describe extremist factions like the Tehreek-i-Taliban Pakistan (TTP).

The term “khwarij” is rooted in early Islamic history and refers to an extremist sect that declared other Muslims apostates.

“It is evident that these elements — acting at the behest of their Indian Masters — continue to exploit civilian areas and vulnerable populations as shields to conduct their reprehensible acts of terrorism,” the statement added. “Such tactics aims to unsuccessfully sow discord between the local population and the security forces, who together remain resolute to uproot the menace of terrorism.”

The military also reaffirmed its commitment to bringing the perpetrators to justice, emphasizing its ongoing efforts to combat militant violence in the region.


Afghanistan and Pakistan to work to upgrade diplomatic ties after trilateral talks in Beijing

Updated 21 May 2025
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Afghanistan and Pakistan to work to upgrade diplomatic ties after trilateral talks in Beijing

  • Pakistan and Afghanistan agree to work to extend China-Pakistan Economic Corridor to Afghanistan
  • Neighbors decide in principle to send ambassadors to each other’s capitals as soon as possible

ISLAMABAD: Pakistan and Afghanistan plan to upgrade diplomatic ties and will work to extend the China-Pakistan Economic Corridor (CPEC) into Afghanistan, Beijing said on Wednesday after hosting an informal meeting between Islamabad and the Afghan Taliban administration.

The announcement comes as Pakistani Deputy Prime Minister Ishaq Dar was in China on a three-day visit for trilateral talks with Chinese Foreign Minister Wang Yi and Afghanistan’s Acting Foreign Minister Amir Khan Muttaqi in Beijing.

Islamabad and Kabul had agreed in principle to send ambassadors to each other’s capitals as soon as possible, Wang said after his talks with Muttaqi and Dar.

The two countries “clearly expressed” willingness to upgrade the level of their diplomatic relations, Wang said according to a Chinese foreign ministry statement.

The officials also decided to hold the 6th Trilateral Meeting of Foreign Ministers in Kabul at a mutually agreeable date.

“Pakistan, China and Afghanistan have agreed to deepen cooperation on Belt and Road Initiative (BRI) and extend the China-Pakistan Economic Corridor to Afghanistan,” Radio Pakistan reported after Dar concluded his Beijing visit.

The Belt and Road Initiative, also known as the One Belt One Road or the New Silk Road, is China’s large-scale infrastructure development project aimed at connecting the world through land and sea trade routes. It involves investing in infrastructure like ports, railways, roads, and energy projects in over 150 countries. CPEC is a flagship of the BRI scheme under which China has pledged over $60 billion in infrastructure, energy, industrial, and agricultural projects in Pakistan.

Relations between Pakistan and Afghanistan have plummeted in recent months due to a surge in militant attacks that Islamabad blames on Afghan-based insurgents. Kabul denies it allows its territory to be used against other nations.

In December, the Afghan Taliban said bombardment by Pakistani military aircraft in Afghanistan’s eastern Paktika province had killed at least 46 people, most of whom were children and women.

Pakistan has not confirmed the strikes but said at the time it was carrying out “anti-terrorist operations” against militants with safe havens in Afghanistan, a charge Kabul denied.

In a statement on Wednesday, Pakistan’s foreign office said it “welcomed positive momentum in bilateral ties, including enhanced diplomatic engagement, trade, and transit facilitation.”

Afghanistan’s acting foreign minister “emphasized the importance of political and economic relations with both countries and expressed hope for further progress in these areas in the future.”

Tensions appeared to ease after a rare meeting between Muttaqi and Dar in Kabul last month where the Taliban’s acting foreign minister expressed concern over the deportation of tens of thousands of Afghans from Pakistan. Pakistan has expelled more than 80,000 Afghan nationals since the end of March as part of a renewed surge in a repatriation drive that began in 2023.

Wednesday’s meeting in Beijing signaled a further thaw, with all agreeing to a trilateral foreign ministers’ dialogue in Kabul as soon as possible.

Pakistan and Afghanistan have embassies in each other’s capitals, but they are led by charge d’affaires, not ambassadors. China was the first country to accept an ambassador from the Taliban-run administration in Kabul though it does not formally recognize its government. Several other states, including the UAE, followed.

During the talks, China and Pakistan voiced support for the reconstruction and development of Afghanistan, and are willing to expand trade exchanges with Afghanistan, said Wang.

The meeting also agreed on security cooperation, combating terrorist forces and safeguarding regional peace and stability, he said.

With inputs from Reuters


Beloved strongman: Support for Pakistan army chief surges after India conflict

Updated 21 May 2025
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Beloved strongman: Support for Pakistan army chief surges after India conflict

  • Government has promoted Gen Asim Munir to Field Marshal “in recognition of strategic brilliance and courageous leadership” in latest standoff with India
  • Survey conducted after the India conflict by Gallup Pakistan, a local pollster, found that 93 percent of respondents felt their opinion of the military had improved 

ISLAMABAD: Pakistan’s army chief General Asim Munir is the most powerful man in the country, but his popular support has surged after the worst conflict in decades with arch-rival India, shattering criticism of interference in politics and harshly cracking down on opponents.

A grateful government on Tuesday gave him a rare promotion to Field Marshal “in recognition of the strategic brilliance and courageous leadership that ensured national security and decisively defeated the enemy.”

The military has ruled Pakistan for at least three decades since independence in 1947 and wielded extraordinary influence even with a civilian government in office. But it, and its hard-line chief, have rarely received the widespread outpouring of affection seen this month that analysts say has reinforced the military’s dominance in the nuclear-armed nation.

“Long live General Asim Munir!” read placards held aloft in rallies in recent days in towns across Pakistan. His picture was put up on lamp posts and bridges, with some banners saying: “You are our savior!“

A survey conducted after the conflict by Gallup Pakistan, a local pollster, found that 93 percent of respondents felt their opinion of the military had improved.

Munir’s most bitter domestic foe, jailed former Prime Minister Imran Khan, also congratulated the military after this month’s clashes with India, claimed by both nations as a victory.

“It’s my country, it’s my army,” Khan said in a post on X last week. “I pay tribute to the Pakistan Air Force and all our military personnel for their professionalism and outstanding performance.”

Yousuf Nazar, a political commentator, said of Munir: . “He has emerged as Pakistan’s strongman with his military’s reputation restored as a formidable force.”

Six months after he took charge in November 2022, Munir was faced with the most serious challenge to the military’s hegemony when Khan’s supporters attacked and ransacked military installations.

Munir later faced sharp domestic criticism for the jailing of Khan and cracking down on supporters of his Pakistan Tehreek-e-Insaf party, as well as what critics alleged was rigging the general election last year to favor a rival party.

But the conflict with India has turned that around, said Ayesha Siddiqa, author of Military Inc, a book on the Pakistan military.

“It has made the general stronger than any other previous generals. He is a hero now,” she said, adding that the contest between the neighbors will be headed by two hard-liners, India’s Hindu nationalist Prime Minister Narendra Modi and Pakistan’s Munir, a devout Muslim.

“It’s an Islamist general versus a religious strongman,” she said.

The military did not respond to questions sent by Reuters.

FUNDAMENTAL DIFFERENCE

The spark for the latest fighting between the neighbors was an April 22 attack in Indian Kashmir that killed 26 people, most of them tourists. New Delhi blamed the incident on “terrorists” backed by Pakistan, a charge denied by Islamabad.

On May 7, the Indian military carried out air strikes on what it called “terrorist infrastructure” in Pakistan, in response to the attack in Kashmir.

Pakistan claimed to have downed at least 5-6 Indian fighter jets and carried out air strikes on Indian military bases. India has indicated that it suffered some losses and inflicted major damage on key Pakistani air bases and air defiance systems.

Munir, who has memorized the Muslim holy book, the Qur’an, has publicly underlined what he has said are fundamental differences between Islamic Pakistan and predominantly Hindu India.

“Our religion is different. Our customs are different. Our traditions are different,” he said in a speech in Islamabad a week before the attack in Indian Kashmir.

The Indian army “with all their wherewithal” cannot “intimidate” Pakistan, he said, peppering his comments with verses from the Qur’an.

“Pakistan needs to be a hard state.”

Pakistan’s counterstrike against India was named by him as “Bunyan Marsoos,” after a Qur’anic verse, which means Iron Wall, according to the military. It was launched on May 10 to coincide with dawn prayers, considered an auspicious time for Muslims.

Munir, the son of a schoolteacher, is an infantry officer and a former head of both the powerful Inter-Services Intelligence and Military Intelligence. He remains army chief until November 2027 and could be appointed for another five-year term at that point.

Husain Haqqani, a former Pakistani ambassador to the United States, said that even before the latest conflict, Munir was more hawkish on India than his predecessor General Qamar Javed bajwa as army chief, who had taken a more pragmatic and less ideological approach, seeking to improve relations.

“Conflicts with India remind Pakistanis of the fragility of their country and they rally to their army as the entity that will save the country,” said Haqqani.

“The recent show of strength and standing up to India has helped General Munir solidify his position within the country.”


Jumbo task: 400 pills a day for elephants with TB in Pakistan

Updated 21 May 2025
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Jumbo task: 400 pills a day for elephants with TB in Pakistan

  • Vets hide medicines inside food ranging from apples, bananas and Pakistani sweets
  • Sisters Madhubala and Malika were diagnosed with tuberculosis earlier this month 

KARACHI: A team of doctors and vets in Pakistan has developed a novel treatment for a pair of elephants suffering from tuberculosis that involves feeding them at least 400 pills a day. 

The jumbo effort by staff at the Karachi Safari Park involves cunningly administering the tablets, the same as those used to treat TB in humans, hidden inside food ranging from apples and bananas to Pakistani sweets. 

Dr. Buddhika Bandara, a Sri Lankan veterinary surgeon who is treating elephants Madhubala and Malika, said they did not have a “rare disease” as tuberculosis was common in elephants in Asia.

“Giving treatment of TB to elephants is always challenging whenever, whatever and wherever, is always challenging not only in our country Sri Lanka, or in Pakistan, it is challenging everywhere actually,” the vet said.

“Every day we have to think about new methods of giving medicine.”

Bandara said the elephants showed some stress when the treatment was first started but gradually adapted to the procedure and were now getting better.

Under the treatment plan, the elephants will receive medication and monitoring for ten months after the initial phase. They are being kept under round-the-clock supervision, and park officials have restricted access to the enclosure for one year to minimize stress and prevent any risk of disease transmission.

Ali Baloch, a 22-year-old mahout, said though he looked after the elephants, he was unaware that they had TB. 

“The team is saying now that they have the disease. That’s why we must wear mask, and boots, do not go without them. It can infect me and my children as well.”

The two elephants Malika and Madhubala took their medication differently, he added. 

“Malika takes medicine by her trunk while Madhubala can take it directly by her mouth,” Baloch said. “They eat in this way. Malaika smells medicine so she takes by its trunk. To change the taste, we give medicine in sweet potatoes, bananas and other sweet items.”

The novel methods had to be used to ensure the elephants did not reject the treatment.

“They will not eat these [pills] so easily, they are bitter in taste.”

Visitors to the Safari Park are currently only allowed to view the elephants from designated buses or a safe distance, as part of efforts to ensure a stress-free environment during their recovery.

The cautious approach follows years of concern raised by international animal welfare organizations over the treatment of elephants in Karachi.

In 2021, the global group Four Paws assessed the city’s elephants and called for urgent medical care, improved nutrition and enriched environments to support their wellbeing.

The issue gained further attention after the deaths of two elephants — Noor Jehan in 2023 at the Karachi Zoo and Sonu in late 2024 at the Safari Park — both of which highlighted systemic gaps in animal care.

Since then, local authorities have taken steps to improve conditions, including the formation of a technical committee and increased collaboration with foreign veterinary experts.

Madhubala, Noor Jehan, Malika and Sonu were caught in the wild at a young age and brought to Pakistan together in 2009 but were soon separated, with Noor Jehan and Madhubala moved to the Karachi Zoo and Malika and Sonu to the city’s Safari Park. 

Noor Jehan died in April 2023 at age 17, following a prolonged illness caused by neglect, leaving Madhubala alone.

In November last year, she was reunited with Malika and Sonu at the Safari Park. Sonu has since also passed away due to illness. 


A look at recent deadly attacks in Pakistan as it battles rising militancy

Updated 21 May 2025
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A look at recent deadly attacks in Pakistan as it battles rising militancy

  • Government facing insurgencies in northwest and growing separatist insurgency in southwest
  • Pakistan is also currently at loggerheads with both its neighbors India and Afghanistan 

Following are some recent deadly attacks in Pakistan, where the government is facing insurgencies on two fronts — militant attacks in the northwest and a growing separatist insurgency in the south.

MAY 21, 2025 
At least three children were among five people killed when a suicide bomber targeted an army school bus in the restive Pakistani southwestern province of Balochistan, in an attack the military blamed on Indian proxies.
The Indian government did not respond to a request for comment on the accusation.

MARCH 11, 2025
A total of 31 people, including soldiers, staff, and civilians, were killed by militants who hijacked a train as it traveled through a remote mountain pass in Balochistan. The Baloch Liberation Army (BLA), the biggest of several ethnic armed groups fighting the government, claimed responsibility.

MARCH 4, 2025
Suicide bombers drove two vehicles packed with explosives into a military base in the town of Bannu in the northwest, killing 18 people, including six children.
No group claimed responsibility for the violence.

NOVEMBER 1, 2024 
A blast targeting a police van in Mastung town in Balochistan killed seven people, including five school students, and injured 23 others.
No group claimed responsibility.

AUGUST 26, 2024 
At least 38 civilians and 14 soldiers were killed as separatist militants attacked police stations, railway lines and highways in Balochistan, and security forces launched retaliatory operations.
The BLA claimed responsibility for the attacks, the most widespread in the country in years.

DECEMBER 12, 2023 
At least 57 people, including seven children, died as suicide bombings ripped through two mosques in Mastung while believers marked the birthday of the Prophet Muhammed (pbuh).
No group claimed responsibility.

JULY 31, 2023 
A suicide bombing targeting a hard-line religious group’s political rally in Khyber Pakhtunkhwa province’s Bajaur region killed 56 people. The Daesh militant group claimed responsibility for the blast, which took place in northwestern Pakistan.