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How many Catholics do you know who are as dedicated to religious fasting?

Take a look:

Pakistani flood survivors already short on food and water began the fasting month of Ramadan on Thursday, a normally festive, social time marked this year by misery and fears of an uncertain future.

The U.S. announced a navy ship with 19 helicopters and 1,000 Marines on board was close to the southern coast of the country and relief flights would soon begin. The U.N. launched an emergency appeal for international assistance for Pakistan after the already-poor nation was hit with one of its worst-ever natural disasters.

Damage to crops, roads and bridges have caused food prices to triple in some parts of the country, adding to the pain of those marking the fasting month.

“Ramadan or no Ramadan, we are already dying of hunger,” said Mai Hakeema, a 50-year-old who sat alongside her ailing husband in a tent outside the city of Sukkur. “We are fasting forcibly, and mourning our losses.”

Observant Muslims fast from dawn to dusk each day for a month each year to control their desires and show empathy for the poor. The month is marked by increased attendance at mosques, a rise in charitable giving and family gatherings that coincide with the evening breaking of the fast.

While millions of flood-affected people were performing the fast, Mufti Muneebur Rehman, one of the country’s top religious scholars, said victims living in difficult conditions dependent on charity could skip the fast and perform later in the year.

“I am sad to miss the first day of fasting,” said Ghullam Fareed of Gormani village in eastern Punjab province. “Later, when we reach home, we will compensate for this.”

In the northwest, where many are especially devout, many refugees said flood or no flood, they would fast.

“I cannot disobey God, so I am fasting as it is part of my faith no matter what the conditions are,” said Fazal Rabi, 47, who was staying in a tent village in Akbarpura.

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