The devastating heatwave that struck southern Pakistan last weekend is slowly subsiding but the toll was still climbing today, to a total of 860 confirmed deaths, a senior health official said.

Pakistan's deadliest heatwave on record comes just weeks after soaring temperatures caused nearly 2,200 deaths in neighbouring India, raising fears that south Asia could be seeing some of the devastating effects of human-caused climate change.

The crisis centred in the southern port city of Karachi was worsened by poor local services, including a faulty electricity grid and shortages of potable water.

The heatwave also struck as the city's Muslim majority was observing the dawn-to-dusk fasting month of Ramadan.

Jam Mehtab Hussain, provincial health minister in the southern Sindh province, of which Karachi is the capital, said that despite lower temperatures people were still being admitted to hospitals with heat-related ailments - though in smaller numbers than in previous days.

Ahmad Kamal, a spokesman for the National Disaster Management Authority, said authorities were providing free medical treatment to people in Karachi. He said the situation was improving due to lower temperatures.

On Thursday, the temperature dropped to 34C (93.2F) in Karachi from a high of 45C (113F) on Sunday.

TV footage showed ambulances transporting heatstroke patients to hospitals, where people held small rallies against power outages, which had exacerbated the effects of the heatwave.

Observant Muslims, who make up the majority of Karachi's 20 million residents, were abstaining from food and water during long summer days.

A single sip of water invalidates the fast but Muslims are discouraged from fasting if they are sick or if doing so would cause physical harm.

Allama Tahir Ashrafi, a Pakistani cleric, called on sick and elderly people to avoid fasting until the weather improves.

"Those people who cannot fast because of health reasons should not fast these days. There is no need to risk your lives," he said. Volunteers were distributing clean drinking water and juice throughout the day.

TV footage showed women crying over the bodies of loved ones who had died because of the heat.

Syed Mannan Ahmed said his father collapsed on Tuesday while going to buy groceries from a nearby shop. He said his family rushed the 64-year-old to a hospital but could not get treatment in time because it was packed with victims. Then, they found that most of the mortuaries were full as well.

Another Karachi resident, Mohammad Ayaz, said hundreds of people were sleeping outside because of long power cuts.

Wakil Ahmed said the weather had improved from previous days, when it was so hot it became difficult to breathe. He said today brought clouds and a slight breeze.

While climate scientists cannot blame human-caused global warming for Pakistan's heatwave without a time-consuming study, several said it fits with what is expected from climate change.

"The deadly heatwave that has killed several hundred people in Karachi, Pakistan, is clearly a harbinger of things to come with the changing climate," said Saleemul Huq, director of the International Centre for Climate Change and Development in Bangladesh and a prominent climate scientist.

"Even if this particular event cannot be unequivocally attributed to human-induced climate change, we can certainly expect such heat waves with greater frequency in future."

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