In Pakistan they are fighting a losing battle against the surging flood waters. Locals are doing what they can to shore up roads and the banks of the freshly swollen Indus River, but experts predict the rising levels will peak on Wednesday.
At least aid donations have stepped up. More than 30 countries have pledged the equivalent of over 500 million euros, but there is still a delay in turning the promises into practical help.
Local charities, the Pakistani army and international agencies are providing assistance where they can but with more than four million displaced the majority have still received little help.
In Thatta, in Sindh province, the military used hovercraft to rescue those stranded from their submerged homes.
While the focus is on immediate needs, the long term costs of rebuilding have been put at 11 billion euros.