At least 18 women and girls died when a crowd waiting for handouts of flour swelled and panicked in an impoverished city in southern Pakistan, officials said.

The stampede in Karachi came during the Muslim holy month of Ramadan, a traditional time for charitable acts including giving away food.

Monday’s stampede occurred in a small building with narrow passages. As more women entered to get the flour, some panicked and guards used strong-arm tactics to clear the building, officials and witnesses said.

Karachi police chief Wasim Ahmad said at least 18 women and girls died in the ensuing rush. Mohammad Amin Khan of Karachi Civil Hospital said some of the women had suffocated and that there were at least 20 bodies.

“Hundreds of women were pushing to enter into the small hall, and guards started beating us to get the place cleared,” said 30-year-old Kulsoom, who gave only one name and ended up among the many wounded. “I fell down and was being crushed. My heart was missing beats, and I thought I was dying.”

Panicked relatives streamed into the hospital, while others brought limp bodies in the backs of trucks or in their arms. Some women wailed while laying on stretchers.

The flour giveaway was organized by a private donor who Mr. Ahmad said was detained for not giving police prior notice of the event.

Keywords: stampedePakistanRamadan

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