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Flooding in Tanzania has killed 155 people and left at least 236 injured, the country's Prime Minister Kassim Majaliwa said on Thursday.
More than 10,000 houses have been damaged and upwards of 200,000 people have been affected, Majaliwa told the Tanzanian parliament in the capital Dodoma.
The prime minister added that "the heavy El Nino rains, accompanied by strong winds and flooding and landslides in various parts of the country, have caused adverse effects."
"These include deaths, damage to crops, homes property, infrastructure like roads, bridges and railways," Majaliwa said.
The flooding has also affected Kenya, which shares a border with Tanzania in East Africa.
As of Tuesday, at least 32 people had died from the flooding in Kenya, according to the UN Office for the Coordination of Humanitarian Affairs (OCHR).
At least 65 people have died in storm-related incidents including lightning in Pakistan, officials said, with rain so far in April falling at nearly twice the historical average rate.
Heavy downpours between Friday and Monday unleashed flash floods and caused houses to collapse, while lightning killed at least 28 people.
The largest death toll was in northwestern Khyber Pakhtunkhwa, where 32 people have died, including 15 children, and more than 1,300 homes have been damaged.
"All the casualties resulted from the collapse of walls and roofs," Anwar Khan, spokesman for the province's disaster management authority, told AFP on Wednesday.
Villagers whose homes were inundated with water were forced to seek refuge on higher ground, including on the shoulders of motorways, creating makeshift tents with plastic sheeting and bamboo sticks.
"In April, we have observed highly unusual rainfall patterns," Zaheer Ahmad Babar, spokesperson for the Pakistan Meteorological Department, told AFP.
"From April 1st to April 17th, we experienced precipitation levels exceeding the historical average by 99 percent," he added, citing data from the past 30 years as a comparison.
Most of the country experienced a pause in rain on Tuesday and Wednesday, but more downpours are predicted in the coming days.
Comment: Update April 27
AFP reports: