The desert region in Tharparkar, one of Pakistan's poorest districts, spreads over nearly 20,000 square kilometres in the country's southeast and is home to some 1.3 million people, including a large population of minority Hindus.
Between March 2013 and February this year, rainfall was 30 percent below usual, according to government data, with the worst-hit towns of Diplo, Chacro and Islamkot barely touched by a drop of water for months.
Life in the desert is closely tied to rain-dependent crops and animals, with farmers relying on beans, wheat, and sesame seeds for survival, bartering surplus in exchange for livestock.
The drought is not the only reason for the recent deaths -- observers say they have come about as a result of endemic poverty, exacerbated by the drought and an outbreak of disease killing livestock.
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But observers say the relief work fails to address the root causes of such disasters and warn they are likely to be repeated.
A drought in the desert in 2000 killed 90 percent of the livestock.
Residents and activists say the effects of drought can be mitigated by global lessons in dry regions, such as the conservation of rainwater.
"Rainwater harvesting should be made mandatory all over the country and especially in this part," said Abid Channa, a local social activist, complaining of the district's lack of reservoirs despite decades of disasters.
"In the bordering town of India there is greenery all around as their government has spread a network of irrigation and piped drinking water," Das said.
"We have a similar climate but the lack of water is a major hurdle," Das said.