Pakistan Nurse Recalls Nursery Fire That Killed 14 Newborns

Staff nurse Razia Noreen was preparing dawn injections at a medicine cupboard in the nursery ward of the Pakistan Institute of Medical Sciences (PIMS) in Islamabad when a sharp, red light flashed across the glass. Exactly at 6:38am on Wednesday, August 26, Noreen rushed into the neonatal unit, where 15 infants were housed under her and colleague Sister Nasreen's care. Within seconds, thick smoke and raging flames overtook the ward, leaving Noreen able to rescue only a single newborn before the room became entirely impassable.

The disaster claimed the lives of 14 newborns, leaving Noreen as the sole nurse responder to pull an infant alive from the blaze. Eight days later, battling a lingering high fever and severe insomnia, Noreen spoke extensively about the trauma of that morning, the chaotic rescue attempts, and the systemic vulnerabilities facing public-sector neonatal care units. Prime Minister Shehbaz Sharif subsequently honored Noreen with a national civilian award and a cash grant, hailing her as 'the nation's daughter' for her desperate intervention.

The fire erupted shortly after Noreen completed her routine medication rounds in the nursery holding 15 preterm and vulnerable infants. Describing the moment the blaze broke out, Noreen noted that flames were emerging directly from the side of the ward's air-conditioning unit facing her position. Security camera timestamps logged by a government inquiry committee show Noreen rushing into the burning nursery at 56 seconds past 6:38am, emerging just eight seconds later with a newborn infant whom she handed to Dr Abdul Rehman in the corridor.

“I thought I’d get five, six, seven, eight more of them out,” Noreen recounted. “But the fire was moving faster than I was.” Joined by Dr Rimsha and Sister Nasreen, the medical team attempted to crawl back through the dense smoke beneath the thermal layer, but a sudden electrical power failure plunged the ward into pitch darkness. By 6:40am, security cameras lost visibility entirely as the room was consumed by toxic fumes. The interim government inquiry later confirmed that available evidence exonerates front-line staff of abandonment charges, validating their frantic efforts to save the trapped infants.

In the wake of the tragedy, Noreen’s physical and psychological well-being deteriorated severely. Eight days following the fire, she suffered recurring fevers between 102 and 103 degrees Fahrenheit and an persistent cough from smoke inhalation. Despite being prescribed antibiotics and sleeping medications, she reported total insomnia driven by haunting replays of the nursery alarms, the frantic screams of mothers, and the unspoken cries of the infants she could not reach.

“I haven’t slept, not since that day,” Noreen said. “I take the tablets, I drink the cough syrup, but sleep doesn’t come. I close my eyes, and I open them again.” Colleagues at the PIMS staff hostel, where Noreen has lived for much of her 17-year tenure at the hospital, have stepped in to comfort her through crying spells. Her personal mobile phone, left behind on the medication desk, was retrieved the following afternoon by guards, its plastic housing scorched and cracked from the extreme heat.

Noreen’s harrowing account exposed the immense operational strains placed upon nursing staff in Pakistan’s overburdened public healthcare institutions. On the morning of the fire, Noreen and Sister Nasreen were the sole nursing personnel managing 15 newborns, supported by physicians stationed across multiple rooms. Noreen noted that staffing ratios routinely stretch to 20 or 25 infants per shift, with handover routines and vital-sign monitoring consuming up to 45 minutes per cycle.

Crucially, the government inquiry and staff statements revealed a total absence of formal fire drills in the nursery prior to August 26, despite a previous fire occurring at a nearby PIMS hostel in July. Noreen emphasized that comprehensive safety measures must be instituted immediately across public medical facilities, including accessible fire extinguishers, cross-ventilation corridors, and rehearsed evacuation routes specifically tailored for immobile neonatal patients.

Recognizing her extraordinary bravery, Prime Minister Shehbaz Sharif met with Noreen in Islamabad, praising her 21-year nursing career and confirming that she will formally receive the Sitara-i-Khidmat (Star of Service) award during national ceremonies on March 23. The prime minister also presented her with a financial grant of 10 million Pakistani rupees, equivalent to approximately $36,000.

Despite national acclaim, Noreen remains anchored to her grief for the 14 children who perished in the flames. She recently met with the mother of the sole surviving infant, an extremely low birth-weight baby currently fighting for survival in the neonatal intensive care unit. Reflecting on the tragedy, Noreen offered a stark personal assessment: “I do regret it. I could not save the rest of the children. That, I regret.”