A social media campaign targeting Federal Health Minister Syed Mustafa Kamal has intensified debate over vaccine procurement allegations, political rivalries and disagreements within the Muttahida Qaumi Movement-Pakistan (MQM-P).

The controversy centres on a Federal Investigation Agency (FIA) inquiry into the procurement of vaccines for Hajj and Umrah pilgrims. Some social media accounts have described the matter as a Rs10 billion scandal involving alleged financial irregularities.

However, the report claims the investigation concerns approximately Rs180 million rather than Rs10 billion. It also states that Mustafa Kamal was unaware of the tender when it was issued and did not authorise it through his signature.

According to the report, investigators have submitted their findings to the prime minister, while the disputed amount remains in the national treasury.

The controversy has also drawn attention to Kamal’s recent initiatives in the health sector. One major project involved reviving a hospital established through Pakistan-China cooperation that had remained nonfunctional for years.

Prime Minister Shehbaz Sharif praised the project after its completion, saying, “The Federal Minister has turned my dream into reality.”

Kamal has also introduced measures to tackle counterfeit and unregistered medicines. These include a barcode system on pharmaceutical packaging to improve product identification, transparency and monitoring across the supply chain.

The report suggests that these measures may have affected businesses involved in the illegal production and sale of counterfeit medicines. However, it does not provide independent evidence linking those interests to the campaign against the minister.

Another issue contributing to the political debate is Kamal’s demand for new provinces and administrative units. He has repeatedly called for administrative restructuring, particularly in Karachi and other urban areas of Sindh.

He argues that greater local autonomy and a fairer distribution of resources are necessary. The allocation of administrative powers and authority to local governments has remained a longstanding political issue in Sindh, particularly in Karachi.

The report suggests that criticism of Kamal may also be linked to his position on administrative restructuring, although the political motives behind the social media campaign have not been independently established.

Kamal’s response to previous controversies has also resurfaced. Following a fire at PIMS Hospital, political opponents called for his resignation.

According to the report, Kamal submitted his resignation to the prime minister within about an hour of the incident, rather than waiting for political pressure to increase.

The report contrasts this response with the aftermath of the Gul Plaza tragedy. It claims that Karachi’s mayor, the federal minister and several Sindh government departments received a clean chit despite the judicial commission.

Internal disagreements within MQM-P have added another dimension to the controversy.

In 2023, Mustafa Kamal and Anis Kaimkhani’s Pak Sarzameen Party (PSP) merged with MQM-P, bringing different political groups and organisational approaches under one platform.

However, differences reportedly remain between some party members and leaders associated with the former PSP. Kamal’s demand for intra-party elections has also become a source of disagreement.

Despite directives from the Election Commission, the party’s election process remains pending. The report points to differences between Kamal and MQM-P Chairman Khalid Maqbool Siddiqui over the issue.

These disagreements have fuelled speculation that opposition to Kamal may extend beyond rival political parties and involve internal organisational tensions.

The report further argues that some political opponents with otherwise differing interests may have found common ground in opposing Kamal. It suggests that a weakened MQM-P could benefit both its political rivals and MQM-London.

However, the claims about political coordination and vested interests remain allegations and have not been independently verified.

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