The massive earthquake of 8th October 2005 has killed over 42,000 people to date, and affected the lives of over 4 million of which an estimated 1 million have been seriously affected. The number of casualties grows every day. Husbands, wives, parents and guardians have died, families have been separated and infrastructure has been damaged leaving people, especially separated/widowed women and separated/orphaned children, vulnerable to hunger, dehydration, the elements, disease and crime. Local government, social services and law enforcement structures in the affected areas have been destroyed and many officials have died in the disaster increasing the vulnerability of local populations, especially women and children. From experience of other humanitarian emergencies and existing concerns about human trafficking in Pakistan, there is a clear risk of human trafficking escalating in the aftermath of the earthquake. Press reports have already started to indicate the presence of human trafficking activity.