An earthquake of 6.4 scale struck the Balochistan province in south-western Pakistan early morning on 29 October 2008. District Ziarat and Pishin were among the worst hit areas where more than 200 people died and thousands of people were left homeless. HOPE provided immediate relief to the affectees. Initially a 20 member HOPE Team went to the earthquake affected areas to provide emergency relief. The team comprised of doctors, paramedics and social workers. Relief goods were also provided that included food items such as flour, rice, sugar, dried milk, tea packets, ghee, daal. In addition, each family was provided winter proof tents and chattai for their residence. Warm clothes such as jackets, woolen sweaters, gloves, socks, and woolen caps esp. for children were also distributed. Blankets and razais were also provided for at least 6 members per family. The second relief operation was conducted in December, whereby another team visited the areas. Relief was provided to Wam, Kawa, Torr Shorr, Harnai, Pishin and Khanozai, and 6000 people were reached out to. In addition, medical camps were held in all areas and 7500 patients were provided medical care especially women and children.