Nearly a week of heavy monsoon rains and flash floods across Pakistan have killed at least 46 people and injured dozens as continuing severe weather similar to past emergenicies remains possible, officials said Monday, Associated Press reported.

The fatalities caused by abnormally strong downpours since Tuesday include 22 in Khyber Pakhtunkhwa, 13 in eastern Punjab province, seven in southern Sindh and four in southwestern Balochistan, National Disaster Management Authority and provincial emergency officials said.

“We are expecting above-normal rains during the monsoon season and alerts have been issued to the concerned authorities to take precautionary measures,” said Irfan Virk, a Pakistan Meteorological Department deputy director, according to Associated Press.