Authorities in Pakistan say the floods, which began on Sept 3, are the worst since massive flooding killed 1,700 people in 2010. Pakistan's minister for water and power, Khwaja Mohammad Asif, warned parliament that some 700,000 people have been told to leave their homes, which could be inundated in the next four days.
Pakistani and Indian troops have been using boats and helicopters to drop food supplies for stranded families and evacuate victims. However, the challenge of the situation grows as more than 1.5 million people are now affected as the rushing waters have destroyed the homes of thousands of families.
"This is a sad moment for all of us," Pakistani Prime Minister Nawaz Sharif said, addressing flood victims in the country's Hafiz district. "These floods came suddenly and no one knew that such a large flood was coming."
The rains washed away houses, bridges, communication equipment and crops. Pakistani and Indian troops say they have evacuated more than 60,000 people.
Others have waded through waist-deep water to escape the floods, as women carried household items and children on their shoulders as others dragged their livestock along. On roadsides, families set up makeshift camps. Hundreds of others remain stranded on the rooftops, waving for help to every passing helicopter.
On a road near the village of Jamia Abad in the eastern Pakistani district of Jhang, Naseem Akhtar, 41, said she had gone from one government office to another, trying to get someone to help her husband and other family members who had stayed back in their now-submerged village.
Last time she talked to her husband by phone was on Monday night, when he told her that they were sitting on the roof waiting to be rescued, she said.
"I went to the police, I tried to find a private boat, but nothing, there is no help," she said.
So far, 241 have died in Pakistan, including 10 worshippers killed Tuesday when the roof of a mosque collapsed on them in the eastern city of Lahore, authorities said. At least 200 people have been killed in India, officials say.
In Pakistan, the floods are now moving south, said Ahmad Kamal, a spokesman for the country's National Disaster Management Authority.
The Indian army late Monday airlifted communication equipment to restore telephone and mobile phone links damaged by flood water. Army engineers worked Tuesday to restore communication links.
Both nation's armies airdropped relief packages to victims that included blankets, food supplies, medicine and drinking water.
Although the rains have stopped, the flood waters are likely to submerge hundreds of more villages. Pakistani authorities braced for worsening conditions as water levels in the Chenab and Indus rivers rose, Kamal said.
Meanwhile, environmental experts in India said extensive deforestation of mountains has aggravated the damage from the floods.
With hills stripped off their green cover, fast flowing streams were causing soil erosion and flash floods, said Krishnaswamy Srinivas of the Vasudha Foundation, a New Delhi-based environmental advocacy group.