Kerala, a state on the southern coast of India, faced unprecedented flooding in the month of August 2018 due to unusually high rainfall during the monsoon season. Hundreds of people died; hundreds of thousands were displaced. According to the Kerala government, one-sixth of the total population of the state was directly affected by the floods and related incidents.

In the aftermath of the calamity, the Aga Khan Agency for Habitat India (AKAH) deployed its Disaster Assessment and Response Team (DART) in the days immediately following the flooding. The team conducted its assessment in two badly-affected districts, Ernakulam and Alappuzha. They found that large numbers of people living in relief camps faced a significant shortage of non-food items necessary for personal and environmental health and hygiene. They also found that people returning to their villages came back to homes filled with slush and muck, toilets that were destroyed, and contaminated wells. The DART report made it clear that health and hygiene would be a major concern going forward.
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