“…Primary health care system dysfunction (17,31,35,39,47,54) Loss of paper-based medical records and inaccessibility of electronic medical records and laboratory information systems (29)/hospital functions affected by water supply issues, including the recovery of sterile processing for surgical equipment's (29)/hospital disruptions (54)/loss of access to essential care; or loss of access to and failure to obtain continuing health care (35), negative health effects linked with overcrowding (35), inadequacy of professional staff (47) An increase in medication usage Increases in emergency department visits (29), long-term treatment for chronic infectious diseases such as tuberculosis and HIV/AIDS (31,37) Contamination of floodwaters, and damage to water and sanitation infrastructure (17,29,34) Water shortages and contamination due to loss of water treatment works and sewage treatment plants (35) Birth outcomes By affecting the physical and mental health of pregnant mothers and their ability to access health services, floods may affect the health of newborns (55) and negative health outcomes in children, including behavioral problems and psychiatric disorders (56) a need for coordination (26,27,37,63,(68)(69)(70) between decision makers, first responders, and the community (18). It was also found that flood health impacts are well known (29) but it needs more understanding to incorporate them into the specific response program.…”