Floods and tsunamis cause few severe injuries, but those injuries can overwhelm local areas, depending on the magnitude of the disaster. Most injuries are extremity fractures, lacerations, and sprains. Because of the mechanism of soft tissue and bone injuries, infection is a significant risk. Aspiration pneumonias are also associated with tsunamis. Appropriate precautionary interventions prevent communicable dis-ease outbreaks. Psychosocial health issues must be considered.