So far this year, 146 Sri Lankans have died of dengue fever, and more than 10,000 have been infected. Unlike many tropical diseases, dengue is as serious a threat in cities as it is in rural areas. The situation in Sri Lanka is made worse by the tens of thousands of Tamil civil war refugees crowded into displacement camps during the recent climax of the country's culmination of decades of fighting.
Officials expect the situation to worsen soon with the beginning of monsoon season. "We are very worried about the outbreak of diseases," Suresh Bartlett, the director of the Sri Lanka program for the aid agency World Vision, said last week. "When the rains come in two weeks or so, I can't imagine what conditions will be like due to the lack of any proper drainage and toilet system." Source