India is struggling to keep up with public health needs in the face of increased urbanization and global climate change issues. "The spread of disease and infection during the monsoon [season] is not new. But, medical workers in Indian cities are becoming increasingly wary of it as cities grow and flooding due to inadequate drainage systems increases the frequency of stagnant water. Density of urban areas, combined with poor infrastructure management and poor hygiene, create nests of infection, which could lead, in time, to a public health disaster.