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What causes the most deaths in a tsunami event?
The tsunami itself causes many traumatic injuries, sweeps many out to sea, and buries many under mud. After the tsunami additional deaths occur due to structural failures, lack of access to emergency medical care since tsunamis typically affect a large area at once, starvation, and exposure to the elements. However, the single largest killer after a tsunami is waterborne disease. Mosquitoes thrive in the stagnant water left in the inundated areas. Also, the standing water is unsanitary due to debris (including decaying biological matter such as plants, animals, and fish). Finally, clean drinking water is not available due to the salt water contamination of surface water bodies and shallow aquifers so many people drink contaminated water to stay hydrated.