Children at the centre of danger after Ditwah - Experts warn

• By maintaining hygiene, using safe drinking water, preventing mosquito breeding and seeking medical help early, families can protect their children during this difficult period

By Sheain Fernandopulle

With the Ditwah cyclone finally behind us and floodwaters slowly receding, health experts warn children are at the centre of danger owing to the rise in post-disaster illnesses.  

Speaking to Daily Mirror, Consultant Paediatrician Dr. Maheshaka Wijayawardena, said, a major concern is the spread of waterborne diseases as floodwater contaminated with sewage can lead to diarrhoea, dysentery, typhoid and viral hepatitis.   

“Children should only be given boiled or bottled water during this period. Even a short delay in treatment for diarrhoea can result in dangerous dehydration in infants,” he cautioned.  

He also stressed the rising risk of leptospirosis as children are often seen walking or playing in stagnant floodwater.   

“Leptospirosis can initially present like a common fever, but it can rapidly progress to serious complications. Early medical attention is crucial if a child who had contact with floodwater develops fever or unexplained body aches,” he noted.  

Respiratory illnesses are another concern with many families now living in crowded shelters. “Infections like influenza, RSV and pneumonia can spread quickly when ventilation is poor. Keeping children warm, practising cough etiquette and ensuring good airflow can help control spread,” Dr. Wijayawardena explained.  

He further warned of a potential surge in dengue and chikungunya due to increased mosquito breeding. “Any fever lasting more than two days should not be ignored. A Full Blood Count (FBC) is important to rule out dengue early,” he said, urging families to remove stagnant water, use nets and apply mosquito repellents.  

Furthermore, skin infections are also becoming more common as children spend time in contaminated water.   

“We are seeing cases of bacterial and fungal infections that can worsen without treatment. Keeping the skin clean and dry is essential, and avoiding unnecessary exposure to floodwater is the best prevention,” the specialist added.  

Beyond infections, Dr. Wijayawardena also highlighted the risk of drowning, injuries from debris and electrical accidents. “Constant supervision is key. In floods, a moment without attention can lead to tragedy, especially for toddlers,” he warned.  

The disaster has also affected nutrition and emotional wellbeing. “Food shortages and stress can result in malnutrition and feeding difficulties in infants. At the same time, many children are emotionally distressed showing anxiety, sleep problems or fear. They need reassurance, routine and emotional support,” he said.  

On the other hand, children with chronic illnesses face additional challenges due to disruptions in medication access and clinic visits. Dr. Wijayawardena urged caregivers to maintain medication supplies and reschedule missed vaccinations promptly once services return to normal.  

He emphasised that most risks can be reduced with preparedness. “By maintaining hygiene, using safe drinking water, preventing mosquito breeding and seeking medical help early, families can protect their children during this difficult period,” he said.