Cyclone Nargis caused catastrophic damage in Burma in May 2008, killing over 146,000 people through strong winds and flooding. The Burmese government was unprepared for a storm of this severity and refused international aid for over a month, exacerbating the human impact through further deaths from starvation, disease and untreated injuries. The majority of Burmese lived in non-durable housing and the country lacked adequate emergency response systems, highlighting its vulnerability to natural disasters.