The document discusses the medical response to the 2004 Indian Ocean tsunami in Sumatra, Indonesia. It notes that Australian medical teams performed over 270 operations in 6 weeks, with a third of cases not related to the tsunami and a third involving dressings and other treatments. The majority of acute cases were seen in the first 3 weeks, and medical issues included 93 cases of tetanus, with 30% of those experiencing aspiration pneumonia. Tuberculosis was also highly prevalent.