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The Disaster Management Centre (DMC) reported that nearly 400 people remain missing and more than 1.3 million residents have been affected by the record rains. Officials say the destruction is the worst since the 2004 Asian tsunami, which killed about 31,000 people.
Although rains have eased, low-lying areas of Colombo remained underwater on Sunday, prompting preparations for a major relief effort. A Bell 212 helicopter delivering food to stranded hospital patients crashed into a river north of Colombo, though all five crew members were rescued. Another Indian helicopter rescued 24 people in the central town of Kotmale, while Pakistan and Japan also announced rescue support and assistance.
The Sri Lankan Air Force reported rescuing infants and a 10-year-old child from a flooded hospital in the northern town of Chilaw. Authorities say floodwaters in the capital will take at least a day to recede, while dry weather is forecast as Cyclone Ditwah continues moving toward India.
Residents described scenes of devastation. Selvi, 46, from Wennawatte, left her flooded home carrying only a few bags of belongings. In Manampitiya, receding waters revealed overturned cars and widespread property damage. A woman in Wellawaya recounted hearing boulders rolling down a mountainside, forcing her family to flee to safer ground.
The National Blood Transfusion Service warned of low blood supplies, while the National Building Research Organisation said saturated slopes pose a high risk of further landslides. President Anura Kumara Dissanayake declared a state of emergency on Saturday and appealed for international aid.
The last major flood disaster occurred in June 2003, when 254 people lost their lives. Officials fear the toll from Cyclone Ditwah could still rise as search and rescue operations continue.