Placed in a fragile environment that is easily degraded, Nepal is subject to frequent natural disasters (floods and landslides), and is likely to suffer a major earthquake during the next 10–20 years, for which the capital Kathmandu is highly vulnerable. Of the 75 districts in the country, 49 are prone to floods and/or landslides, 23 to wildfires, and one to windstorms. A total of 64 out of 75 districts are prone to disasters of some type according to the Narcotics and Disaster Management Section, Ministry of Home Affairs. According to a recent UN report, Reducing Disaster Risk, Nepal ranks 11th and 15th globally in terms of relative vulnerability to earthquakes and floods respectively. Some regions have become increasingly affected by flooding, which carries increased risk of vector-borne diseases including Plasmodium falciparum malaria. Since 1971 more than four million people have been affected by floods and landslides. A World Bank study classifies Nepal as one of the ‘hot-spots’ for natural disasters in the fragile global geo-climatic system.