After months of unending rain, before the seasons change to cool winters, there is often a season of rampant vector borne diseases. While malaria was common, some of these diseases such as Dengue and Japanese Encephalitis Virus (JEV) are new entries to the geographies of smaller cities. Monsoon has led to severe disease outbreaks in several Indian states, with Kerala and Bihar among the worst hit. Assam is facing a dual-layered challenge of flooding and a rise in JEV cases.