41-14.76, P < 0.05) and rats in surroundings (OR = 11.05, P < 0.001). By multivariate analysis, four factors identified were, contact of injured part with flood water (Adjusted OR = 6.69, P < 0.001), walking barefoot (Adjusted OR = 4.95, P < 0.001), constant presence of rats in household (Adjusted OR = 4.95, p < 0.05) and spending more than four days in cleaning (Adjusted OR = 2.64, P < 0.05