linguistic:translation, quality:corruption
Humanitarian response

A great deal of humanitarian aid was needed because of widespread damage to the infrastructure, shortages of food and water, and economic damage. Epidemics were of particular concern due to the high population density and tropical climate of the affected areas. The main concern of humanitarian and government agencies was to provide sanitation facilities and fresh drinking water to contain the spread of diseases such as cholera, diphtheria, dysentery, typhoid and hepatitis A and hepatitis B.

There was also a great concern that the death toll could increase as disease and hunger spread. However, because of the initial quick response, this was minimized.

In the days following the tsunami, significant effort was spent in burying bodies hurriedly due to fear of disease spreading. However, the public health risks may have been exaggerated, and therefore this may not have been the best way to allocate resources. The World Food Programme provided food aid to more than 1.3 million people affected by the tsunami.

Nations all over the world provided over US$14 billion in aid for damaged regions, with the governments of Australia pledging US$819.9 million (including a US$760.6 million aid package for Indonesia), Germany offering US$660 million, Japan offering US$500 million, Canada offering US$343 million, Norway and the Netherlands offering both US$183 million, the United States offering US$35 million initially (increased to US$350 million), and the World Bank offering US$250 million. Also, Italy offered US$95 million, increased later to US$113 million of which US$42 million was donated by the population using the SMS system. Australia, India, Japan and the United States formed an ad-hoc corroborative group, and it was the origin of Quadrilateral Security Dialogue.

According to USAID, the US has pledged additional funds in long-term U.S. support to help the tsunami victims rebuild their lives. On 9 February 2005, President Bush asked Congress to increase the U.S. commitment to a total of US$950 million. Officials estimated that billions of dollars would be needed. Bush also asked his father, former President George H. W. Bush, and former President Bill Clinton to lead a U.S. effort to provide private aid to the tsunami victims.

In mid-March, the Asian Development Bank reported that over US$4 billion in aid promised by governments was behind schedule. Sri Lanka reported that it had received no foreign government aid, while foreign individuals had been generous. Many charities were given considerable donations from the public. For example, in the United Kingdom, the public donated roughly £330 million sterling (nearly US$600 million). This considerably outweighed the allocation by the government to disaster relief and reconstruction of £75 million and came to an average of about £5.50 (US$10) donated by every citizen.

In August 2006, fifteen local aid staff working on post-tsunami rebuilding were found executed in north-east Sri Lanka after heavy fighting between government troops and the Tamil Tiger rebels, the main umbrella body for aid agencies in the country said.