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As the death toll climbed Monday from flooding in Southeast Asia, officials beefed up flood prevention measures to protect Thailand’s capital from rising water.

Millions have been affected by the flooding in Thailand and Cambodia, which has been hit by an above-average monsoonal rainy season. As of Monday, 269 people were dead in Thailand and four were missing, according to the country’s Flood Relief Operations Command. Another 207 people were dead in Cambodia, according to the country’s state-run news agency AKP.

Patients in two hospitals in Thailand’s Ayutthaya and Nakhon Sawan provinces had to be evacuated after water reached the first floor, the flood operations command said.

Multiple tropical systems have moved over the area in recent weeks, enhancing monsoon rains and leading to the flooding. Another low pressure system is forecast to move into Southeast Asia on Tuesday and Wednesday, said Brandon Miller, senior meteorologist for CNN International.

On Monday, Thai Prime Minister Yingluck Shinawatra ordered canal dredging and reinforcement of flood-prevention embankments to protect Bangkok, state-run news agency MCOT reported. In addition, three new flood-prevention walls were being built at two locations in Rangsit, in northern Bangkok, and in Taling Chan, in the western part of the city.

CNN, “Thailand And Cambodia Flooding Leaves Hundreds Dead; Threatens Bangkok”