An extreme rainfall event in January 2010 caused flooding and damage in the Cusco region of Peru. The event was connected to an unusually strong and persistent south-easterly flow that brought large amounts of moisture to southern Peru over several days. The rainfall caused rivers including the Vilcanota River to exceed historical levels, resulting in flooding, damage to infrastructure like roads and bridges, and losses of over $250 million USD. The report recommends establishing an early warning system and improving disaster preparedness and management in Cusco.