On October 17, 1998, a series of storms moved across the central and south regions of Texas, dropping up to 22 inches of rain in some areas and spawning several tornados. Sixty Texas counties (24%) reported flooding during October 17-19. Thirty-six counties became eligible for federal and/or state assistance as a result of damages suffered from this storm system during October 17-31. Estimated flood damage was approximately $900 million, including damage to 12,000 homes, 700 businesses, and public property. This report summarizes findings of an epidemiologic investigation of 31 deaths associated with the storm system.