[6] In 36 hours, 17 inches of rainfall was recorded, and the water level at Afzalgunj was about 11 feet (3.4 m) high and in other places even higher.

[11] A couplet muses: Itni Dar'ya May Bhi Na Duba Amjad Dub'nay Valo Ko Bus Ek Chul'lu Kafi HaiJhumar Lal Tiwari, the court astrologer of the Hyderabad State advised to the Nizam of Hyderabad Asaf Jah VI Sir Mahbub Ali Khan, that we need to appease the Goddess as River Musi wreaked havoc through the city on September 28, 1908.

[13] A relief fund of 500,000 Rupees was borne by the state, and 1,000,000 more raised by public subscription, with the Nizam and Kishen Pershad making the largest donations.

[14][15] Syed Azam Hussaini submitted his report on 1 October 1909, with recommendations on preventing a recurrence of floods and improving civic amenities.

The Nizam invited M. Visvesvaraya to advise and assist in the reconstruction of the city and to devise measures for the prevention of the recurrence of such a terrible catastrophe.

A dam was built under noted engineer Nawab Ali Nawaz Jung Bahadur in 1920 across the river, ten miles (16 km) upstream from the city, called Osman Sagar.

These lakes prevent the flooding of the River Musi and are major drinking water sources for Hyderabad city.