Understanding the physical vulnerability of buildings and infrastructure to natural hazards is an essential step in risk assessment for large cities. We have interpreted high spatial resolution images, conducted field surveys, and utilized numerical simulations, in order to assess vulnerability across Arequipa, south Peru, close to the active El Misti volcano. The emphasis of this study was on flash floods and volcanic or non-volcanic hyperconcentrated flows, which recur on average every 3.5 years across the city. We utilized a geographic information system to embed vulnerability and hazard maps as a step to calculate risk for buildings and bridges along the Río Chili valley and two tributaries. A survey of ~1,000 buildings from 46 city blo...