Natural hazards are predicted to only increase in frequency and severity over the next decade, making it crucial to avoid their negative consequences by disaster risk reduction. Reducing risks of natural hazards is not a recent invention as it has been shown that indigenous and local communities possess indigenous and local knowledge systems related to reducing disaster risks. These knowledge systems are however largely being ignored in policy and research. They are also subjected to pressures which risk altering, eroding or destroying them. In this thesis, these indigenous and local knowledge systems and the pressures that might threaten them are explored through a field study with interviews and observations in rural indigenous and local communities in northern Thailand. The findings show clear evidence of multiple and varying types of indigenous and local knowledge systems, such as knowledges, practices, and beliefs that reduce disaster risk. However, multiple types of pressures to the indigenous and local knowledge systems are also found. These pressures have in some cases already resulted in a loss of indigenous and local knowledge systems, or risk doing so in the future. The conclusion of the thesis is that these indigenous and local knowledge systems and the pressures to them should be kept in close mind in research, policy and intervention to improve disaster risk reduction and not perpetuate the current western paradigm.