Not only did the great Odisha Famine of 150 years ago result in the death of a million people, it formed a tentative start of formulating an official response to major calamities in modern India. The Famine Commission Report of 1867 and the Indian Famine Code of 1880 were considered part of the relief and welfare measures to address the countless casualties caused by famines, food scarcity, starvation, epidemics and malnutrition. It is argued here that historical episodes, such as the 1866 famine and the Paika Rebellion of 1817, fought against the British, should be seen as a ‘process’ rather than simply as an ‘event’. Therefore, we should examine deeper causes such as land relations, uncontrolled market and free trade apart from administrative failures as the common perception does. This conceptual discourse on the famine takes a human rights perspective to examine the role of the state, civil society organisations and the media in preventing disasters and alleviating human suffering. Over 150 years after the occurrence of the famine and 200 years after the rebellion, some of the structural reasons behind them still continue to deprive the masses to their right to life.