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Objective To assess the association between flooding/repeat flooding and: (1) psychological morbidity (anxiety, depression, post-traumatic stress disorder (PTSD)) and (2) health-related quality of life (HRQoL) at 6 months post-flooding. Design Cross-sectional analysis of data from the English National Study of Flooding and Health. Setting Cumbria, England. Participants Questionnaires were sent to 2500 residential addresses at 6 months post-flooding; 590 people responded. Outcomes Probable depression was assessed using the Patient Health Questionnaire, probable anxiety using the Generalised Anxiety Disorder scale and probable PTSD using the short-form PTSD checklist (PCL-6). HRQoL was assessed using the EQ-5D-5L. Mental health outcomes were analysed using logistic regression; HRQoL dimensions using ordinal regression; and summary index/Visual Analogue Scale scores using linear regression. Results One hundred and nineteen participants had been flooded, over half of whom were experiencing a repeat flooding event (54%; n=64). Mental health outcomes were elevated among flooded compared with unaffected participants (adjusted OR for probable depression: 7.77, 95% CI: 1.51 to 40.13; anxiety: 4.16, 95% CI: 1.18 to 14.70; PTSD: 14.41, 95% CI: 3.91 to 53.13). The prevalence of depression was higher among repeat compared with single flooded participants, but this was not significant after adjustment. There was no difference in levels of anxiety or PTSD. Compared with unaffected participants, those flooded had lower EQ-5D-5L index scores (adjusted coefficient: −0.06, 95% CI: −0.12 to −0.01) and lower self-rated health scores (adjusted coefficient: −6.99, 95% CI: −11.96 to −2.02). There was, however, little difference in HRQoL overall between repeat and single flooded participants. Conclusions Interventions are needed to help minimise the impact of flooding on people’s mental health and HRQoL.

Intact Centre on Climate Adaptation, University of Waterloo

The environmental justice research on urban–rural exposure to flooding is underdeveloped and few empirical studies have been conducted in China. This study addresses this gap by exploring the probabilities of exposure to floods (10-, 20-, and 50-year) and examining the relationship between vulnerable groups and flooding in Nanjing, an important central city on the Yangtze River. Statistical analysis is based on multivariable generalised estimating equation (GEE) models that describe sociodemographic disparities at the census-tract level. The results revealed that (1) highly educated people in the urban centre are more likely to live in areas with high flood risk because of the abundance of education resources, and employment opportunities are concentrated in the urban centre. (2) Natives in suburban areas are more likely to live in flood-prone areas due to their favourable ecological environments near rivers and lakes. (3) Women in rural areas are more likely to live in high-flood-risk zones because most of the men are migrant workers. These findings highlight the urgent need to develop mitigation strategies to reduce flood exposure, especially in districts with high proportions of socially disadvantaged people. The linkages between rural and urban areas need to be strengthened in order to reduce flood exposure.

This study presents the first nationwide spatial assessment of flood risk to identify social vulnerability and flood exposure hotspots that support policies aimed at protecting high-risk populations and geographical regions of Canada. The study used a national-scale flood hazard dataset (pluvial, fluvial, and coastal) to estimate a 1-in-100-year flood exposure of all residential properties across 5721 census tracts. Residential flood exposure data were spatially integrated with a census-based multidimensional social vulnerability index (SoVI) that included demographic, racial/ethnic, and socioeconomic indicators influencing vulnerability. Using Bivariate Local Indicators of Spatial Association (BiLISA) cluster maps, the study identified geographic concentration of flood risk hotspots where high vulnerability coincided with high flood exposure. The results revealed considerable spatial variations in tract-level social vulnerability and flood exposure. Flood risk hotspots belonged to 410 census tracts, 21 census metropolitan areas, and eight provinces comprising about 1.7 million of the total population and 51% of half-a-million residential properties in Canada. Results identify populations and the geographic regions near the core and dense urban areas predominantly occupying those hotspots. Recognizing priority locations is critically important for government interventions and risk mitigation initiatives considering socio-physical aspects of vulnerability to flooding. Findings reinforce a better understanding of geographic flood-disadvantaged neighborhoods across Canada, where interventions are required to target preparedness, response, and recovery resources that foster socially just flood management strategies.

Aim: The aim of the study was to investigate the health effect on and adaptation of the elderly affected by floods in the Lat Krabang District, Bangkok, Thailand in 2011.Methods: A cross-sectional descriptive study was conducted. Data were collected from 290 elderly participants who were affected by the floods using questionnaires.Results: The elderly participants had previous experience with flooding, but the massive flooding in 2011 was the most severe compared to any other experiences in the past. Physical health effects included muscle pain (35.2%), athlete’s foot (28.3%), and skin rash (23.1%). The psychological health effects (24.3%) encountered included insomnia, constant stress and tension, attention deficit, and discontentment. Most elderly (89.3%) decided not to relocate thinking they could still live at home, but they were concerned about the safety of their property. In regards to preparation for the flood, they prepared consumer goods, medication, and emergency kits. In addition, they kept abreast with news on television and public announcements in the community. They also helped clear the drainage system and prepared contact information of children, relatives, and government offices in case they needed assistance. Finally, to reduce possible damage to the property, they moved their belongings to high places, built sandbag walls, raised the house level, and prepared a water pump.Conclusion: The 2011 Thailand floods had adverse effects on physical and psychological health of the elderly people. To ensure better management for this vulnerable group, plans to respond to possible disasters need to be devised by relevant agencies to reduce flood-related health impacts.

AbstractAlthough environmental justice (EJ) research in the United States has traditionally focused on technological hazards such as air pollution or hazardous waste, the adverse and unequal impacts of Hurricane Katrina have prompted researchers to examine the EJ implications of natural events such as hurricanes and floods. This paper contributes to this emerging literature on EJ and social vulnerability to natural hazards by analyzing racial/ethnic and socioeconomic inequities in the distribution of flood risk exposure in the Miami Metropolitan Statistical Area (MSA), Florida—one of the most hurricane-prone areas in the world and one of the most ethnically and socioeconomically diverse MSAs in the United States. Although previous studies have relied exclusively on the 100-year floodplain to assess the spatial extent of flood exposure, this study makes a systematic distinction between different types of flood zones on the basis of both the probability (100-year versus 500-year versus low/no risk) of flood...

Carlisle in northwest England suffered its worse floods for more than 180 years in 2005. A study, reported here, was undertaken to assess the health and social impacts of these floods via in‐depth, taped individual and focus‐group interviews with people whose homes had been flooded and with agency workers who helped them. Respondents spoke of physical health ailments, psychological stress, water health‐and‐safety issues related to the floods, and disputes with insurance and construction companies, which they felt had caused and exacerbated psychological health problems. Support workers also suffered from psychological stress. Furthermore, it was found that people had low expectations of a flood and were not prepared. The findings are presented in five sections covering flood risk awareness, water contamination issues, physical health, mental health, and impact on frontline support workers. The discussion focuses on the implications of the findings for policy and practice vis‐à‐vis psychological health provision, contamination issues, training and support for frontline support workers, matters relating to restoration, and preparation for flooding.

Après les nombreuses crues printanières qui ont affecté le sud du Québec depuis 2011, le gouvernement du Québec a annoncé en avril 2019 une refonte importante de son programme d’aide financière aux sinistrés. Le programme introduit désormais une couverture limitée à vie de 100 000 $ pour les inondations successives, une mesure unique au Canada. L’objectif de cet article est d’analyser le coût des inondations successives et les impacts financiers de cette limite de couverture pour les ménages.

Dans le cadre de la mise en œuvre du Plan d’action 2013-2020 sur les changements climatiques du Québec, le ministère de la Santé et des Services sociaux du Québec a mandaté l’Institut national de santé publique du Québec afin de mener une étude exploratoire portant sur les impacts psychosociaux vécus chez les travailleurs à la suite de quatre événements météorologiques extrêmes qui s’accentueront avec les changements climatiques, soit les vagues de chaleur, les inondations, les tempêtes et les feux de forêt. Cette étude exploratoire visait à examiner brièvement la littérature et les connaissances de différents acteurs-clés afin de proposer par la suite des projets de recherche plus importants et qui répondent aux besoins et aux enjeux des milieux de travail et de la santé publique au Québec. Elle a mis en évidence que les événements météorologiques extrêmes étudiés peuvent entraîner des impacts psychosociaux chez les travailleurs, mais les connaissances sur ces impacts varient grandement selon l’événement. Les impacts psychosociaux chez les travailleurs ont été plus documentés dans la littérature scientifique pour les tempêtes et l’ont été de façon moins importante pour les inondations et les feux de forêt et négligeable pour les vagues de chaleur. Les travailleurs des services de la première ligne (comme les intervenants municipaux, les policiers, les pompiers, et les professionnels de la santé qui interviennent auprès des sinistrés, le personnel des services de travaux publics, etc.) et les agriculteurs font partie des populations de travailleurs qui ont été les plus étudiées. Les impacts psychologiques négatifs comme de l’épuisement, de la fatigue, de la détresse psychologique, de l’anxiété, de la colère et de la tristesse ont été plus souvent rapportés dans la littérature que les impacts sociaux. Il existe des facteurs de risque organisationnels (ex. : surcharge de travail, le manque de formation, de ressources matérielles, de personnels disponibles) et personnels (ex. : le fait d’être sinistré, le manque de contact avec les membres de la famille), communs à plusieurs événements et types de travailleurs, et qui peuvent aggraver les impacts psychosociaux vécus chez les travailleurs. Il existe aussi des facteurs de protection (ex. : reconnaissance ou gratitude, résilience individuelle, soutien social et efficacité collective). Il est important de consulter des acteurs clés pour bonifier les connaissances de la littérature scientifique. Dans le cadre de cette étude, les consultations avec des acteurs clés ont permis d’identifier de nouveaux travailleurs vulnérables, d’en apprendre davantage sur les caractéristiques de certains événements météorologiques extrêmes et de réaliser que les impacts psychosociaux vécus à la suite de ceux-ci pouvaient être positifs. L’acquisition de connaissances sur les impacts psychosociaux vécus chez les travailleurs à la suite des inondations est un des sujets qui répond aux besoins et aux enjeux des milieux de travail et de la santé publique au Québec.<br/><br/>

Abstract Characterizing and identification of flood‐susceptible areas can be a solution to mitigate the damages and fatality rate. This study proposes a novel hybrid MCDM framework to assess flood susceptibility in large ungauged watersheds dealing with data scarcity issues. The proposed method examines the interdependencies and causal relationships between various criteria affecting the flooding procedure using the DEcision‐MAking Trial and Evaluation Laboratory (DEMATEL). Moreover, since experts' opinions contain uncertainty, the fuzzy logic is integrated with DEMATEL to overcome this shortcoming. Then, the local weights of criteria were estimated using the Best–Worst Method (BWM) to enhance the pairwise comparisons process. Final criteria weights were obtained using Fuzzy DEMATEL and BWM results in Analytical Network Process (ANP) super‐matrix. Finally, the criteria were distributed spatially using the Complex Proportional Assessment of Alternatives (COPRAS) method based on obtained weights. The proposed method was compared with different approaches such as Fuzzy‐DEMATEL ANP, BWM, and AHP using several statistical measures. We concluded that the novel hybrid proposed method outperformed other approaches based on our results. Moreover, by overlaying classified maps with the historical flood events locations, it was concluded that 85.96% of flooded areas were classified as “high” and “very high.”

L’objectif de cette recherche est d’identifier les stratégies d’adaptation qui sont requises et du ressort d’une municipalité régionale de comté face aux inondations. Le réchauffement global des températures soulève plusieurs inquiétudes quant à la modification du cycle hydrologique. Les inondations figurent en tête de liste des enjeux de sécurité civile des municipalités riveraines. Au Québec, on prévoit une augmentation des précipitations printanières, automnales et hivernales, ainsi que des débits hivernaux plus élevés et un devancement des crues printanières. Des projections qui peuvent influencer l’approche de gestion des barrages, bien que le contrôle des niveaux d’eau ne soit pas une panacée vis-à-vis des inondations. Il suppose une gestion intégrée de l’eau parfois complexe. Aussi, les administrations locales ne siègent pas toujours aux comités responsables de la régularisation des cours d’eau. Celles-ci se retrouvent sur la ligne de front sans pour autant avoir le pouvoir et les ressources financières pour y faire face. Les crues exceptionnelles de 2017 et 2019 ont conduit la Municipalité régionale de comté de Vaudreuil-Soulanges à mettre à jour ses plans d’urgence et à mettre en place une cellule de crise. Elle applique une stratégie d’adaptation correspondant aux 4 axes du Plan de protection du territoire face aux inondations du ministère des Affaires municipales et de l’Habitation. Ces outils enrichissent leur capacité d’adaptation par l’acquisition de nouvelles connaissances et d’une nouvelle cartographie des zones inondables. Les vulnérabilités qui résultent de contraintes liées à l’aménagement du territoire, ainsi que d’enjeux réglementaires posent un défi pour le développement du territoire et la relocalisation de résidences inondées. Il convient de sonder la population sur sa vision de la résilience afin d’assurer une meilleure acceptabilité sociale des décisions à venir. Une vulnérabilité importante réside dans les écarts de perception du risque entre les municipalités et entre les individus ; ce qui engendre des enjeux de sécurité, de communication et de gouvernance. Les instances locales peuvent miser sur leurs habiletés de mobilisation pour réunir la communauté autour du développement d’un plan d’adaptation aux changements climatiques et ainsi harmoniser les perceptions. Finalement, l’épuisement des ressources humaines des municipalités inondées à répétition est à considérer. Il appert qu’il est essentiel d’identifier et de mettre en place les outils et ressources pour les soutenir.

Abstract Homeowners around the world elevate houses to manage flood risks. Deciding how high to elevate a house poses a nontrivial decision problem. The U.S. Federal Emergency Management Agency (FEMA) recommends elevating existing houses to the Base Flood Elevation (the elevation of the 100-year flood) plus a freeboard. This recommendation neglects many uncertainties. Here we analyze a case-study of riverine flood risk management using a multi-objective robust decision-making framework in the face of deep uncertainties. While the quantitative results are location-specific, the approach and overall insights are generalizable. We find strong interactions between the economic, engineering, and Earth science uncertainties, illustrating the need for expanding on previous integrated analyses to further understand the nature and strength of these connections. Considering deep uncertainties surrounding flood hazards, the discount rate, the house lifetime, and the fragility can increase the economically optimal house elevation to values well above FEMA’s recommendation.