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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.

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.

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.

Summary The questionable ability of the U.S. pension system to provide for the growing elderly population combined with the rising number of people affected by depression and other mental health issues magnifies the need to understand how these household characteristics affect retirement. Mental health problems have a large and significant negative effect on retirement savings. Specifically, psychological distress is associated with decreasing the probability of holding retirement accounts by as much as 24 percentage points and decreasing retirement savings as a share of financial assets by as much as 67 percentage points. The magnitude of these effects underscores the importance of employer management policy and government regulation of these accounts to help ensure households have adequate retirement savings.

What transformations do municipal administrations implement to enact a resilience policy? This article responds to this question from a comparative perspective by analyzing enabling and impeding mechanisms developed in the cities of Montreal (Canada) and London (UK) as they establish their strategies. Collaborative network governance and institutional work mechanisms used in Montreal and London are analyzed in connection with the influence of macro‐ and micro‐contextual elements under which a network can resiliently manage risk and crises. In both cases, the development of resilience emerges from their emergency management structures, as units in charge try to animate their new area of responsibility through collaborative governance. As a siloed approach this is embedded in daily routines, organizations with limited resources focused on shared motivation and values, collaboration across organizational boundaries and creation of joint capacity to implement resilience. This transformative process concerns the organization in charge of resilience in the municipal administration and the wider network that they build and animate. , 从政策挑战到落实战略: 为都市韧性网络管理创造战略 自治政府为颁布一项韧性政策会经历哪些转型?本文透过比较视角, 通过分析蒙特利尔(加拿大)和伦敦(英国)在建立各自战略时开发的推动机制和阻碍机制, 对该疑问进行了回应。分析了蒙特利尔和伦敦所使用的协作网络治理及机构工作机制与“宏观和微观情境元素的影响”之间的关系, 在这些情境元素中网络能发挥韧性管理风险和危机。在这两个案例中, 当应急管理结构中各主管单位试图通过协作治理开启新的责任区时, 韧性便得以发展。作为一项孤立的措施, 其被应用于日常活动中、应用于在共享动机和价值观方面资源有限的机构中、还被用于跨组织界限的协作以及为发挥韧性而创造的共同行动。该转型过程与负责自治政府韧性建设的机构有关, 还与后者建立和推动的更广网络有关。 , Del desafío político a la estrategia de implementación: estrategias habilitantes para la gobernanza de la red de resiliencia urbana ¿Qué transformaciones implementan las administraciones municipales para promulgar una política de resiliencia? Este artículo responde a esta pregunta desde una perspectiva comparativa analizando los mecanismos habilitadores e impedidores desarrollados en las ciudades de Montreal (Canadá) y Londres (Reino Unido) a medida que establecen sus estrategias. La gobernanza de la red colaborativa y los mecanismos de trabajo institucional utilizados en Montreal y Londres se analizan en relación con la influencia de elementos macro y micro contextuales bajo los cuales una red puede gestionar de manera resiliente los riesgos y las crisis. En ambos casos, el desarrollo de la resiliencia surge de sus estructuras de gestión de emergencias, ya que las unidades a cargo intentan animar su nueva área de responsabilidad a través de la gobernanza colaborativa. Como un enfoque aislado, esto se integra en las rutinas diarias, las organizaciones con recursos limitados se centraron en la motivación y los valores compartidos, la colaboración a través de los límites de la organización y la creación de capacidad conjunta para implementar la resiliencia. Este proceso transformador concierne a la organización a cargo de la resiliencia en la administración municipal y la red más amplia que construyen y animan.

The environmental management literature suggests that resilience is key to managing complex systems and reducing vulnerability resulting from uncertainty and unexpected change. Yet, flood risk management (FRM) has emerged largely from a culture of resistance. This paper takes the pulse of the current state of FRM research, with a focus on how the scholarly community has approached governance for flood resilience. Our analysis of the FRM journal literature identified 258 articles addressing governance and flooding, resilience and adaptation. Five main research themes emerged from these articles, addressing a variety of issues, but mostly lacking the degree of integration needed to address the social‐ecological complexity of FRM. Overall, research supporting the governance of FRM for resilience lacks integration, and methods of mitigating this lack of integration are poorly studied. We conclude with a discussion about the nature and scope of FRM research for resilience, and identify opportunities for more integrative FRM research that is more tightly coupled with policy and practice.

Abstract There has been an upsurge in studies of flood risk governance (FRG): steering and decision‐making by public and private actors as a complement to risk assessments and technical management options. The scholarly debate is, however, highly fragmented, complicating the production of cumulative insights. To address this knowledge gap, we used six governance strategies for achieving flood resilience that previously have been put forward as a conceptual framework to review 121 articles published between 2016 and 2019, complemented with insights contained in recent overview articles, to gauge the state‐of‐the‐art in FRG literature: to (a) diversify flood risk management strategies; (b) align the strategies; (c) adequately involve private actors, including citizens; (d) put an adequate rule system in place; (e) cater for sufficient monetary and non‐monetary resources; (f) inspire an open and inclusive normative debate. We found, first, that literature is producing insights on increasingly technically advanced risk assessments and agent‐based models but societal debate on justice in flood risk governance is getting attention. A clearly emerging topic is that of citizen engagement in flood risk governance. Second, the geographical focus of the studies is still skewed toward the Global North. To make progress in understanding flood risk governance for better resilience more systematic and comparative empirical assessments of flood risk governance in order to derive generalizable lessons while better taking into account the context‐specificity of FRG. Testing flood risk governance solutions against comparative cases, by balancing the geographical scope of research efforts, and enhancing interdisciplinary and transdisciplinary working is a way to deliver knowledge for more resilience. This article is categorized under: Human Water > Water Governance Engineering Water > Planning Water