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Land use changes, such as deforestation, are increasing the world's vulnerability to flooding. Detailed knowledge of the local situation is essential for risk assessment and design of effective flood prevention measures and governs the infrastructure and engineering measures implemented. However extreme floods in large catchments can overwhelm both natural capacity and constructed flood management measures.
Accurate predictions of the public health impact of hurricanes and major flooding are hampered by the absence of a dose-response relationship between hurricane-associated flooding and human health and the imprecise, often conflicting, meteorological models of climate change and hurricane landfall. Flooding is now the most common type of disaster worldwide, and flash flooding, usually associated with tropical storms, is the leading cause of weather-related deaths in the United States. As a result of climate changes and more frequently alternating ocean oscillations, hurricanes of category 3 or greater now strike the continental US approximately every 18 months. Public health officials are obligated to educate policymakers and the public about the significant threats posed to population health and quality of life by the inexorable progression of global climate change, including more water-centered disasters, such as tropical storms and hurricanes.
In the Central-Bohemian area affected by the flood of 2002, 497 residents were screened for antibodies against the mosquito-borne viruses Tahyna (TAHV), West Nile (WNV), Sindbis (SINV) and Batai (BATV; syn. Calovo) using the haemagglutination-inhibition (HIT) and plaque-reduction neutralization (PRNT) tests. Blood samples were collected in September 2002 when the mosquito populations showed the maximum density following the flood. Antibodies against TAHV (16.5% persons in PRNT, 14.9% in HIT), SINV (1.4% in HIT) and BATV (1.4% in HIT, 0.2% in PRNT) were detected. Although 6.8% and 1.2% of the subjects tested reactive with WNV in HIT and PRNT, respectively, the results were interpreted as cross-reactivity with tick-borne encephalitis virus. The seroprevalence of TAHV (both in PRNT and HIT) showed no association with gender (15.8% of males, 16.9% of females), increased with age (1.4% of persons younger than 20 years, 11.2% of persons aged between 20 and 50 years, and 26.2% of persons older than 50 years were positive), and correlated with the mosquito peri-residential challenge (5.0% residents seropositive in a mosquito-free control zone D--mostly Prague, 14.7% in a mild-risk zone C, 20.5% in a moderate-risk zone B, and 28.0% in the most heavily mosquito-infested risk zone A). The highest TAHV seropositivity rate (> 25%) was found amongst the inhabitants of the villages Obríství, Kozly, Tuhan, Chrást, Chlumín and Hostín. Paired blood samples were obtained from 150 of the persons at a 6-month interval: an infection episode with TAHV during or after the flood was clearly evidenced in one person living in Obríství, and less convincing findings of recent TAHV infections were found in other three residents of Chlumín and Obríství (seroconversion and/or significant antibody titres increase detected in HIT only). This serosurvey indicated the existence of an active natural focus of Valtice fever (TAHV infection) stretched along the river Labe nearby Neratovice (Obríství, Chlumín, Tuhan; Kozly, Tisice, Chrást), and a low TAHV activity area along the lower reaches of the river Vltava between Zloncice and Bukol/Zálezlice. An increased population density of mosquitoes after the flood may have boosted the incidence of mosquito-borne virus diseases, particularly Valtice fever, in Central Bohemia. An optimum prophylactic strategy to control these diseases would be epidemiological surveillance (including monitoring of both the density of mosquitoes and their rate of infection with viruses in natural foci) on the basis of which antiepidemic measures such as integrated mosquito control can be taken.
Extensive flooding occurred in Poland in 1997 and in Sweden in 2000. These events and their management are reviewed in this Report. The floods in Poland were more extensive than in Sweden as they covered some 10% of Poland's landmass. An estimated 55 persons died as a direct result of the floods in Poland and none were reported due to the flood in Sweden. No epidemics were encountered in either country, presumably related to the extensive use of bottled water and radio instructions to boil all water before its use. The water supply was interrupted and untreated water was taken into the water distribution systems. Chlorination of the water supplies was added in Sweden. Sewage and refuse management was problematic. The heathcare system was impacted profoundly in Poland both by direct damage to hospitals and/or loss of essential services such as electricity and water supplies. Government responses are described with the needs in Poland being extensive including the need for outside assistance. Some pathways used for obtaining aid were outside of government coordination. Comprehensive conclusions and recommendations derived from the observations are provided.
Flood situation (August 2002) in small urban streams radically changed status of water ecosystem, which had been created naturally and anthropogenically for a long time. The aim of the after-flood research has been to record development of a creek recovery in positive as well as negative sense: recovery of benthic colonisation and reloading of contaminants (heavy metals) in bottom sediment. The Botic creek (its one section) was chosen as an experimental stream. This section of the creak is influenced by combine sewer system (two overflows - CSOs) as well as storm sewer system (one outlet - SSO). Heavy metals concentrations in water, sediment and body tissue of benthic organisms of the Botic creek and quality of benthic communities were monitored long term before flood. Comparison of results before and after flood can better assess impact of extreme water stage on a small stream.
Using the static opaque chamber method, a field experiment was conducted in situ for two years to study the effects of three cultivation systems on CH4 and N2O emissions from permanently flooded rice fields in a hilly area in Southwest China. The results show that the average CH4 fluxes from a permanently flooded rice field with a single middle rice crop and flooded with no winter crop (PF) were (21.44 +/- 1.77) mg x (m2 x h)(-1) and (3.77 +/- 0.99) mg x (m2 x h)(-1) during rice-growing and non-rice growing periods, respectively, where both values were much lower than many previous reports from similar regions in Southwest China. The annual CH4 emission was mainly occurred in the rice growing period, being only 23.2% of the total annual CH4 flux emitted from the non-rice growing period, though the latter occupied two thirds of a year. The annual average flux of nitrous oxide was (0.051 +/- 0.008) mg x (m2 x h)(-1) and the N2O emission also intensive in the rice growing period. However, being only 8.1% of total annual N2O flux emitted from the non-rice growing period. After implementing the rice-wheat rotation (RW) and rice oil-seed rape rotation (RR), the CH4 emissions were reduced substantially, only 43.8% and 40.6% of those of PF, respectively. However, the N2O emissions were increased after conducting RW and RR systems, which were 3.7 and 4.5 times larger than those of PF. The global warming potentials (GWPs) of the CH4 and N2O emissions under the three tillage-cropping systems were assessed in an integrated way. The results show that the integrated GWPs of the CH4 and N2O emissions are in the following sequence: PF>>RR approximately equal to RR. Within 20, 100 and 500 years spans, the GWPs of the CH4 and N2O emissions of PF were 2.6, 2.1 and 1.7 times larger than those of RW (or RR), respectively. After introducing rice-wheat or rice oil-seed rape rotation systems into the permanently flooded rice fields, the integrated GWPs of the CH4 and N2O emissions were decreased largely.
Extensive water damage after major hurricanes and floods increases the likelihood of mold contamination in buildings. This report provides information on how to limit exposure to mold and how to identify and prevent mold-related health effects. Where uncertainties in scientific knowledge exist, practical applications designed to be protective of a person's health are presented. Evidence is included about assessing exposure, clean-up and prevention, personal protective equipment, health effects, and public health strategies and recommendations. The recommendations assume that, in the aftermath of major hurricanes or floods, buildings wet for <48 hours will generally support visible and extensive mold growth and should be remediated, and excessive exposure to mold-contaminated materials can cause adverse health effects in susceptible persons regardless of the type of mold or the extent of contamination. For the majority of persons, undisturbed mold is not a substantial health hazard. Mold is a greater hazard for persons with conditions such as impaired host defenses or mold allergies. To prevent exposure that could result in adverse health effects from disturbed mold, persons should 1) avoid areas where mold contamination is obvious; 2) use environmental controls; 3) use personal protective equipment; and 4) keep hands, skin, and clothing clean and free from mold-contaminated dust. Clinical evaluation of suspected mold-related illness should follow conventional clinical guidelines. In addition, in the aftermath of extensive flooding, health-care providers should be watchful for unusual mold-related diseases. The development of a public health surveillance strategy among persons repopulating areas after extensive flooding is recommended to assess potential health effects and the effectiveness of prevention efforts. Such a surveillance program will help CDC and state and local public health officials refine the guidelines for exposure avoidance, personal protection, and clean-up and assist health departments to identify unrecognized hazards.
The worst flood in the history of Bangladesh affected millions of people in 1988. To determine morbidity and mortality during the flood, we investigated the causes of illness in 46,740 patients and causes of death in 154 persons while providing medical relief services in 72 flood affected upazilas (sub-districts). Diarrhoea was the most common illness (34.7%), followed by respiratory tract infections (17.4%). Watery diarrhoea was the most common type (47%) of diarrhoea and the most common cause of death for all age groups except those above 45-years of age. Respiratory disease was responsible for 13% of all reported deaths; only 7% of these were associated with acute respiratory tract infections. Accidental deaths accounted for 9.7% of the reported deaths: 5.8% of those were due to drowning, a figure twice as high as that reported previously. Our study suggests that floods have influenced the distribution of disease and death among the affected population.
Heavy spring and summer rainfall during 1993 caused the most extensive flash and riverine flooding ever recorded in the upper midwestern United States. In portions of the flood region,* standing water provided large expanses of habitat capable of producing large populations of the mosquitoes Culex pipiens and Cx. tarsalis. These species can rapidly amplify transmission of the arboviruses that cause St. Louis encephalitis (SLE) and western equine encephalitis (WEE). Although information from state health departments in the disaster area indicated minimal SLE or WEE activity in the region before the flooding, large vector populations in certain areas following the flooding increased the potential for exposure of residents and emergency workers to arboviral infection. To determine the risk for arboviral disease in the disaster area, CDC, in collaboration with state and local health departments, conducted surveillance during August-September 1993. This report summarizes the results of the surveillance activity.
Unprecedented amounts of rain in the spring and summer of 1993 led to disastrous flooding and crop damage in nine Midwestern states. In Iowa (1990 population: 2,777,000), extensive flood damage occurred in all 99 countries. On July 11, 1993, the Iowa Department of Public Health (IDPH) requested assistance from CDC to assess the adverse public health impact of the flooding and to plan the public health response to the disaster. CDC assisted IDPH in performing an initial rapid statewide public health assessment and establishing weekly surveillance to monitor ongoing or anticipated flood-related health problems. This report summarizes the methods of the assessment and surveillance and preliminary findings.
A survey and three case studies were conducted of hospitals in Alabama, Georgia, and Florida affected by flooding in July 1994. Our findings suggest that the existence or quality of hospital or community plans for disaster did not seem related to the effect of the flood or the hospitals' response to flooding. Recommendations for preparation and problem avoidance in future flood disasters are provided.
UNLABELLED: The purpose of this study was to investigate the cause of a nonuniformity artifact seen on an intrinsic flood. METHODS: Intrinsic floods were acquired on three different cameras using a point source in a 1-cc syringe, with and without a needle attached. Floods were obtained with the syringe placed perpendicular and parallel to the camera face. RESULTS: A nonuniformity artifact was evident if a syringe with a needle was placed perpendicular to the crystal face. CONCLUSION: If a syringe is used as a point source during the acquisition of an intrinsic quality control flood, the needle should not be placed perpendicular to the camera face.
Influence of repeated application of the nitrification inhibitor dicyandiamide (DCD), on CH(4) production and associated microflora in a flooded alluvial soil, was investigated in a laboratory incubation study. Application of DCD at the time of soil incubation resulted in a substantial reduction in CH(4) production (31% over that of untreated control). Second repeat application of DCD, on the contrary, annulled the inhibitory effect on CH(4) production, restoring it to the level of unamended soil. Application of the third dose of DCD maintained CH(4) production almost to the same extent as that of second application. The alleviation of the initial inhibitory effect of DCD on CH(4) production was linked to the enhanced degradation of DCD following its repeated application to the flooded soil. Admittedly, abatement of the initial inhibitory effect of DCD on CH(4) production in soil repeatedly amended with DCD was also related to the inhibition of CH(4)-oxidizing bacterial population and noticeable stimulation of heterotrophic bacterial population. Results suggest that repeat application of DCD with fertilizer-N to flooded rice soils might not be effective in controlling CH(4) production under field condition.
OBJECTIVES: To investigate an outbreak of presumed Acanthamoeba keratitis (AK), to identify risk factors associated with its development, and to characterize the changing epidemiology of AK. METHODS: We performed a pairwise-matched case-control study involving 31 patients who were diagnosed as having AK between July 1993 and December 1994. Risk factors were identified using conditional logistic regression analysis. To investigate the impact of regional flooding, we stratified counties within Iowa by whether their water facilities were affected and then calculated population-based estimates of the incidence of AK. RESULTS: During the study, 43 presumed incident cases of AK were diagnosed; 31 were included in the case-control study. Cases were diagnosed based on the clinical presentation of keratitis, positive tandem scanning confocal microscopy examination results, and confirmatory cytopathologic findings. There were no positive culture specimens. On average, cases had symptoms for 8 weeks before diagnosis, most notably photophobia (94%), red eyes (94%), and pain (80%). Contact lens use (odds ratio [OR] = 44.16; P = .02) and fishing (OR = 22.62; P = .04) were independent predictors of the development of AK. The presence of a humidifier in the home (OR = 0.08; P = .03) and having household water that originated from a private well instead of the municipal water supply (OR = 0.12; P = .08) were protective. Twenty-nine of 30 cases resided in counties in which the water supplies were affected by flooding as determined by the Department of Natural Resources, Des Moines, Iowa. The incidence of AK in these counties was more than 10 times higher than that in the unaffected counties (relative risk = 10.83, 95% confidence interval, 1.48-79.49; P < .003). CONCLUSIONS: We describe an epidemic of keratitis that, based on clinicopathologic and epidemiological evidence, is consistent with AK. As in previous outbreaks of culture-proven AK, contact lens use was the major risk factor. Both the results of the case-control study and the population-based incidence estimates suggest that the recent outbreak may be caused, in part, by the effects of regional flooding. However, because the outbreak also coincided with a change in diagnostic techniques, we cannot eliminate recognition bias as the reason for the apparently changing epidemiology.
The sensitivity of blood oxygenation level dependent (BOLD) contrast techniques to changes to tumour deoxyhaemoglobin concentration is of relevance to many strategies in cancer treatments. In the context of tumour studies, which frequently involve the use of agents to modify blood flow, there are underlying physiological changes different to those of BOLD in the brain. Hence we use the term, flow and oxygenation dependent (FLOOD) contrast, to emphasize this difference and the importance of flow effects. We have measured the R(2)* changes in a prolactinoma tumour model for a variety of vasoactive challenges [carbogen, 100% oxygen and 100% nitrogen as different breathing gases, and administration of tumour blood flow modifiers such as calcitonin gene related peptide (CGRP), hydralazine and nicotinamide]. In addition we have measured other relevant physiological parameters, such as bioenergetic status from (31)P MRS, and blood pH and glucose, that may change during a vasoactive challenge. Here we discuss how they relate to our understanding of FLOOD contrast in tumours. We frequently observe R(2)* changes that match the expected action of the vascular stimulus: R(2)* decreases with agents expected to improve tumour oxygenation and blood flow, and increases with agents designed to increase tumour hypoxia. Unlike most normal tissues, tumours have a chaotic and poorly regulated blood supply, and a mix of glycolytic and oxidative metabolism; thus the response to a vasoactive challenge is not predictable. Changes in blood volume can counteract the effect of blood oxygenation changes, and changes in blood pH and glucose levels can alter oxygen extraction. This can lead to R(2)* changes that are smaller or the reverse of those expected. To properly interpret FLOOD contrast changes these effects must be accounted for.
Collectivization of farmland since the 1950s has changed the agricultural land use in former East Germany. Single fields on the collective farms became increasingly large and were cultivated with increasingly heavy farm equipment. This led to large-scale physical degradation of arable soils, enhancing the formation of surface runoff in periods with prolonged and excessive precipitation. The extent to which this development may have affected the discharge behavior of the main East German river, the Elbe, has so far not been studied. We analyzed the flood peaks of the Elbe during the past century (1900-2000). The flood discharge behavior of the Elbe has apparently changed significantly since the 1950s. Although climate changes may be involved, we conclude that the Elbe flood peaks, recorded since 1950, are related to the changes in postwar agricultural land use in former East Germany. To restore the degraded farmland soils, a change in agricultural land use may be necessary.
The behavioral response of the obligate bamboo-nesting ant Cataulacus muticus to nest flooding was studied in a perhumid tropical rainforest in Malaysia and in the laboratory. The hollow internodes of giant bamboo, in which C. muticus exclusively nests, are prone to flooding by heavy rains. The ants showed a two-graded response to flooding. During heavy rain workers block the nest entrances with their heads to reduce water influx. However, rainwater may still intrude into the nest chamber. The ants respond by drinking the water, leaving the nest and excreting water droplets on the outer stem surface. This cooperative 'peeing' behavior is a new survival mechanism adaptive to the ants' nesting ecology. Laboratory experiments conducted with two other Cataulacus species, C. catuvolcus colonizing small dead twigs and C. horridus inhabiting rotten wood, did not reveal any form of water-bailing behavior.
To analyze quantitative trait loci (QTLs) affecting flooding tolerance and other physiological and morphological traits in Echinochloa crus-galli, a restriction fragment length polymorphism (RFLP) map was constructed using 55 plants of the F(2) population ( E. crus-galli var. praticola x E. crus-galli var. formosensis). One hundred forty-one loci formed 41 linkage groups. The total map size was 1,468 cM and the average size of linkage groups was 35.8 cM. The average distance between markers was 14.7 cM and the range was 0-37.2 cM. Early comparisons to the genetic maps of other taxa suggest appreciable synteny with buffelgrass ( Pennisetum spp.) and sorghum ( Sorghum spp.). One hundred ninty-one F(2) plants were used to analyze QTLs of flooding tolerance, plant morphology, heading date, number of leaves, and plant height. For flooding tolerance, two QTLs were detected and one was mapped on linkage group 24. Other traits, including plant morphology, heading date, number of leaves, and plant height were highly correlated. Three genomic regions accounted for most of the mapped QTLs, each explaining 2-4 of the significant marker-trait associations. The high observed correlation between the traits appears to result from QTLs with a large contribution to the phenotypic variance at the same or nearby locations.