PPS 15: Planning and Flood Risk
Annex B: Health Implications of Flooding
Table 1: Health Implications of Flooding - Direct Effects
| Causes | Health Implications |
|---|---|
| Stream flow velocity; topographic land features; absence of warning; rapid speed of flood onset; deep floodwaters; landslides; risk behaviour; fast flowing waters carrying debris. | Drowning Injuries |
| Contact with water | Respiratory diseases; shock; hypothermia; cardiac arrest. |
| Contact with polluted waters | Wound infections; dermatitis; conjunctivitis; gastrointestinal illnesses; ear, nose and throat infections; possible serious waterborne disease. |
| Increase in physical and emotional stress | Increase of susceptibility to psychosocial disturbances and cardiovascular incidences |
Table 1 continued: Indirect Effects
| Causes | Health Implications |
|---|---|
| Damage to water supply systems; sewage and sewage disposal damage; insufficient water supply | Possible waterborne infections (e.g. enterogenic E coli, shigella; hepatitis A; leptosperiosis) |
| Disruption to transport systems | Food shortages; disruption of emergency services |
| Underground services disruption; contamination from waste sites; release of chemicals, oil, petrol storage etc. | Potential acute or chronic effects from chemical pollution. |
| Standing waters; heavy rainfall, expanded range of vector (disease carrying organism – especially insects) habitats | Vector borne diseases |
| Rodent migration | Possible diseases caused by rodents |
| Disruption of social networks; loss of property, jobs and family members/friends | Possible psychosocial disturbance |
| Post flood clean up activities | Electrocutions; other injuries |
| Damage to or disruption of, health services | Decreases in standard of or insufficient access to health care |
Source:
Floods: Climate Change & Adaptation Strategies for Human Health, (WHO, 2002)
B4 Insurers have, for some time, been concerned
about the potential frequency and cost of environmental risks, including flooding. Recent floods, particularly
since 2000, have caused insurers to review the provision of flood cover to UK property owners. Insurers
have stated that it is their intention to continue to provide flood cover to as many property owners
and occupiers as possible. However they have also pointed out that new development in areas at risk
of flooding which lack the appropriate standard of protection will face difficulties with the cost and/or
availability of insurance. This is confirmed in the Association of British Insurers (ABI) statement
of principles on the provision of flood insurance issued in November 200515.
In the opinion of ABI and the Council of Mortgage Lenders developing in areas at risk from flooding
could thus create difficulties in the mortgaging of new development which could make it impracticable.
This in turn could undermine the basis of regeneration or other development strategies. Developers will
therefore wish to consider the availability of insurance for subsequent purchasers or tenants at the
earliest stage of the site evaluation process. For its own part, the insurance industry may wish to
make appropriate representations about proposals for the location of new development during the preparations
of development plans.
B5 Many of the adverse consequences associated with
flooding derive primarily from its physical impacts on buildings and the environment. The scale of damage
to buildings is often dependent on the depth and duration of the flood event, while the primary significant
environmental effects generally relate to water quality and polluted floodwaters. Table
2 (overleaf) illustrates flood damage to a typical residential property.
B6 Traditionally, the threat of flooding in Northern
Ireland has been met by the construction of hard-engineered defences and drainage schemes to protect
land and development in areas exposed to frequent or extensive flooding. However, this sort of protectionist
approach to flood risk is expensive in terms of construction and long-term maintenance costs, and while
it can reduce the risk of flooding it cannot eliminate it. Flood banks or walls will be overtopped when
a flood event is of greater severity than the defence was designed for. In addition flood risk may increase
over time where the changing frequency or severity of weather events effectively acts to erode the standard
of protection that defences were originally designed to provide for.
B7 Hard-engineering solutions can create a cycle
of vulnerability when the construction of a defence encourages further development that in turn leads
to the need for further protection. Higher flood defences will lead to increased maintenance costs and
may also result in more damaging floods when defences are breached by a severe weather event.
B8 To continue the construction of new hard-engineered
flood defences required as a consequence of the development on land with a propensity to flood is inconsistent
with a commitment to sustainable development and the adoption of a precautionary approach to flood risk.
15 Statement of principles on the Provision
of Flood Insurance (Association of British Insurers) available at: www.abi.org.uk/ 
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