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Many of Earth’s large lowland rivers are heavily impacted by land change and hydraulic engineering to support a range of societal demands. Dams and river engineering for flood control have disconnected rivers from floodplains, reduced coastal sediment flux, and driven land subsidence of deltaic wetlands because of reduced sediment loads. Structural modification of lowland rivers alters hydrologic and sedimentary processes, resulting in unintended geomorphic and environmental adjustments that require decades to unfold. Such problems not only degrade associated riparian ecosystems but also increase human vulnerability to flooding. Integrated approaches to lowland river management are needed to reduce flood risk, conserve and restore riparian environments, while ensuring that lowland rivers continue to meet societal demands.
The final chapter on human impacts to lowland rivers logically ends at the basin terminus, at the coast. Large flood basins and deltas are the most challenging environments to manage because of being impacted by ground subsidence and coastal storm surge events, particularly large populations in delta cities. Artificial floodwater diversion mirrors natural flood pulses, although it also disturbs aquatic ecosystems that requires further management. Challenges with floodwater diversion for environmental management of the lower Sacramento basin links to historic hydraulic gold mining. A major geomorphic phenomenon that influences flood basin environments is channel avulsion, which can be set up by embanked floodplain sedimentation and subsidence. Ground subsidence problems are particularly acute as regards flood control infrastructure, increasing the risk of dike failure during coastal storm surge events. Urban flood basin subsidence and flood control challenges is examined in a review of the epic 2011 Chao Phraya River flooding of Bangkok and the 2005 coastal storm surge flooding of New Orleans by Hurricanes Katrina-Rita.
Floods are the most common type of disasters and cause more deaths and damage than other types of disasters. The health consequences of floods vary according to the nature of the flood, geographical and demographic characteristics, and policy arrangements for preparation and consequence management.
Methods:
This study involves a comparative analysis of the response to selected floods in China and Australia as an example of diverse geographical, demographic, and policy environments. The study involved an examination of news and government reports, interviews with key players, site visits, and an analysis of the policy and governance arrangements. A framework for the health consequences of floods was developed and utilized to compare the consequences in each location.
Results:
The health consequences varied considerably with the nature of the flood and the geographical and demographic environment. Flash flooding caused more immediate injuries and deaths, and less effective immediate management because of its rapid and unpredictable onset.
The variation in resources and preparation between the two countries resulted in a demonstrable difference in health consequence management. The long-term outcomes including mental health problems were difficult to identify.
Conclusions:
Effective flood management was shown to reduce the health consequences of floods. These consequences may be immediate, medium-, or long-term, and effective management strategies must address each of these elements.
Australia's highly sophisticated disaster management system minimized the health consequences of floods. Despite its considerable population and other challenges, China has a demonstrated capacity to reduce health impact through improved policy frameworks and resource management.
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