Navigating the public health challenges of flooding

Blog post from Councillor David Fothergill on winter flooding and its impact on communities and physical health.


As the chilly winds and persistent drizzles settle in, England grapples with the annual embrace of cold and wet weather. While the picturesque landscapes may charm, the public health impact of these conditions cannot be overlooked. 

From increased risks of respiratory infections to challenges in mental well-being, the consequences are diverse and significant.

Flooding events, such as those we experienced in early January, pose a significant threat to public health. The repercussions of these floods extend far beyond property damage, reaching into the realm of public well-being. 

I look after the division which was most affected by the Somerset floods of 2013/14 which went on for nearly six weeks and there has been widespread flooding across parts of Somerset after the county was battered by heavy rain during Storm Henk.

This blog explores the multifaceted impact of flooding and cold weather has on public health and sheds light on the challenges faced by communities grappling with the aftermath.

One of the immediate concerns following flooding is the heightened risk of waterborne diseases. Contaminated floodwaters can carry harmful pathogens, leading to the spread of illnesses such as gastroenteritis. The inundation of sewage systems and the mixing of polluted water with drinking water sources create a breeding ground for these diseases, amplifying the public health threat.

Floods take a toll not only on physical health but also on mental well-being. Displacement, loss of property, and the trauma associated with natural disasters contribute to heightened stress, anxiety, and depression among affected individuals. Yes, there is the short-term effect of finding water destroying your life’s possessions but there’s also a longer-term impact of anticipation and fear that it will happen again. Even now, I know of many residents who become incredibly anxious when the rains continue for more than a few days.

The long-term impact on mental health requires attention and support from public health services to mitigate the consequences.

Beyond physical health, the gloomy weather can take a toll on mental well-being. Seasonal Affective Disorder (SAD), characterised by depressive symptoms during specific seasons, often peaks in the winter months. Reduced sunlight exposure contributes to a decrease in serotonin levels, affecting mood and energy levels.

Floods can exacerbate respiratory problems, especially for vulnerable populations. Mould growth in damp environments, dampness-related allergens, and the release of airborne pollutants from flooded areas can trigger or worsen respiratory conditions, leading to an increase in respiratory illnesses such as asthma and bronchitis.

Floods can disrupt the normal functioning of healthcare services, making it challenging for individuals to access medical care promptly. Infrastructure damage, transportation issues, and overwhelmed medical facilities further compound the challenges in providing essential healthcare services during and after flooding events.

Socioeconomic disparities become more pronounced in the aftermath of flooding. Vulnerable communities, often residing in low-lying areas prone to flooding, face disproportionate challenges in coping with the aftermath. Limited access to resources, healthcare, and evacuation options exacerbate the impact on public health within these marginalized populations.

The cold and wet weather pose severe threats to the homeless population. Exposure to the elements increases the risk of hypothermia and other weather-related health issues. Collaborative efforts between local authorities and charities are crucial to providing shelter and support during adverse weather conditions.

The increasing frequency and severity of flooding events in England demand a comprehensive approach to address the associated public health challenges.

Adequate infrastructure planning, early warning systems, and resilient healthcare services are essential components of a strategy to mitigate the impact of flooding on the well-being of the population. As climate change continues to influence extreme weather patterns, a proactive and collaborative effort is crucial to safeguarding public health in the face of these environmental challenges.

UKHSA guidance helps professionals and the public address some of the risks identified in the blog.