Introduction: The 2021 European floods in Germany, Belgium, and the Netherlands significantly impacted healthcare. With climate change increasing flood risks, healthcare preparedness is essential. Floods affect healthcare directly and indirectly by disrupting patient access, damaging infrastructure and impeding care continuity. Our interdisciplinary research in the Netherlands systematically assesses flood impacts on healthcare, optimises disaster preparedness, patient logistics, and continuity and explores crisis governance, incorporating lessons from coronavirus disease-2019 (COVID-19). Methods: Our multi-sited, interdisciplinary project titled “Pandemic lessons for flood disaster preparedness” includes literature reviews on: (i) the (in) direct impacts of floods on healthcare, (ii) disaster decision-making strategies and (iii) patient logistics during crises. Empirically, ethnographic methods (interviews, focus groups, document analyses, and observations) will: (a) assess hospital flood preparedness, (b) explore decision-making and crisis management strategies and (c) analyse the dynamics of health system governance during floods. Data from these sources and flood scenarios will inform models on healthcare impacts and decision-making, culminating in a simulation game for research and training. Discussion: This study offers a comprehensive, interdisciplinary approach to understanding and improving healthcare system preparedness for floods. By integrating diverse fields such as healthcare governance, disaster risk management, logistics and hydraulic engineering, we provide a unique lens on resilience. A key strength is the incorporation of lessons from the COVID-19 pandemic, allowing us to draw parallels between pandemic response and flood preparedness. In addition, our simulation game serves as a robust tool for translating knowledge into practice. However, the study’s reliance on collaboration with busy healthcare and disaster response professionals may limit engagement. Moreover, the absence of direct public and patient involvement in the research design, though partially mitigated by engaging representative organizations, presents a potential limitation. Lastly, the challenge of obtaining real-time data from flood events could introduce recall bias, but triangulation of various data sources aims to address this issue. Despite these challenges, the study’s integration of long-term data from recent floods and focus on healthcare-specific crisis governance provides valuable insights for improving disaster preparedness.

This article details a correction to: Ghorbani, A., Siddiki, S., Mesdaghi, B., Bosch, M., & Abebe, Y. A. (2024). Understanding Institutional Compliance in Flood Risk Management: A Network Analysis Approach Highlighting the Significance of Institutional Linkages and Context. International Journal of the Commons, 18(1), 522–540. https://doi.org/10.5334/ijc.1351. CORRECTION The article “Understanding Institutional Compliance in Flood Risk Management: A Network Analysis Approach Highlighting the Significance of Institutional Linkages and Context” (Ghorbani et al) was mistakenly published with an incorrect title (“Understanding Institutional Compliance in Floor Risk Management: A Network Analysis Approach Highlighting the Significance of Institutional Linkages and Context”) due to a typographical mistake. The original publication has been amended. COMPETING INTERESTS The authors have no competing interests to declare.

Hydrometeorological hazards, particularly floods and cyclones, pose significant threats to human health, including fatalities, damage to healthcare facilities (HCFs), and disruptions to health services. This study systematically reviewed scientific articles to identify the direct and indirect impacts of floods on HCFs and the risk management strategies implemented to address these challenges. To that end, we searched four databases (MEDLINE, Embase, Web of Science and Scopus) for articles written in English. Our search query included terms related to flood and cyclone hazards, HCF types and disaster risk management strategies. We followed the PRISMA guidelines to conduct the study. The search resulted in 7500 records, which were finally filtered down to 74 studies after removing duplicates, screening records and full article eligibility checks. Approximately 76 % of the included studies addressed cyclone-related flood impacts and were conducted in the United States. Hospitals were the most studied HCFs (n = 54) followed by long-term care facilities (n = 11). The main impact of floods on hospitals was due to flooded basements as they house important services including equipment, supplies and backup generators. Interruptions of electricity and water supplies were reported to cause serious challenges. Regarding flood risk management, patient evacuation was mentioned by more than 66 % of the studies while few studies reported the implementation of structural measures. More than a third of the studies reported the availability of preparedness plans. The review revealed inconsistencies in the flood preparedness of HCFs. The main policy recommendations are the availability of guidelines to standardize preparedness plans and oversight.

Nature-Based solutions (NBS) are the measures supported by natural processes that can adapt to changing climates and generate diverse social, economic, and environmental benefits. Recognising the potential for additional NBS benefits, and quantifying these benefits is essential as it encourages decision-makers to implement and scale-up NBS initiatives. This paper presents findings from a systematic literature review. The review focused on tools and methodologies used for assessing the environmental benefits of implementing NBS. This review provides a detailed compilation of environmental indicators supported by assessment tools. It also includes a catalogue of tools for evaluating environmental benefits, thereby identifying research gaps. Moreover, this research proposes a methodology that uses an ArcGIS (Architecture of Geographic Information Systems) toolbox to identify habitat changes resulting from the implementation of NBS. The methodology translates CORINE (Coordination of Information on the Environment) land cover classes to EUNIS (European Nature Information System) habitat classes. The developed toolbox was applied to two case studies: Denmark (12 NBS) and the Netherlands (3 NBS). The assessment aimed to compare the habitat changes between 2000 and 2018 as two extreme time points for NBS implementation for both case studies. Results indicate that NBS implementation can change habitats leading to an increase in the Red-necked Grebe population in Denmark and a decline in the Black-tailed Godwit population in the Netherlands (two threatened species). The population change highlights the potential positive and potential negative impacts of NBS in their respective cases. These findings suggest Denmark could benefit from lake construction and restoration projects. At the same time, the Netherlands could invest in wetlands and meadows construction and restoration projects to protect the respective species. They could establish designated breeding zones to ensure their population does not decline rapidly.

Governments worldwide are intensifying efforts to address escalating flood risks exacerbated by climate change. Central to this endeavor is the implementation of institutional frameworks, such as public policies, aimed at mitigating, planning for, responding to, and recovering from flood events. However, the effectiveness of these institutions relies heavily on their practical application. This study delves into the institutional landscape of flood risk management (FRM) through a comprehensive case study in Sint Maarten, a Caribbean island. Specifically, we scrutinize the degree of institutional compliance, focusing on the alignment between formally advised policies (institutions-in-form) and their informal adoption in practice (institutions-in-use). Employing Institutional Network Analysis (INA), we explore discrepancies between these two dimensions across the various phases of FRM (response, recovery, mitigation, and preparation). Our findings reveal that institutional compliance varies significantly across the FRM phases, with mitigation presenting the most pronounced challenges. Notably, the discrepancies are more prevalent among those tasked with implementing the policies rather than the targeted property owners. Generally speaking, the transition of institutions from mere forms to actionable rules is often hindered by established or emerging practices diverging from prescribed directives.

The intensity and frequency of hydro-meteorological hazards have increased due to fast-growing urbanisation activities and climate change. Hybrid approaches that combine grey infrastructure and Nature-Based Solutions (NBSs) have been applied as an adaptive and resilient strategy to cope with climate change uncertainties and incorporate other co-benefits. This research aims to investigate the feasibility of Real Time Control (RTC) for NBS operation in order to reduce flooding and improve their effectiveness. The study area is the irrigation and drainage system of the Rangsit Area in Thailand. The results show that during the normal flood events, the RTC system effectively reduces water level at the Western Raphiphat Canal Station compared to the system without RTC or with additional storage. Moreover, the RTC system facilitates achieving the required minimum volume and increasing the volume in the retentions. These findings highlight the potential of using RTC to improve the irrigation and drainage system operation as well as NBS implementation to reduce flooding. The RTC system can also assists in equitable water distribution between Klongs and retention areas, while also increasing the water storage in the retention areas. This additional water storage can be utilized for agricultural purposes, providing further benefits. These results represent an essential starting point for the development of Smart Solutions and Digital Twins in utilizing Real-Time Control for flood reduction and water allocation in the Rangsit Area in Thailand.

The escalating impacts of climate change trigger the necessity to deal with hydro-meteorological hazards. Nature-based solutions (NBSs) seem to be a suitable response, integrating the hydrology, geomorphology, hydraulic, and ecological dynamics. While there are some methods and tools for suitability mapping of small-scale NBSs, literature concerning the spatial allocation of large-scale NBSs is still lacking. The present work aims to develop new toolboxes and enhance an existing methodology by developing spatial analysis tools within a geographic information system (GIS) environment to allocate large-scale NBSs based on a multi-criteria algorithm. The methodologies combine machine learning spatial data processing techniques and hydrodynamic modelling for allocation of large-scale NBSs. The case studies concern selected areas in the Netherlands, Serbia, and Bolivia, focusing on three large-scale NBS: rainwater harvesting, wetland restoration, and natural riverbank stabilisation. Information available from the EC H2020 RECONECT project as well as other available data for the specific study areas was used. The research highlights the significance of incorporating machine learning, GIS, and remote sensing techniques for the suitable allocation of large-scale NBSs. The findings may offer new insights for decision-makers and other stakeholders involved in future sustainable environmental planning and climate change adaptation.

Wastewater-based epidemiology (WBE) has been proven to be a useful tool in monitoring public health-related issues such as drug use, and disease. By sampling wastewater and applying WBE methods, wastewater-detectable pathogens such as viruses can be cheaply and effectively monitored, tracking people who might be missed or under-represented in traditional disease surveillance. There is a gap in current knowledge in combining hydraulic modeling with WBE. Recent literature has also identified a gap in combining machine learning with WBE for the detection of viral outbreaks. In this study, we loosely coupled a physically-based hydraulic model of pathogen introduction and transport with a machine learning model to track and trace the source of a pathogen within a sewer network and to evaluate its usefulness under various conditions. The methodology developed was applied to a hypothetical sewer network for the rapid detection of disease hotspots of the disease caused by the SARS-CoV-2 virus. Results showed that the machine learning model's ability to recognize hotspots is promising, but requires a high time-resolution of monitoring data and is highly sensitive to the sewer system's physical layout and properties such as flow velocity, the pathogen sampling procedure, and the model's boundary conditions. The methodology proposed and developed in this paper opens new possibilities for WBE, suggesting a rapid back-tracing of human-excreted biomarkers based on only sampling at the outlet or other key points, but would require high-frequency, contaminant-specific sensor systems that are not available currently.

Flood adaptation measures implemented at the household level play an important role in reducing communities' vulnerability. The aim of this study is to enhance the current modelling practices of human-flood interaction to draw new insights for flood risk management (FRM) policy design. The paper presents a coupled agent-based and flood model for the case of Hamburg, Germany, to explore how individual adaptation behaviour is influenced by flood event scenarios, economic incentives and shared and individual strategies. Simulation results show that a unique trajectory of adaptation measures and flood damages emerges from different flood event series. Another finding is that providing subsidies increases the number of coping households in the long run. Households' social network also has a strong influence on their coping behaviour. The paper also highlights the role of simple measures such as adapted furnishings, which do not incur any monetary cost, in reducing households' vulnerability and preventing millions of euros of contents damages. Generally, we demonstrate that coupled agent-based and flood models can potentially be used as decision support tools to examine the role of household adaptation measures in flood risk management. Although the findings of the paper are case-specific, the improved modelling approach shows the potential to be applied in testing policy levers and strategies considering heterogeneous individual behaviours.

The negative impacts of floods are attributed to the extent and magnitude of a flood hazard, and the vulnerability and exposure of natural and human elements. In flood risk management (FRM) studies, it is crucial to model the interaction between human and flood subsystems across multiple spatial, temporal and organizational scales. Models should address the heterogeneity that exists within the human subsystem, and incorporate institutions that shape the behaviour of individuals. Hence, the main objectives of the dissertation are to develop a modelling framework and a methodology to build holistic models for FRM, and to assess how coupled human-flood interaction models support FRM policy analysis and decision-making. To achieve the objectives, the study introduces the Coupled fLood-Agent-Institution Modelling framework (CLAIM). CLAIM integrates actors, institutions, the urban environment, hydrologic and hydrodynamic processes and external factors, which affect FRM activities. The framework draws on the complex system perspective and conceptualizes the interaction of floods, humans and their environment as drivers of flood hazard, vulnerability and exposure. The human and flood subsystems are modelled using agent-based models and hydrodynamic models, respectively. The two models are dynamically coupled to understand human-flood interactions and to investigate the effect of institutions on FRM policy analysis.

Small Island Developing States (SIDS) are vulnerable to sea-level rise and hydro-meteorological hazards. In addition to the efforts to reduce the hazards, a holistic strategy that also addresses the vulnerability and exposure of residents and their assets is essential to mitigate the impacts of such hazards. Evaluating the socioeconomic vulnerability of SIDS can serve the purpose of identification of the root drivers of risk. In this paper, we present a methodology to assess and map socioeconomic vulnerability at a neighbourhood scale using an index-based approach and principal component analysis (PCA). The index-based vulnerability assessment approach has a modular and hierarchical structure with three components: susceptibility, lack of coping capacities and lack of adaptation, which are further composed of factors and variables. To compute the index, we use census data in combination with data coming from a survey we performed in the aftermath of Irma. PCA is used to screen the variables, to identify the most important variables that drive vulnerability and to cluster neighbourhoods based on the common factors. The methods are applied to the case study of Sint Maarten in the context of the disaster caused by Hurricane Irma in 2017. Applying the combined analysis of index-based approach with PCA allows us to identify the critical neighbourhoods on the island and to identify the main variables or drivers of vulnerability. Results show that the lack of coping capacities is the most influential component of vulnerability in Sint Maarten. From this component, the "immediate action" and the "economic coverage" are the most critical factors. Such analysis also enables decision-makers to focus their (often limited) resources more efficiently and have a more significant impact concerning disaster risk reduction.

Disaster risk reduction is a major concern of small island developing states. Measures to reduce risk should not only be based on the magnitude of physical hazard, but also on the exposure and vulnerability of communities. In this article, we examine flood risk management policies in the Caribbean island of Sint Maarten using coupled agent-based and flood models. The agent-based model is used to model actors' behaviour in relation to urban building development and policies that are designed to reduce flood hazard and communities' vulnerability and exposure. The policies considered in the model are a Beach Policy, a Building and Housing Ordinance, a Flood Zoning policy and hazard mitigation structural measures. The flood model is used to simulate coastal and pluvial floods on the island. Agent behaviour such as building new houses and implementing hazard reduction measures affect the flood model as these actions affect the rainfall-runoff process. The flood maps generated from the updated flood model simulations are then used to assess the impact and update agents’ attributes and behaviour. The simulations results show that low-lying areas are populated, which increases the exposure, and the number of vulnerable houses is also high. Hence, out of the four policies, implementing hazard reduction measures is the most important. Reducing the flood hazard by widening existing drainage channels, constructing new ones and building dykes as coastal flood defence would reduce the hazard, hence reducing the number of flooded houses. As it affects all households on the island, the Building and Housing Ordinance is an important policy to reduce vulnerability. In general, the coupled model outputs can be used to inform policy decision making and provide insights to policymakers on the island.

This paper proposes a novel methodology for modelling the impacts of floods on traffic. Often, flooding is a complex combination of various causes (coastal, fluvial and pluvial). Further, transportation systems are very sensitive to external disturbances. The interactions between these two complex and dynamic systems have not been studied in detail so far. To address this issue, this paper proposes a methodology for a dynamic integration of a flood model (MIKE FLOOD) and a microscopic traffic simulation model (SUMO). The flood modelling results indicate which roads are inundated for a period of time. The traffic on these links will be halted or delayed according to the flood characteristics—extent, propagation and depth. As a consequence, some of the trips need to be cancelled; some need to be rerouted to unfavourable routes; and some are indirectly affected. A comparison between the baseline and a flood scenario yields the impacts of that flood on traffic, estimated in terms of lost business hours, additional fuel consumption and additional CO2 emissions. The proposed methodology will be further developed as a workable tool to evaluate the flooding impact on transportation network at city scale automatically.

In this paper, we describe a modelling framework that allows the integration of human and physical components of flood risk. Within this framework, flood risk management is conceptualized as a coupled human-flood system. The human subsystem includes individuals and their behaviour and institutions that shape human-flood interaction. The framework presents a dynamic integration between agent-based models of individuals and institutions and numerical flood models. We demonstrate the framework's modelling application by examining the effects of three institutions in the Caribbean island of Sint Maarten. The case study shows the capabilities of the framework by exploring impacts of existing policies on flood risk reduction. Coupled agent-based-flood models built using the framework are useful to analyse policy options that address flood hazard and communities' vulnerability and exposure to support policy decision making. These models also show how flood risk changes over time in relation to the human dynamics on the urban environment.

Modelling floods and flood-related disasters has become priority for many researchers and practitioners. Currently, there are several options that can be used for modelling floods in urban areas and the present work attempts to investigate effectiveness of different model formulations in modelling supercritical and transcritical flow conditions. In our work, we use the following three methods for modelling one-dimensional (1D) flows: the MIKE 11 flow model, Kutija's method, and the Roe scheme. We use two methods for modelling two-dimensional (2D) flows: the MIKE21 flow model and a non-inertia 2D model. Apart from the MIKE11 and MIKE21 models, the code for all other models was developed and used for the purposes of the present work. The performance of the models was evaluated using hypothetical case studies with the intention of representing some configurations that can be found in urban floodplains. The present work does not go into the assessment of these models in modelling various topographical features that may be found on urban floodplains, but rather focuses on how they perform in simulating supercritical and transcritical flows. The overall findings are that the simplified models which ignore convective acceleration terms (CATs) in the momentum equations may be effectively used to model urban flood plains without a significant loss of accuracy.

Coastal floods are one of the most dangerous and harmful natural hazards affecting urban areas adjacent to shorelines. The present paper discusses the FP7-ENV-2013 EU funded PEARL (Preparing for Extreme And Rare events in coastaL regions) project which brings together world leading expertise in both the domain of hydro-engineering and risk reduction and management services to pool knowledge and practical experience in order to develop more sustainable risk management solutions for coastal communities focusing on present and projected extreme hydro-meteorological events. The PEARL approach draws upon the complexity theory and the use of complex adaptive system (CAS) models as tools to identify root causes of vulnerabilities and their multi-stressors and to analyze risk and the behavior of key actors.

There has been a rapid growth in the field of remote sensing and its various applications in the area of water management. Nowadays, there are several remote sensing techniques that can be used as a source to derive bathymetry data along coastal areas. The key techniques are: sonar (sound navigating and ranging), LiDAR (light detection and ranging) and high-resolution satellite images. The present paper describes a method which was developed and used to create a shallow water bathymetry data along the Dutch side of Sint Maarten Island by combining sonar measurements and satellite images in a nonlinear machine learning technique. The purpose of this work is to develop a bathymetry dataset that can be used to set up physically-based models for coastal flood modelling work. The nonlinear machine learning technique used in the work is a support vector machine (SVM) model. The sonar data were used as an output whereas image data were used as an input into the SVM model. The results were analysed for three depth ranges and the findings are promising. It remains to further verify the capacity of the new method on a dataset with higher resolution satellite imagery.

The present paper reviews several approaches that can be used in capturing urban features in coarse resolution two-dimensional (2D) models and it demonstrates the effectiveness of a new approach against the straightforward 2D modelling approach on a hypothetical and a real-life case study work. The case study work addresses the use of coarse grid resolutions in 2D non-inertia models. The 2D noninertia model used solves continuity andmomentumequations over the cells of the coarse model while taking the minimum elevation as a surface level. The volume stored in every cell is calculated as a volume-depth relationship. In order to replicate restriction in conveyances in x-y directions of fine resolution models due to building blocks, the friction values of the coarse-resolution model are adjusted to match the results of the high-resolution model. The work presented in this paper shows the possibility of applying a 2D non-inertia model more effectively in urban flood modelling applications whilst still making use of the high resolution of topographic data that can nowadays be easily acquired.