%0 Journal Article %T Health Effects of Coastal Storms and Flooding in Urban Areas: A Review and Vulnerability Assessment %A Kathryn Lane %A Kizzy Charles-Guzman %A Katherine Wheeler %A Zaynah Abid %A Nathan Graber %A Thomas Matte %J Journal of Environmental and Public Health %D 2013 %I Hindawi Publishing Corporation %R 10.1155/2013/913064 %X Coastal storms can take a devastating toll on the public's health. Urban areas like New York City (NYC) may be particularly at risk, given their dense population, reliance on transportation, energy infrastructure that is vulnerable to flood damage, and high-rise residential housing, which may be hard-hit by power and utility outages. Climate change will exacerbate these risks in the coming decades. Sea levels are rising due to global warming, which will intensify storm surge. These projections make preparing for the health impacts of storms even more important. We conducted a broad review of the health impacts of US coastal storms to inform climate adaptation planning efforts, with a focus on outcomes relevant to NYC and urban coastal areas, and incorporated some lessons learned from recent experience with Superstorm Sandy. Based on the literature, indicators of health vulnerability were selected and mapped within NYC neighborhoods. Preparing for the broad range of anticipated effects of coastal storms and floods may help reduce the public health burden from these events. 1. Introduction With its densely populated and highly developed coastline, New York City faces significant risks from flooding, especially during coastal storms. Due to sea level rise caused by climate change, flooding associated with coastal storms and hurricanes is expected to increase in intensity, frequency, and duration. Intense hurricanes may also become more frequent [1]. In October 2012, Superstorm Sandy brought these vulnerabilities into stark relief, causing a record storm surge, extensive flooding, loss of life, injury, widespread power outages, and widespread damage to property and coastal neighborhoods in Queens, Manhattan, Staten Island, Brooklyn, and throughout the region. As of November 26, 2012, NYC had estimated that public and private losses in the city totaled at least $19 billion [2]. Many people living near the coasts may be vulnerable. From 1970 to 2010, the population in coastal US areas has increased by 39%, and population density along the coasts is expected to continue to increase [3]. Many residents are older adults, a group that is particularly vulnerable to the effects of storms and flooding [4]. People living in coastal areas will need to prepare for a wide variety of potential health impacts [5]. Quantification of the future burden of health outcomes from coastal storms is difficult. Many factors can influence the health impact of storms, including the severity and other characteristics of the storm, the exact timing and location of landfall, and the %U http://www.hindawi.com/journals/jeph/2013/913064/