"The groundwork of all happiness is health." - Leigh Hunt

Health risks are increasing in mountainous areas hit by Hurricane Helene and are cut off from clean water, electricity and hospitals.

Hurricane Helene's flooding has subsided, but health risks are rising. Hard-hit areas of the North Carolina mountainswhere many individuals lost access to electricity and clean water.

greater than 150 deaths were attributed to the southeast. According to the Associated Press, inside days of the storm's arrival in late September 2024, Hurricane Helene, and lots of of individuals remained missing. In many flood affected areas Houses were isolated. by the Roads and bridges were damaged. Phone service was down. And power outages were likely for weeks.

As one Disaster epidemiologists And as a native North Carolinian, I've been hearing stories from the region which can be devastating. Contaminated water is one among the largest health risks, but in addition harms residents' mental health, stress that increases chronic diseases and lots of other risks.

Water Hazards: What You Can't See Can Hurt You

Access to wash water is probably the most urgent health concerns after a flood. People need water for drinking, cooking, cleansing, bathing, even toileting. Contact the container with contaminated water. It causes serious diseases.

Flood water with sewage or other harmful contaminants can result in infectious diseases, especially in people who find themselves already sick, have compromised immune systems or have open wounds. Even after the water recedes Residents can reduce gave Potential for contamination invisible bacteria akin to faecal coliform, heavy metals akin to lead, and organic and inorganic pollutants akin to pesticides.

People stand in long lines waiting for gasoline to run generators in Fletcher, NC on September 29, 2024.
Sean Rayford/Getty Images

In Asheville, flooding damaged water treatment facilities and pipes a lot that officials warned town could. Possibly without water for weeks. Most private wells also require electricity to pump and filter water, and lots of people in surrounding areas can go weeks without power.

State and federal agencies Additional bottled water supply started in the area Immediately after the storm, nonetheless, supplies were limited, and it is probably going that many is not going to have the option to achieve distribution sites soon. Access to fresh food is one other concern for a lot of areas where roads and bridges are flooded.

inside houses, Floodwaters can pose additional health risks.Especially if mold grows on wet clothes and wallboard. Standing water outside also increases the chance of contracting diseases akin to West Nile virus from mosquitoes. There are mosquitoes. Still active In autumn a lot of the region.

Flooding, isolation and access to health care

Many of the photographs that appeared within the news after the hurricane hit showed roads, hospitals and full towns. Submerged in flood water. More than 400 roads were closed in North Carolina. Blocking access to a large regional health care center Asheville in addition to many smaller communities.

Although supplies may be delivered to clinics, residents who need immediate access to treatment akin to dialysis or day by day medications for substance use disorders could also be cut off. Healthcare employees can also be unable to access their clinics.

A couple is removing belongings from their flooded home. The flood is covered with mud.
Even after the mud and water have cleared, flooding can still cause mold growth in homes.
Melissa Sue Gerrits/Getty Images

Cuts and other injuries are common because of this of storms, as people clean up debris, and even minor injuries. May be affected. Stress, exertion and exposure to heat can also occur. Exacerbating chronic conditions Like heart and respiratory diseases.

Mental health and long-term effects

In addition to threats to physical health, fear, stress and loss can affect mental health.

Research has consistently shown that Mental health of emergency responders Victims of mass disasters, especially after they know victims of disasters, take care of serious injuries or feel helpless. All of those conditions were present when Hurricane Helene's floodwaters swept away dozens of individuals, and lots of are still missing.

Two people stand near the edge of what was once a bridge across a stream. The highway now ends at the bank and the bridge has collapsed into the water.
Floodwaters from Helene washed out roads and bridges in western North Carolina, including this bridge on Highway 22 near North Cove.
Photo by Julia Wall for The Washington Post via Getty Images

Stigma, cost and lack of mental health care providers all add up. Mental health challenges after disasters. Research shows that a big percentage of People face mental health challenges after disasters..

According to the Substance Abuse and Mental Health Services Administration, two federal grant programs provide mental health services to individuals and communities after disasters. However, one among these sources of funding One expires after 60 days, the other after one year. Given the a long time of recovery Western North Carolina faced after Hurricane Helen, I think these programs are woefully inadequate to satisfy the mental health needs of the storm-affected population.

Flood-prone areas will need long-term support.

Western North Carolina is commonly described as a “climate haven” resulting from its cool summers. And Asheville specifically has grow to be a well-liked destination for retirees and latest residents. Recent data shows that in town Second highest migration rate in the country.

But Helene and other extreme storms which have flooded the region make the risks clear.

As a results of the flooding, newcomers are unfamiliar with the risks and longtime residents could also be coping with similar health issues as they struggle to wash up and rebuild from the storm. Even as attention turns to other disasters, people within the region will need assistance recovering for months and years to come back.