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Advice for those travelling to countries affected by flooding

25 November 2022

Flooding occurs when an overflow of water submerges land that is usually dry and can’t drain away fast enough. Flooding can occur quickly and has the potential to cause widespread devastation, including damage to roads, buildings, public health infrastructure and loss of life. Between 1998-2017 more than 2 billion people were affected by flooding globally. (1)

  • Heavy or prolonged rainfall, tropical storms, cyclones, hurricanes; rapid melting of snow, high tides and tsunamis are some of the natural causes of flooding.
  • The frequency, intensity and severity of flooding events globally is increasing and is expected to become more widespread as a concequence of climate change. (2)

In addition to the risk of injury or death, flooding can lead to serious health problems. (3) Travellers visiting areas affected by flooding need to be aware of the potential increased risk to their own health and how to protect themselves.

Accident and injury prevention (including drowning):

Travellers should be advised to stay out of floodwater which may contain hidden dangers, such as:

  • debris (such as timber, metal, broken glass)
  • fallen live electrical power lines, causing electric shock
  • venomous and non-venomous animals such as snakes, rats and insects
  • dangerous chemicals which can cause poisoning and/or chemical burns
  • waste from sewage systems

Injury can also occur from fires, explosions and/or damage to buildings which may become unstable and collapse.

Children should be closely supervised and deterred from playing in or around flood water to reduce their risk of diseases and/or drowning accidents.

See further information on Accident Prevention

Vector-borne disease

Pools of stagnant water left from flood water improves breeding conditions for mosquitoes, flies and other insects that thrive in warm, wet environments. In countries where vector-borne diseases, such as malaria, dengue fever and yellow fever are a risk, these conditions are likely to become more common.

All travellers visiting areas endemic for malaria should be given advice on mosquito bite avoidance, and if indicated on the country page, chemoprophylaxis.

Travellers with underlying health issues travelling to known malaria-risk areas affected by flooding should be appropriately risk-assessed, as they may benefit from chemoprophylaxis, even if travelling to regions with low malaria risk.

Food- and water-borne disease

The risk of food and water-borne infection increases in flooded areas. Travellers’ diarrhoea is spread through contaminated food and water. Potentially severe infections like typhoid, cholera, hepatitis A and hepatitis E are likely to become more common.

Vaccination (when available) should be considered following risk assessment for those travelling to high-risk areas. In addition, travellers should be advised to:

  • practise good hand hygiene frequently to remove harmful germs, particularly before eating and after using the toilet
  • practise strict food and water precautions at all times; be wary of any food that may have come in contact with floodwater, and/or any food that has perished
  • be aware how to purify water for drinking if access to a clean, safe water supply is restricted
  • avoid wading or swimming in polluted water which can increase the risk of developing skin and wound infections, dermatitis, conjunctivitis and/or ear, nose and throat infections.

Diseases spread by animals

Leptospirosis may be a risk in flood affected areas if fresh water, damp soil, mud or vegetation (such as sugar cane) become contaminated with bacteria which is contained in the urine of rodents. (4) Travellers should be advised to:

  • avoid wading or swimming in floodwater, or limit time spent in water if unavoidable and wash / shower thoroughly with clean water after possible exposure
  • wear protective clothing if unable to avoid exposure to floodwater
  • cover open skin lesions with waterproof plasters and wash/disinfect any injuries sustained during possible exposure

Flooding can harm wildlife as well as people, often destroying habitats and/or causing animals to drown or become displaced. In countries where rabies is a risk, animals may be more likely to attack people if they are distressed.

Avoiding contact with animals is the best way to prevent animal bites or scratches. Following any animal exposure, travellers should be advised to:

  • wash skin thoroughly to remove animal saliva
  • carry out prompt first aid following any bite or scratch
  • seek urgent medical advice if bitten, scratched, or licked by any animal for wound treatment and/or rabies post-exposure treatment as required

Snakes can become displaced during flooding and may relocate indoors or to outbuildings. They may feel threatened and attack if approached. Travellers should be advised to avoid all contact with snakes and if bitten, to seek urgent medical advice.

Other precautions

All travellers to flood-affected regions should:

  • be up to date with UK schedule vaccines for life in the UK, including tetanus and polio, and seek boosters if required
  • ensure they have adequate travel insurance covering all planned activities and potential delays
  • be advised to check the Foreign, Commonwealth & Development Office(FCDO) foreign travel advice for up to date country-specific information on coronavirus, safety and security, entry requirements and travel warnings, and know that their travel insurance may become invalid if they travel against FCDO advice.
  • check the individual country pages for country-specific health risks and recommendations for vaccinations/malaria advice in that location
  • check the ‘Alerts’ section on each country page for information on known country-specific disease outbreaks

References

  1. World Health Organization. Floods [Internet]. 2022 [cited 2022 Oct 28]. Available from: https://www.who.int/health-topics/floods/#tab=tab_1
  2. ActionAid. Climate change and flooding [Internet]. 2022 [cited 2022 Oct 31]. Available from: https://www.actionaid.org.uk/our-work/emergencies-disasters-humanitarian-response/climate-change-and-flooding
  3. Infection Control Today. WHO Issues Fact Sheet on Flooding and Communicable Disease [Internet]. 2004 [cited 2022 Oct 28]. Available from: https://www.infectioncontroltoday.com/view/who-issues-fact-sheet-flooding-and-communicable-disease
  4. Centers for Disease Control and Prevention. Hurricanes, Floods and Leptospirosis [Internet]. 2022 [cited 2022 Oct 28]. Available from: https://www.cdc.gov/leptospirosis/exposure/hurricanes-leptospirosis.html#:~:text=Cases%20of%20leptospirosis%20can%20increase,it%20for%20drinking%20or%20bathing.)