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Public Health Rev. An Opportunity Arising From the Disaster? Background: The unprecedented DANA floods that struck Valencia, Spain on October 29, , caused catastrophic human, economic, and ecological damages, resulting in fatalities, the displacement of 15, residents, and long-term health and environmental consequences and incurred financial losses estimated over 50 billion euros.

Vulnerabilities in urban planning, ambiguous command and control oversight, delayed warnings, and insufficient preparedness underscored systemic gaps in the flood preparedness and management. Analysis and Policy Options: Urgent actions, including stricter urban zoning laws, implementing comprehensive early warning systems, and fostering community-based disaster preparedness are needed to mitigate future risks.

A One Health approach that addresses the interconnectedness of human, animal, and environmental health is critical. Investments in resilient infrastructure and communication strategies, including mobile alerts and public education campaigns, can significantly mitigate overall impacts. Moreover, prioritizing mental health interventions and long-term recovery plans are essential for fostering community resilience. Conclusion: The Valencia floods catastrophe is a painful reminder of the devastating potential of extreme weather and the critical importance of preparedness and clear governance underscore the pressing needs for integrated disaster management frameworks.

An effective system of cooperation between local and national governments is essential to avoid the confusion and delays seen during this disaster. Strengthening prevention, preparedness, and response measures, and fostering political and community cohesion, can enable societies to build adaptive capacity to effectively tackle the increasing challenges of climate-driven extreme weather disasters. Future leaders must act with urgency and transparency to build trust and put citizens' safety above all else.

Floods are the most common climate hazard and leave devastating consequences. Between and , more than 1. Record-breaking rainfall and flash floods hit Valencia, Spain on 29 October , caused hundreds of casualties, massive disruption, and economic losses. DANAs are known for triggering frequent lightning, large hail events and tornadoes.

This event impacted nearly 1 million people, resulted in loss of lives, displacement of 15, residents, and lasting epidemiological impacts.

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Three people still remain missing. Most of the fatalities were over the age of 70, highlighting the vulnerability of older adults to excess morbidity and mortality associated with extreme weather events, including heatwaves, wildfires, and hurricanes. Furthermore, the floods resulted in increased respiratory infections and vector-borne diseases.

This disaster left a trail of destruction, despair, and pressing questions about national and regional leadership, preparedness, adaptation efforts and community resilience to climate change and extreme weather conditions. The event underscores the vulnerabilities of both natural and urban systems, as well as the converging health risks to human and animal populations, making it a compelling case for a One Health perspective.

Adopting this integrated approach allows for a deeper understanding of the root causes, anticipating the cascading effects, and the need to develop resilient systems to safeguard the health of people, animals, and the environment in the face of extreme weather events exacerbated by climate change [ 3 ]. We examine the key aspects of this tragedy, by breaking down the key steps in disaster resilience see Figure 1.

We focus on the underlying issues of insufficient prevention and preparedness, weak regional leadership with significant delays in alerting the population, immediate response and recovery, and long-term political and community implications of the disaster. We draw on lessons from previous disasters to underscore the critical needs for rebuilding trust, and highlighting the political and social resolve needed in establishing resilient public health frameworks.

Figure 1. Key steps in flood disaster management: An integrated framework for comprehensive and resilient solutions. Our analysis and recommendations are grounded in a structured synthesis of the available scientific literature with cited references our professional expertise and experience in the field, and case study evidence drawn from relevant public health practice. Creating more effective building construction codes, including enforcing stricter zoning laws, can mitigate severe impacts.

In the case of Valencia, high density urban areas made the flood hazard more dramatic and disastrous. Urban areas are especially vulnerable to natural hazards due to high population densities, limited opportunities for energy dissipation and the concentration of high-value assets [ 5 ]. Residents of flood prone zones should be aware of the underlying risks and be prepared for potential contingencies [ 7 ].