Frontrunner project: Pandemic lessons for flood disaster preparedness
Ever since the Netherlands began building mounds, much has been invested in flood prevention. However, there has been little focus on preparations during a flood. The floods in the Netherlands, Germany and Belgium in the summer of 2021 revealed what the consequences could be, even during a short-lived flood. Historically, floods have often disrupted the regular functioning of healthcare, showing us that we need to better prepare healthcare institutions.
Objective
We will identify what is needed to safeguard access to quality healthcare during floods. In this process, we consider the lessons learned during the recent floods and the lessons learned from the COVID-19 pandemic.
Approach
In three subprojects, we explore the impact of large-scale floods on our healthcare system. This includes the challenges that can emerge during crises due to a rapid increase in patient numbers as well as the long-term health impacts. We base our work on information and evaluations from floods (e.g. Limburg, New Orleans) and simulations of potential floods in Zuid-Holland. We take the first step toward a real-time system that charts patient flows, available staff and infrastructure. We also explore which measures and interventions impact most during specific scenarios. Lastly, we focus on a decision-making structure that supports collaboration between actors.
We will work with our stakeholders to incorporate the results of the subprojects into a serious game. This serious game should prepare administrators and people in the field to make effective decisions during flood-related crises.
Publications
- Magana, J., Hinrichs-Krapels, S., Bramer, W., & Comes, T. (2025). Patient flow logistics from disaster to care: a scoping review of actors, transport modes and decision problems. Journal of Humanitarian Logistics and Supply Chain Management, 1-25.
- Borst, R. A. J., Abebe, Y. A., Van Vuuren, K., Magana, J., De Graaff, B., Hinrichs-Krapels, S., Kolen, B., Pregnolato, M., Schreijer, A., Comes, T., Jonkman, S. N., & Bal, R. (2025). Keeping healthcare afloat: A protocol for a 5-year multi-sited interdisciplinary research project into preparedness of healthcare for floods in the Netherlands. Health Research Policy and Systems, 23(1), 56
- Abebe, Y.A., Pregnolato, M., Jonkman S.N. (2025). Flood impacts on healthcare facilities and disaster preparedness – A systematic review. International Journal of Disaster Risk Reduction, 119.
- Jonkman, S. N., Curran, A., & Bouwer, L. M. (2024). Floods have become less deadly: an analysis of global flood fatalities 1975–2022. Natural Hazards, 120(7), 6327-6342.
- Den Ouden, L. F. (2024). Flood preparedness of hospitals in the Netherlands [Master thesis, TU Delft].
- Volkskrant interview with Karin van Vuuren, June 7 (2024). Van overstromingen tot ontploffingen: wat valt er te leren van de grootse rampen uit het verleden?
- Robert Borst, Karin Wisse, Bert de Graaff & Roland Bal (2023) – Caring for resilience: A knowledge agenda for health systems research in the Netherlands. Erasmus School of Health Policy & Management