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Kirsch)] TJ ET 0.271 0.267 0.267 rg BT 350.126 614.261 Td /F1 8.7 Tf [(2)] TJ ET BT 26.250 594.723 Td /F4 9.0 Tf [(1)] TJ ET BT 32.514 594.723 Td /F1 9.0 Tf [( Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States, )] TJ ET BT 426.282 594.723 Td /F4 9.0 Tf [(2)] TJ ET BT 432.546 594.723 Td /F1 9.0 Tf [( Johns Hopkins University )] TJ ET BT 26.250 580.467 Td /F1 9.0 Tf [(School of Medicine and Bloomberg School of Public Health, Baltimore, Maryland, United States)] TJ ET BT 26.250 557.761 Td /F1 9.8 Tf [(Doocy S, Daniels A, Murray S, Kirsch TD. The Human Impact of Floods: a Historical Review of Events 1980-2009 )] TJ ET BT 26.250 542.317 Td /F1 9.8 Tf [(and Systematic Literature Review. PLOS Currents Disasters. 2013 Apr 16 [last modified: 2013 Apr 17]. Edition 1. )] TJ ET BT 26.250 526.873 Td /F1 9.8 Tf [(doi: 10.1371/currents.dis.f4deb457904936b07c09daa98ee8171a.)] TJ ET q 15.000 14.048 577.500 509.736 re W n 0.271 0.267 0.267 rg BT 26.250 493.577 Td /F4 12.0 Tf [(Abstract)] TJ ET BT 26.250 469.921 Td /F1 9.8 Tf [(Background.)] TJ ET BT 26.250 454.477 Td /F1 9.8 Tf [(Floods are the most common natural disaster and the leading cause of natural disaster fatalities worldwide. )] TJ ET BT 557.001 454.477 Td /F1 9.8 Tf [(Risk )] TJ ET BT 26.250 439.033 Td /F1 9.8 Tf [(of catastrophic losses due to flooding is significant given deforestation and the increasing proximity of large )] TJ ET BT 26.250 423.589 Td /F1 9.8 Tf [(populations to coastal areas, river basins and lakeshores. The objectives of this review were to describe the )] TJ ET BT 26.250 408.145 Td /F1 9.8 Tf [(impact of flood events on human populations in terms of mortality, injury, and displacement and, to the extent )] TJ ET BT 26.250 392.701 Td /F1 9.8 Tf [(possible, identify risk factors associated with these outcomes. This is one of five reviews on the human impact )] TJ ET BT 26.250 377.257 Td /F1 9.8 Tf [(of natural disasters)] TJ ET BT 26.250 354.313 Td /F1 9.8 Tf [(Methods.)] TJ ET BT 26.250 338.869 Td /F1 9.8 Tf [(Data on the impact of floods were compiled using two methods, a historical review of flood events from 1980 to )] TJ ET BT 26.250 323.425 Td /F1 9.8 Tf [(2009 from multiple databases and a systematic literature review of publications ending in October 2012. )] TJ ET BT 26.250 307.981 Td /F1 9.8 Tf [(Analysis included descriptive statistics, bivariate tests for associations and multinomial logistic regression of )] TJ ET BT 26.250 292.537 Td /F1 9.8 Tf [(flood characteristics and mortality using Stata 11.0.)] TJ ET BT 26.250 269.593 Td /F1 9.8 Tf [(Findings.)] TJ ET BT 26.250 254.149 Td /F1 9.8 Tf [(There were 539,811 deaths \(range: 510,941 to 568,680\), 361,974 injuries and 2,821,895,005 people affected )] TJ ET BT 26.250 238.705 Td /F1 9.8 Tf [(by floods between 1980 and 2009. Inconsistent reporting suggests this is an underestimate, particularly in )] TJ ET BT 26.250 223.261 Td /F1 9.8 Tf [(terms of the injured and affected populations. The primary cause of flood-related mortality is drowning; in )] TJ ET BT 26.250 207.817 Td /F1 9.8 Tf [(developed countries being in a motor-vehicle and male gender are associated with increased mortality, whereas )] TJ ET BT 26.250 192.373 Td /F1 9.8 Tf [(female gender may be linked to higher mortality in low-income countries.)] TJ ET BT 26.250 169.429 Td /F1 9.8 Tf [(Conclusions.)] TJ ET BT 26.250 153.985 Td /F1 9.8 Tf [(Expanded monitoring of floods, improved mitigation measures, and effective communication with civil )] TJ ET BT 26.250 138.541 Td /F1 9.8 Tf [(authorities and vulnerable populations has the potential to reduce loss of life in future flood events.)] TJ ET BT 26.250 97.745 Td /F4 12.0 Tf [(Funding Statement)] TJ ET BT 26.250 74.089 Td /F1 9.8 Tf [(This research was supported by the National Science Foundation s Human and Social Dynamics Program \(grant )] TJ ET BT 26.250 58.645 Td /F1 9.8 Tf [(#0624106\). The funding body played no role in the design, writing or decision to publish this manuscript.)] TJ ET Q q 15.000 636.553 577.500 101.447 re W n 0.267 0.267 0.267 rg BT 15.000 711.948 Td /F2 21.0 Tf [(The Human Impact of Floods: a Historical )] TJ ET BT 15.000 679.382 Td /F2 21.0 Tf [(Review of Events 1980-2009 and Systematic )] TJ ET BT 15.000 646.816 Td /F2 21.0 Tf [(Literature Review)] TJ ET Q 0.271 0.267 0.267 rg BT 15.000 624.568 Td /F3 9.8 Tf [(April 16, 2013)] TJ ET BT 91.888 624.568 Td /F3 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 98.089 624.568 Td /F3 9.8 Tf [(Review)] TJ ET BT 26.250 609.217 Td /F1 9.8 Tf [(Shannon Doocy)] TJ ET 0.271 0.267 0.267 rg BT 102.787 614.261 Td /F1 8.7 Tf [(1)] TJ ET BT 108.300 609.217 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 114.501 609.217 Td /F1 9.8 Tf [(Amy Daniels)] TJ ET 0.271 0.267 0.267 rg BT 175.701 614.261 Td /F1 8.7 Tf [(1)] TJ ET BT 181.213 609.217 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 187.414 609.217 Td /F1 9.8 Tf [(Sarah Murray)] TJ ET 0.271 0.267 0.267 rg BT 253.207 614.261 Td /F1 8.7 Tf [(1)] TJ ET BT 258.719 609.217 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 264.920 609.217 Td /F1 9.8 Tf [(Thomas D. Kirsch)] TJ ET 0.271 0.267 0.267 rg BT 350.126 614.261 Td /F1 8.7 Tf [(2)] TJ ET BT 26.250 594.723 Td /F4 9.0 Tf [(1)] TJ ET BT 32.514 594.723 Td /F1 9.0 Tf [( Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States, )] TJ ET BT 426.282 594.723 Td /F4 9.0 Tf [(2)] TJ ET BT 432.546 594.723 Td /F1 9.0 Tf [( Johns Hopkins University )] TJ ET BT 26.250 580.467 Td /F1 9.0 Tf [(School of Medicine and Bloomberg School of Public Health, Baltimore, Maryland, United States)] TJ ET BT 26.250 557.761 Td /F1 9.8 Tf [(Doocy S, Daniels A, Murray S, Kirsch TD. The Human Impact of Floods: a Historical Review of Events 1980-2009 )] TJ ET BT 26.250 542.317 Td /F1 9.8 Tf [(and Systematic Literature Review. PLOS Currents Disasters. 2013 Apr 16 [last modified: 2013 Apr 17]. Edition 1. )] TJ ET BT 26.250 526.873 Td /F1 9.8 Tf [(doi: 10.1371/currents.dis.f4deb457904936b07c09daa98ee8171a.)] TJ ET q 15.000 14.048 577.500 509.736 re W n 0.271 0.267 0.267 rg BT 26.250 493.577 Td /F4 12.0 Tf [(Abstract)] TJ ET BT 26.250 469.921 Td /F1 9.8 Tf [(Background.)] TJ ET BT 26.250 454.477 Td /F1 9.8 Tf [(Floods are the most common natural disaster and the leading cause of natural disaster fatalities worldwide. )] TJ ET BT 557.001 454.477 Td /F1 9.8 Tf [(Risk )] TJ ET BT 26.250 439.033 Td /F1 9.8 Tf [(of catastrophic losses due to flooding is significant given deforestation and the increasing proximity of large )] TJ ET BT 26.250 423.589 Td /F1 9.8 Tf [(populations to coastal areas, river basins and lakeshores. The objectives of this review were to describe the )] TJ ET BT 26.250 408.145 Td /F1 9.8 Tf [(impact of flood events on human populations in terms of mortality, injury, and displacement and, to the extent )] TJ ET BT 26.250 392.701 Td /F1 9.8 Tf [(possible, identify risk factors associated with these outcomes. This is one of five reviews on the human impact )] TJ ET BT 26.250 377.257 Td /F1 9.8 Tf [(of natural disasters)] TJ ET BT 26.250 354.313 Td /F1 9.8 Tf [(Methods.)] TJ ET BT 26.250 338.869 Td /F1 9.8 Tf [(Data on the impact of floods were compiled using two methods, a historical review of flood events from 1980 to )] TJ ET BT 26.250 323.425 Td /F1 9.8 Tf [(2009 from multiple databases and a systematic literature review of publications ending in October 2012. )] TJ ET BT 26.250 307.981 Td /F1 9.8 Tf [(Analysis included descriptive statistics, bivariate tests for associations and multinomial logistic regression of )] TJ ET BT 26.250 292.537 Td /F1 9.8 Tf [(flood characteristics and mortality using Stata 11.0.)] TJ ET BT 26.250 269.593 Td /F1 9.8 Tf [(Findings.)] TJ ET BT 26.250 254.149 Td /F1 9.8 Tf [(There were 539,811 deaths \(range: 510,941 to 568,680\), 361,974 injuries and 2,821,895,005 people affected )] TJ ET BT 26.250 238.705 Td /F1 9.8 Tf [(by floods between 1980 and 2009. Inconsistent reporting suggests this is an underestimate, particularly in )] TJ ET BT 26.250 223.261 Td /F1 9.8 Tf [(terms of the injured and affected populations. The primary cause of flood-related mortality is drowning; in )] TJ ET BT 26.250 207.817 Td /F1 9.8 Tf [(developed countries being in a motor-vehicle and male gender are associated with increased mortality, whereas )] TJ ET BT 26.250 192.373 Td /F1 9.8 Tf [(female gender may be linked to higher mortality in low-income countries.)] TJ ET BT 26.250 169.429 Td /F1 9.8 Tf [(Conclusions.)] TJ ET BT 26.250 153.985 Td /F1 9.8 Tf [(Expanded monitoring of floods, improved mitigation measures, and effective communication with civil )] TJ ET BT 26.250 138.541 Td /F1 9.8 Tf [(authorities and vulnerable populations has the potential to reduce loss of life in future flood events.)] TJ ET BT 26.250 97.745 Td /F4 12.0 Tf [(Funding Statement)] TJ ET BT 26.250 74.089 Td /F1 9.8 Tf [(This research was supported by the National Science Foundation s Human and Social Dynamics Program \(grant )] TJ ET BT 26.250 58.645 Td /F1 9.8 Tf [(#0624106\). The funding body played no role in the design, writing or decision to publish this manuscript.)] TJ ET Q q 15.000 636.553 577.500 101.447 re W n 0.267 0.267 0.267 rg BT 15.000 711.948 Td /F2 21.0 Tf [(The Human Impact of Floods: a Historical )] TJ ET BT 15.000 679.382 Td /F2 21.0 Tf [(Review of Events 1980-2009 and Systematic )] TJ ET BT 15.000 646.816 Td /F2 21.0 Tf [(Literature Review)] TJ ET Q 0.271 0.267 0.267 rg BT 15.000 624.568 Td /F3 9.8 Tf [(April 16, 2013)] TJ ET BT 91.888 624.568 Td /F3 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 98.089 624.568 Td /F3 9.8 Tf [(Review)] TJ ET BT 26.250 609.217 Td /F1 9.8 Tf [(Shannon Doocy)] TJ ET 0.271 0.267 0.267 rg BT 102.787 614.261 Td /F1 8.7 Tf [(1)] TJ ET BT 108.300 609.217 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 114.501 609.217 Td /F1 9.8 Tf [(Amy Daniels)] TJ ET 0.271 0.267 0.267 rg BT 175.701 614.261 Td /F1 8.7 Tf [(1)] TJ ET BT 181.213 609.217 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 187.414 609.217 Td /F1 9.8 Tf [(Sarah Murray)] TJ ET 0.271 0.267 0.267 rg BT 253.207 614.261 Td /F1 8.7 Tf [(1)] TJ ET BT 258.719 609.217 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 264.920 609.217 Td /F1 9.8 Tf [(Thomas D. Kirsch)] TJ ET 0.271 0.267 0.267 rg BT 350.126 614.261 Td /F1 8.7 Tf [(2)] TJ ET BT 26.250 594.723 Td /F4 9.0 Tf [(1)] TJ ET BT 32.514 594.723 Td /F1 9.0 Tf [( Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States, )] TJ ET BT 426.282 594.723 Td /F4 9.0 Tf [(2)] TJ ET BT 432.546 594.723 Td /F1 9.0 Tf [( Johns Hopkins University )] TJ ET BT 26.250 580.467 Td /F1 9.0 Tf [(School of Medicine and Bloomberg School of Public Health, Baltimore, Maryland, United States)] TJ ET BT 26.250 557.761 Td /F1 9.8 Tf [(Doocy S, Daniels A, Murray S, Kirsch TD. The Human Impact of Floods: a Historical Review of Events 1980-2009 )] TJ ET BT 26.250 542.317 Td /F1 9.8 Tf [(and Systematic Literature Review. PLOS Currents Disasters. 2013 Apr 16 [last modified: 2013 Apr 17]. Edition 1. )] TJ ET BT 26.250 526.873 Td /F1 9.8 Tf [(doi: 10.1371/currents.dis.f4deb457904936b07c09daa98ee8171a.)] TJ ET q 15.000 14.048 577.500 509.736 re W n 0.271 0.267 0.267 rg BT 26.250 493.577 Td /F4 12.0 Tf [(Abstract)] TJ ET BT 26.250 469.921 Td /F1 9.8 Tf [(Background.)] TJ ET BT 26.250 454.477 Td /F1 9.8 Tf [(Floods are the most common natural disaster and the leading cause of natural disaster fatalities worldwide. )] TJ ET BT 557.001 454.477 Td /F1 9.8 Tf [(Risk )] TJ ET BT 26.250 439.033 Td /F1 9.8 Tf [(of catastrophic losses due to flooding is significant given deforestation and the increasing proximity of large )] TJ ET BT 26.250 423.589 Td /F1 9.8 Tf [(populations to coastal areas, river basins and lakeshores. The objectives of this review were to describe the )] TJ ET BT 26.250 408.145 Td /F1 9.8 Tf [(impact of flood events on human populations in terms of mortality, injury, and displacement and, to the extent )] TJ ET BT 26.250 392.701 Td /F1 9.8 Tf [(possible, identify risk factors associated with these outcomes. This is one of five reviews on the human impact )] TJ ET BT 26.250 377.257 Td /F1 9.8 Tf [(of natural disasters)] TJ ET BT 26.250 354.313 Td /F1 9.8 Tf [(Methods.)] TJ ET BT 26.250 338.869 Td /F1 9.8 Tf [(Data on the impact of floods were compiled using two methods, a historical review of flood events from 1980 to )] TJ ET BT 26.250 323.425 Td /F1 9.8 Tf [(2009 from multiple databases and a systematic literature review of publications ending in October 2012. )] TJ ET BT 26.250 307.981 Td /F1 9.8 Tf [(Analysis included descriptive statistics, bivariate tests for associations and multinomial logistic regression of )] TJ ET BT 26.250 292.537 Td /F1 9.8 Tf [(flood characteristics and mortality using Stata 11.0.)] TJ ET BT 26.250 269.593 Td /F1 9.8 Tf [(Findings.)] TJ ET BT 26.250 254.149 Td /F1 9.8 Tf [(There were 539,811 deaths \(range: 510,941 to 568,680\), 361,974 injuries and 2,821,895,005 people affected )] TJ ET BT 26.250 238.705 Td /F1 9.8 Tf [(by floods between 1980 and 2009. Inconsistent reporting suggests this is an underestimate, particularly in )] TJ ET BT 26.250 223.261 Td /F1 9.8 Tf [(terms of the injured and affected populations. The primary cause of flood-related mortality is drowning; in )] TJ ET BT 26.250 207.817 Td /F1 9.8 Tf [(developed countries being in a motor-vehicle and male gender are associated with increased mortality, whereas )] TJ ET BT 26.250 192.373 Td /F1 9.8 Tf [(female gender may be linked to higher mortality in low-income countries.)] TJ ET BT 26.250 169.429 Td /F1 9.8 Tf [(Conclusions.)] TJ ET BT 26.250 153.985 Td /F1 9.8 Tf [(Expanded monitoring of floods, improved mitigation measures, and effective communication with civil )] TJ ET BT 26.250 138.541 Td /F1 9.8 Tf [(authorities and vulnerable populations has the potential to reduce loss of life in future flood events.)] TJ ET BT 26.250 97.745 Td /F4 12.0 Tf [(Funding Statement)] TJ ET BT 26.250 74.089 Td /F1 9.8 Tf [(This research was supported by the National Science Foundation s Human and Social Dynamics Program \(grant )] TJ ET BT 26.250 58.645 Td /F1 9.8 Tf [(#0624106\). 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utuuuvvlvvww`wwxLxxy@yzz{{H{|,|}8~~x8t,D\8H \xx,@\x,@\x,Hl 8l@l Lx<`<h0l@l Lx<`<h0l Lx(\,P|<p @|(l@l Lx<`<h0l Lx(\,P|<p @|(l Lx(\,P|<p @|(lH|L,h @|(l\ lL\$4p<p d$lTàĤ8`tȀ@PɌ $<T$@̐TtTdPѴҀҼ(lӴL@l8|@ؔ`ڴ۔d4݀XޠDlߔ߼@lH 8` ,p$`X \D,d@h\  LPpxp<8d,8H$8|\( dt 0 @      4     0 @ X p     0H`x 8Ph(@Xp0H`x 8Ph(@P`p\ $<lT0tX XHX Hp(Lp  @ T  ! !<!!"\""###$,%%&@&'0'x'(P()D)))*(*P**+4+,p--p-.T./x/0<001h111242D2l233,3X3334D4p44445505D5X5l55555666,6@6T6x666669>?|@<@ABC(CDtE<ETEEFFpFFGGTGGHHHH`HxHHHHHII I8IPIhIIIIIIJJ(J@JXJpJJJJJKKK0KHKKKKKLLL0LHL`LxLLLLLMM M8MPMhMMMMMMNN(N@NXNpNNNNNOOO0OHO`OxOOOOOPP P8PPPhPPPPPPQQ(Q8QQRRR4RLRdR|RRRRRS S$S4SSSST TTTTTUU(U@UXUpUUUVVV0V0V0V0V0V0V0V0V0V0V0V0V0V0V0V0V0VXVVWW$W<WPWWWWWWXXX0XHX\XtXXXXXXYY,YDY\YtYYYYZZZ0ZHZ`ZxZZZZZ[[ [8[P[h[[[\<\](]@]X]p]]]^^,^<^^^^_`4``aaa4aDb bcPchccccdDde4eLede|eef,fgg,gDg\gtggggghhh4hDii|jjjjkkkl llllmm mnTnnoop<pTplppppppqq,qqqqqqqrtrrrsss8s`ssstt0tXttttu$uLutuuuvv@vhvvvww8w`wwwxx,xTxxxxy yHytyyyzz@zhzzz{ {4{`{{{||(|T|||||} }H}p}}}~~@~h~~~4\(tpxDtl@X4H(d<DD|dT(8HXhx(8HXhx(8HXhx(dD@|X$4DTdtd Xx4(HDxt0$@8̴hҜԜT`hx40lH<0hd   P D`T!$t%')+.P1 457:<?\BLE|EFlGGHIIIJJK8KdK|KKLL$L\LLLMNTNOOOOP P\P|PPPPQQQ4QLQdQ|QQQQQRR<R\RSLSSSST T(TDT`T|TTTTUU$U@U\UxUUUUVV8VPVVVVWW$WDW\WWWWXX4XXXXY8YTYlYYYYYYZZLZZ[T[\\]\]]^$^P^^_D__`$`a|b b|bc,cdhee`ef f|fg<gh@hiPijtjkDklLlmnnlno\op|pq,qqrxrstHtuTuv$vw`wxHxxydyzPz{\{|0||}0}}~T~4$8\4X<(@Xx 8Pp(@Xp8Xx 8Pl 8Ph(@Xp0H`x8PhT+h >2   : `   (Z4;b ;; 0    " F m " : %: h: ; ;Copyright (c) 2003 by Bitstream, Inc. All Rights Reserved. Copyright (c) 2006 by Tavmjong Bah. All Rights Reserved. DejaVu changes are in public domain Copyright (c) 2003 by Bitstream, Inc. All Rights Reserved. Copyright (c) 2006 by Tavmjong Bah. All Rights Reserved. DejaVu changes are in public domain DejaVu SansDejaVu SansBookBookDejaVu SansDejaVu SansDejaVu SansDejaVu SansVersion 2.32Version 2.32DejaVuSansDejaVuSansDejaVu fonts teamDejaVu fonts teamhttp://dejavu.sourceforge.nethttps://dejavu.sourceforge.netFonts are (c) Bitstream (see below). DejaVu changes are in public domain. Glyphs imported from Arev fonts are (c) Tavmjung Bah (see below) Bitstream Vera Fonts Copyright ------------------------------ Copyright (c) 2003 by Bitstream, Inc. All Rights Reserved. Bitstream Vera is a trademark of Bitstream, Inc. Permission is hereby granted, free of charge, to any person obtaining a copy of the fonts accompanying this license ("Fonts") and associated documentation files (the "Font Software"), to reproduce and distribute the Font Software, including without limitation the rights to use, copy, merge, publish, distribute, and/or sell copies of the Font Software, and to permit persons to whom the Font Software is furnished to do so, subject to the following conditions: The above copyright and trademark notices and this permission notice shall be included in all copies of one or more of the Font Software typefaces. The Font Software may be modified, altered, or added to, and in particular the designs of glyphs or characters in the Fonts may be modified and additional glyphs or characters may be added to the Fonts, only if the fonts are renamed to names not containing either the words "Bitstream" or the word "Vera". This License becomes null and void to the extent applicable to Fonts or Font Software that has been modified and is distributed under the "Bitstream Vera" names. The Font Software may be sold as part of a larger software package but no copy of one or more of the Font Software typefaces may be sold by itself. THE FONT SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT OF COPYRIGHT, PATENT, TRADEMARK, OR OTHER RIGHT. IN NO EVENT SHALL BITSTREAM OR THE GNOME FOUNDATION BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, INCLUDING ANY GENERAL, SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF THE USE OR INABILITY TO USE THE FONT SOFTWARE OR FROM OTHER DEALINGS IN THE FONT SOFTWARE. Except as contained in this notice, the names of Gnome, the Gnome Foundation, and Bitstream Inc., shall not be used in advertising or otherwise to promote the sale, use or other dealings in this Font Software without prior written authorization from the Gnome Foundation or Bitstream Inc., respectively. For further information, contact: fonts at gnome dot org. Arev Fonts Copyright ------------------------------ Copyright (c) 2006 by Tavmjong Bah. All Rights Reserved. Permission is hereby granted, free of charge, to any person obtaining a copy of the fonts accompanying this license ("Fonts") and associated documentation files (the "Font Software"), to reproduce and distribute the modifications to the Bitstream Vera Font Software, including without limitation the rights to use, copy, merge, publish, distribute, and/or sell copies of the Font Software, and to permit persons to whom the Font Software is furnished to do so, subject to the following conditions: The above copyright and trademark notices and this permission notice shall be included in all copies of one or more of the Font Software typefaces. The Font Software may be modified, altered, or added to, and in particular the designs of glyphs or characters in the Fonts may be modified and additional glyphs or characters may be added to the Fonts, only if the fonts are renamed to names not containing either the words "Tavmjong Bah" or the word "Arev". This License becomes null and void to the extent applicable to Fonts or Font Software that has been modified and is distributed under the "Tavmjong Bah Arev" names. The Font Software may be sold as part of a larger software package but no copy of one or more of the Font Software typefaces may be sold by itself. THE FONT SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT OF COPYRIGHT, PATENT, TRADEMARK, OR OTHER RIGHT. IN NO EVENT SHALL TAVMJONG BAH BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, INCLUDING ANY GENERAL, SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF THE USE OR INABILITY TO USE THE FONT SOFTWARE OR FROM OTHER DEALINGS IN THE FONT SOFTWARE. Except as contained in this notice, the name of Tavmjong Bah shall not be used in advertising or otherwise to promote the sale, use or other dealings in this Font Software without prior written authorization from Tavmjong Bah. For further information, contact: tavmjong @ free . fr.Fonts are (c) Bitstream (see below). DejaVu changes are in public domain. Glyphs imported from Arev fonts are (c) Tavmjung Bah (see below) Bitstream Vera Fonts Copyright ------------------------------ Copyright (c) 2003 by Bitstream, Inc. All Rights Reserved. Bitstream Vera is a trademark of Bitstream, Inc. Permission is hereby granted, free of charge, to any person obtaining a copy of the fonts accompanying this license ("Fonts") and associated documentation files (the "Font Software"), to reproduce and distribute the Font Software, including without limitation the rights to use, copy, merge, publish, distribute, and/or sell copies of the Font Software, and to permit persons to whom the Font Software is furnished to do so, subject to the following conditions: The above copyright and trademark notices and this permission notice shall be included in all copies of one or more of the Font Software typefaces. The Font Software may be modified, altered, or added to, and in particular the designs of glyphs or characters in the Fonts may be modified and additional glyphs or characters may be added to the Fonts, only if the fonts are renamed to names not containing either the words "Bitstream" or the word "Vera". This License becomes null and void to the extent applicable to Fonts or Font Software that has been modified and is distributed under the "Bitstream Vera" names. The Font Software may be sold as part of a larger software package but no copy of one or more of the Font Software typefaces may be sold by itself. THE FONT SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT OF COPYRIGHT, PATENT, TRADEMARK, OR OTHER RIGHT. IN NO EVENT SHALL BITSTREAM OR THE GNOME FOUNDATION BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, INCLUDING ANY GENERAL, SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF THE USE OR INABILITY TO USE THE FONT SOFTWARE OR FROM OTHER DEALINGS IN THE FONT SOFTWARE. Except as contained in this notice, the names of Gnome, the Gnome Foundation, and Bitstream Inc., shall not be used in advertising or otherwise to promote the sale, use or other dealings in this Font Software without prior written authorization from the Gnome Foundation or Bitstream Inc., respectively. For further information, contact: fonts at gnome dot org. Arev Fonts Copyright ------------------------------ Copyright (c) 2006 by Tavmjong Bah. All Rights Reserved. Permission is hereby granted, free of charge, to any person obtaining a copy of the fonts accompanying this license ("Fonts") and associated documentation files (the "Font Software"), to reproduce and distribute the modifications to the Bitstream Vera Font Software, including without limitation the rights to use, copy, merge, publish, distribute, and/or sell copies of the Font Software, and to permit persons to whom the Font Software is furnished to do so, subject to the following conditions: The above copyright and trademark notices and this permission notice shall be included in all copies of one or more of the Font Software typefaces. The Font Software may be modified, altered, or added to, and in particular the designs of glyphs or characters in the Fonts may be modified and additional glyphs or characters may be added to the Fonts, only if the fonts are renamed to names not containing either the words "Tavmjong Bah" or the word "Arev". This License becomes null and void to the extent applicable to Fonts or Font Software that has been modified and is distributed under the "Tavmjong Bah Arev" names. The Font Software may be sold as part of a larger software package but no copy of one or more of the Font Software typefaces may be sold by itself. THE FONT SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT OF COPYRIGHT, PATENT, TRADEMARK, OR OTHER RIGHT. IN NO EVENT SHALL TAVMJONG BAH BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, INCLUDING ANY GENERAL, SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF THE USE OR INABILITY TO USE THE FONT SOFTWARE OR FROM OTHER DEALINGS IN THE FONT SOFTWARE. Except as contained in this notice, the name of Tavmjong Bah shall not be used in advertising or otherwise to promote the sale, use or other dealings in this Font Software without prior written authorization from Tavmjong Bah. For further information, contact: tavmjong @ free . fr.http://dejavu.sourceforge.net/wiki/index.php/Licensehttps://dejavu.sourceforge.net/wiki/index.php/LicenseDejaVu SansDejaVu SansBookBook~Z  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghjikmlnoqprsutvwxzy{}|~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~                           ! 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All Rights Reserved. DejaVu changes are in public domain Copyright (c) 2003 by Bitstream, Inc. All Rights Reserved. DejaVu changes are in public domain DejaVu SerifDejaVu SerifBoldBoldDejaVu Serif BoldDejaVu Serif BoldDejaVu Serif BoldDejaVu Serif BoldVersion 2.32Version 2.32DejaVuSerif-BoldDejaVuSerif-BoldDejaVu fonts teamDejaVu fonts teamhttp://dejavu.sourceforge.nethttps://dejavu.sourceforge.netFonts are (c) Bitstream (see below). DejaVu changes are in public domain. Bitstream Vera Fonts Copyright ------------------------------ Copyright (c) 2003 by Bitstream, Inc. All Rights Reserved. Bitstream Vera is a trademark of Bitstream, Inc. Permission is hereby granted, free of charge, to any person obtaining a copy of the fonts accompanying this license ("Fonts") and associated documentation files (the "Font Software"), to reproduce and distribute the Font Software, including without limitation the rights to use, copy, merge, publish, distribute, and/or sell copies of the Font Software, and to permit persons to whom the Font Software is furnished to do so, subject to the following conditions: The above copyright and trademark notices and this permission notice shall be included in all copies of one or more of the Font Software typefaces. The Font Software may be modified, altered, or added to, and in particular the designs of glyphs or characters in the Fonts may be modified and additional glyphs or or characters may be added to the Fonts, only if the fonts are renamed to names not containing either the words "Bitstream" or the word "Vera". This License becomes null and void to the extent applicable to Fonts or Font Software that has been modified and is distributed under the "Bitstream Vera" names. The Font Software may be sold as part of a larger software package but no copy of one or more of the Font Software typefaces may be sold by itself. THE FONT SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT OF COPYRIGHT, PATENT, TRADEMARK, OR OTHER RIGHT. IN NO EVENT SHALL BITSTREAM OR THE GNOME FOUNDATION BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, INCLUDING ANY GENERAL, SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF THE USE OR INABILITY TO USE THE FONT SOFTWARE OR FROM OTHER DEALINGS IN THE FONT SOFTWARE. Except as contained in this notice, the names of Gnome, the Gnome Foundation, and Bitstream Inc., shall not be used in advertising or otherwise to promote the sale, use or other dealings in this Font Software without prior written authorization from the Gnome Foundation or Bitstream Inc., respectively. For further information, contact: fonts at gnome dot org. Fonts are (c) Bitstream (see below). DejaVu changes are in public domain. Bitstream Vera Fonts Copyright ------------------------------ Copyright (c) 2003 by Bitstream, Inc. All Rights Reserved. Bitstream Vera is a trademark of Bitstream, Inc. Permission is hereby granted, free of charge, to any person obtaining a copy of the fonts accompanying this license ("Fonts") and associated documentation files (the "Font Software"), to reproduce and distribute the Font Software, including without limitation the rights to use, copy, merge, publish, distribute, and/or sell copies of the Font Software, and to permit persons to whom the Font Software is furnished to do so, subject to the following conditions: The above copyright and trademark notices and this permission notice shall be included in all copies of one or more of the Font Software typefaces. The Font Software may be modified, altered, or added to, and in particular the designs of glyphs or characters in the Fonts may be modified and additional glyphs or or characters may be added to the Fonts, only if the fonts are renamed to names not containing either the words "Bitstream" or the word "Vera". This License becomes null and void to the extent applicable to Fonts or Font Software that has been modified and is distributed under the "Bitstream Vera" names. The Font Software may be sold as part of a larger software package but no copy of one or more of the Font Software typefaces may be sold by itself. THE FONT SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT OF COPYRIGHT, PATENT, TRADEMARK, OR OTHER RIGHT. IN NO EVENT SHALL BITSTREAM OR THE GNOME FOUNDATION BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, INCLUDING ANY GENERAL, SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF THE USE OR INABILITY TO USE THE FONT SOFTWARE OR FROM OTHER DEALINGS IN THE FONT SOFTWARE. Except as contained in this notice, the names of Gnome, the Gnome Foundation, and Bitstream Inc., shall not be used in advertising or otherwise to promote the sale, use or other dealings in this Font Software without prior written authorization from the Gnome Foundation or Bitstream Inc., respectively. For further information, contact: fonts at gnome dot org. http://dejavu.sourceforge.net/wiki/index.php/Licensehttps://dejavu.sourceforge.net/wiki/index.php/LicenseDejaVu SerifDejaVu SerifBoldBold~Z '  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghjikmlnoqprsutvwxzy{}|~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~                           ! 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?X?t???@ @0@L@l@@A0ALAABB,BXBBBBBC$C\CCDDHDDEE$EHElEEEEFF@FdFFFFG G4G\GGGH H8H`HHHII0I`IIIJJ4J\JJJKK(KTKKKKL(LPLLLMMPMMMN(N`NNOO4OhOOOPPDPlPPPQ QLQxQQRR8RdRRRS(SlSSTTDTtTTUUXUUV@VtVVWW0WLWWWWWXX4XPXlXXXYYY4YPYlYYYYYZZ0ZLZhZZZZ[\t]]0]D]`]t]]]]]^^ ^<^X^^^_H_`alacccddDd`dddde$e@eheeeeff@f\ffffgg4g`g|gggh@hiiljdkkllhlmmtmn,nTn|no0oopp0p\ppqq0qLqdq|qqrrDrlrrs sHsst4tttu4uv4vvww,wXwtwwwxz@{{|X}t~0~$`(p,\0|<TxH88h(@   4Pd 0Lp 0Lp$Pt0Lp@d @\ L0\0Lp@d @\ L0\@d @dP<p@lD0Lp@d @\ L0\@d @dP<p@lD@d @dP<p@lD$P|DP@lD4p,p`0\4x<x@|¸Ìh$XŨ<ƀdǰPȠ`@ʰ<ˬt<ͬLΐp tLѨҌhhԸո4d֔(X׌׼L|ج <lٜ0dڔ4p۬$X܈ܸ$\ݨx|hHX(P|08h,`L Lx0` (Pp$T|H(x|l,4$|Xl(dhL$`  L  <   ( T     , X    <l(<<LH$<@40 X!d"#%<&( ) *\+T,p-X./h0|2H3D5 68@9:<;<=>>?\?l?@t@@AB<BCDDDF(F(F(F(F(F(F(F(F(F(F(F(F(F(F(F(F(F(F(F(F(FFFGGG$G4GDGTGdGtGGGGGGGGHHH$H4HDHTHdHtHHHHHHHHIII$I4IDITIdItIIIIIIIIJJJ$J4JDJTJdJtJJJJJJJJKKK$K4KDKTKdKtKKKKKKKKLLL$L4LDLTLdLtLLLLLLLLMMM$M4MDMTMdMtMMMMMMNLNhNNOODOxOOPP<PTPPQ$Q<QTRTRSpT|UtUVWW8WTWpWWWWWXX4XPXlXXXXXYY0YLYhYZH  +@ >_ :U !X  4 9 T     G &\ &  $ "4 :j & h    FCopyright (c) 2003 by Bitstream, Inc. All Rights Reserved. DejaVu changes are in public domain Copyright (c) 2003 by Bitstream, Inc. All Rights Reserved. DejaVu changes are in public domain DejaVu SerifDejaVu SerifItalicItalicDejaVu Serif ItalicDejaVu Serif ItalicDejaVu Serif ItalicDejaVu Serif ItalicVersion 2.32Version 2.32DejaVuSerif-ItalicDejaVuSerif-ItalicDejaVu fonts teamDejaVu fonts teamhttp://dejavu.sourceforge.nethttps://dejavu.sourceforge.netFonts are (c) Bitstream (see below). DejaVu changes are in public domain. Bitstream Vera Fonts Copyright ------------------------------ Copyright (c) 2003 by Bitstream, Inc. All Rights Reserved. Bitstream Vera is a trademark of Bitstream, Inc. Permission is hereby granted, free of charge, to any person obtaining a copy of the fonts accompanying this license ("Fonts") and associated documentation files (the "Font Software"), to reproduce and distribute the Font Software, including without limitation the rights to use, copy, merge, publish, distribute, and/or sell copies of the Font Software, and to permit persons to whom the Font Software is furnished to do so, subject to the following conditions: The above copyright and trademark notices and this permission notice shall be included in all copies of one or more of the Font Software typefaces. The Font Software may be modified, altered, or added to, and in particular the designs of glyphs or characters in the Fonts may be modified and additional glyphs or or characters may be added to the Fonts, only if the fonts are renamed to names not containing either the words "Bitstream" or the word "Vera". This License becomes null and void to the extent applicable to Fonts or Font Software that has been modified and is distributed under the "Bitstream Vera" names. The Font Software may be sold as part of a larger software package but no copy of one or more of the Font Software typefaces may be sold by itself. THE FONT SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT OF COPYRIGHT, PATENT, TRADEMARK, OR OTHER RIGHT. IN NO EVENT SHALL BITSTREAM OR THE GNOME FOUNDATION BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, INCLUDING ANY GENERAL, SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF THE USE OR INABILITY TO USE THE FONT SOFTWARE OR FROM OTHER DEALINGS IN THE FONT SOFTWARE. Except as contained in this notice, the names of Gnome, the Gnome Foundation, and Bitstream Inc., shall not be used in advertising or otherwise to promote the sale, use or other dealings in this Font Software without prior written authorization from the Gnome Foundation or Bitstream Inc., respectively. For further information, contact: fonts at gnome dot org. Fonts are (c) Bitstream (see below). DejaVu changes are in public domain. Bitstream Vera Fonts Copyright ------------------------------ Copyright (c) 2003 by Bitstream, Inc. All Rights Reserved. Bitstream Vera is a trademark of Bitstream, Inc. Permission is hereby granted, free of charge, to any person obtaining a copy of the fonts accompanying this license ("Fonts") and associated documentation files (the "Font Software"), to reproduce and distribute the Font Software, including without limitation the rights to use, copy, merge, publish, distribute, and/or sell copies of the Font Software, and to permit persons to whom the Font Software is furnished to do so, subject to the following conditions: The above copyright and trademark notices and this permission notice shall be included in all copies of one or more of the Font Software typefaces. The Font Software may be modified, altered, or added to, and in particular the designs of glyphs or characters in the Fonts may be modified and additional glyphs or or characters may be added to the Fonts, only if the fonts are renamed to names not containing either the words "Bitstream" or the word "Vera". This License becomes null and void to the extent applicable to Fonts or Font Software that has been modified and is distributed under the "Bitstream Vera" names. The Font Software may be sold as part of a larger software package but no copy of one or more of the Font Software typefaces may be sold by itself. THE FONT SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT OF COPYRIGHT, PATENT, TRADEMARK, OR OTHER RIGHT. IN NO EVENT SHALL BITSTREAM OR THE GNOME FOUNDATION BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, INCLUDING ANY GENERAL, SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF THE USE OR INABILITY TO USE THE FONT SOFTWARE OR FROM OTHER DEALINGS IN THE FONT SOFTWARE. Except as contained in this notice, the names of Gnome, the Gnome Foundation, and Bitstream Inc., shall not be used in advertising or otherwise to promote the sale, use or other dealings in this Font Software without prior written authorization from the Gnome Foundation or Bitstream Inc., respectively. For further information, contact: fonts at gnome dot org. http://dejavu.sourceforge.net/wiki/index.php/Licensehttps://dejavu.sourceforge.net/wiki/index.php/LicenseDejaVu SerifDejaVu SerifItalicItalic~Z   !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghjikmlnoqprsutvwxzy{}|~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~                           ! 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Bu xd xu xd xd xu xd xd xu xd xu xu@@,@,@,@,@,@,@,@@,@,@,@,@,@,@,@@,@,@,@,@,@,@,@@,@,@,@,@,@,@,@@,@,@,@,@,@,@,@@,@,@,@,@,@,@,@@,@,@,@,@,@,@,@@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@@,@,@,@,@,@,@,@@,@,@,@,@,@,@,@@,@,@,@,@,@,@,@@,@,@,@,@,@,@,@@,@,@,@,@,@,@,@@,@,@,@,@,@,@,@@,@,@,@,@,@,@,@@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,@,du__::: J776676uuMM''''$$"pMM   )fB3R\\b1 c: =sH7NBNXx\qffiishc1 1 wwjff,O`qwP9w9Wqfffff+'fw1 wff,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,5| >t b` d8( dq[{es^Lq fXLfX @fX: Lu w3v3vLLLRsRs@ tnxj jX F X oX `X `XH `XDeXVvS@xX! @fX! 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All Rights Reserved. Copyright (c) 2006 by Tavmjong Bah. All Rights Reserved. DejaVu changes are in public domain Copyright (c) 2003 by Bitstream, Inc. All Rights Reserved. Copyright (c) 2006 by Tavmjong Bah. All Rights Reserved. DejaVu changes are in public domain DejaVu SansDejaVu SansBoldBoldDejaVu Sans BoldDejaVu Sans BoldDejaVu Sans BoldDejaVu Sans BoldVersion 2.32Version 2.32DejaVuSans-BoldDejaVuSans-BoldDejaVu fonts teamDejaVu fonts teamhttp://dejavu.sourceforge.nethttps://dejavu.sourceforge.netFonts are (c) Bitstream (see below). DejaVu changes are in public domain. Glyphs imported from Arev fonts are (c) Tavmjung Bah (see below) Bitstream Vera Fonts Copyright ------------------------------ Copyright (c) 2003 by Bitstream, Inc. All Rights Reserved. Bitstream Vera is a trademark of Bitstream, Inc. Permission is hereby granted, free of charge, to any person obtaining a copy of the fonts accompanying this license ("Fonts") and associated documentation files (the "Font Software"), to reproduce and distribute the Font Software, including without limitation the rights to use, copy, merge, publish, distribute, and/or sell copies of the Font Software, and to permit persons to whom the Font Software is furnished to do so, subject to the following conditions: The above copyright and trademark notices and this permission notice shall be included in all copies of one or more of the Font Software typefaces. The Font Software may be modified, altered, or added to, and in particular the designs of glyphs or characters in the Fonts may be modified and additional glyphs or characters may be added to the Fonts, only if the fonts are renamed to names not containing either the words "Bitstream" or the word "Vera". This License becomes null and void to the extent applicable to Fonts or Font Software that has been modified and is distributed under the "Bitstream Vera" names. The Font Software may be sold as part of a larger software package but no copy of one or more of the Font Software typefaces may be sold by itself. THE FONT SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT OF COPYRIGHT, PATENT, TRADEMARK, OR OTHER RIGHT. IN NO EVENT SHALL BITSTREAM OR THE GNOME FOUNDATION BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, INCLUDING ANY GENERAL, SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF THE USE OR INABILITY TO USE THE FONT SOFTWARE OR FROM OTHER DEALINGS IN THE FONT SOFTWARE. Except as contained in this notice, the names of Gnome, the Gnome Foundation, and Bitstream Inc., shall not be used in advertising or otherwise to promote the sale, use or other dealings in this Font Software without prior written authorization from the Gnome Foundation or Bitstream Inc., respectively. For further information, contact: fonts at gnome dot org. Arev Fonts Copyright ------------------------------ Copyright (c) 2006 by Tavmjong Bah. All Rights Reserved. Permission is hereby granted, free of charge, to any person obtaining a copy of the fonts accompanying this license ("Fonts") and associated documentation files (the "Font Software"), to reproduce and distribute the modifications to the Bitstream Vera Font Software, including without limitation the rights to use, copy, merge, publish, distribute, and/or sell copies of the Font Software, and to permit persons to whom the Font Software is furnished to do so, subject to the following conditions: The above copyright and trademark notices and this permission notice shall be included in all copies of one or more of the Font Software typefaces. The Font Software may be modified, altered, or added to, and in particular the designs of glyphs or characters in the Fonts may be modified and additional glyphs or characters may be added to the Fonts, only if the fonts are renamed to names not containing either the words "Tavmjong Bah" or the word "Arev". This License becomes null and void to the extent applicable to Fonts or Font Software that has been modified and is distributed under the "Tavmjong Bah Arev" names. The Font Software may be sold as part of a larger software package but no copy of one or more of the Font Software typefaces may be sold by itself. THE FONT SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT OF COPYRIGHT, PATENT, TRADEMARK, OR OTHER RIGHT. IN NO EVENT SHALL TAVMJONG BAH BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, INCLUDING ANY GENERAL, SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF THE USE OR INABILITY TO USE THE FONT SOFTWARE OR FROM OTHER DEALINGS IN THE FONT SOFTWARE. Except as contained in this notice, the name of Tavmjong Bah shall not be used in advertising or otherwise to promote the sale, use or other dealings in this Font Software without prior written authorization from Tavmjong Bah. For further information, contact: tavmjong @ free . fr.Fonts are (c) Bitstream (see below). DejaVu changes are in public domain. Glyphs imported from Arev fonts are (c) Tavmjung Bah (see below) Bitstream Vera Fonts Copyright ------------------------------ Copyright (c) 2003 by Bitstream, Inc. All Rights Reserved. Bitstream Vera is a trademark of Bitstream, Inc. Permission is hereby granted, free of charge, to any person obtaining a copy of the fonts accompanying this license ("Fonts") and associated documentation files (the "Font Software"), to reproduce and distribute the Font Software, including without limitation the rights to use, copy, merge, publish, distribute, and/or sell copies of the Font Software, and to permit persons to whom the Font Software is furnished to do so, subject to the following conditions: The above copyright and trademark notices and this permission notice shall be included in all copies of one or more of the Font Software typefaces. The Font Software may be modified, altered, or added to, and in particular the designs of glyphs or characters in the Fonts may be modified and additional glyphs or characters may be added to the Fonts, only if the fonts are renamed to names not containing either the words "Bitstream" or the word "Vera". This License becomes null and void to the extent applicable to Fonts or Font Software that has been modified and is distributed under the "Bitstream Vera" names. The Font Software may be sold as part of a larger software package but no copy of one or more of the Font Software typefaces may be sold by itself. THE FONT SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT OF COPYRIGHT, PATENT, TRADEMARK, OR OTHER RIGHT. IN NO EVENT SHALL BITSTREAM OR THE GNOME FOUNDATION BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, INCLUDING ANY GENERAL, SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF THE USE OR INABILITY TO USE THE FONT SOFTWARE OR FROM OTHER DEALINGS IN THE FONT SOFTWARE. Except as contained in this notice, the names of Gnome, the Gnome Foundation, and Bitstream Inc., shall not be used in advertising or otherwise to promote the sale, use or other dealings in this Font Software without prior written authorization from the Gnome Foundation or Bitstream Inc., respectively. For further information, contact: fonts at gnome dot org. Arev Fonts Copyright ------------------------------ Copyright (c) 2006 by Tavmjong Bah. All Rights Reserved. Permission is hereby granted, free of charge, to any person obtaining a copy of the fonts accompanying this license ("Fonts") and associated documentation files (the "Font Software"), to reproduce and distribute the modifications to the Bitstream Vera Font Software, including without limitation the rights to use, copy, merge, publish, distribute, and/or sell copies of the Font Software, and to permit persons to whom the Font Software is furnished to do so, subject to the following conditions: The above copyright and trademark notices and this permission notice shall be included in all copies of one or more of the Font Software typefaces. The Font Software may be modified, altered, or added to, and in particular the designs of glyphs or characters in the Fonts may be modified and additional glyphs or characters may be added to the Fonts, only if the fonts are renamed to names not containing either the words "Tavmjong Bah" or the word "Arev". This License becomes null and void to the extent applicable to Fonts or Font Software that has been modified and is distributed under the "Tavmjong Bah Arev" names. The Font Software may be sold as part of a larger software package but no copy of one or more of the Font Software typefaces may be sold by itself. THE FONT SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT OF COPYRIGHT, PATENT, TRADEMARK, OR OTHER RIGHT. IN NO EVENT SHALL TAVMJONG BAH BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, INCLUDING ANY GENERAL, SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF THE USE OR INABILITY TO USE THE FONT SOFTWARE OR FROM OTHER DEALINGS IN THE FONT SOFTWARE. Except as contained in this notice, the name of Tavmjong Bah shall not be used in advertising or otherwise to promote the sale, use or other dealings in this Font Software without prior written authorization from Tavmjong Bah. For further information, contact: tavmjong @ free . fr.http://dejavu.sourceforge.net/wiki/index.php/Licensehttps://dejavu.sourceforge.net/wiki/index.php/LicenseDejaVu SansDejaVu SansBoldBold~Z:  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghjikmlnoqprsutvwxzy{}|~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~                           ! 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arrowdblbothuni21D5uni21D6uni21D7uni21D8uni21D9uni21DAuni21DBuni21DCuni21DDuni21DEuni21DFuni21E0uni21E1uni21E2uni21E3uni21E4uni21E5uni21E6uni21E7uni21E8uni21E9uni21EAuni21EBuni21ECuni21EDuni21EEuni21EFuni21F0uni21F1uni21F2uni21F3uni21F4uni21F5uni21F6uni21F7uni21F8uni21F9uni21FAuni21FBuni21FCuni21FDuni21FEuni21FF universaluni2201 existentialuni2204emptysetgradientelement notelementuni220Asuchthatuni220Cuni220Duni220Euni2210uni2213uni2214uni2215uni2216 asteriskmathuni2218uni2219uni221Buni221C proportional orthogonalangleuni2221uni2222uni2223uni2224uni2225uni2226 logicaland logicalor intersectionunionuni222Cuni222Duni222Euni222Funi2230uni2231uni2232uni2233 thereforeuni2235uni2236uni2237uni2238uni2239uni223Auni223Bsimilaruni223Duni223Euni223Funi2240uni2241uni2242uni2243uni2244 congruentuni2246uni2247uni2249uni224Auni224Buni224Cuni224Duni224Euni224Funi2250uni2251uni2252uni2253uni2254uni2255uni2256uni2257uni2258uni2259uni225Auni225Buni225Cuni225Duni225Euni225F equivalenceuni2262uni2263uni2266uni2267uni2268uni2269uni226Auni226Buni226Cuni226Duni226Euni226Funi2270uni2271uni2272uni2273uni2274uni2275uni2276uni2277uni2278uni2279uni227Auni227Buni227Cuni227Duni227Euni227Funi2280uni2281 propersubsetpropersuperset notsubsetuni2285 reflexsubsetreflexsupersetuni2288uni2289uni228Auni228Buni228Cuni228Duni228Euni228Funi2290uni2291uni2292uni2293uni2294 circleplusuni2296circlemultiplyuni2298uni2299uni229Auni229Buni229Cuni229Duni229Euni229Funi22A0uni22A1uni22A2uni22A3uni22A4 perpendicularuni22A6uni22A7uni22A8uni22A9uni22AAuni22ABuni22ACuni22ADuni22AEuni22AFuni22B0uni22B1uni22B2uni22B3uni22B4uni22B5uni22B6uni22B7uni22B8uni22B9uni22BAuni22BBuni22BCuni22BDuni22BEuni22BFuni22C0uni22C1uni22C2uni22C3uni22C4dotmathuni22C6uni22C7uni22C8uni22C9uni22CAuni22CBuni22CCuni22CDuni22CEuni22CFuni22D0uni22D1uni22D2uni22D3uni22D4uni22D5uni22D6uni22D7uni22D8uni22D9uni22DAuni22DBuni22DCuni22DDuni22DEuni22DFuni22E0uni22E1uni22E2uni22E3uni22E4uni22E5uni22E6uni22E7uni22E8uni22E9uni22EAuni22EBuni22ECuni22EDuni22EEuni22EFuni22F0uni22F1uni22F2uni22F3uni22F4uni22F5uni22F6uni22F7uni22F8uni22F9uni22FAuni22FBuni22FCuni22FDuni22FEuni22FFuni2300uni2301houseuni2303uni2304uni2305uni2306uni2307uni2308uni2309uni230Auni230Buni230Cuni230Duni230Euni230F revlogicalnotuni2311uni2318uni2319uni231Cuni231Duni231Euni231F integraltp integralbtuni2324uni2325uni2326uni2327uni2328uni232Buni232Cuni2373uni2374uni2375uni237Auni237Duni2387uni2394uni239Buni239Cuni239Duni239Euni239Funi23A0uni23A1uni23A2uni23A3uni23A4uni23A5uni23A6uni23A7uni23A8uni23A9uni23AAuni23ABuni23ACuni23ADuni23AEuni23CEuni23CFuni23E3uni23E5uni23E8uni2422uni2423uni2460uni2461uni2462uni2463uni2464uni2465uni2466uni2467uni2468uni2469upblockuni2581uni2582uni2583dnblockuni2585uni2586uni2587blockuni2589uni258Auni258Blfblockuni258Duni258Euni258Frtblockltshadeshadedkshadeuni2594uni2595uni2596uni2597uni2598uni2599uni259Auni259Buni259Cuni259Duni259Euni259F filledboxH22073uni25A2uni25A3uni25A4uni25A5uni25A6uni25A7uni25A8uni25A9H18543H18551 filledrectuni25ADuni25AEuni25AFuni25B0uni25B1triagupuni25B3uni25B4uni25B5uni25B6uni25B7uni25B8uni25B9triagrtuni25BBtriagdnuni25BDuni25BEuni25BFuni25C0uni25C1uni25C2uni25C3triaglfuni25C5uni25C6uni25C7uni25C8uni25C9circleuni25CCuni25CDuni25CEH18533uni25D0uni25D1uni25D2uni25D3uni25D4uni25D5uni25D6uni25D7 invbullet invcircleuni25DAuni25DBuni25DCuni25DDuni25DEuni25DFuni25E0uni25E1uni25E2uni25E3uni25E4uni25E5 openbulletuni25E7uni25E8uni25E9uni25EAuni25EBuni25ECuni25EDuni25EEuni25EFuni25F0uni25F1uni25F2uni25F3uni25F4uni25F5uni25F6uni25F7uni25F8uni25F9uni25FAuni25FBuni25FCuni25FDuni25FEuni25FFuni2600uni2601uni2602uni2603uni2604uni2605uni2606uni2607uni2608uni2609uni260Auni260Buni260Cuni260Duni260Euni260Funi2610uni2611uni2612uni2613uni2614uni2615uni2616uni2617uni2618uni2619uni261Auni261Buni261Cuni261Duni261Euni261Funi2620uni2621uni2622uni2623uni2624uni2625uni2626uni2627uni2628uni2629uni262Auni262Buni262Cuni262Duni262Euni262Funi2630uni2631uni2632uni2633uni2634uni2635uni2636uni2637uni2638uni2639 smileface invsmilefacesununi263Duni263Euni263Ffemaleuni2641maleuni2643uni2644uni2645uni2646uni2647uni2648uni2649uni264Auni264Buni264Cuni264Duni264Euni264Funi2650uni2651uni2652uni2653uni2654uni2655uni2656uni2657uni2658uni2659uni265Auni265Buni265Cuni265Duni265Euni265Fspadeuni2661uni2662clubuni2664heartdiamonduni2667uni2668uni2669 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0 R 144 0 R 146 0 R 148 0 R 150 0 R 152 0 R 154 0 R 156 0 R 158 0 R 160 0 R 162 0 R 164 0 R 166 0 R 168 0 R 170 0 R 172 0 R 174 0 R 176 0 R 178 0 R 180 0 R 182 0 R 184 0 R 186 0 R 188 0 R 190 0 R 192 0 R 194 0 R 196 0 R 198 0 R 200 0 R ] /Contents 87 0 R >> endobj 87 0 obj << /Length 38197 >> stream 0.271 0.267 0.267 rg q 15.000 30.780 577.500 746.220 re W n 0.271 0.267 0.267 rg BT 26.250 746.794 Td /F4 12.0 Tf [(Introduction)] TJ ET BT 26.250 723.137 Td /F1 9.8 Tf [(Floods are the leading cause of natural disaster deaths worldwide and were responsible for 6.8 million deaths in )] TJ ET BT 26.250 707.693 Td /F1 9.8 Tf [(the 20th century. Asia is the most flood-affected region, accounting for nearly 50% of flood-related fatalities in )] TJ ET BT 26.250 692.249 Td /F1 9.8 Tf [(the last quarter of the 20th century )] TJ ET 0.267 0.267 0.267 rg BT 202.852 694.204 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 208.884 697.293 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 211.640 694.204 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 217.672 697.293 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 220.428 694.204 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 226.460 692.249 Td /F1 9.8 Tf [( . The Center for Research on the Epidemiology of Disasters \(CRED\) )] TJ ET BT 26.250 676.805 Td /F1 9.8 Tf [(defines a flood as a significant rise of water level in a stream, lake, reservoir or coastal region  )] TJ ET 0.267 0.267 0.267 rg BT 498.784 678.760 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 504.816 676.805 Td /F1 9.8 Tf [(. More )] TJ ET BT 26.250 661.361 Td /F1 9.8 Tf [(colloquially, flooding is the presence of water in areas that are usually dry  )] TJ ET 0.267 0.267 0.267 rg BT 402.151 663.316 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 408.184 661.361 Td /F1 9.8 Tf [(. The events and factors that )] TJ ET BT 26.250 645.917 Td /F1 9.8 Tf [(precipitate flood events are diverse, multifaceted, and interrelated. Weather factors include heavy or sustained )] TJ ET BT 26.250 630.473 Td /F1 9.8 Tf [(precipitation, snowmelts, or storm surges from cyclones whereas important human factors include structural )] TJ ET BT 26.250 615.029 Td /F1 9.8 Tf [(failures of dams and levies, alteration of absorptive land cover with impervious surfaces and inadequate )] TJ ET BT 26.250 599.585 Td /F1 9.8 Tf [(drainage systems. Geographic regions such as coastal areas, river basins and lakeshores are particularly at risk )] TJ ET BT 26.250 584.141 Td /F1 9.8 Tf [(from storms or cyclones that generate high winds and storm surge )] TJ ET 0.267 0.267 0.267 rg BT 356.668 586.096 Td /F4 8.7 Tf [(5)] TJ ET 0.271 0.267 0.267 rg BT 362.700 584.141 Td /F1 9.8 Tf [(. Environmental/physical land features )] TJ ET BT 26.250 568.697 Td /F1 9.8 Tf [(including soil type, the presence of vegetation, and other drainage basin characteristics also influence flood )] TJ ET BT 26.250 553.253 Td /F1 9.8 Tf [(outcomes )] TJ ET 0.267 0.267 0.267 rg BT 77.223 555.208 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 83.255 553.253 Td /F1 9.8 Tf [(. Floods transpire on varying timelines, ranging from flash floods with little warning to those that )] TJ ET BT 26.250 537.809 Td /F1 9.8 Tf [(evolve over days or weeks \(riverine\). Flash floods, characterized by high-velocity flows and short warning times )] TJ ET BT 26.250 522.365 Td /F1 9.8 Tf [(have the highest average mortality rates per event and are responsible for the majority of flood deaths in )] TJ ET BT 26.250 506.921 Td /F1 9.8 Tf [(developed countries )] TJ ET 0.267 0.267 0.267 rg BT 128.771 508.876 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 134.803 511.965 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 137.559 508.876 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 143.591 511.965 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 146.347 508.876 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 152.379 506.921 Td /F1 9.8 Tf [(. In contrast, riverine floods which are caused by gradual accumulation of heavy )] TJ ET BT 26.250 491.477 Td /F1 9.8 Tf [(rainfall are less likely to cause mortality because of sufficient time for warning and evacuation. Occasionally )] TJ ET BT 26.250 476.033 Td /F1 9.8 Tf [(floods are associated with secondary hazards such as mudslides in mountainous areas.)] TJ ET BT 26.250 453.089 Td /F1 9.8 Tf [(Recent accelerations in population growth and changes in land use patterns have increased human vulnerability )] TJ ET BT 26.250 437.645 Td /F1 9.8 Tf [(to floods. Harmful impacts of floods include direct mortality and morbidity and indirect displacement and )] TJ ET BT 26.250 422.201 Td /F1 9.8 Tf [(widespread damage of crops, infrastructure and property. Immediate causes of death in floods include drowning )] TJ ET BT 26.250 406.757 Td /F1 9.8 Tf [(and trauma or injury )] TJ ET 0.267 0.267 0.267 rg BT 130.000 408.712 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 136.032 411.801 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 138.788 408.712 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 144.820 406.757 Td /F1 9.8 Tf [(. Over an extended time period, there may also be increased mortality due to infectious )] TJ ET BT 26.250 391.313 Td /F1 9.8 Tf [(disease )] TJ ET 0.267 0.267 0.267 rg BT 66.381 393.268 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 72.413 396.357 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 75.169 393.268 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 81.201 396.357 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 83.957 393.268 Td /F4 8.7 Tf [(10)] TJ ET 0.271 0.267 0.267 rg BT 96.021 396.357 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 98.777 393.268 Td /F4 8.7 Tf [(11)] TJ ET 0.271 0.267 0.267 rg BT 110.841 391.313 Td /F1 9.8 Tf [( . The risks posed by future flood events are significant given population growth, proximities of )] TJ ET BT 26.250 375.869 Td /F1 9.8 Tf [(populations to coastlines, expanded development of coastal areas and flood plains, environmental degradation )] TJ ET BT 26.250 360.425 Td /F1 9.8 Tf [(and climate change )] TJ ET 0.267 0.267 0.267 rg BT 125.866 362.380 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 137.930 360.425 Td /F1 9.8 Tf [(. The objectives of this review were to describe the impact of floods on the human )] TJ ET BT 26.250 344.981 Td /F1 9.8 Tf [(population, in terms of mortality, injury, and displacement and to identify risk factors associated with these )] TJ ET BT 26.250 329.537 Td /F1 9.8 Tf [(outcomes. This is one of five reviews on the human impact of natural disasters, the others being volcanoes, )] TJ ET BT 26.250 314.093 Td /F1 9.8 Tf [(cyclones, tsunamis, and earthquakes.)] TJ ET BT 26.250 273.298 Td /F4 12.0 Tf [(Methods)] TJ ET BT 26.250 249.641 Td /F1 9.8 Tf [(Data on the impact of flood events were compiled using two methods, a historical review of flood events and a )] TJ ET BT 26.250 234.197 Td /F1 9.8 Tf [(systematic literature review for publications relating to the human impacts of flooding with a focus on mortality, )] TJ ET BT 26.250 218.753 Td /F1 9.8 Tf [(injury, and displacement.)] TJ ET BT 26.250 195.809 Td /F4 9.8 Tf [(Historical Event Review)] TJ ET BT 26.250 172.865 Td /F1 9.8 Tf [(A historical database of significant floods occurring from 1980 to 2009 was created from publicly available data. )] TJ ET BT 26.250 157.421 Td /F1 9.8 Tf [(Multiple data sources were sought to ensure a complete listing of events, to allow for both human and )] TJ ET BT 26.250 141.977 Td /F1 9.8 Tf [(geophysical factors to be included, and to facilitate cross checking of information between sources. The two )] TJ ET BT 26.250 126.533 Td /F1 9.8 Tf [(primary data sources were CRED International Disaster Database \(EM-DAT\) )] TJ ET 0.267 0.267 0.267 rg BT 398.135 128.488 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 404.167 126.533 Td /F1 9.8 Tf [( and the Dartmouth Flood )] TJ ET BT 26.250 111.089 Td /F1 9.8 Tf [(Observatory \(DFO\) Global Archive of Large Flood Events database )] TJ ET 0.267 0.267 0.267 rg BT 352.290 113.044 Td /F4 8.7 Tf [(13)] TJ ET 0.271 0.267 0.267 rg BT 364.354 111.089 Td /F1 9.8 Tf [(. For inclusion in the EM-DAT database, one )] TJ ET BT 26.250 95.645 Td /F1 9.8 Tf [(or more of the following criteria must be fulfilled: 10 or more people killed or injured; 100 people affected; )] TJ ET BT 26.250 80.201 Td /F1 9.8 Tf [(declaration of a state of emergency; or a call for international assistance. The DFO database provides a )] TJ ET BT 26.250 64.757 Td /F1 9.8 Tf [(comprehensive list of flood events recorded by news, governmental, instrumental, and remote sensing sources )] TJ ET BT 26.250 49.313 Td /F1 9.8 Tf [(from 1985 to 2009. Inclusion criteria are: significant damage to structures or agriculture, long intervals since )] TJ ET Q q 15.000 30.780 577.500 746.220 re W n 0.271 0.267 0.267 rg BT 26.250 746.794 Td /F4 12.0 Tf [(Introduction)] TJ ET BT 26.250 723.137 Td /F1 9.8 Tf [(Floods are the leading cause of natural disaster deaths worldwide and were responsible for 6.8 million deaths in )] TJ ET BT 26.250 707.693 Td /F1 9.8 Tf [(the 20th century. Asia is the most flood-affected region, accounting for nearly 50% of flood-related fatalities in )] TJ ET BT 26.250 692.249 Td /F1 9.8 Tf [(the last quarter of the 20th century )] TJ ET 0.267 0.267 0.267 rg BT 202.852 694.204 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 208.884 697.293 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 211.640 694.204 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 217.672 697.293 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 220.428 694.204 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 226.460 692.249 Td /F1 9.8 Tf [( . The Center for Research on the Epidemiology of Disasters \(CRED\) )] TJ ET BT 26.250 676.805 Td /F1 9.8 Tf [(defines a flood as a significant rise of water level in a stream, lake, reservoir or coastal region  )] TJ ET 0.267 0.267 0.267 rg BT 498.784 678.760 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 504.816 676.805 Td /F1 9.8 Tf [(. More )] TJ ET BT 26.250 661.361 Td /F1 9.8 Tf [(colloquially, flooding is the presence of water in areas that are usually dry  )] TJ ET 0.267 0.267 0.267 rg BT 402.151 663.316 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 408.184 661.361 Td /F1 9.8 Tf [(. The events and factors that )] TJ ET BT 26.250 645.917 Td /F1 9.8 Tf [(precipitate flood events are diverse, multifaceted, and interrelated. Weather factors include heavy or sustained )] TJ ET BT 26.250 630.473 Td /F1 9.8 Tf [(precipitation, snowmelts, or storm surges from cyclones whereas important human factors include structural )] TJ ET BT 26.250 615.029 Td /F1 9.8 Tf [(failures of dams and levies, alteration of absorptive land cover with impervious surfaces and inadequate )] TJ ET BT 26.250 599.585 Td /F1 9.8 Tf [(drainage systems. Geographic regions such as coastal areas, river basins and lakeshores are particularly at risk )] TJ ET BT 26.250 584.141 Td /F1 9.8 Tf [(from storms or cyclones that generate high winds and storm surge )] TJ ET 0.267 0.267 0.267 rg BT 356.668 586.096 Td /F4 8.7 Tf [(5)] TJ ET 0.271 0.267 0.267 rg BT 362.700 584.141 Td /F1 9.8 Tf [(. Environmental/physical land features )] TJ ET BT 26.250 568.697 Td /F1 9.8 Tf [(including soil type, the presence of vegetation, and other drainage basin characteristics also influence flood )] TJ ET BT 26.250 553.253 Td /F1 9.8 Tf [(outcomes )] TJ ET 0.267 0.267 0.267 rg BT 77.223 555.208 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 83.255 553.253 Td /F1 9.8 Tf [(. Floods transpire on varying timelines, ranging from flash floods with little warning to those that )] TJ ET BT 26.250 537.809 Td /F1 9.8 Tf [(evolve over days or weeks \(riverine\). Flash floods, characterized by high-velocity flows and short warning times )] TJ ET BT 26.250 522.365 Td /F1 9.8 Tf [(have the highest average mortality rates per event and are responsible for the majority of flood deaths in )] TJ ET BT 26.250 506.921 Td /F1 9.8 Tf [(developed countries )] TJ ET 0.267 0.267 0.267 rg BT 128.771 508.876 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 134.803 511.965 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 137.559 508.876 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 143.591 511.965 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 146.347 508.876 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 152.379 506.921 Td /F1 9.8 Tf [(. In contrast, riverine floods which are caused by gradual accumulation of heavy )] TJ ET BT 26.250 491.477 Td /F1 9.8 Tf [(rainfall are less likely to cause mortality because of sufficient time for warning and evacuation. Occasionally )] TJ ET BT 26.250 476.033 Td /F1 9.8 Tf [(floods are associated with secondary hazards such as mudslides in mountainous areas.)] TJ ET BT 26.250 453.089 Td /F1 9.8 Tf [(Recent accelerations in population growth and changes in land use patterns have increased human vulnerability )] TJ ET BT 26.250 437.645 Td /F1 9.8 Tf [(to floods. Harmful impacts of floods include direct mortality and morbidity and indirect displacement and )] TJ ET BT 26.250 422.201 Td /F1 9.8 Tf [(widespread damage of crops, infrastructure and property. Immediate causes of death in floods include drowning )] TJ ET BT 26.250 406.757 Td /F1 9.8 Tf [(and trauma or injury )] TJ ET 0.267 0.267 0.267 rg BT 130.000 408.712 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 136.032 411.801 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 138.788 408.712 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 144.820 406.757 Td /F1 9.8 Tf [(. Over an extended time period, there may also be increased mortality due to infectious )] TJ ET BT 26.250 391.313 Td /F1 9.8 Tf [(disease )] TJ ET 0.267 0.267 0.267 rg BT 66.381 393.268 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 72.413 396.357 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 75.169 393.268 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 81.201 396.357 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 83.957 393.268 Td /F4 8.7 Tf [(10)] TJ ET 0.271 0.267 0.267 rg BT 96.021 396.357 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 98.777 393.268 Td /F4 8.7 Tf [(11)] TJ ET 0.271 0.267 0.267 rg BT 110.841 391.313 Td /F1 9.8 Tf [( . The risks posed by future flood events are significant given population growth, proximities of )] TJ ET BT 26.250 375.869 Td /F1 9.8 Tf [(populations to coastlines, expanded development of coastal areas and flood plains, environmental degradation )] TJ ET BT 26.250 360.425 Td /F1 9.8 Tf [(and climate change )] TJ ET 0.267 0.267 0.267 rg BT 125.866 362.380 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 137.930 360.425 Td /F1 9.8 Tf [(. The objectives of this review were to describe the impact of floods on the human )] TJ ET BT 26.250 344.981 Td /F1 9.8 Tf [(population, in terms of mortality, injury, and displacement and to identify risk factors associated with these )] TJ ET BT 26.250 329.537 Td /F1 9.8 Tf [(outcomes. This is one of five reviews on the human impact of natural disasters, the others being volcanoes, )] TJ ET BT 26.250 314.093 Td /F1 9.8 Tf [(cyclones, tsunamis, and earthquakes.)] TJ ET BT 26.250 273.298 Td /F4 12.0 Tf [(Methods)] TJ ET BT 26.250 249.641 Td /F1 9.8 Tf [(Data on the impact of flood events were compiled using two methods, a historical review of flood events and a )] TJ ET BT 26.250 234.197 Td /F1 9.8 Tf [(systematic literature review for publications relating to the human impacts of flooding with a focus on mortality, )] TJ ET BT 26.250 218.753 Td /F1 9.8 Tf [(injury, and displacement.)] TJ ET BT 26.250 195.809 Td /F4 9.8 Tf [(Historical Event Review)] TJ ET BT 26.250 172.865 Td /F1 9.8 Tf [(A historical database of significant floods occurring from 1980 to 2009 was created from publicly available data. )] TJ ET BT 26.250 157.421 Td /F1 9.8 Tf [(Multiple data sources were sought to ensure a complete listing of events, to allow for both human and )] TJ ET BT 26.250 141.977 Td /F1 9.8 Tf [(geophysical factors to be included, and to facilitate cross checking of information between sources. The two )] TJ ET BT 26.250 126.533 Td /F1 9.8 Tf [(primary data sources were CRED International Disaster Database \(EM-DAT\) )] TJ ET 0.267 0.267 0.267 rg BT 398.135 128.488 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 404.167 126.533 Td /F1 9.8 Tf [( and the Dartmouth Flood )] TJ ET BT 26.250 111.089 Td /F1 9.8 Tf [(Observatory \(DFO\) Global Archive of Large Flood Events database )] TJ ET 0.267 0.267 0.267 rg BT 352.290 113.044 Td /F4 8.7 Tf [(13)] TJ ET 0.271 0.267 0.267 rg BT 364.354 111.089 Td /F1 9.8 Tf [(. For inclusion in the EM-DAT database, one )] TJ ET BT 26.250 95.645 Td /F1 9.8 Tf [(or more of the following criteria must be fulfilled: 10 or more people killed or injured; 100 people affected; )] TJ ET BT 26.250 80.201 Td /F1 9.8 Tf [(declaration of a state of emergency; or a call for international assistance. The DFO database provides a )] TJ ET BT 26.250 64.757 Td /F1 9.8 Tf [(comprehensive list of flood events recorded by news, governmental, instrumental, and remote sensing sources )] TJ ET BT 26.250 49.313 Td /F1 9.8 Tf [(from 1985 to 2009. Inclusion criteria are: significant damage to structures or agriculture, long intervals since )] TJ ET Q q 15.000 30.780 577.500 746.220 re W n 0.271 0.267 0.267 rg BT 26.250 746.794 Td /F4 12.0 Tf [(Introduction)] TJ ET BT 26.250 723.137 Td /F1 9.8 Tf [(Floods are the leading cause of natural disaster deaths worldwide and were responsible for 6.8 million deaths in )] TJ ET BT 26.250 707.693 Td /F1 9.8 Tf [(the 20th century. Asia is the most flood-affected region, accounting for nearly 50% of flood-related fatalities in )] TJ ET BT 26.250 692.249 Td /F1 9.8 Tf [(the last quarter of the 20th century )] TJ ET 0.267 0.267 0.267 rg BT 202.852 694.204 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 208.884 697.293 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 211.640 694.204 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 217.672 697.293 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 220.428 694.204 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 226.460 692.249 Td /F1 9.8 Tf [( . The Center for Research on the Epidemiology of Disasters \(CRED\) )] TJ ET BT 26.250 676.805 Td /F1 9.8 Tf [(defines a flood as a significant rise of water level in a stream, lake, reservoir or coastal region  )] TJ ET 0.267 0.267 0.267 rg BT 498.784 678.760 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 504.816 676.805 Td /F1 9.8 Tf [(. More )] TJ ET BT 26.250 661.361 Td /F1 9.8 Tf [(colloquially, flooding is the presence of water in areas that are usually dry  )] TJ ET 0.267 0.267 0.267 rg BT 402.151 663.316 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 408.184 661.361 Td /F1 9.8 Tf [(. The events and factors that )] TJ ET BT 26.250 645.917 Td /F1 9.8 Tf [(precipitate flood events are diverse, multifaceted, and interrelated. Weather factors include heavy or sustained )] TJ ET BT 26.250 630.473 Td /F1 9.8 Tf [(precipitation, snowmelts, or storm surges from cyclones whereas important human factors include structural )] TJ ET BT 26.250 615.029 Td /F1 9.8 Tf [(failures of dams and levies, alteration of absorptive land cover with impervious surfaces and inadequate )] TJ ET BT 26.250 599.585 Td /F1 9.8 Tf [(drainage systems. Geographic regions such as coastal areas, river basins and lakeshores are particularly at risk )] TJ ET BT 26.250 584.141 Td /F1 9.8 Tf [(from storms or cyclones that generate high winds and storm surge )] TJ ET 0.267 0.267 0.267 rg BT 356.668 586.096 Td /F4 8.7 Tf [(5)] TJ ET 0.271 0.267 0.267 rg BT 362.700 584.141 Td /F1 9.8 Tf [(. Environmental/physical land features )] TJ ET BT 26.250 568.697 Td /F1 9.8 Tf [(including soil type, the presence of vegetation, and other drainage basin characteristics also influence flood )] TJ ET BT 26.250 553.253 Td /F1 9.8 Tf [(outcomes )] TJ ET 0.267 0.267 0.267 rg BT 77.223 555.208 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 83.255 553.253 Td /F1 9.8 Tf [(. Floods transpire on varying timelines, ranging from flash floods with little warning to those that )] TJ ET BT 26.250 537.809 Td /F1 9.8 Tf [(evolve over days or weeks \(riverine\). Flash floods, characterized by high-velocity flows and short warning times )] TJ ET BT 26.250 522.365 Td /F1 9.8 Tf [(have the highest average mortality rates per event and are responsible for the majority of flood deaths in )] TJ ET BT 26.250 506.921 Td /F1 9.8 Tf [(developed countries )] TJ ET 0.267 0.267 0.267 rg BT 128.771 508.876 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 134.803 511.965 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 137.559 508.876 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 143.591 511.965 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 146.347 508.876 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 152.379 506.921 Td /F1 9.8 Tf [(. In contrast, riverine floods which are caused by gradual accumulation of heavy )] TJ ET BT 26.250 491.477 Td /F1 9.8 Tf [(rainfall are less likely to cause mortality because of sufficient time for warning and evacuation. Occasionally )] TJ ET BT 26.250 476.033 Td /F1 9.8 Tf [(floods are associated with secondary hazards such as mudslides in mountainous areas.)] TJ ET BT 26.250 453.089 Td /F1 9.8 Tf [(Recent accelerations in population growth and changes in land use patterns have increased human vulnerability )] TJ ET BT 26.250 437.645 Td /F1 9.8 Tf [(to floods. Harmful impacts of floods include direct mortality and morbidity and indirect displacement and )] TJ ET BT 26.250 422.201 Td /F1 9.8 Tf [(widespread damage of crops, infrastructure and property. Immediate causes of death in floods include drowning )] TJ ET BT 26.250 406.757 Td /F1 9.8 Tf [(and trauma or injury )] TJ ET 0.267 0.267 0.267 rg BT 130.000 408.712 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 136.032 411.801 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 138.788 408.712 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 144.820 406.757 Td /F1 9.8 Tf [(. Over an extended time period, there may also be increased mortality due to infectious )] TJ ET BT 26.250 391.313 Td /F1 9.8 Tf [(disease )] TJ ET 0.267 0.267 0.267 rg BT 66.381 393.268 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 72.413 396.357 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 75.169 393.268 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 81.201 396.357 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 83.957 393.268 Td /F4 8.7 Tf [(10)] TJ ET 0.271 0.267 0.267 rg BT 96.021 396.357 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 98.777 393.268 Td /F4 8.7 Tf [(11)] TJ ET 0.271 0.267 0.267 rg BT 110.841 391.313 Td /F1 9.8 Tf [( . The risks posed by future flood events are significant given population growth, proximities of )] TJ ET BT 26.250 375.869 Td /F1 9.8 Tf [(populations to coastlines, expanded development of coastal areas and flood plains, environmental degradation )] TJ ET BT 26.250 360.425 Td /F1 9.8 Tf [(and climate change )] TJ ET 0.267 0.267 0.267 rg BT 125.866 362.380 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 137.930 360.425 Td /F1 9.8 Tf [(. The objectives of this review were to describe the impact of floods on the human )] TJ ET BT 26.250 344.981 Td /F1 9.8 Tf [(population, in terms of mortality, injury, and displacement and to identify risk factors associated with these )] TJ ET BT 26.250 329.537 Td /F1 9.8 Tf [(outcomes. This is one of five reviews on the human impact of natural disasters, the others being volcanoes, )] TJ ET BT 26.250 314.093 Td /F1 9.8 Tf [(cyclones, tsunamis, and earthquakes.)] TJ ET BT 26.250 273.298 Td /F4 12.0 Tf [(Methods)] TJ ET BT 26.250 249.641 Td /F1 9.8 Tf [(Data on the impact of flood events were compiled using two methods, a historical review of flood events and a )] TJ ET BT 26.250 234.197 Td /F1 9.8 Tf [(systematic literature review for publications relating to the human impacts of flooding with a focus on mortality, )] TJ ET BT 26.250 218.753 Td /F1 9.8 Tf [(injury, and displacement.)] TJ ET BT 26.250 195.809 Td /F4 9.8 Tf [(Historical Event Review)] TJ ET BT 26.250 172.865 Td /F1 9.8 Tf [(A historical database of significant floods occurring from 1980 to 2009 was created from publicly available data. )] TJ ET BT 26.250 157.421 Td /F1 9.8 Tf [(Multiple data sources were sought to ensure a complete listing of events, to allow for both human and )] TJ ET BT 26.250 141.977 Td /F1 9.8 Tf [(geophysical factors to be included, and to facilitate cross checking of information between sources. The two )] TJ ET BT 26.250 126.533 Td /F1 9.8 Tf [(primary data sources were CRED International Disaster Database \(EM-DAT\) )] TJ ET 0.267 0.267 0.267 rg BT 398.135 128.488 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 404.167 126.533 Td /F1 9.8 Tf [( and the Dartmouth Flood )] TJ ET BT 26.250 111.089 Td /F1 9.8 Tf [(Observatory \(DFO\) Global Archive of Large Flood Events database )] TJ ET 0.267 0.267 0.267 rg BT 352.290 113.044 Td /F4 8.7 Tf [(13)] TJ ET 0.271 0.267 0.267 rg BT 364.354 111.089 Td /F1 9.8 Tf [(. For inclusion in the EM-DAT database, one )] TJ ET BT 26.250 95.645 Td /F1 9.8 Tf [(or more of the following criteria must be fulfilled: 10 or more people killed or injured; 100 people affected; )] TJ ET BT 26.250 80.201 Td /F1 9.8 Tf [(declaration of a state of emergency; or a call for international assistance. The DFO database provides a )] TJ ET BT 26.250 64.757 Td /F1 9.8 Tf [(comprehensive list of flood events recorded by news, governmental, instrumental, and remote sensing sources )] TJ ET BT 26.250 49.313 Td /F1 9.8 Tf [(from 1985 to 2009. 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26.250 764.645 Td /F1 9.8 Tf [(the last similar event, or fatalities. Flooding specifically related to hurricane storm surge and tsunamis were )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(excluded.)] TJ ET BT 26.250 726.257 Td /F1 9.8 Tf [(Event lists from both databases were downloaded in July 2007 and merged to create a single database; the )] TJ ET BT 26.250 710.813 Td /F1 9.8 Tf [(database was updated in August 2009. The EM-DAT and DFO databases included 2,678 and 2,910 events, )] TJ ET BT 26.250 695.369 Td /F1 9.8 Tf [(reported, respectively, between 1980 and 2009. Both EM-DAT and DFO reported the date and location of the )] TJ ET BT 26.250 679.925 Td /F1 9.8 Tf [(event, the affected region and the number dead. In addition, the number affected, homeless, and total affected )] TJ ET BT 26.250 664.481 Td /F1 9.8 Tf [(\(sum of injured, homeless, and affected\) were reported by EM-DAT. DFO also reported the number displaced, )] TJ ET BT 26.250 649.037 Td /F1 9.8 Tf [(duration of the event \(days\), and flood magnitude.  Flood magnitude is a composite score of flood severity )] TJ ET BT 26.250 633.593 Td /F1 9.8 Tf [(developed by DFO that encompasses damage level, recurrence interval, duration of the flood in days and the )] TJ ET BT 26.250 618.149 Td /F1 9.8 Tf [(area affected )] TJ ET 0.267 0.267 0.267 rg BT 94.617 620.104 Td /F4 8.7 Tf [(13)] TJ ET 0.271 0.267 0.267 rg BT 106.681 618.149 Td /F1 9.8 Tf [(. For flood impacts reported by EM-DAT, zeroes were treated as missing values because they )] TJ ET BT 26.250 602.705 Td /F1 9.8 Tf [(were used as placeholders and their inclusion in the analysis could contribute to the under estimation of )] TJ ET BT 26.250 587.261 Td /F1 9.8 Tf [(tsunami impacts. The final list included 2,678 events reported by EM-DAT and 2,910 reported by DFO; 1,496 )] TJ ET BT 26.250 571.817 Td /F1 9.8 Tf [(events were reported by both sources yielding a total of 4,093 flood events affecting human populations. See )] TJ ET BT 26.250 556.373 Td /F1 9.8 Tf [(http://www.jhsph.edu/refugee/natural_disasters/_Historical_Event_Review_Overview.html for the database of )] TJ ET BT 26.250 540.929 Td /F1 9.8 Tf [(flood events.)] TJ ET BT 26.250 517.985 Td /F1 9.8 Tf [(To assess risk factors for flood-related mortality the following categories were used: no deaths \(0 deaths\), low )] TJ ET BT 26.250 502.541 Td /F1 9.8 Tf [(\(1-9 deaths\), medium \(10- 49 deaths\) and high \("e50 deaths\). Bivariate tests for associations between flood )] TJ ET BT 26.250 487.097 Td /F1 9.8 Tf [(mortality and the following characteristics were performed using )] TJ ET BT 352.231 492.141 Td /F1 8.7 Tf [(2)] TJ ET BT 357.743 487.097 Td /F1 9.8 Tf [( \(categorical measures\) and ANOVA )] TJ ET BT 26.250 471.653 Td /F1 9.8 Tf [(\(continuous measures\): decade, region \(defined by the World Health Organization \(WHO\)\), income level \(World )] TJ ET BT 26.250 456.209 Td /F1 9.8 Tf [(Bank\), gross domestic product \(GDP\), GINI \(measure of income inequality\), and flood magnitude. All covariates, )] TJ ET BT 26.250 440.765 Td /F1 9.8 Tf [(with the exception of GINI, which was not strongly associated with flood mortality in adjusted analyses, and )] TJ ET BT 26.250 425.321 Td /F1 9.8 Tf [(GDP, which was highly correlated with per capita World Bank income level, were included in the final )] TJ ET BT 26.250 409.877 Td /F1 9.8 Tf [(multinomial logistic regression model to assess the relative risk of mortality at a given level as compared to )] TJ ET BT 26.250 394.433 Td /F1 9.8 Tf [(events with no deaths. All analyses were performed using Stata Statistical Software, Version 11.0 )] TJ ET 0.267 0.267 0.267 rg BT 506.915 396.388 Td /F4 8.7 Tf [(14)] TJ ET 0.271 0.267 0.267 rg BT 518.979 394.433 Td /F1 9.8 Tf [(.)] TJ ET BT 26.250 371.489 Td /F4 9.8 Tf [(Systematic Literature Review)] TJ ET BT 26.250 348.545 Td /F1 9.8 Tf [(Key word searches in MEDLINE \(Ovid Technologies, humans\), EMBASE \(Elsevier, B.V., humans\), SCOPUS )] TJ ET BT 26.250 333.101 Td /F1 9.8 Tf [(\(Elsevier B.V., humans\), and Web of Knowledge, Web of Science \(Thomson Reuters\) were performed to identify )] TJ ET BT 26.250 317.657 Td /F1 9.8 Tf [(articles published in July 2007 or earlier that described natural hazards and their impact on human populations. )] TJ ET BT 26.250 302.213 Td /F1 9.8 Tf [(One search was done for all the five natural hazards described in this set of papers. This paper describes the )] TJ ET BT 26.250 286.769 Td /F1 9.8 Tf [(results for cyclones. The systematic review is reported according to the PRISMA guidelines. Key words used to )] TJ ET BT 26.250 271.325 Td /F1 9.8 Tf [(search for natural hazards includednatural hazard\(s\), natural disaster\(s\), volcano\(s\), volcanic, volcanic eruption, )] TJ ET BT 26.250 255.881 Td /F1 9.8 Tf [(seismic event, earthquake\(s\), cyclone\(s\), typhoon\(s\), hurricane\(s\), tropical storm\(s\), flood\(s\), flooding, )] TJ ET BT 26.250 240.437 Td /F1 9.8 Tf [(mudslide\(s\), tsunami\(s\), and tidal wave\(s\). Key words included for impact on human populations were affected, )] TJ ET BT 26.250 224.993 Td /F1 9.8 Tf [(damage\(d\), injury, injuries, injured, displaced, displacement, refugees, homeless, wounded, wound\(s\), death\(s\), )] TJ ET BT 26.250 209.549 Td /F1 9.8 Tf [(mortality, casualty, casualties, killed, died, fatality, fatalities and had to be used in either the title, abstract or as )] TJ ET BT 26.250 194.105 Td /F1 9.8 Tf [(a subject heading/key word. The search resulted in 2,747 articles from MEDLINE, 3,763 articles from EMBASE, )] TJ ET BT 26.250 178.661 Td /F1 9.8 Tf [(5,219 articles from SCOPUS, and 2,285 articles from ISI Web of Knowledge. Results from the four databases )] TJ ET BT 26.250 163.217 Td /F1 9.8 Tf [(were combined and duplicates were excluded to yield a total of 9,958 articles.)] TJ ET BT 26.250 140.273 Td /F1 9.8 Tf [(A multi-stage screening process was used. First, title screening was performed to identify articles that were )] TJ ET BT 26.250 124.829 Td /F1 9.8 Tf [(unrelated to natural disasters or human populations. Each title was screened by two independent reviewers and )] TJ ET BT 26.250 109.385 Td /F1 9.8 Tf [(was retained if either or both reviewers established that inclusion criteria were met. To ensure consistent )] TJ ET BT 26.250 93.941 Td /F1 9.8 Tf [(interpretation of inclusion criteria, percent agreement was assessed across reviewers for a small sample of )] TJ ET BT 26.250 78.497 Td /F1 9.8 Tf [(articles, and title screening began after 80% agreement on inclusion was achieved. A total of 4,873 articles )] TJ ET BT 26.250 63.053 Td /F1 9.8 Tf [(were retained for abstract review. Articles that met one or more of the following criteria were excluded in the )] TJ ET BT 26.250 47.609 Td /F1 9.8 Tf [(abstract screening: language other than English; editorial or opinion letter without research-based findings; )] TJ ET Q q 15.000 29.076 577.500 747.924 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(the last similar event, or fatalities. Flooding specifically related to hurricane storm surge and tsunamis were )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(excluded.)] TJ ET BT 26.250 726.257 Td /F1 9.8 Tf [(Event lists from both databases were downloaded in July 2007 and merged to create a single database; the )] TJ ET BT 26.250 710.813 Td /F1 9.8 Tf [(database was updated in August 2009. The EM-DAT and DFO databases included 2,678 and 2,910 events, )] TJ ET BT 26.250 695.369 Td /F1 9.8 Tf [(reported, respectively, between 1980 and 2009. Both EM-DAT and DFO reported the date and location of the )] TJ ET BT 26.250 679.925 Td /F1 9.8 Tf [(event, the affected region and the number dead. In addition, the number affected, homeless, and total affected )] TJ ET BT 26.250 664.481 Td /F1 9.8 Tf [(\(sum of injured, homeless, and affected\) were reported by EM-DAT. DFO also reported the number displaced, )] TJ ET BT 26.250 649.037 Td /F1 9.8 Tf [(duration of the event \(days\), and flood magnitude.  Flood magnitude is a composite score of flood severity )] TJ ET BT 26.250 633.593 Td /F1 9.8 Tf [(developed by DFO that encompasses damage level, recurrence interval, duration of the flood in days and the )] TJ ET BT 26.250 618.149 Td /F1 9.8 Tf [(area affected )] TJ ET 0.267 0.267 0.267 rg BT 94.617 620.104 Td /F4 8.7 Tf [(13)] TJ ET 0.271 0.267 0.267 rg BT 106.681 618.149 Td /F1 9.8 Tf [(. For flood impacts reported by EM-DAT, zeroes were treated as missing values because they )] TJ ET BT 26.250 602.705 Td /F1 9.8 Tf [(were used as placeholders and their inclusion in the analysis could contribute to the under estimation of )] TJ ET BT 26.250 587.261 Td /F1 9.8 Tf [(tsunami impacts. The final list included 2,678 events reported by EM-DAT and 2,910 reported by DFO; 1,496 )] TJ ET BT 26.250 571.817 Td /F1 9.8 Tf [(events were reported by both sources yielding a total of 4,093 flood events affecting human populations. See )] TJ ET BT 26.250 556.373 Td /F1 9.8 Tf [(http://www.jhsph.edu/refugee/natural_disasters/_Historical_Event_Review_Overview.html for the database of )] TJ ET BT 26.250 540.929 Td /F1 9.8 Tf [(flood events.)] TJ ET BT 26.250 517.985 Td /F1 9.8 Tf [(To assess risk factors for flood-related mortality the following categories were used: no deaths \(0 deaths\), low )] TJ ET BT 26.250 502.541 Td /F1 9.8 Tf [(\(1-9 deaths\), medium \(10- 49 deaths\) and high \("e50 deaths\). Bivariate tests for associations between flood )] TJ ET BT 26.250 487.097 Td /F1 9.8 Tf [(mortality and the following characteristics were performed using )] TJ ET BT 352.231 492.141 Td /F1 8.7 Tf [(2)] TJ ET BT 357.743 487.097 Td /F1 9.8 Tf [( \(categorical measures\) and ANOVA )] TJ ET BT 26.250 471.653 Td /F1 9.8 Tf [(\(continuous measures\): decade, region \(defined by the World Health Organization \(WHO\)\), income level \(World )] TJ ET BT 26.250 456.209 Td /F1 9.8 Tf [(Bank\), gross domestic product \(GDP\), GINI \(measure of income inequality\), and flood magnitude. All covariates, )] TJ ET BT 26.250 440.765 Td /F1 9.8 Tf [(with the exception of GINI, which was not strongly associated with flood mortality in adjusted analyses, and )] TJ ET BT 26.250 425.321 Td /F1 9.8 Tf [(GDP, which was highly correlated with per capita World Bank income level, were included in the final )] TJ ET BT 26.250 409.877 Td /F1 9.8 Tf [(multinomial logistic regression model to assess the relative risk of mortality at a given level as compared to )] TJ ET BT 26.250 394.433 Td /F1 9.8 Tf [(events with no deaths. All analyses were performed using Stata Statistical Software, Version 11.0 )] TJ ET 0.267 0.267 0.267 rg BT 506.915 396.388 Td /F4 8.7 Tf [(14)] TJ ET 0.271 0.267 0.267 rg BT 518.979 394.433 Td /F1 9.8 Tf [(.)] TJ ET BT 26.250 371.489 Td /F4 9.8 Tf [(Systematic Literature Review)] TJ ET BT 26.250 348.545 Td /F1 9.8 Tf [(Key word searches in MEDLINE \(Ovid Technologies, humans\), EMBASE \(Elsevier, B.V., humans\), SCOPUS )] TJ ET BT 26.250 333.101 Td /F1 9.8 Tf [(\(Elsevier B.V., humans\), and Web of Knowledge, Web of Science \(Thomson Reuters\) were performed to identify )] TJ ET BT 26.250 317.657 Td /F1 9.8 Tf [(articles published in July 2007 or earlier that described natural hazards and their impact on human populations. )] TJ ET BT 26.250 302.213 Td /F1 9.8 Tf [(One search was done for all the five natural hazards described in this set of papers. This paper describes the )] TJ ET BT 26.250 286.769 Td /F1 9.8 Tf [(results for cyclones. The systematic review is reported according to the PRISMA guidelines. Key words used to )] TJ ET BT 26.250 271.325 Td /F1 9.8 Tf [(search for natural hazards includednatural hazard\(s\), natural disaster\(s\), volcano\(s\), volcanic, volcanic eruption, )] TJ ET BT 26.250 255.881 Td /F1 9.8 Tf [(seismic event, earthquake\(s\), cyclone\(s\), typhoon\(s\), hurricane\(s\), tropical storm\(s\), flood\(s\), flooding, )] TJ ET BT 26.250 240.437 Td /F1 9.8 Tf [(mudslide\(s\), tsunami\(s\), and tidal wave\(s\). Key words included for impact on human populations were affected, )] TJ ET BT 26.250 224.993 Td /F1 9.8 Tf [(damage\(d\), injury, injuries, injured, displaced, displacement, refugees, homeless, wounded, wound\(s\), death\(s\), )] TJ ET BT 26.250 209.549 Td /F1 9.8 Tf [(mortality, casualty, casualties, killed, died, fatality, fatalities and had to be used in either the title, abstract or as )] TJ ET BT 26.250 194.105 Td /F1 9.8 Tf [(a subject heading/key word. The search resulted in 2,747 articles from MEDLINE, 3,763 articles from EMBASE, )] TJ ET BT 26.250 178.661 Td /F1 9.8 Tf [(5,219 articles from SCOPUS, and 2,285 articles from ISI Web of Knowledge. Results from the four databases )] TJ ET BT 26.250 163.217 Td /F1 9.8 Tf [(were combined and duplicates were excluded to yield a total of 9,958 articles.)] TJ ET BT 26.250 140.273 Td /F1 9.8 Tf [(A multi-stage screening process was used. First, title screening was performed to identify articles that were )] TJ ET BT 26.250 124.829 Td /F1 9.8 Tf [(unrelated to natural disasters or human populations. Each title was screened by two independent reviewers and )] TJ ET BT 26.250 109.385 Td /F1 9.8 Tf [(was retained if either or both reviewers established that inclusion criteria were met. To ensure consistent )] TJ ET BT 26.250 93.941 Td /F1 9.8 Tf [(interpretation of inclusion criteria, percent agreement was assessed across reviewers for a small sample of )] TJ ET BT 26.250 78.497 Td /F1 9.8 Tf [(articles, and title screening began after 80% agreement on inclusion was achieved. A total of 4,873 articles )] TJ ET BT 26.250 63.053 Td /F1 9.8 Tf [(were retained for abstract review. Articles that met one or more of the following criteria were excluded in the )] TJ ET BT 26.250 47.609 Td /F1 9.8 Tf [(abstract screening: language other than English; editorial or opinion letter without research-based findings; )] TJ ET Q q 15.000 29.076 577.500 747.924 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(the last similar event, or fatalities. Flooding specifically related to hurricane storm surge and tsunamis were )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(excluded.)] TJ ET BT 26.250 726.257 Td /F1 9.8 Tf [(Event lists from both databases were downloaded in July 2007 and merged to create a single database; the )] TJ ET BT 26.250 710.813 Td /F1 9.8 Tf [(database was updated in August 2009. The EM-DAT and DFO databases included 2,678 and 2,910 events, )] TJ ET BT 26.250 695.369 Td /F1 9.8 Tf [(reported, respectively, between 1980 and 2009. Both EM-DAT and DFO reported the date and location of the )] TJ ET BT 26.250 679.925 Td /F1 9.8 Tf [(event, the affected region and the number dead. In addition, the number affected, homeless, and total affected )] TJ ET BT 26.250 664.481 Td /F1 9.8 Tf [(\(sum of injured, homeless, and affected\) were reported by EM-DAT. DFO also reported the number displaced, )] TJ ET BT 26.250 649.037 Td /F1 9.8 Tf [(duration of the event \(days\), and flood magnitude.  Flood magnitude is a composite score of flood severity )] TJ ET BT 26.250 633.593 Td /F1 9.8 Tf [(developed by DFO that encompasses damage level, recurrence interval, duration of the flood in days and the )] TJ ET BT 26.250 618.149 Td /F1 9.8 Tf [(area affected )] TJ ET 0.267 0.267 0.267 rg BT 94.617 620.104 Td /F4 8.7 Tf [(13)] TJ ET 0.271 0.267 0.267 rg BT 106.681 618.149 Td /F1 9.8 Tf [(. For flood impacts reported by EM-DAT, zeroes were treated as missing values because they )] TJ ET BT 26.250 602.705 Td /F1 9.8 Tf [(were used as placeholders and their inclusion in the analysis could contribute to the under estimation of )] TJ ET BT 26.250 587.261 Td /F1 9.8 Tf [(tsunami impacts. The final list included 2,678 events reported by EM-DAT and 2,910 reported by DFO; 1,496 )] TJ ET BT 26.250 571.817 Td /F1 9.8 Tf [(events were reported by both sources yielding a total of 4,093 flood events affecting human populations. See )] TJ ET BT 26.250 556.373 Td /F1 9.8 Tf [(http://www.jhsph.edu/refugee/natural_disasters/_Historical_Event_Review_Overview.html for the database of )] TJ ET BT 26.250 540.929 Td /F1 9.8 Tf [(flood events.)] TJ ET BT 26.250 517.985 Td /F1 9.8 Tf [(To assess risk factors for flood-related mortality the following categories were used: no deaths \(0 deaths\), low )] TJ ET BT 26.250 502.541 Td /F1 9.8 Tf [(\(1-9 deaths\), medium \(10- 49 deaths\) and high \("e50 deaths\). Bivariate tests for associations between flood )] TJ ET BT 26.250 487.097 Td /F1 9.8 Tf [(mortality and the following characteristics were performed using )] TJ ET BT 352.231 492.141 Td /F1 8.7 Tf [(2)] TJ ET BT 357.743 487.097 Td /F1 9.8 Tf [( \(categorical measures\) and ANOVA )] TJ ET BT 26.250 471.653 Td /F1 9.8 Tf [(\(continuous measures\): decade, region \(defined by the World Health Organization \(WHO\)\), income level \(World )] TJ ET BT 26.250 456.209 Td /F1 9.8 Tf [(Bank\), gross domestic product \(GDP\), GINI \(measure of income inequality\), and flood magnitude. All covariates, )] TJ ET BT 26.250 440.765 Td /F1 9.8 Tf [(with the exception of GINI, which was not strongly associated with flood mortality in adjusted analyses, and )] TJ ET BT 26.250 425.321 Td /F1 9.8 Tf [(GDP, which was highly correlated with per capita World Bank income level, were included in the final )] TJ ET BT 26.250 409.877 Td /F1 9.8 Tf [(multinomial logistic regression model to assess the relative risk of mortality at a given level as compared to )] TJ ET BT 26.250 394.433 Td /F1 9.8 Tf [(events with no deaths. All analyses were performed using Stata Statistical Software, Version 11.0 )] TJ ET 0.267 0.267 0.267 rg BT 506.915 396.388 Td /F4 8.7 Tf [(14)] TJ ET 0.271 0.267 0.267 rg BT 518.979 394.433 Td /F1 9.8 Tf [(.)] TJ ET BT 26.250 371.489 Td /F4 9.8 Tf [(Systematic Literature Review)] TJ ET BT 26.250 348.545 Td /F1 9.8 Tf [(Key word searches in MEDLINE \(Ovid Technologies, humans\), EMBASE \(Elsevier, B.V., humans\), SCOPUS )] TJ ET BT 26.250 333.101 Td /F1 9.8 Tf [(\(Elsevier B.V., humans\), and Web of Knowledge, Web of Science \(Thomson Reuters\) were performed to identify )] TJ ET BT 26.250 317.657 Td /F1 9.8 Tf [(articles published in July 2007 or earlier that described natural hazards and their impact on human populations. )] TJ ET BT 26.250 302.213 Td /F1 9.8 Tf [(One search was done for all the five natural hazards described in this set of papers. This paper describes the )] TJ ET BT 26.250 286.769 Td /F1 9.8 Tf [(results for cyclones. The systematic review is reported according to the PRISMA guidelines. Key words used to )] TJ ET BT 26.250 271.325 Td /F1 9.8 Tf [(search for natural hazards includednatural hazard\(s\), natural disaster\(s\), volcano\(s\), volcanic, volcanic eruption, )] TJ ET BT 26.250 255.881 Td /F1 9.8 Tf [(seismic event, earthquake\(s\), cyclone\(s\), typhoon\(s\), hurricane\(s\), tropical storm\(s\), flood\(s\), flooding, )] TJ ET BT 26.250 240.437 Td /F1 9.8 Tf [(mudslide\(s\), tsunami\(s\), and tidal wave\(s\). Key words included for impact on human populations were affected, )] TJ ET BT 26.250 224.993 Td /F1 9.8 Tf [(damage\(d\), injury, injuries, injured, displaced, displacement, refugees, homeless, wounded, wound\(s\), death\(s\), )] TJ ET BT 26.250 209.549 Td /F1 9.8 Tf [(mortality, casualty, casualties, killed, died, fatality, fatalities and had to be used in either the title, abstract or as )] TJ ET BT 26.250 194.105 Td /F1 9.8 Tf [(a subject heading/key word. The search resulted in 2,747 articles from MEDLINE, 3,763 articles from EMBASE, )] TJ ET BT 26.250 178.661 Td /F1 9.8 Tf [(5,219 articles from SCOPUS, and 2,285 articles from ISI Web of Knowledge. Results from the four databases )] TJ ET BT 26.250 163.217 Td /F1 9.8 Tf [(were combined and duplicates were excluded to yield a total of 9,958 articles.)] TJ ET BT 26.250 140.273 Td /F1 9.8 Tf [(A multi-stage screening process was used. First, title screening was performed to identify articles that were )] TJ ET BT 26.250 124.829 Td /F1 9.8 Tf [(unrelated to natural disasters or human populations. Each title was screened by two independent reviewers and )] TJ ET BT 26.250 109.385 Td /F1 9.8 Tf [(was retained if either or both reviewers established that inclusion criteria were met. To ensure consistent )] TJ ET BT 26.250 93.941 Td /F1 9.8 Tf [(interpretation of inclusion criteria, percent agreement was assessed across reviewers for a small sample of )] TJ ET BT 26.250 78.497 Td /F1 9.8 Tf [(articles, and title screening began after 80% agreement on inclusion was achieved. A total of 4,873 articles )] TJ ET BT 26.250 63.053 Td /F1 9.8 Tf [(were retained for abstract review. Articles that met one or more of the following criteria were excluded in the )] TJ ET BT 26.250 47.609 Td /F1 9.8 Tf [(abstract screening: language other than English; editorial or opinion letter without research-based findings; )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(3)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 204 0 obj << /Type /Annot /Subtype /Link /A 205 0 R /Border [0 0 0] /H /I /Rect [ 94.6170 619.0640 106.6810 630.5040 ] >> endobj 205 0 obj << /Type /Action >> endobj 206 0 obj << /Type /Annot /Subtype /Link /A 207 0 R /Border [0 0 0] /H /I /Rect [ 506.9153 395.3480 518.9793 406.7880 ] >> endobj 207 0 obj << /Type /Action >> endobj 208 0 obj << /Type /Annot /Subtype /Link /A 209 0 R /Border [0 0 0] /H /I /Rect [ 94.6170 619.0640 106.6810 630.5040 ] >> endobj 209 0 obj << /Type /Action >> endobj 210 0 obj << /Type /Annot /Subtype /Link /A 211 0 R /Border [0 0 0] /H /I /Rect [ 506.9153 395.3480 518.9793 406.7880 ] >> endobj 211 0 obj << /Type /Action >> endobj 212 0 obj << /Type /Annot /Subtype /Link /A 213 0 R /Border [0 0 0] /H /I /Rect [ 94.6170 619.0640 106.6810 630.5040 ] >> endobj 213 0 obj << /Type /Action >> endobj 214 0 obj << /Type /Annot /Subtype /Link /A 215 0 R /Border [0 0 0] /H /I /Rect [ 506.9153 395.3480 518.9793 406.7880 ] >> endobj 215 0 obj << /Type /Action >> endobj 216 0 obj << /Type /Page /Parent 3 0 R /Contents 217 0 R >> endobj 217 0 obj << /Length 8113 >> stream 0.271 0.267 0.267 rg q 15.000 615.060 577.500 161.940 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(related to environmental vulnerability or hazard impact but not human populations; individual case )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(report/study; focus on impact/perceptions of responders; and not related to human or environmental )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(vulnerabilities or impacts of hazards. As with the title screening, 80% overall agreement between reviewers was )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(needed before abstract screening started. Each abstract was screened by two independent reviewers and was )] TJ ET BT 26.250 702.869 Td /F1 9.8 Tf [(retained if either or both established that inclusion criteria were met. Included abstracts were coded for event )] TJ ET BT 26.250 687.425 Td /F1 9.8 Tf [(type, timeframe, region, subject of focus, and vulnerable population focus. A total of 3,687 articles were )] TJ ET BT 26.250 671.981 Td /F1 9.8 Tf [(retained for full article review. Articles discussing the impacts of natural disasters on human populations in )] TJ ET BT 26.250 656.537 Td /F1 9.8 Tf [(terms of mortality, injury, and displacement were prioritized for review. A total of 119 articles on flood events )] TJ ET BT 26.250 641.093 Td /F1 9.8 Tf [(meeting the criteria were retained for full review. Upon full review, 27 articles were retained including 17 that )] TJ ET BT 26.250 625.649 Td /F1 9.8 Tf [(underwent standard data abstraction and 11 that were identified as review articles \(Figure 1\).)] TJ ET Q q 15.000 615.060 577.500 161.940 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(related to environmental vulnerability or hazard impact but not human populations; individual case )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(report/study; focus on impact/perceptions of responders; and not related to human or environmental )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(vulnerabilities or impacts of hazards. As with the title screening, 80% overall agreement between reviewers was )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(needed before abstract screening started. Each abstract was screened by two independent reviewers and was )] TJ ET BT 26.250 702.869 Td /F1 9.8 Tf [(retained if either or both established that inclusion criteria were met. Included abstracts were coded for event )] TJ ET BT 26.250 687.425 Td /F1 9.8 Tf [(type, timeframe, region, subject of focus, and vulnerable population focus. A total of 3,687 articles were )] TJ ET BT 26.250 671.981 Td /F1 9.8 Tf [(retained for full article review. Articles discussing the impacts of natural disasters on human populations in )] TJ ET BT 26.250 656.537 Td /F1 9.8 Tf [(terms of mortality, injury, and displacement were prioritized for review. A total of 119 articles on flood events )] TJ ET BT 26.250 641.093 Td /F1 9.8 Tf [(meeting the criteria were retained for full review. Upon full review, 27 articles were retained including 17 that )] TJ ET BT 26.250 625.649 Td /F1 9.8 Tf [(underwent standard data abstraction and 11 that were identified as review articles \(Figure 1\).)] TJ ET Q q 15.000 615.060 577.500 161.940 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(related to environmental vulnerability or hazard impact but not human populations; individual case )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(report/study; focus on impact/perceptions of responders; and not related to human or environmental )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(vulnerabilities or impacts of hazards. As with the title screening, 80% overall agreement between reviewers was )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(needed before abstract screening started. Each abstract was screened by two independent reviewers and was )] TJ ET BT 26.250 702.869 Td /F1 9.8 Tf [(retained if either or both established that inclusion criteria were met. Included abstracts were coded for event )] TJ ET BT 26.250 687.425 Td /F1 9.8 Tf [(type, timeframe, region, subject of focus, and vulnerable population focus. A total of 3,687 articles were )] TJ ET BT 26.250 671.981 Td /F1 9.8 Tf [(retained for full article review. Articles discussing the impacts of natural disasters on human populations in )] TJ ET BT 26.250 656.537 Td /F1 9.8 Tf [(terms of mortality, injury, and displacement were prioritized for review. A total of 119 articles on flood events )] TJ ET BT 26.250 641.093 Td /F1 9.8 Tf [(meeting the criteria were retained for full review. Upon full review, 27 articles were retained including 17 that )] TJ ET BT 26.250 625.649 Td /F1 9.8 Tf [(underwent standard data abstraction and 11 that were identified as review articles \(Figure 1\).)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(4)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 218 0 obj << /Type /Page /Parent 3 0 R /Annots [ 220 0 R 224 0 R 228 0 R ] /Contents 219 0 R >> endobj 219 0 obj << /Length 4872 >> stream 0.271 0.267 0.267 rg q 15.000 434.280 577.500 342.720 re W n 0.965 0.965 0.965 rg 26.250 511.056 555.000 265.944 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 777.000 m 581.250 777.000 l 581.250 776.250 l 26.250 776.250 l f 26.250 511.056 m 581.250 511.056 l 581.250 511.806 l 26.250 511.806 l f q 215.250 0 0 225.000 35.250 542.250 cm /I4 Do Q q 35.250 514.806 537.000 21.444 re W n 0.271 0.267 0.267 rg BT 35.250 523.895 Td /F4 9.8 Tf [(Fig. 1: Overview of the systematic literature review process for floods)] TJ ET Q BT 26.250 491.201 Td /F1 9.8 Tf [(Following the systematic review, a search was conducted to identify relevant articles published after the initial )] TJ ET BT 26.250 475.757 Td /F1 9.8 Tf [(search up to October 2012. This search identified seven additional articles, including three articles with primary )] TJ ET BT 26.250 460.313 Td /F1 9.8 Tf [(data that underwent full review and four review articles. Summaries of abstracted \(n=21\) and review articles )] TJ ET BT 26.250 444.869 Td /F1 9.8 Tf [(\(n=15\) are presented in Tables 1 and 2, respectively.)] TJ ET Q q 15.000 434.280 577.500 342.720 re W n 0.965 0.965 0.965 rg 26.250 511.056 555.000 265.944 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 777.000 m 581.250 777.000 l 581.250 776.250 l 26.250 776.250 l f 26.250 511.056 m 581.250 511.056 l 581.250 511.806 l 26.250 511.806 l f q 215.250 0 0 225.000 35.250 542.250 cm /I6 Do Q q 35.250 514.806 537.000 21.444 re W n 0.271 0.267 0.267 rg BT 35.250 523.895 Td /F4 9.8 Tf [(Fig. 1: Overview of the systematic literature review process for floods)] TJ ET Q BT 26.250 491.201 Td /F1 9.8 Tf [(Following the systematic review, a search was conducted to identify relevant articles published after the initial )] TJ ET BT 26.250 475.757 Td /F1 9.8 Tf [(search up to October 2012. This search identified seven additional articles, including three articles with primary )] TJ ET BT 26.250 460.313 Td /F1 9.8 Tf [(data that underwent full review and four review articles. Summaries of abstracted \(n=21\) and review articles )] TJ ET BT 26.250 444.869 Td /F1 9.8 Tf [(\(n=15\) are presented in Tables 1 and 2, respectively.)] TJ ET Q q 15.000 434.280 577.500 342.720 re W n 0.965 0.965 0.965 rg 26.250 511.056 555.000 265.944 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 777.000 m 581.250 777.000 l 581.250 776.250 l 26.250 776.250 l f 26.250 511.056 m 581.250 511.056 l 581.250 511.806 l 26.250 511.806 l f q 215.250 0 0 225.000 35.250 542.250 cm /I8 Do Q q 35.250 514.806 537.000 21.444 re W n 0.271 0.267 0.267 rg BT 35.250 523.895 Td /F4 9.8 Tf [(Fig. 1: Overview of the systematic literature review process for floods)] TJ ET Q BT 26.250 491.201 Td /F1 9.8 Tf [(Following the systematic review, a search was conducted to identify relevant articles published after the initial )] TJ ET BT 26.250 475.757 Td /F1 9.8 Tf [(search up to October 2012. This search identified seven additional articles, including three articles with primary )] TJ ET BT 26.250 460.313 Td /F1 9.8 Tf [(data that underwent full review and four review articles. 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stream 0.271 0.267 0.267 rg q 15.000 129.807 577.500 647.193 re W n q 26.250 741.360 555.000 35.640 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 1: Articles included in the flood systematic literature review relating to mortality and injury* \(abstracted, )] TJ ET BT 26.250 744.924 Td /F1 9.8 Tf [(N=21\)**)] TJ ET Q 0.965 0.965 0.965 rg 26.250 683.970 555.000 49.890 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 733.860 m 581.250 733.860 l 580.500 733.110 l 27.000 733.110 l f 581.250 733.860 m 581.250 683.970 l 580.500 683.970 l 580.500 733.110 l f 26.250 733.860 m 26.250 683.970 l 27.000 683.970 l 27.000 733.110 l f 0.271 0.267 0.267 rg BT 33.000 717.606 Td /F1 9.0 Tf [(* Displacement is excluded from the table because no primary data on displacement was collected in only one study, )] TJ ET BT 33.000 705.726 Td /F1 9.0 Tf [(Schnitzler, 2007. ** Additional articles included from the hand searches are Schniztler 2007, Jonkman 2009, Biswas )] TJ ET BT 33.000 693.846 Td /F1 9.0 Tf [(2010 and Bich 2011.)] TJ ET 1.000 1.000 1.000 rg 26.250 129.807 555.000 554.163 re f 0.965 0.965 0.965 rg 27.000 651.957 71.102 31.263 re f 0.267 0.267 0.267 rg 26.625 682.845 71.477 0.750 re f 26.625 651.582 0.750 32.013 re f 0.271 0.267 0.267 rg BT 31.500 670.865 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 98.102 651.957 106.664 31.263 re f 0.267 0.267 0.267 rg 98.102 682.845 106.664 0.750 re f 0.271 0.267 0.267 rg BT 102.602 670.865 Td /F4 9.8 Tf [(Event)] TJ ET 0.965 0.965 0.965 rg 204.765 651.957 116.148 31.263 re f 0.267 0.267 0.267 rg 204.765 682.845 116.148 0.750 re f 0.271 0.267 0.267 rg BT 209.265 670.865 Td /F4 9.8 Tf [(Summary)] TJ ET 0.965 0.965 0.965 rg 320.913 651.957 108.226 31.263 re f 0.267 0.267 0.267 rg 320.913 682.845 108.226 0.750 re f 0.271 0.267 0.267 rg BT 325.413 670.865 Td /F4 9.8 Tf [(Mortality \(n=15\))] TJ ET 0.965 0.965 0.965 rg 429.139 651.957 151.361 31.263 re f 0.267 0.267 0.267 rg 429.139 682.845 151.736 0.750 re f 580.125 651.582 0.750 32.013 re f 0.271 0.267 0.267 rg BT 433.639 670.865 Td /F4 9.8 Tf [(Injury and Morbidity )] TJ ET BT 433.639 655.421 Td /F4 9.8 Tf [(\(n=11\))] TJ ET 0.267 0.267 0.267 rg 26.625 651.582 71.852 0.750 re f 26.625 593.832 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 639.912 Td /F1 9.8 Tf [(Janerich, )] TJ ET BT 31.875 626.950 Td /F1 9.8 Tf [(1981)] TJ ET 0.267 0.267 0.267 rg BT 56.679 627.532 Td /F4 8.7 Tf [(53)] TJ ET 97.727 651.582 107.414 0.750 re f 97.727 593.832 0.750 58.500 re f 0.271 0.267 0.267 rg BT 102.977 639.912 Td /F1 9.8 Tf [(Hurricane Agnes, )] TJ ET BT 102.977 630.012 Td /F1 9.8 Tf [(1972, New York, US)] TJ ET 0.267 0.267 0.267 rg 204.390 651.582 116.898 0.750 re f 204.390 593.832 0.750 58.500 re f 0.271 0.267 0.267 rg BT 209.640 639.912 Td /F1 9.8 Tf [(Epidemiologic )] TJ ET BT 209.640 630.012 Td /F1 9.8 Tf [(investigation of )] TJ ET BT 209.640 620.112 Td /F1 9.8 Tf [(cancer cases in rural )] TJ ET BT 209.640 610.212 Td /F1 9.8 Tf [(town)] TJ ET 0.267 0.267 0.267 rg 320.538 651.582 108.976 0.750 re f 320.538 593.832 0.750 58.500 re f 0.271 0.267 0.267 rg BT 325.788 639.912 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 651.582 152.111 0.750 re f 428.764 593.832 0.750 58.500 re f 580.125 593.832 0.750 58.500 re f 0.271 0.267 0.267 rg BT 434.014 639.912 Td /F1 9.8 Tf [(4 leukemia and lymphoma )] TJ ET BT 434.014 630.012 Td /F1 9.8 Tf [(cases investigated; no )] TJ ET BT 434.014 620.112 Td /F1 9.8 Tf [(increased risk due to )] TJ ET BT 434.014 610.212 Td /F1 9.8 Tf [(flood/environmental )] TJ ET BT 434.014 600.312 Td /F1 9.8 Tf [(hazards identified)] TJ ET 0.267 0.267 0.267 rg 26.625 593.832 71.852 0.750 re f 26.625 516.282 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 582.162 Td /F1 9.8 Tf [(Duclos,1991)] TJ ET 0.267 0.267 0.267 rg BT 31.875 569.782 Td /F4 8.7 Tf [(16)] TJ ET 97.727 593.832 107.414 0.750 re f 97.727 516.282 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 582.162 Td /F1 9.8 Tf [(October )] TJ ET BT 102.977 572.262 Td /F1 9.8 Tf [(1988,Nimes, )] TJ ET BT 102.977 562.362 Td /F1 9.8 Tf [(France)] TJ ET 0.267 0.267 0.267 rg 204.390 593.832 116.898 0.750 re f 204.390 516.282 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 582.162 Td /F1 9.8 Tf [(Surveillance and )] TJ ET BT 209.640 572.262 Td /F1 9.8 Tf [(household survey )] TJ ET BT 209.640 562.362 Td /F1 9.8 Tf [(\(n=108\) to assess )] TJ ET BT 209.640 552.462 Td /F1 9.8 Tf [(flood health effects)] TJ ET 0.267 0.267 0.267 rg 320.538 593.832 108.976 0.750 re f 320.538 516.282 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 582.162 Td /F1 9.8 Tf [(9 drowning deaths )] TJ ET BT 325.788 572.262 Td /F1 9.8 Tf [(reported including )] TJ ET BT 325.788 562.362 Td /F1 9.8 Tf [(two individuals )] TJ ET BT 325.788 552.462 Td /F1 9.8 Tf [(attempting )] TJ ET BT 325.788 542.562 Td /F1 9.8 Tf [(rescues; no risk )] TJ ET BT 325.788 532.662 Td /F1 9.8 Tf [(factors reported)] TJ ET 0.267 0.267 0.267 rg 428.764 593.832 152.111 0.750 re f 428.764 516.282 0.750 78.300 re f 580.125 516.282 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 582.162 Td /F1 9.8 Tf [(Injuries from surveillance )] TJ ET BT 434.014 572.262 Td /F1 9.8 Tf [(\(n=18\) included: 3 severe, )] TJ ET BT 434.014 562.362 Td /F1 9.8 Tf [(3 near drowning, 2 )] TJ ET BT 434.014 552.462 Td /F1 9.8 Tf [(hypothermia, and 10 minor )] TJ ET BT 434.014 542.562 Td /F1 9.8 Tf [(injuries; 6% of 228 survey )] TJ ET BT 434.014 532.662 Td /F1 9.8 Tf [(participants reported minor )] TJ ET BT 434.014 522.762 Td /F1 9.8 Tf [(injuries)] TJ ET 0.267 0.267 0.267 rg 26.625 516.282 71.852 0.750 re f 26.625 468.432 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 504.612 Td /F1 9.8 Tf [(Siddique, )] TJ ET BT 31.875 491.650 Td /F1 9.8 Tf [(1991)] TJ ET 0.267 0.267 0.267 rg BT 56.679 492.232 Td /F4 8.7 Tf [(17)] TJ ET 97.727 516.282 107.414 0.750 re f 97.727 468.432 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.977 504.612 Td /F1 9.8 Tf [(Mid-1988, )] TJ ET BT 102.977 494.712 Td /F1 9.8 Tf [(Bangladesh)] TJ ET 0.267 0.267 0.267 rg 204.390 516.282 116.898 0.750 re f 204.390 468.432 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.640 504.612 Td /F1 9.8 Tf [(Record review of )] TJ ET BT 209.640 494.712 Td /F1 9.8 Tf [(health facilities and )] TJ ET BT 209.640 484.812 Td /F1 9.8 Tf [(verbal autopsy)] TJ ET 0.267 0.267 0.267 rg 320.538 516.282 108.976 0.750 re f 320.538 468.432 0.750 48.600 re f 0.271 0.267 0.267 rg BT 325.788 504.612 Td /F1 9.8 Tf [(9 of 154 \(6%\) )] TJ ET BT 325.788 494.712 Td /F1 9.8 Tf [(deaths were )] TJ ET BT 325.788 484.812 Td /F1 9.8 Tf [(directly due to )] TJ ET BT 325.788 474.912 Td /F1 9.8 Tf [(flooding)] TJ ET 0.267 0.267 0.267 rg 428.764 516.282 152.111 0.750 re f 428.764 468.432 0.750 48.600 re f 580.125 468.432 0.750 48.600 re f 0.271 0.267 0.267 rg BT 434.014 504.612 Td /F1 9.8 Tf [(5% \(2,367/46,470\) of )] TJ ET BT 434.014 494.712 Td /F1 9.8 Tf [(patients had infected )] TJ ET BT 434.014 484.812 Td /F1 9.8 Tf [(injuries)] TJ ET 0.267 0.267 0.267 rg 26.625 468.432 71.852 0.750 re f 26.625 400.782 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 456.762 Td /F1 9.8 Tf [(CDC, 1993)] TJ ET 0.267 0.267 0.267 rg BT 31.875 444.382 Td /F4 8.7 Tf [(18)] TJ ET 97.727 468.432 107.414 0.750 re f 97.727 400.782 0.750 68.400 re f 0.271 0.267 0.267 rg BT 102.977 456.762 Td /F1 9.8 Tf [(Mid- 1993, )] TJ ET BT 102.977 446.862 Td /F1 9.8 Tf [(Missouri, US)] TJ ET 0.267 0.267 0.267 rg 204.390 468.432 116.898 0.750 re f 204.390 400.782 0.750 68.400 re f 0.271 0.267 0.267 rg BT 209.640 456.762 Td /F1 9.8 Tf [(Public health )] TJ ET BT 209.640 446.862 Td /F1 9.8 Tf [(surveillance and )] TJ ET BT 209.640 436.962 Td /F1 9.8 Tf [(medical record )] TJ ET BT 209.640 427.062 Td /F1 9.8 Tf [(review)] TJ ET 0.267 0.267 0.267 rg 320.538 468.432 108.976 0.750 re f 320.538 400.782 0.750 68.400 re f 0.271 0.267 0.267 rg BT 325.788 456.762 Td /F1 9.8 Tf [(27 deaths )] TJ ET BT 325.788 446.862 Td /F1 9.8 Tf [(including 21 \(78%\) )] TJ ET BT 325.788 436.962 Td /F1 9.8 Tf [(direct \(drowning\); )] TJ ET BT 325.788 427.062 Td /F1 9.8 Tf [(67% \(n=18\) of )] TJ ET BT 325.788 417.162 Td /F1 9.8 Tf [(deceased were )] TJ ET BT 325.788 407.262 Td /F1 9.8 Tf [(male)] TJ ET 0.267 0.267 0.267 rg 428.764 468.432 152.111 0.750 re f 428.764 400.782 0.750 68.400 re f 580.125 400.782 0.750 68.400 re f 0.271 0.267 0.267 rg BT 434.014 456.762 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 400.782 71.852 0.750 re f 26.625 323.232 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 389.112 Td /F1 9.8 Tf [(CDC, 1993)] TJ ET 0.267 0.267 0.267 rg BT 31.875 376.732 Td /F4 8.7 Tf [(34)] TJ ET 97.727 400.782 107.414 0.750 re f 97.727 323.232 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 389.112 Td /F1 9.8 Tf [(Summer )] TJ ET BT 102.977 379.212 Td /F1 9.8 Tf [(1993,Missouri, US)] TJ ET 0.267 0.267 0.267 rg 204.390 400.782 116.898 0.750 re f 204.390 323.232 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 389.112 Td /F1 9.8 Tf [(Surveillance of flood-)] TJ ET BT 209.640 379.212 Td /F1 9.8 Tf [(related injuries and )] TJ ET BT 209.640 369.312 Td /F1 9.8 Tf [(illnesses reported at )] TJ ET BT 209.640 359.412 Td /F1 9.8 Tf [(hospitals)] TJ ET 0.267 0.267 0.267 rg 320.538 400.782 108.976 0.750 re f 320.538 323.232 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 389.112 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 400.782 152.111 0.750 re f 428.764 323.232 0.750 78.300 re f 580.125 323.232 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 389.112 Td /F1 9.8 Tf [(524 flood-related )] TJ ET BT 434.014 379.212 Td /F1 9.8 Tf [(conditions: 250 injuries )] TJ ET BT 434.014 369.312 Td /F1 9.8 Tf [(\(48%\) and 233 \(45%\) )] TJ ET BT 434.014 359.412 Td /F1 9.8 Tf [(illnesses; common injuries )] TJ ET BT 434.014 349.512 Td /F1 9.8 Tf [(were sprains/strains \(34%\), )] TJ ET BT 434.014 339.612 Td /F1 9.8 Tf [(lacerations \(24%\), )] TJ ET BT 434.014 329.712 Td /F1 9.8 Tf [(abrasions/contusions \(11%\))] TJ ET 0.267 0.267 0.267 rg 26.625 323.232 71.852 0.750 re f 26.625 245.682 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 311.562 Td /F1 9.8 Tf [(CDC, 1994)] TJ ET 0.267 0.267 0.267 rg BT 31.875 299.182 Td /F4 8.7 Tf [(19)] TJ ET 97.727 323.232 107.414 0.750 re f 97.727 245.682 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 311.562 Td /F1 9.8 Tf [(July, 1994,Georgia, )] TJ ET BT 102.977 301.662 Td /F1 9.8 Tf [(US)] TJ ET 0.267 0.267 0.267 rg 204.390 323.232 116.898 0.750 re f 204.390 245.682 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 311.562 Td /F1 9.8 Tf [(Record review of )] TJ ET BT 209.640 301.662 Td /F1 9.8 Tf [(flood-related deaths)] TJ ET 0.267 0.267 0.267 rg 320.538 323.232 108.976 0.750 re f 320.538 245.682 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 311.562 Td /F1 9.8 Tf [(28 deaths, 96% )] TJ ET BT 325.788 301.662 Td /F1 9.8 Tf [(\(n=27\) due to )] TJ ET BT 325.788 291.762 Td /F1 9.8 Tf [(drowning; at risk )] TJ ET BT 325.788 281.862 Td /F1 9.8 Tf [(groups were males )] TJ ET BT 325.788 271.962 Td /F1 9.8 Tf [(\(71%\), adults )] TJ ET BT 325.788 262.062 Td /F1 9.8 Tf [(\(86%\), and car )] TJ ET BT 325.788 252.162 Td /F1 9.8 Tf [(related \(71%\))] TJ ET 0.267 0.267 0.267 rg 428.764 323.232 152.111 0.750 re f 428.764 245.682 0.750 78.300 re f 580.125 245.682 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 311.562 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 245.682 71.852 0.750 re f 26.625 168.132 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 234.012 Td /F1 9.8 Tf [(Staes, 1994)] TJ ET 0.267 0.267 0.267 rg BT 31.875 221.632 Td /F4 8.7 Tf [(20)] TJ ET 97.727 245.682 107.414 0.750 re f 97.727 168.132 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 234.012 Td /F1 9.8 Tf [(Jan 1992,Puerto )] TJ ET BT 102.977 224.112 Td /F1 9.8 Tf [(Rico, US)] TJ ET 0.267 0.267 0.267 rg 204.390 245.682 116.898 0.750 re f 204.390 168.132 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 234.012 Td /F1 9.8 Tf [(Descriptive and case-)] TJ ET BT 209.640 224.112 Td /F1 9.8 Tf [(control study of )] TJ ET BT 209.640 214.212 Td /F1 9.8 Tf [(flood mortality)] TJ ET 0.267 0.267 0.267 rg 320.538 245.682 108.976 0.750 re f 320.538 168.132 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 234.012 Td /F1 9.8 Tf [(23 deaths; 22 )] TJ ET BT 325.788 224.112 Td /F1 9.8 Tf [(\(96%\) drowning )] TJ ET BT 325.788 214.212 Td /F1 9.8 Tf [(and 1 \(4%\) carbon )] TJ ET BT 325.788 204.312 Td /F1 9.8 Tf [(monoxide )] TJ ET BT 325.788 194.412 Td /F1 9.8 Tf [(poisoning; motor )] TJ ET BT 325.788 184.512 Td /F1 9.8 Tf [(vehicles as risk )] TJ ET BT 325.788 174.612 Td /F1 9.8 Tf [(factor)] TJ ET 0.267 0.267 0.267 rg 428.764 245.682 152.111 0.750 re f 428.764 168.132 0.750 78.300 re f 580.125 168.132 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 234.012 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 168.132 71.852 0.750 re f 26.625 130.182 71.852 0.750 re f 26.625 130.182 0.750 38.700 re f 0.271 0.267 0.267 rg BT 31.875 156.462 Td /F1 9.8 Tf [(Grigg, 1999)] TJ ET 0.267 0.267 0.267 rg BT 31.875 144.082 Td /F4 8.7 Tf [(28)] TJ ET 97.727 168.132 107.414 0.750 re f 97.727 130.182 107.414 0.750 re f 97.727 130.182 0.750 38.700 re f 0.271 0.267 0.267 rg BT 102.977 156.462 Td /F1 9.8 Tf [(July )] TJ ET BT 102.977 146.562 Td /F1 9.8 Tf [(1997,Colorado, US)] TJ ET 0.267 0.267 0.267 rg 204.390 168.132 116.898 0.750 re f 204.390 130.182 116.898 0.750 re f 204.390 130.182 0.750 38.700 re f 0.271 0.267 0.267 rg BT 209.640 156.462 Td /F1 9.8 Tf [(Descriptive/historical )] TJ ET BT 209.640 146.562 Td /F1 9.8 Tf [(account)] TJ ET 0.267 0.267 0.267 rg 320.538 168.132 108.976 0.750 re f 320.538 130.182 108.976 0.750 re f 320.538 130.182 0.750 38.700 re f 0.271 0.267 0.267 rg BT 325.788 156.462 Td /F1 9.8 Tf [(5 deaths reported; )] TJ ET BT 325.788 146.562 Td /F1 9.8 Tf [(80% were trailer )] TJ ET BT 325.788 136.662 Td /F1 9.8 Tf [(park residents)] TJ ET 0.267 0.267 0.267 rg 428.764 168.132 152.111 0.750 re f 428.764 130.182 152.111 0.750 re f 428.764 130.182 0.750 38.700 re f 580.125 130.182 0.750 38.700 re f 0.271 0.267 0.267 rg BT 434.014 156.462 Td /F1 9.8 Tf [(54 injuries reported; no )] TJ ET BT 434.014 146.562 Td /F1 9.8 Tf [(additional information )] TJ ET BT 434.014 136.662 Td /F1 9.8 Tf [(reported)] TJ ET Q q 15.000 129.807 577.500 647.193 re W n q 26.250 741.360 555.000 35.640 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 1: Articles included in the flood systematic literature review relating to mortality and injury* \(abstracted, )] TJ ET BT 26.250 744.924 Td /F1 9.8 Tf [(N=21\)**)] TJ ET Q 0.965 0.965 0.965 rg 26.250 683.970 555.000 49.890 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 733.860 m 581.250 733.860 l 580.500 733.110 l 27.000 733.110 l f 581.250 733.860 m 581.250 683.970 l 580.500 683.970 l 580.500 733.110 l f 26.250 733.860 m 26.250 683.970 l 27.000 683.970 l 27.000 733.110 l f 0.271 0.267 0.267 rg BT 33.000 717.606 Td /F1 9.0 Tf [(* Displacement is excluded from the table because no primary data on displacement was collected in only one study, )] TJ ET BT 33.000 705.726 Td /F1 9.0 Tf [(Schnitzler, 2007. ** Additional articles included from the hand searches are Schniztler 2007, Jonkman 2009, Biswas )] TJ ET BT 33.000 693.846 Td /F1 9.0 Tf [(2010 and Bich 2011.)] TJ ET 1.000 1.000 1.000 rg 26.250 129.807 555.000 554.163 re f 0.965 0.965 0.965 rg 27.000 651.957 71.102 31.263 re f 0.267 0.267 0.267 rg 26.625 682.845 71.477 0.750 re f 26.625 651.582 0.750 32.013 re f 0.271 0.267 0.267 rg BT 31.500 670.865 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 98.102 651.957 106.664 31.263 re f 0.267 0.267 0.267 rg 98.102 682.845 106.664 0.750 re f 0.271 0.267 0.267 rg BT 102.602 670.865 Td /F4 9.8 Tf [(Event)] TJ ET 0.965 0.965 0.965 rg 204.765 651.957 116.148 31.263 re f 0.267 0.267 0.267 rg 204.765 682.845 116.148 0.750 re f 0.271 0.267 0.267 rg BT 209.265 670.865 Td /F4 9.8 Tf [(Summary)] TJ ET 0.965 0.965 0.965 rg 320.913 651.957 108.226 31.263 re f 0.267 0.267 0.267 rg 320.913 682.845 108.226 0.750 re f 0.271 0.267 0.267 rg BT 325.413 670.865 Td /F4 9.8 Tf [(Mortality \(n=15\))] TJ ET 0.965 0.965 0.965 rg 429.139 651.957 151.361 31.263 re f 0.267 0.267 0.267 rg 429.139 682.845 151.736 0.750 re f 580.125 651.582 0.750 32.013 re f 0.271 0.267 0.267 rg BT 433.639 670.865 Td /F4 9.8 Tf [(Injury and Morbidity )] TJ ET BT 433.639 655.421 Td /F4 9.8 Tf [(\(n=11\))] TJ ET 0.267 0.267 0.267 rg 26.625 651.582 71.852 0.750 re f 26.625 593.832 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 639.912 Td /F1 9.8 Tf [(Janerich, )] TJ ET BT 31.875 626.950 Td /F1 9.8 Tf [(1981)] TJ ET 0.267 0.267 0.267 rg BT 56.679 627.532 Td /F4 8.7 Tf [(53)] TJ ET 97.727 651.582 107.414 0.750 re f 97.727 593.832 0.750 58.500 re f 0.271 0.267 0.267 rg BT 102.977 639.912 Td /F1 9.8 Tf [(Hurricane Agnes, )] TJ ET BT 102.977 630.012 Td /F1 9.8 Tf [(1972, New York, US)] TJ ET 0.267 0.267 0.267 rg 204.390 651.582 116.898 0.750 re f 204.390 593.832 0.750 58.500 re f 0.271 0.267 0.267 rg BT 209.640 639.912 Td /F1 9.8 Tf [(Epidemiologic )] TJ ET BT 209.640 630.012 Td /F1 9.8 Tf [(investigation of )] TJ ET BT 209.640 620.112 Td /F1 9.8 Tf [(cancer cases in rural )] TJ ET BT 209.640 610.212 Td /F1 9.8 Tf [(town)] TJ ET 0.267 0.267 0.267 rg 320.538 651.582 108.976 0.750 re f 320.538 593.832 0.750 58.500 re f 0.271 0.267 0.267 rg BT 325.788 639.912 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 651.582 152.111 0.750 re f 428.764 593.832 0.750 58.500 re f 580.125 593.832 0.750 58.500 re f 0.271 0.267 0.267 rg BT 434.014 639.912 Td /F1 9.8 Tf [(4 leukemia and lymphoma )] TJ ET BT 434.014 630.012 Td /F1 9.8 Tf [(cases investigated; no )] TJ ET BT 434.014 620.112 Td /F1 9.8 Tf [(increased risk due to )] TJ ET BT 434.014 610.212 Td /F1 9.8 Tf [(flood/environmental )] TJ ET BT 434.014 600.312 Td /F1 9.8 Tf [(hazards identified)] TJ ET 0.267 0.267 0.267 rg 26.625 593.832 71.852 0.750 re f 26.625 516.282 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 582.162 Td /F1 9.8 Tf [(Duclos,1991)] TJ ET 0.267 0.267 0.267 rg BT 31.875 569.782 Td /F4 8.7 Tf [(16)] TJ ET 97.727 593.832 107.414 0.750 re f 97.727 516.282 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 582.162 Td /F1 9.8 Tf [(October )] TJ ET BT 102.977 572.262 Td /F1 9.8 Tf [(1988,Nimes, )] TJ ET BT 102.977 562.362 Td /F1 9.8 Tf [(France)] TJ ET 0.267 0.267 0.267 rg 204.390 593.832 116.898 0.750 re f 204.390 516.282 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 582.162 Td /F1 9.8 Tf [(Surveillance and )] TJ ET BT 209.640 572.262 Td /F1 9.8 Tf [(household survey )] TJ ET BT 209.640 562.362 Td /F1 9.8 Tf [(\(n=108\) to assess )] TJ ET BT 209.640 552.462 Td /F1 9.8 Tf [(flood health effects)] TJ ET 0.267 0.267 0.267 rg 320.538 593.832 108.976 0.750 re f 320.538 516.282 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 582.162 Td /F1 9.8 Tf [(9 drowning deaths )] TJ ET BT 325.788 572.262 Td /F1 9.8 Tf [(reported including )] TJ ET BT 325.788 562.362 Td /F1 9.8 Tf [(two individuals )] TJ ET BT 325.788 552.462 Td /F1 9.8 Tf [(attempting )] TJ ET BT 325.788 542.562 Td /F1 9.8 Tf [(rescues; no risk )] TJ ET BT 325.788 532.662 Td /F1 9.8 Tf [(factors reported)] TJ ET 0.267 0.267 0.267 rg 428.764 593.832 152.111 0.750 re f 428.764 516.282 0.750 78.300 re f 580.125 516.282 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 582.162 Td /F1 9.8 Tf [(Injuries from surveillance )] TJ ET BT 434.014 572.262 Td /F1 9.8 Tf [(\(n=18\) included: 3 severe, )] TJ ET BT 434.014 562.362 Td /F1 9.8 Tf [(3 near drowning, 2 )] TJ ET BT 434.014 552.462 Td /F1 9.8 Tf [(hypothermia, and 10 minor )] TJ ET BT 434.014 542.562 Td /F1 9.8 Tf [(injuries; 6% of 228 survey )] TJ ET BT 434.014 532.662 Td /F1 9.8 Tf [(participants reported minor )] TJ ET BT 434.014 522.762 Td /F1 9.8 Tf [(injuries)] TJ ET 0.267 0.267 0.267 rg 26.625 516.282 71.852 0.750 re f 26.625 468.432 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 504.612 Td /F1 9.8 Tf [(Siddique, )] TJ ET BT 31.875 491.650 Td /F1 9.8 Tf [(1991)] TJ ET 0.267 0.267 0.267 rg BT 56.679 492.232 Td /F4 8.7 Tf [(17)] TJ ET 97.727 516.282 107.414 0.750 re f 97.727 468.432 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.977 504.612 Td /F1 9.8 Tf [(Mid-1988, )] TJ ET BT 102.977 494.712 Td /F1 9.8 Tf [(Bangladesh)] TJ ET 0.267 0.267 0.267 rg 204.390 516.282 116.898 0.750 re f 204.390 468.432 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.640 504.612 Td /F1 9.8 Tf [(Record review of )] TJ ET BT 209.640 494.712 Td /F1 9.8 Tf [(health facilities and )] TJ ET BT 209.640 484.812 Td /F1 9.8 Tf [(verbal autopsy)] TJ ET 0.267 0.267 0.267 rg 320.538 516.282 108.976 0.750 re f 320.538 468.432 0.750 48.600 re f 0.271 0.267 0.267 rg BT 325.788 504.612 Td /F1 9.8 Tf [(9 of 154 \(6%\) )] TJ ET BT 325.788 494.712 Td /F1 9.8 Tf [(deaths were )] TJ ET BT 325.788 484.812 Td /F1 9.8 Tf [(directly due to )] TJ ET BT 325.788 474.912 Td /F1 9.8 Tf [(flooding)] TJ ET 0.267 0.267 0.267 rg 428.764 516.282 152.111 0.750 re f 428.764 468.432 0.750 48.600 re f 580.125 468.432 0.750 48.600 re f 0.271 0.267 0.267 rg BT 434.014 504.612 Td /F1 9.8 Tf [(5% \(2,367/46,470\) of )] TJ ET BT 434.014 494.712 Td /F1 9.8 Tf [(patients had infected )] TJ ET BT 434.014 484.812 Td /F1 9.8 Tf [(injuries)] TJ ET 0.267 0.267 0.267 rg 26.625 468.432 71.852 0.750 re f 26.625 400.782 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 456.762 Td /F1 9.8 Tf [(CDC, 1993)] TJ ET 0.267 0.267 0.267 rg BT 31.875 444.382 Td /F4 8.7 Tf [(18)] TJ ET 97.727 468.432 107.414 0.750 re f 97.727 400.782 0.750 68.400 re f 0.271 0.267 0.267 rg BT 102.977 456.762 Td /F1 9.8 Tf [(Mid- 1993, )] TJ ET BT 102.977 446.862 Td /F1 9.8 Tf [(Missouri, US)] TJ ET 0.267 0.267 0.267 rg 204.390 468.432 116.898 0.750 re f 204.390 400.782 0.750 68.400 re f 0.271 0.267 0.267 rg BT 209.640 456.762 Td /F1 9.8 Tf [(Public health )] TJ ET BT 209.640 446.862 Td /F1 9.8 Tf [(surveillance and )] TJ ET BT 209.640 436.962 Td /F1 9.8 Tf [(medical record )] TJ ET BT 209.640 427.062 Td /F1 9.8 Tf [(review)] TJ ET 0.267 0.267 0.267 rg 320.538 468.432 108.976 0.750 re f 320.538 400.782 0.750 68.400 re f 0.271 0.267 0.267 rg BT 325.788 456.762 Td /F1 9.8 Tf [(27 deaths )] TJ ET BT 325.788 446.862 Td /F1 9.8 Tf [(including 21 \(78%\) )] TJ ET BT 325.788 436.962 Td /F1 9.8 Tf [(direct \(drowning\); )] TJ ET BT 325.788 427.062 Td /F1 9.8 Tf [(67% \(n=18\) of )] TJ ET BT 325.788 417.162 Td /F1 9.8 Tf [(deceased were )] TJ ET BT 325.788 407.262 Td /F1 9.8 Tf [(male)] TJ ET 0.267 0.267 0.267 rg 428.764 468.432 152.111 0.750 re f 428.764 400.782 0.750 68.400 re f 580.125 400.782 0.750 68.400 re f 0.271 0.267 0.267 rg BT 434.014 456.762 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 400.782 71.852 0.750 re f 26.625 323.232 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 389.112 Td /F1 9.8 Tf [(CDC, 1993)] TJ ET 0.267 0.267 0.267 rg BT 31.875 376.732 Td /F4 8.7 Tf [(34)] TJ ET 97.727 400.782 107.414 0.750 re f 97.727 323.232 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 389.112 Td /F1 9.8 Tf [(Summer )] TJ ET BT 102.977 379.212 Td /F1 9.8 Tf [(1993,Missouri, US)] TJ ET 0.267 0.267 0.267 rg 204.390 400.782 116.898 0.750 re f 204.390 323.232 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 389.112 Td /F1 9.8 Tf [(Surveillance of flood-)] TJ ET BT 209.640 379.212 Td /F1 9.8 Tf [(related injuries and )] TJ ET BT 209.640 369.312 Td /F1 9.8 Tf [(illnesses reported at )] TJ ET BT 209.640 359.412 Td /F1 9.8 Tf [(hospitals)] TJ ET 0.267 0.267 0.267 rg 320.538 400.782 108.976 0.750 re f 320.538 323.232 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 389.112 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 400.782 152.111 0.750 re f 428.764 323.232 0.750 78.300 re f 580.125 323.232 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 389.112 Td /F1 9.8 Tf [(524 flood-related )] TJ ET BT 434.014 379.212 Td /F1 9.8 Tf [(conditions: 250 injuries )] TJ ET BT 434.014 369.312 Td /F1 9.8 Tf [(\(48%\) and 233 \(45%\) )] TJ ET BT 434.014 359.412 Td /F1 9.8 Tf [(illnesses; common injuries )] TJ ET BT 434.014 349.512 Td /F1 9.8 Tf [(were sprains/strains \(34%\), )] TJ ET BT 434.014 339.612 Td /F1 9.8 Tf [(lacerations \(24%\), )] TJ ET BT 434.014 329.712 Td /F1 9.8 Tf [(abrasions/contusions \(11%\))] TJ ET 0.267 0.267 0.267 rg 26.625 323.232 71.852 0.750 re f 26.625 245.682 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 311.562 Td /F1 9.8 Tf [(CDC, 1994)] TJ ET 0.267 0.267 0.267 rg BT 31.875 299.182 Td /F4 8.7 Tf [(19)] TJ ET 97.727 323.232 107.414 0.750 re f 97.727 245.682 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 311.562 Td /F1 9.8 Tf [(July, 1994,Georgia, )] TJ ET BT 102.977 301.662 Td /F1 9.8 Tf [(US)] TJ ET 0.267 0.267 0.267 rg 204.390 323.232 116.898 0.750 re f 204.390 245.682 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 311.562 Td /F1 9.8 Tf [(Record review of )] TJ ET BT 209.640 301.662 Td /F1 9.8 Tf [(flood-related deaths)] TJ ET 0.267 0.267 0.267 rg 320.538 323.232 108.976 0.750 re f 320.538 245.682 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 311.562 Td /F1 9.8 Tf [(28 deaths, 96% )] TJ ET BT 325.788 301.662 Td /F1 9.8 Tf [(\(n=27\) due to )] TJ ET BT 325.788 291.762 Td /F1 9.8 Tf [(drowning; at risk )] TJ ET BT 325.788 281.862 Td /F1 9.8 Tf [(groups were males )] TJ ET BT 325.788 271.962 Td /F1 9.8 Tf [(\(71%\), adults )] TJ ET BT 325.788 262.062 Td /F1 9.8 Tf [(\(86%\), and car )] TJ ET BT 325.788 252.162 Td /F1 9.8 Tf [(related \(71%\))] TJ ET 0.267 0.267 0.267 rg 428.764 323.232 152.111 0.750 re f 428.764 245.682 0.750 78.300 re f 580.125 245.682 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 311.562 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 245.682 71.852 0.750 re f 26.625 168.132 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 234.012 Td /F1 9.8 Tf [(Staes, 1994)] TJ ET 0.267 0.267 0.267 rg BT 31.875 221.632 Td /F4 8.7 Tf [(20)] TJ ET 97.727 245.682 107.414 0.750 re f 97.727 168.132 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 234.012 Td /F1 9.8 Tf [(Jan 1992,Puerto )] TJ ET BT 102.977 224.112 Td /F1 9.8 Tf [(Rico, US)] TJ ET 0.267 0.267 0.267 rg 204.390 245.682 116.898 0.750 re f 204.390 168.132 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 234.012 Td /F1 9.8 Tf [(Descriptive and case-)] TJ ET BT 209.640 224.112 Td /F1 9.8 Tf [(control study of )] TJ ET BT 209.640 214.212 Td /F1 9.8 Tf [(flood mortality)] TJ ET 0.267 0.267 0.267 rg 320.538 245.682 108.976 0.750 re f 320.538 168.132 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 234.012 Td /F1 9.8 Tf [(23 deaths; 22 )] TJ ET BT 325.788 224.112 Td /F1 9.8 Tf [(\(96%\) drowning )] TJ ET BT 325.788 214.212 Td /F1 9.8 Tf [(and 1 \(4%\) carbon )] TJ ET BT 325.788 204.312 Td /F1 9.8 Tf [(monoxide )] TJ ET BT 325.788 194.412 Td /F1 9.8 Tf [(poisoning; motor )] TJ ET BT 325.788 184.512 Td /F1 9.8 Tf [(vehicles as risk )] TJ ET BT 325.788 174.612 Td /F1 9.8 Tf [(factor)] TJ ET 0.267 0.267 0.267 rg 428.764 245.682 152.111 0.750 re f 428.764 168.132 0.750 78.300 re f 580.125 168.132 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 234.012 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 168.132 71.852 0.750 re f 26.625 130.182 71.852 0.750 re f 26.625 130.182 0.750 38.700 re f 0.271 0.267 0.267 rg BT 31.875 156.462 Td /F1 9.8 Tf [(Grigg, 1999)] TJ ET 0.267 0.267 0.267 rg BT 31.875 144.082 Td /F4 8.7 Tf [(28)] TJ ET 97.727 168.132 107.414 0.750 re f 97.727 130.182 107.414 0.750 re f 97.727 130.182 0.750 38.700 re f 0.271 0.267 0.267 rg BT 102.977 156.462 Td /F1 9.8 Tf [(July )] TJ ET BT 102.977 146.562 Td /F1 9.8 Tf [(1997,Colorado, US)] TJ ET 0.267 0.267 0.267 rg 204.390 168.132 116.898 0.750 re f 204.390 130.182 116.898 0.750 re f 204.390 130.182 0.750 38.700 re f 0.271 0.267 0.267 rg BT 209.640 156.462 Td /F1 9.8 Tf [(Descriptive/historical )] TJ ET BT 209.640 146.562 Td /F1 9.8 Tf [(account)] TJ ET 0.267 0.267 0.267 rg 320.538 168.132 108.976 0.750 re f 320.538 130.182 108.976 0.750 re f 320.538 130.182 0.750 38.700 re f 0.271 0.267 0.267 rg BT 325.788 156.462 Td /F1 9.8 Tf [(5 deaths reported; )] TJ ET BT 325.788 146.562 Td /F1 9.8 Tf [(80% were trailer )] TJ ET BT 325.788 136.662 Td /F1 9.8 Tf [(park residents)] TJ ET 0.267 0.267 0.267 rg 428.764 168.132 152.111 0.750 re f 428.764 130.182 152.111 0.750 re f 428.764 130.182 0.750 38.700 re f 580.125 130.182 0.750 38.700 re f 0.271 0.267 0.267 rg BT 434.014 156.462 Td /F1 9.8 Tf [(54 injuries reported; no )] TJ ET BT 434.014 146.562 Td /F1 9.8 Tf [(additional information )] TJ ET BT 434.014 136.662 Td /F1 9.8 Tf [(reported)] TJ ET Q q 15.000 129.807 577.500 647.193 re W n q 26.250 741.360 555.000 35.640 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 1: Articles included in the flood systematic literature review relating to mortality and injury* \(abstracted, )] TJ ET BT 26.250 744.924 Td /F1 9.8 Tf [(N=21\)**)] TJ ET Q 0.965 0.965 0.965 rg 26.250 683.970 555.000 49.890 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 733.860 m 581.250 733.860 l 580.500 733.110 l 27.000 733.110 l f 581.250 733.860 m 581.250 683.970 l 580.500 683.970 l 580.500 733.110 l f 26.250 733.860 m 26.250 683.970 l 27.000 683.970 l 27.000 733.110 l f 0.271 0.267 0.267 rg BT 33.000 717.606 Td /F1 9.0 Tf [(* Displacement is excluded from the table because no primary data on displacement was collected in only one study, )] TJ ET BT 33.000 705.726 Td /F1 9.0 Tf [(Schnitzler, 2007. ** Additional articles included from the hand searches are Schniztler 2007, Jonkman 2009, Biswas )] TJ ET BT 33.000 693.846 Td /F1 9.0 Tf [(2010 and Bich 2011.)] TJ ET 1.000 1.000 1.000 rg 26.250 129.807 555.000 554.163 re f 0.965 0.965 0.965 rg 27.000 651.957 71.102 31.263 re f 0.267 0.267 0.267 rg 26.625 682.845 71.477 0.750 re f 26.625 651.582 0.750 32.013 re f 0.271 0.267 0.267 rg BT 31.500 670.865 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 98.102 651.957 106.664 31.263 re f 0.267 0.267 0.267 rg 98.102 682.845 106.664 0.750 re f 0.271 0.267 0.267 rg BT 102.602 670.865 Td /F4 9.8 Tf [(Event)] TJ ET 0.965 0.965 0.965 rg 204.765 651.957 116.148 31.263 re f 0.267 0.267 0.267 rg 204.765 682.845 116.148 0.750 re f 0.271 0.267 0.267 rg BT 209.265 670.865 Td /F4 9.8 Tf [(Summary)] TJ ET 0.965 0.965 0.965 rg 320.913 651.957 108.226 31.263 re f 0.267 0.267 0.267 rg 320.913 682.845 108.226 0.750 re f 0.271 0.267 0.267 rg BT 325.413 670.865 Td /F4 9.8 Tf [(Mortality \(n=15\))] TJ ET 0.965 0.965 0.965 rg 429.139 651.957 151.361 31.263 re f 0.267 0.267 0.267 rg 429.139 682.845 151.736 0.750 re f 580.125 651.582 0.750 32.013 re f 0.271 0.267 0.267 rg BT 433.639 670.865 Td /F4 9.8 Tf [(Injury and Morbidity )] TJ ET BT 433.639 655.421 Td /F4 9.8 Tf [(\(n=11\))] TJ ET 0.267 0.267 0.267 rg 26.625 651.582 71.852 0.750 re f 26.625 593.832 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 639.912 Td /F1 9.8 Tf [(Janerich, )] TJ ET BT 31.875 626.950 Td /F1 9.8 Tf [(1981)] TJ ET 0.267 0.267 0.267 rg BT 56.679 627.532 Td /F4 8.7 Tf [(53)] TJ ET 97.727 651.582 107.414 0.750 re f 97.727 593.832 0.750 58.500 re f 0.271 0.267 0.267 rg BT 102.977 639.912 Td /F1 9.8 Tf [(Hurricane Agnes, )] TJ ET BT 102.977 630.012 Td /F1 9.8 Tf [(1972, New York, US)] TJ ET 0.267 0.267 0.267 rg 204.390 651.582 116.898 0.750 re f 204.390 593.832 0.750 58.500 re f 0.271 0.267 0.267 rg BT 209.640 639.912 Td /F1 9.8 Tf [(Epidemiologic )] TJ ET BT 209.640 630.012 Td /F1 9.8 Tf [(investigation of )] TJ ET BT 209.640 620.112 Td /F1 9.8 Tf [(cancer cases in rural )] TJ ET BT 209.640 610.212 Td /F1 9.8 Tf [(town)] TJ ET 0.267 0.267 0.267 rg 320.538 651.582 108.976 0.750 re f 320.538 593.832 0.750 58.500 re f 0.271 0.267 0.267 rg BT 325.788 639.912 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 651.582 152.111 0.750 re f 428.764 593.832 0.750 58.500 re f 580.125 593.832 0.750 58.500 re f 0.271 0.267 0.267 rg BT 434.014 639.912 Td /F1 9.8 Tf [(4 leukemia and lymphoma )] TJ ET BT 434.014 630.012 Td /F1 9.8 Tf [(cases investigated; no )] TJ ET BT 434.014 620.112 Td /F1 9.8 Tf [(increased risk due to )] TJ ET BT 434.014 610.212 Td /F1 9.8 Tf [(flood/environmental )] TJ ET BT 434.014 600.312 Td /F1 9.8 Tf [(hazards identified)] TJ ET 0.267 0.267 0.267 rg 26.625 593.832 71.852 0.750 re f 26.625 516.282 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 582.162 Td /F1 9.8 Tf [(Duclos,1991)] TJ ET 0.267 0.267 0.267 rg BT 31.875 569.782 Td /F4 8.7 Tf [(16)] TJ ET 97.727 593.832 107.414 0.750 re f 97.727 516.282 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 582.162 Td /F1 9.8 Tf [(October )] TJ ET BT 102.977 572.262 Td /F1 9.8 Tf [(1988,Nimes, )] TJ ET BT 102.977 562.362 Td /F1 9.8 Tf [(France)] TJ ET 0.267 0.267 0.267 rg 204.390 593.832 116.898 0.750 re f 204.390 516.282 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 582.162 Td /F1 9.8 Tf [(Surveillance and )] TJ ET BT 209.640 572.262 Td /F1 9.8 Tf [(household survey )] TJ ET BT 209.640 562.362 Td /F1 9.8 Tf [(\(n=108\) to assess )] TJ ET BT 209.640 552.462 Td /F1 9.8 Tf [(flood health effects)] TJ ET 0.267 0.267 0.267 rg 320.538 593.832 108.976 0.750 re f 320.538 516.282 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 582.162 Td /F1 9.8 Tf [(9 drowning deaths )] TJ ET BT 325.788 572.262 Td /F1 9.8 Tf [(reported including )] TJ ET BT 325.788 562.362 Td /F1 9.8 Tf [(two individuals )] TJ ET BT 325.788 552.462 Td /F1 9.8 Tf [(attempting )] TJ ET BT 325.788 542.562 Td /F1 9.8 Tf [(rescues; no risk )] TJ ET BT 325.788 532.662 Td /F1 9.8 Tf [(factors reported)] TJ ET 0.267 0.267 0.267 rg 428.764 593.832 152.111 0.750 re f 428.764 516.282 0.750 78.300 re f 580.125 516.282 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 582.162 Td /F1 9.8 Tf [(Injuries from surveillance )] TJ ET BT 434.014 572.262 Td /F1 9.8 Tf [(\(n=18\) included: 3 severe, )] TJ ET BT 434.014 562.362 Td /F1 9.8 Tf [(3 near drowning, 2 )] TJ ET BT 434.014 552.462 Td /F1 9.8 Tf [(hypothermia, and 10 minor )] TJ ET BT 434.014 542.562 Td /F1 9.8 Tf [(injuries; 6% of 228 survey )] TJ ET BT 434.014 532.662 Td /F1 9.8 Tf [(participants reported minor )] TJ ET BT 434.014 522.762 Td /F1 9.8 Tf [(injuries)] TJ ET 0.267 0.267 0.267 rg 26.625 516.282 71.852 0.750 re f 26.625 468.432 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 504.612 Td /F1 9.8 Tf [(Siddique, )] TJ ET BT 31.875 491.650 Td /F1 9.8 Tf [(1991)] TJ ET 0.267 0.267 0.267 rg BT 56.679 492.232 Td /F4 8.7 Tf [(17)] TJ ET 97.727 516.282 107.414 0.750 re f 97.727 468.432 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.977 504.612 Td /F1 9.8 Tf [(Mid-1988, )] TJ ET BT 102.977 494.712 Td /F1 9.8 Tf [(Bangladesh)] TJ ET 0.267 0.267 0.267 rg 204.390 516.282 116.898 0.750 re f 204.390 468.432 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.640 504.612 Td /F1 9.8 Tf [(Record review of )] TJ ET BT 209.640 494.712 Td /F1 9.8 Tf [(health facilities and )] TJ ET BT 209.640 484.812 Td /F1 9.8 Tf [(verbal autopsy)] TJ ET 0.267 0.267 0.267 rg 320.538 516.282 108.976 0.750 re f 320.538 468.432 0.750 48.600 re f 0.271 0.267 0.267 rg BT 325.788 504.612 Td /F1 9.8 Tf [(9 of 154 \(6%\) )] TJ ET BT 325.788 494.712 Td /F1 9.8 Tf [(deaths were )] TJ ET BT 325.788 484.812 Td /F1 9.8 Tf [(directly due to )] TJ ET BT 325.788 474.912 Td /F1 9.8 Tf [(flooding)] TJ ET 0.267 0.267 0.267 rg 428.764 516.282 152.111 0.750 re f 428.764 468.432 0.750 48.600 re f 580.125 468.432 0.750 48.600 re f 0.271 0.267 0.267 rg BT 434.014 504.612 Td /F1 9.8 Tf [(5% \(2,367/46,470\) of )] TJ ET BT 434.014 494.712 Td /F1 9.8 Tf [(patients had infected )] TJ ET BT 434.014 484.812 Td /F1 9.8 Tf [(injuries)] TJ ET 0.267 0.267 0.267 rg 26.625 468.432 71.852 0.750 re f 26.625 400.782 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 456.762 Td /F1 9.8 Tf [(CDC, 1993)] TJ ET 0.267 0.267 0.267 rg BT 31.875 444.382 Td /F4 8.7 Tf [(18)] TJ ET 97.727 468.432 107.414 0.750 re f 97.727 400.782 0.750 68.400 re f 0.271 0.267 0.267 rg BT 102.977 456.762 Td /F1 9.8 Tf [(Mid- 1993, )] TJ ET BT 102.977 446.862 Td /F1 9.8 Tf [(Missouri, US)] TJ ET 0.267 0.267 0.267 rg 204.390 468.432 116.898 0.750 re f 204.390 400.782 0.750 68.400 re f 0.271 0.267 0.267 rg BT 209.640 456.762 Td /F1 9.8 Tf [(Public health )] TJ ET BT 209.640 446.862 Td /F1 9.8 Tf [(surveillance and )] TJ ET BT 209.640 436.962 Td /F1 9.8 Tf [(medical record )] TJ ET BT 209.640 427.062 Td /F1 9.8 Tf [(review)] TJ ET 0.267 0.267 0.267 rg 320.538 468.432 108.976 0.750 re f 320.538 400.782 0.750 68.400 re f 0.271 0.267 0.267 rg BT 325.788 456.762 Td /F1 9.8 Tf [(27 deaths )] TJ ET BT 325.788 446.862 Td /F1 9.8 Tf [(including 21 \(78%\) )] TJ ET BT 325.788 436.962 Td /F1 9.8 Tf [(direct \(drowning\); )] TJ ET BT 325.788 427.062 Td /F1 9.8 Tf [(67% \(n=18\) of )] TJ ET BT 325.788 417.162 Td /F1 9.8 Tf [(deceased were )] TJ ET BT 325.788 407.262 Td /F1 9.8 Tf [(male)] TJ ET 0.267 0.267 0.267 rg 428.764 468.432 152.111 0.750 re f 428.764 400.782 0.750 68.400 re f 580.125 400.782 0.750 68.400 re f 0.271 0.267 0.267 rg BT 434.014 456.762 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 400.782 71.852 0.750 re f 26.625 323.232 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 389.112 Td /F1 9.8 Tf [(CDC, 1993)] TJ ET 0.267 0.267 0.267 rg BT 31.875 376.732 Td /F4 8.7 Tf [(34)] TJ ET 97.727 400.782 107.414 0.750 re f 97.727 323.232 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 389.112 Td /F1 9.8 Tf [(Summer )] TJ ET BT 102.977 379.212 Td /F1 9.8 Tf [(1993,Missouri, US)] TJ ET 0.267 0.267 0.267 rg 204.390 400.782 116.898 0.750 re f 204.390 323.232 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 389.112 Td /F1 9.8 Tf [(Surveillance of flood-)] TJ ET BT 209.640 379.212 Td /F1 9.8 Tf [(related injuries and )] TJ ET BT 209.640 369.312 Td /F1 9.8 Tf [(illnesses reported at )] TJ ET BT 209.640 359.412 Td /F1 9.8 Tf [(hospitals)] TJ ET 0.267 0.267 0.267 rg 320.538 400.782 108.976 0.750 re f 320.538 323.232 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 389.112 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 400.782 152.111 0.750 re f 428.764 323.232 0.750 78.300 re f 580.125 323.232 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 389.112 Td /F1 9.8 Tf [(524 flood-related )] TJ ET BT 434.014 379.212 Td /F1 9.8 Tf [(conditions: 250 injuries )] TJ ET BT 434.014 369.312 Td /F1 9.8 Tf [(\(48%\) and 233 \(45%\) )] TJ ET BT 434.014 359.412 Td /F1 9.8 Tf [(illnesses; common injuries )] TJ ET BT 434.014 349.512 Td /F1 9.8 Tf [(were sprains/strains \(34%\), )] TJ ET BT 434.014 339.612 Td /F1 9.8 Tf [(lacerations \(24%\), )] TJ ET BT 434.014 329.712 Td /F1 9.8 Tf [(abrasions/contusions \(11%\))] TJ ET 0.267 0.267 0.267 rg 26.625 323.232 71.852 0.750 re f 26.625 245.682 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 311.562 Td /F1 9.8 Tf [(CDC, 1994)] TJ ET 0.267 0.267 0.267 rg BT 31.875 299.182 Td /F4 8.7 Tf [(19)] TJ ET 97.727 323.232 107.414 0.750 re f 97.727 245.682 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 311.562 Td /F1 9.8 Tf [(July, 1994,Georgia, )] TJ ET BT 102.977 301.662 Td /F1 9.8 Tf [(US)] TJ ET 0.267 0.267 0.267 rg 204.390 323.232 116.898 0.750 re f 204.390 245.682 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 311.562 Td /F1 9.8 Tf [(Record review of )] TJ ET BT 209.640 301.662 Td /F1 9.8 Tf [(flood-related deaths)] TJ ET 0.267 0.267 0.267 rg 320.538 323.232 108.976 0.750 re f 320.538 245.682 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 311.562 Td /F1 9.8 Tf [(28 deaths, 96% )] TJ ET BT 325.788 301.662 Td /F1 9.8 Tf [(\(n=27\) due to )] TJ ET BT 325.788 291.762 Td /F1 9.8 Tf [(drowning; at risk )] TJ ET BT 325.788 281.862 Td /F1 9.8 Tf [(groups were males )] TJ ET BT 325.788 271.962 Td /F1 9.8 Tf [(\(71%\), adults )] TJ ET BT 325.788 262.062 Td /F1 9.8 Tf [(\(86%\), and car )] TJ ET BT 325.788 252.162 Td /F1 9.8 Tf [(related \(71%\))] TJ ET 0.267 0.267 0.267 rg 428.764 323.232 152.111 0.750 re f 428.764 245.682 0.750 78.300 re f 580.125 245.682 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 311.562 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 245.682 71.852 0.750 re f 26.625 168.132 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 234.012 Td /F1 9.8 Tf [(Staes, 1994)] TJ ET 0.267 0.267 0.267 rg BT 31.875 221.632 Td /F4 8.7 Tf [(20)] TJ ET 97.727 245.682 107.414 0.750 re f 97.727 168.132 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 234.012 Td /F1 9.8 Tf [(Jan 1992,Puerto )] TJ ET BT 102.977 224.112 Td /F1 9.8 Tf [(Rico, US)] TJ ET 0.267 0.267 0.267 rg 204.390 245.682 116.898 0.750 re f 204.390 168.132 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 234.012 Td /F1 9.8 Tf [(Descriptive and case-)] TJ ET BT 209.640 224.112 Td /F1 9.8 Tf [(control study of )] TJ ET BT 209.640 214.212 Td /F1 9.8 Tf [(flood mortality)] TJ ET 0.267 0.267 0.267 rg 320.538 245.682 108.976 0.750 re f 320.538 168.132 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 234.012 Td /F1 9.8 Tf [(23 deaths; 22 )] TJ ET BT 325.788 224.112 Td /F1 9.8 Tf [(\(96%\) drowning )] TJ ET BT 325.788 214.212 Td /F1 9.8 Tf [(and 1 \(4%\) carbon )] TJ ET BT 325.788 204.312 Td /F1 9.8 Tf [(monoxide )] TJ ET BT 325.788 194.412 Td /F1 9.8 Tf [(poisoning; motor )] TJ ET BT 325.788 184.512 Td /F1 9.8 Tf [(vehicles as risk )] TJ ET BT 325.788 174.612 Td /F1 9.8 Tf [(factor)] TJ ET 0.267 0.267 0.267 rg 428.764 245.682 152.111 0.750 re f 428.764 168.132 0.750 78.300 re f 580.125 168.132 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 234.012 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 168.132 71.852 0.750 re f 26.625 130.182 71.852 0.750 re f 26.625 130.182 0.750 38.700 re f 0.271 0.267 0.267 rg BT 31.875 156.462 Td /F1 9.8 Tf [(Grigg, 1999)] TJ ET 0.267 0.267 0.267 rg BT 31.875 144.082 Td /F4 8.7 Tf [(28)] TJ ET 97.727 168.132 107.414 0.750 re f 97.727 130.182 107.414 0.750 re f 97.727 130.182 0.750 38.700 re f 0.271 0.267 0.267 rg BT 102.977 156.462 Td /F1 9.8 Tf [(July )] TJ ET BT 102.977 146.562 Td /F1 9.8 Tf [(1997,Colorado, US)] TJ ET 0.267 0.267 0.267 rg 204.390 168.132 116.898 0.750 re f 204.390 130.182 116.898 0.750 re f 204.390 130.182 0.750 38.700 re f 0.271 0.267 0.267 rg BT 209.640 156.462 Td /F1 9.8 Tf [(Descriptive/historical )] TJ ET BT 209.640 146.562 Td /F1 9.8 Tf [(account)] TJ ET 0.267 0.267 0.267 rg 320.538 168.132 108.976 0.750 re f 320.538 130.182 108.976 0.750 re f 320.538 130.182 0.750 38.700 re f 0.271 0.267 0.267 rg BT 325.788 156.462 Td /F1 9.8 Tf [(5 deaths reported; )] TJ ET BT 325.788 146.562 Td /F1 9.8 Tf [(80% were trailer )] TJ ET BT 325.788 136.662 Td /F1 9.8 Tf [(park residents)] TJ ET 0.267 0.267 0.267 rg 428.764 168.132 152.111 0.750 re f 428.764 130.182 152.111 0.750 re f 428.764 130.182 0.750 38.700 re f 580.125 130.182 0.750 38.700 re f 0.271 0.267 0.267 rg BT 434.014 156.462 Td /F1 9.8 Tf [(54 injuries reported; no )] TJ ET BT 434.014 146.562 Td /F1 9.8 Tf [(additional information )] TJ ET BT 434.014 136.662 Td /F1 9.8 Tf [(reported)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(6)] TJ ET BT 25.000 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283 0 obj << /Type /Action >> endobj 284 0 obj << /Type /Page /Parent 3 0 R /Annots [ 286 0 R 288 0 R 290 0 R 292 0 R 294 0 R 296 0 R 298 0 R 300 0 R 302 0 R 304 0 R 306 0 R 308 0 R 310 0 R 312 0 R 314 0 R 316 0 R 318 0 R 320 0 R 322 0 R 324 0 R 326 0 R 328 0 R 330 0 R 332 0 R 334 0 R 336 0 R 338 0 R ] /Contents 285 0 R >> endobj 285 0 obj << /Length 46792 >> stream 0.271 0.267 0.267 rg 0.267 0.267 0.267 RG q 15.000 129.099 577.500 647.901 re W n 1.000 1.000 1.000 rg 26.250 129.099 555.000 647.901 re f 0.965 0.965 0.965 rg 27.000 745.737 71.102 31.263 re f 0.267 0.267 0.267 rg 26.625 745.362 0.750 31.638 re f 0.271 0.267 0.267 rg BT 31.500 764.645 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 98.102 745.737 106.664 31.263 re f 0.271 0.267 0.267 rg BT 102.602 764.645 Td /F4 9.8 Tf [(Event)] TJ ET 0.965 0.965 0.965 rg 204.765 745.737 116.148 31.263 re f 0.271 0.267 0.267 rg BT 209.265 764.645 Td /F4 9.8 Tf [(Summary)] TJ ET 0.965 0.965 0.965 rg 320.913 745.737 108.226 31.263 re f 0.271 0.267 0.267 rg BT 325.413 764.645 Td /F4 9.8 Tf [(Mortality \(n=15\))] TJ ET 0.965 0.965 0.965 rg 429.139 745.737 151.361 31.263 re f 0.267 0.267 0.267 rg 580.125 745.362 0.750 31.638 re f 0.271 0.267 0.267 rg BT 433.639 764.645 Td /F4 9.8 Tf [(Injury and Morbidity )] TJ ET BT 433.639 749.201 Td /F4 9.8 Tf [(\(n=11\))] TJ ET 0.267 0.267 0.267 rg 26.625 745.362 71.852 0.750 re f 26.625 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 31.875 733.692 Td /F1 9.8 Tf [(CDC, 2000)] TJ ET 0.267 0.267 0.267 rg BT 31.875 721.312 Td /F4 8.7 Tf [(21)] TJ ET 97.727 745.362 107.414 0.750 re f 97.727 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 102.977 733.692 Td /F1 9.8 Tf [(Oct 1998, Texas, )] TJ ET BT 102.977 723.792 Td /F1 9.8 Tf [(US)] TJ ET 0.267 0.267 0.267 rg 204.390 745.362 116.898 0.750 re f 204.390 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 209.640 733.692 Td /F1 9.8 Tf [(Public health )] TJ ET BT 209.640 723.792 Td /F1 9.8 Tf [(surveillance and )] TJ ET BT 209.640 713.892 Td /F1 9.8 Tf [(medical record )] TJ ET BT 209.640 703.992 Td /F1 9.8 Tf [(review)] TJ ET 0.267 0.267 0.267 rg 320.538 745.362 108.976 0.750 re f 320.538 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 325.788 733.692 Td /F1 9.8 Tf [(31 deaths mostly )] TJ ET BT 325.788 723.792 Td /F1 9.8 Tf [(from drowning )] TJ ET BT 325.788 713.892 Td /F1 9.8 Tf [(\(n=24, 77%\) and )] TJ ET BT 325.788 703.992 Td /F1 9.8 Tf [(trauma \(n=3, )] TJ ET BT 325.788 694.092 Td /F1 9.8 Tf [(10%\); most were )] TJ ET BT 325.788 684.192 Td /F1 9.8 Tf [(male and car )] TJ ET BT 325.788 674.292 Td /F1 9.8 Tf [(related)] TJ ET 0.267 0.267 0.267 rg 428.764 745.362 152.111 0.750 re f 428.764 621.174 0.750 124.938 re f 580.125 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 434.014 733.692 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 621.174 71.852 0.750 re f 26.625 543.624 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 609.504 Td /F1 9.8 Tf [(Rashid, )] TJ ET BT 31.875 596.542 Td /F1 9.8 Tf [(2000)] TJ ET 0.267 0.267 0.267 rg BT 56.679 597.124 Td /F4 8.7 Tf [(22)] TJ ET 97.727 621.174 107.414 0.750 re f 97.727 543.624 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 609.504 Td /F1 9.8 Tf [(1998, Dhaka )] TJ ET BT 102.977 599.604 Td /F1 9.8 Tf [(Bangladesh)] TJ ET 0.267 0.267 0.267 rg 204.390 621.174 116.898 0.750 re f 204.390 543.624 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 609.504 Td /F1 9.8 Tf [(Qualitative survey)] TJ ET 0.267 0.267 0.267 rg 320.538 621.174 108.976 0.750 re f 320.538 543.624 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 609.504 Td /F1 9.8 Tf [(918 officially )] TJ ET BT 325.788 599.604 Td /F1 9.8 Tf [(reported flood )] TJ ET BT 325.788 589.704 Td /F1 9.8 Tf [(deaths; qualitative )] TJ ET BT 325.788 579.804 Td /F1 9.8 Tf [(study observed )] TJ ET BT 325.788 569.904 Td /F1 9.8 Tf [(1200 deaths of )] TJ ET BT 325.788 560.004 Td /F1 9.8 Tf [(which 2% were )] TJ ET BT 325.788 550.104 Td /F1 9.8 Tf [(drownings)] TJ ET 0.267 0.267 0.267 rg 428.764 621.174 152.111 0.750 re f 428.764 543.624 0.750 78.300 re f 580.125 543.624 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 609.504 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 543.624 71.852 0.750 re f 26.625 466.074 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 531.954 Td /F1 9.8 Tf [(Ogden, )] TJ ET BT 31.875 518.992 Td /F1 9.8 Tf [(2001)] TJ ET 0.267 0.267 0.267 rg BT 56.679 519.574 Td /F4 8.7 Tf [(33)] TJ ET 97.727 543.624 107.414 0.750 re f 97.727 466.074 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 531.954 Td /F1 9.8 Tf [(May )] TJ ET BT 102.977 522.054 Td /F1 9.8 Tf [(1995,Louisiana, US)] TJ ET 0.267 0.267 0.267 rg 204.390 543.624 116.898 0.750 re f 204.390 466.074 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 531.954 Td /F1 9.8 Tf [(Surveillance and )] TJ ET BT 209.640 522.054 Td /F1 9.8 Tf [(record review of )] TJ ET BT 209.640 512.154 Td /F1 9.8 Tf [(disaster-area )] TJ ET BT 209.640 502.254 Td /F1 9.8 Tf [(hospitals and patient )] TJ ET BT 209.640 492.354 Td /F1 9.8 Tf [(visits)] TJ ET 0.267 0.267 0.267 rg 320.538 543.624 108.976 0.750 re f 320.538 466.074 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 531.954 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 543.624 152.111 0.750 re f 428.764 466.074 0.750 78.300 re f 580.125 466.074 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 531.954 Td /F1 9.8 Tf [(1855 post-flood injuries, )] TJ ET BT 434.014 522.054 Td /F1 9.8 Tf [(including musculoskeletal )] TJ ET BT 434.014 512.154 Td /F1 9.8 Tf [(\(n=791, 46%\), lacerations )] TJ ET BT 434.014 502.254 Td /F1 9.8 Tf [(\(n=385, 21%\), motor )] TJ ET BT 434.014 492.354 Td /F1 9.8 Tf [(vehicle \(n=142, 8%\), falls )] TJ ET BT 434.014 482.454 Td /F1 9.8 Tf [(\(n=134, 7%\), and other )] TJ ET BT 434.014 472.554 Td /F1 9.8 Tf [(\(n=296, 16%\))] TJ ET 0.267 0.267 0.267 rg 26.625 466.074 71.852 0.750 re f 26.625 408.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 454.404 Td /F1 9.8 Tf [(Yale, 2003 )] TJ ET 0.267 0.267 0.267 rg BT 31.875 442.024 Td /F4 8.7 Tf [(23)] TJ ET 97.727 466.074 107.414 0.750 re f 97.727 408.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 102.977 454.404 Td /F1 9.8 Tf [(Sept 1999, North )] TJ ET BT 102.977 444.504 Td /F1 9.8 Tf [(Carolina, US)] TJ ET 0.267 0.267 0.267 rg 204.390 466.074 116.898 0.750 re f 204.390 408.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 209.640 454.404 Td /F1 9.8 Tf [(Case-control study )] TJ ET BT 209.640 444.504 Td /F1 9.8 Tf [(of vehicle crashes )] TJ ET BT 209.640 434.604 Td /F1 9.8 Tf [(with drowning)] TJ ET 0.267 0.267 0.267 rg 320.538 466.074 108.976 0.750 re f 320.538 408.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 325.788 454.404 Td /F1 9.8 Tf [( 22 deaths )] TJ ET BT 325.788 444.504 Td /F1 9.8 Tf [(reported; males )] TJ ET BT 325.788 434.604 Td /F1 9.8 Tf [(and adults were )] TJ ET BT 325.788 424.704 Td /F1 9.8 Tf [(disproportionately )] TJ ET BT 325.788 414.804 Td /F1 9.8 Tf [(represented)] TJ ET 0.267 0.267 0.267 rg 428.764 466.074 152.111 0.750 re f 428.764 408.324 0.750 58.500 re f 580.125 408.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 434.014 454.404 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 408.324 71.852 0.750 re f 26.625 360.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 396.654 Td /F1 9.8 Tf [(Cariappa, )] TJ ET BT 31.875 383.692 Td /F1 9.8 Tf [(2003)] TJ ET 0.267 0.267 0.267 rg BT 56.679 384.274 Td /F4 8.7 Tf [(35)] TJ ET 97.727 408.324 107.414 0.750 re f 97.727 360.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.977 396.654 Td /F1 9.8 Tf [(July 2001,Orissa, )] TJ ET BT 102.977 386.754 Td /F1 9.8 Tf [(India)] TJ ET 0.267 0.267 0.267 rg 204.390 408.324 116.898 0.750 re f 204.390 360.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.640 396.654 Td /F1 9.8 Tf [(Assessment of flood-)] TJ ET BT 209.640 386.754 Td /F1 9.8 Tf [(related illness/injury )] TJ ET BT 209.640 376.854 Td /F1 9.8 Tf [(in care seekers)] TJ ET 0.267 0.267 0.267 rg 320.538 408.324 108.976 0.750 re f 320.538 360.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 325.788 396.654 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 408.324 152.111 0.750 re f 428.764 360.474 0.750 48.600 re f 580.125 360.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 434.014 396.654 Td /F1 9.8 Tf [(13% \(976/7450\) of health )] TJ ET BT 434.014 386.754 Td /F1 9.8 Tf [(facility visits due to injury; )] TJ ET BT 434.014 376.854 Td /F1 9.8 Tf [(males and those 11-40yrs )] TJ ET BT 434.014 366.954 Td /F1 9.8 Tf [(accounted for most injuries)] TJ ET 0.267 0.267 0.267 rg 26.625 360.474 71.852 0.750 re f 26.625 282.924 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 348.804 Td /F1 9.8 Tf [(Baxter, )] TJ ET BT 31.875 335.842 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 336.424 Td /F4 8.7 Tf [(25)] TJ ET 0.271 0.267 0.267 rg BT 68.743 335.842 Td /F1 9.8 Tf [(>)] TJ ET 0.267 0.267 0.267 rg 97.727 360.474 107.414 0.750 re f 97.727 282.924 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 348.804 Td /F1 9.8 Tf [(Jan & Feb1953, UK)] TJ ET 0.267 0.267 0.267 rg 204.390 360.474 116.898 0.750 re f 204.390 282.924 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 348.804 Td /F1 9.8 Tf [(Descriptive/historical )] TJ ET BT 209.640 338.904 Td /F1 9.8 Tf [(account)] TJ ET 0.267 0.267 0.267 rg 320.538 360.474 108.976 0.750 re f 320.538 282.924 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 348.804 Td /F1 9.8 Tf [(307 deaths due to )] TJ ET BT 325.788 338.904 Td /F1 9.8 Tf [(drowning and )] TJ ET BT 325.788 329.004 Td /F1 9.8 Tf [(exposure; elderly )] TJ ET BT 325.788 319.104 Td /F1 9.8 Tf [(and coastal/poor )] TJ ET BT 325.788 309.204 Td /F1 9.8 Tf [(construction )] TJ ET BT 325.788 299.304 Td /F1 9.8 Tf [(residents were )] TJ ET BT 325.788 289.404 Td /F1 9.8 Tf [(most at risk)] TJ ET 0.267 0.267 0.267 rg 428.764 360.474 152.111 0.750 re f 428.764 282.924 0.750 78.300 re f 580.125 282.924 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 348.804 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 282.924 71.852 0.750 re f 26.625 235.074 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 271.254 Td /F1 9.8 Tf [(Gerritsen, )] TJ ET BT 31.875 258.292 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 258.874 Td /F4 8.7 Tf [(26)] TJ ET 97.727 282.924 107.414 0.750 re f 97.727 235.074 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.977 271.254 Td /F1 9.8 Tf [(Jan & Feb 1953, )] TJ ET BT 102.977 261.354 Td /F1 9.8 Tf [(The Netherlands)] TJ ET 0.267 0.267 0.267 rg 204.390 282.924 116.898 0.750 re f 204.390 235.074 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.640 271.254 Td /F1 9.8 Tf [(Descriptive review / )] TJ ET BT 209.640 261.354 Td /F1 9.8 Tf [(historical account)] TJ ET 0.267 0.267 0.267 rg 320.538 282.924 108.976 0.750 re f 320.538 235.074 0.750 48.600 re f 0.271 0.267 0.267 rg BT 325.788 271.254 Td /F1 9.8 Tf [(1836 deaths; no )] TJ ET BT 325.788 261.354 Td /F1 9.8 Tf [(additional )] TJ ET BT 325.788 251.454 Td /F1 9.8 Tf [(information )] TJ ET BT 325.788 241.554 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 428.764 282.924 152.111 0.750 re f 428.764 235.074 0.750 48.600 re f 580.125 235.074 0.750 48.600 re f 0.271 0.267 0.267 rg BT 434.014 271.254 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 235.074 71.852 0.750 re f 26.625 177.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 223.404 Td /F1 9.8 Tf [(Pradhan, )] TJ ET BT 31.875 210.442 Td /F1 9.8 Tf [(2007)] TJ ET 0.267 0.267 0.267 rg BT 56.679 211.024 Td /F4 8.7 Tf [(24)] TJ ET 97.727 235.074 107.414 0.750 re f 97.727 177.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 102.977 223.404 Td /F1 9.8 Tf [(July 1993, Sarlahi )] TJ ET BT 102.977 213.504 Td /F1 9.8 Tf [(District, Nepal)] TJ ET 0.267 0.267 0.267 rg 204.390 235.074 116.898 0.750 re f 204.390 177.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 209.640 223.404 Td /F1 9.8 Tf [(Household survey in )] TJ ET BT 209.640 213.504 Td /F1 9.8 Tf [(flood affected areas)] TJ ET 0.267 0.267 0.267 rg 320.538 235.074 108.976 0.750 re f 320.538 177.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 325.788 223.404 Td /F1 9.8 Tf [( 302 deaths; CMR )] TJ ET BT 325.788 213.504 Td /F1 9.8 Tf [(7.3/1000; females )] TJ ET BT 325.788 203.604 Td /F1 9.8 Tf [(and young children )] TJ ET BT 325.788 193.704 Td /F1 9.8 Tf [(had greatest risk )] TJ ET BT 325.788 183.804 Td /F1 9.8 Tf [(of death)] TJ ET 0.267 0.267 0.267 rg 428.764 235.074 152.111 0.750 re f 428.764 177.324 0.750 58.500 re f 580.125 177.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 434.014 223.404 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 177.324 71.852 0.750 re f 26.625 129.474 71.852 0.750 re f 26.625 129.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 165.654 Td /F1 9.8 Tf [(Spencer, )] TJ ET BT 31.875 152.692 Td /F1 9.8 Tf [(2007)] TJ ET 0.267 0.267 0.267 rg BT 56.679 153.274 Td /F4 8.7 Tf [(27)] TJ ET 97.727 177.324 107.414 0.750 re f 97.727 129.474 107.414 0.750 re f 97.727 129.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.977 165.654 Td /F1 9.8 Tf [(Summer )] TJ ET BT 102.977 155.754 Td /F1 9.8 Tf [(1977,Pennsylvania, )] TJ ET BT 102.977 145.854 Td /F1 9.8 Tf [(US)] TJ ET 0.267 0.267 0.267 rg 204.390 177.324 116.898 0.750 re f 204.390 129.474 116.898 0.750 re f 204.390 129.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.640 165.654 Td /F1 9.8 Tf [(Descriptive/historical )] TJ ET BT 209.640 155.754 Td /F1 9.8 Tf [(account)] TJ ET 0.267 0.267 0.267 rg 320.538 177.324 108.976 0.750 re f 320.538 129.474 108.976 0.750 re f 320.538 129.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 325.788 165.654 Td /F1 9.8 Tf [( 78 deaths; no )] TJ ET BT 325.788 155.754 Td /F1 9.8 Tf [(additional )] TJ ET BT 325.788 145.854 Td /F1 9.8 Tf [(information )] TJ ET BT 325.788 135.954 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 428.764 177.324 152.111 0.750 re f 428.764 129.474 152.111 0.750 re f 428.764 129.474 0.750 48.600 re f 580.125 129.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 434.014 165.654 Td /F1 9.8 Tf [(Not reported)] TJ ET Q q 15.000 129.099 577.500 647.901 re W n 1.000 1.000 1.000 rg 26.250 129.099 555.000 647.901 re f 0.965 0.965 0.965 rg 27.000 745.737 71.102 31.263 re f 0.267 0.267 0.267 rg 26.625 745.362 0.750 31.638 re f 0.271 0.267 0.267 rg BT 31.500 764.645 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 98.102 745.737 106.664 31.263 re f 0.271 0.267 0.267 rg BT 102.602 764.645 Td /F4 9.8 Tf [(Event)] TJ ET 0.965 0.965 0.965 rg 204.765 745.737 116.148 31.263 re f 0.271 0.267 0.267 rg BT 209.265 764.645 Td /F4 9.8 Tf [(Summary)] TJ ET 0.965 0.965 0.965 rg 320.913 745.737 108.226 31.263 re f 0.271 0.267 0.267 rg BT 325.413 764.645 Td /F4 9.8 Tf [(Mortality \(n=15\))] TJ ET 0.965 0.965 0.965 rg 429.139 745.737 151.361 31.263 re f 0.267 0.267 0.267 rg 580.125 745.362 0.750 31.638 re f 0.271 0.267 0.267 rg BT 433.639 764.645 Td /F4 9.8 Tf [(Injury and Morbidity )] TJ ET BT 433.639 749.201 Td /F4 9.8 Tf [(\(n=11\))] TJ ET 0.267 0.267 0.267 rg 26.625 745.362 71.852 0.750 re f 26.625 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 31.875 733.692 Td /F1 9.8 Tf [(CDC, 2000)] TJ ET 0.267 0.267 0.267 rg BT 31.875 721.312 Td /F4 8.7 Tf [(21)] TJ ET 97.727 745.362 107.414 0.750 re f 97.727 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 102.977 733.692 Td /F1 9.8 Tf [(Oct 1998, Texas, )] TJ ET BT 102.977 723.792 Td /F1 9.8 Tf [(US)] TJ ET 0.267 0.267 0.267 rg 204.390 745.362 116.898 0.750 re f 204.390 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 209.640 733.692 Td /F1 9.8 Tf [(Public health )] TJ ET BT 209.640 723.792 Td /F1 9.8 Tf [(surveillance and )] TJ ET BT 209.640 713.892 Td /F1 9.8 Tf [(medical record )] TJ ET BT 209.640 703.992 Td /F1 9.8 Tf [(review)] TJ ET 0.267 0.267 0.267 rg 320.538 745.362 108.976 0.750 re f 320.538 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 325.788 733.692 Td /F1 9.8 Tf [(31 deaths mostly )] TJ ET BT 325.788 723.792 Td /F1 9.8 Tf [(from drowning )] TJ ET BT 325.788 713.892 Td /F1 9.8 Tf [(\(n=24, 77%\) and )] TJ ET BT 325.788 703.992 Td /F1 9.8 Tf [(trauma \(n=3, )] TJ ET BT 325.788 694.092 Td /F1 9.8 Tf [(10%\); most were )] TJ ET BT 325.788 684.192 Td /F1 9.8 Tf [(male and car )] TJ ET BT 325.788 674.292 Td /F1 9.8 Tf [(related)] TJ ET 0.267 0.267 0.267 rg 428.764 745.362 152.111 0.750 re f 428.764 621.174 0.750 124.938 re f 580.125 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 434.014 733.692 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 621.174 71.852 0.750 re f 26.625 543.624 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 609.504 Td /F1 9.8 Tf [(Rashid, )] TJ ET BT 31.875 596.542 Td /F1 9.8 Tf [(2000)] TJ ET 0.267 0.267 0.267 rg BT 56.679 597.124 Td /F4 8.7 Tf [(22)] TJ ET 97.727 621.174 107.414 0.750 re f 97.727 543.624 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 609.504 Td /F1 9.8 Tf [(1998, Dhaka )] TJ ET BT 102.977 599.604 Td /F1 9.8 Tf [(Bangladesh)] TJ ET 0.267 0.267 0.267 rg 204.390 621.174 116.898 0.750 re f 204.390 543.624 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 609.504 Td /F1 9.8 Tf [(Qualitative survey)] TJ ET 0.267 0.267 0.267 rg 320.538 621.174 108.976 0.750 re f 320.538 543.624 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 609.504 Td /F1 9.8 Tf [(918 officially )] TJ ET BT 325.788 599.604 Td /F1 9.8 Tf [(reported flood )] TJ ET BT 325.788 589.704 Td /F1 9.8 Tf [(deaths; qualitative )] TJ ET BT 325.788 579.804 Td /F1 9.8 Tf [(study observed )] TJ ET BT 325.788 569.904 Td /F1 9.8 Tf [(1200 deaths of )] TJ ET BT 325.788 560.004 Td /F1 9.8 Tf [(which 2% were )] TJ ET BT 325.788 550.104 Td /F1 9.8 Tf [(drownings)] TJ ET 0.267 0.267 0.267 rg 428.764 621.174 152.111 0.750 re f 428.764 543.624 0.750 78.300 re f 580.125 543.624 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 609.504 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 543.624 71.852 0.750 re f 26.625 466.074 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 531.954 Td /F1 9.8 Tf [(Ogden, )] TJ ET BT 31.875 518.992 Td /F1 9.8 Tf [(2001)] TJ ET 0.267 0.267 0.267 rg BT 56.679 519.574 Td /F4 8.7 Tf [(33)] TJ ET 97.727 543.624 107.414 0.750 re f 97.727 466.074 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 531.954 Td /F1 9.8 Tf [(May )] TJ ET BT 102.977 522.054 Td /F1 9.8 Tf [(1995,Louisiana, US)] TJ ET 0.267 0.267 0.267 rg 204.390 543.624 116.898 0.750 re f 204.390 466.074 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 531.954 Td /F1 9.8 Tf [(Surveillance and )] TJ ET BT 209.640 522.054 Td /F1 9.8 Tf [(record review of )] TJ ET BT 209.640 512.154 Td /F1 9.8 Tf [(disaster-area )] TJ ET BT 209.640 502.254 Td /F1 9.8 Tf [(hospitals and patient )] TJ ET BT 209.640 492.354 Td /F1 9.8 Tf [(visits)] TJ ET 0.267 0.267 0.267 rg 320.538 543.624 108.976 0.750 re f 320.538 466.074 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 531.954 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 543.624 152.111 0.750 re f 428.764 466.074 0.750 78.300 re f 580.125 466.074 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 531.954 Td /F1 9.8 Tf [(1855 post-flood injuries, )] TJ ET BT 434.014 522.054 Td /F1 9.8 Tf [(including musculoskeletal )] TJ ET BT 434.014 512.154 Td /F1 9.8 Tf [(\(n=791, 46%\), lacerations )] TJ ET BT 434.014 502.254 Td /F1 9.8 Tf [(\(n=385, 21%\), motor )] TJ ET BT 434.014 492.354 Td /F1 9.8 Tf [(vehicle \(n=142, 8%\), falls )] TJ ET BT 434.014 482.454 Td /F1 9.8 Tf [(\(n=134, 7%\), and other )] TJ ET BT 434.014 472.554 Td /F1 9.8 Tf [(\(n=296, 16%\))] TJ ET 0.267 0.267 0.267 rg 26.625 466.074 71.852 0.750 re f 26.625 408.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 454.404 Td /F1 9.8 Tf [(Yale, 2003 )] TJ ET 0.267 0.267 0.267 rg BT 31.875 442.024 Td /F4 8.7 Tf [(23)] TJ ET 97.727 466.074 107.414 0.750 re f 97.727 408.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 102.977 454.404 Td /F1 9.8 Tf [(Sept 1999, North )] TJ ET BT 102.977 444.504 Td /F1 9.8 Tf [(Carolina, US)] TJ ET 0.267 0.267 0.267 rg 204.390 466.074 116.898 0.750 re f 204.390 408.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 209.640 454.404 Td /F1 9.8 Tf [(Case-control study )] TJ ET BT 209.640 444.504 Td /F1 9.8 Tf [(of vehicle crashes )] TJ ET BT 209.640 434.604 Td /F1 9.8 Tf [(with drowning)] TJ ET 0.267 0.267 0.267 rg 320.538 466.074 108.976 0.750 re f 320.538 408.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 325.788 454.404 Td /F1 9.8 Tf [( 22 deaths )] TJ ET BT 325.788 444.504 Td /F1 9.8 Tf [(reported; males )] TJ ET BT 325.788 434.604 Td /F1 9.8 Tf [(and adults were )] TJ ET BT 325.788 424.704 Td /F1 9.8 Tf [(disproportionately )] TJ ET BT 325.788 414.804 Td /F1 9.8 Tf [(represented)] TJ ET 0.267 0.267 0.267 rg 428.764 466.074 152.111 0.750 re f 428.764 408.324 0.750 58.500 re f 580.125 408.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 434.014 454.404 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 408.324 71.852 0.750 re f 26.625 360.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 396.654 Td /F1 9.8 Tf [(Cariappa, )] TJ ET BT 31.875 383.692 Td /F1 9.8 Tf [(2003)] TJ ET 0.267 0.267 0.267 rg BT 56.679 384.274 Td /F4 8.7 Tf [(35)] TJ ET 97.727 408.324 107.414 0.750 re f 97.727 360.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.977 396.654 Td /F1 9.8 Tf [(July 2001,Orissa, )] TJ ET BT 102.977 386.754 Td /F1 9.8 Tf [(India)] TJ ET 0.267 0.267 0.267 rg 204.390 408.324 116.898 0.750 re f 204.390 360.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.640 396.654 Td /F1 9.8 Tf [(Assessment of flood-)] TJ ET BT 209.640 386.754 Td /F1 9.8 Tf [(related illness/injury )] TJ ET BT 209.640 376.854 Td /F1 9.8 Tf [(in care seekers)] TJ ET 0.267 0.267 0.267 rg 320.538 408.324 108.976 0.750 re f 320.538 360.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 325.788 396.654 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 408.324 152.111 0.750 re f 428.764 360.474 0.750 48.600 re f 580.125 360.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 434.014 396.654 Td /F1 9.8 Tf [(13% \(976/7450\) of health )] TJ ET BT 434.014 386.754 Td /F1 9.8 Tf [(facility visits due to injury; )] TJ ET BT 434.014 376.854 Td /F1 9.8 Tf [(males and those 11-40yrs )] TJ ET BT 434.014 366.954 Td /F1 9.8 Tf [(accounted for most injuries)] TJ ET 0.267 0.267 0.267 rg 26.625 360.474 71.852 0.750 re f 26.625 282.924 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 348.804 Td /F1 9.8 Tf [(Baxter, )] TJ ET BT 31.875 335.842 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 336.424 Td /F4 8.7 Tf [(25)] TJ ET 0.271 0.267 0.267 rg BT 68.743 335.842 Td /F1 9.8 Tf [(>)] TJ ET 0.267 0.267 0.267 rg 97.727 360.474 107.414 0.750 re f 97.727 282.924 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 348.804 Td /F1 9.8 Tf [(Jan & Feb1953, UK)] TJ ET 0.267 0.267 0.267 rg 204.390 360.474 116.898 0.750 re f 204.390 282.924 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 348.804 Td /F1 9.8 Tf [(Descriptive/historical )] TJ ET BT 209.640 338.904 Td /F1 9.8 Tf [(account)] TJ ET 0.267 0.267 0.267 rg 320.538 360.474 108.976 0.750 re f 320.538 282.924 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 348.804 Td /F1 9.8 Tf [(307 deaths due to )] TJ ET BT 325.788 338.904 Td /F1 9.8 Tf [(drowning and )] TJ ET BT 325.788 329.004 Td /F1 9.8 Tf [(exposure; elderly )] TJ ET BT 325.788 319.104 Td /F1 9.8 Tf [(and coastal/poor )] TJ ET BT 325.788 309.204 Td /F1 9.8 Tf [(construction )] TJ ET BT 325.788 299.304 Td /F1 9.8 Tf [(residents were )] TJ ET BT 325.788 289.404 Td /F1 9.8 Tf [(most at risk)] TJ ET 0.267 0.267 0.267 rg 428.764 360.474 152.111 0.750 re f 428.764 282.924 0.750 78.300 re f 580.125 282.924 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 348.804 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 282.924 71.852 0.750 re f 26.625 235.074 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 271.254 Td /F1 9.8 Tf [(Gerritsen, )] TJ ET BT 31.875 258.292 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 258.874 Td /F4 8.7 Tf [(26)] TJ ET 97.727 282.924 107.414 0.750 re f 97.727 235.074 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.977 271.254 Td /F1 9.8 Tf [(Jan & Feb 1953, )] TJ ET BT 102.977 261.354 Td /F1 9.8 Tf [(The Netherlands)] TJ ET 0.267 0.267 0.267 rg 204.390 282.924 116.898 0.750 re f 204.390 235.074 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.640 271.254 Td /F1 9.8 Tf [(Descriptive review / )] TJ ET BT 209.640 261.354 Td /F1 9.8 Tf [(historical account)] TJ ET 0.267 0.267 0.267 rg 320.538 282.924 108.976 0.750 re f 320.538 235.074 0.750 48.600 re f 0.271 0.267 0.267 rg BT 325.788 271.254 Td /F1 9.8 Tf [(1836 deaths; no )] TJ ET BT 325.788 261.354 Td /F1 9.8 Tf [(additional )] TJ ET BT 325.788 251.454 Td /F1 9.8 Tf [(information )] TJ ET BT 325.788 241.554 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 428.764 282.924 152.111 0.750 re f 428.764 235.074 0.750 48.600 re f 580.125 235.074 0.750 48.600 re f 0.271 0.267 0.267 rg BT 434.014 271.254 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 235.074 71.852 0.750 re f 26.625 177.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 223.404 Td /F1 9.8 Tf [(Pradhan, )] TJ ET BT 31.875 210.442 Td /F1 9.8 Tf [(2007)] TJ ET 0.267 0.267 0.267 rg BT 56.679 211.024 Td /F4 8.7 Tf [(24)] TJ ET 97.727 235.074 107.414 0.750 re f 97.727 177.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 102.977 223.404 Td /F1 9.8 Tf [(July 1993, Sarlahi )] TJ ET BT 102.977 213.504 Td /F1 9.8 Tf [(District, Nepal)] TJ ET 0.267 0.267 0.267 rg 204.390 235.074 116.898 0.750 re f 204.390 177.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 209.640 223.404 Td /F1 9.8 Tf [(Household survey in )] TJ ET BT 209.640 213.504 Td /F1 9.8 Tf [(flood affected areas)] TJ ET 0.267 0.267 0.267 rg 320.538 235.074 108.976 0.750 re f 320.538 177.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 325.788 223.404 Td /F1 9.8 Tf [( 302 deaths; CMR )] TJ ET BT 325.788 213.504 Td /F1 9.8 Tf [(7.3/1000; females )] TJ ET BT 325.788 203.604 Td /F1 9.8 Tf [(and young children )] TJ ET BT 325.788 193.704 Td /F1 9.8 Tf [(had greatest risk )] TJ ET BT 325.788 183.804 Td /F1 9.8 Tf [(of death)] TJ ET 0.267 0.267 0.267 rg 428.764 235.074 152.111 0.750 re f 428.764 177.324 0.750 58.500 re f 580.125 177.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 434.014 223.404 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 177.324 71.852 0.750 re f 26.625 129.474 71.852 0.750 re f 26.625 129.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 165.654 Td /F1 9.8 Tf [(Spencer, )] TJ ET BT 31.875 152.692 Td /F1 9.8 Tf [(2007)] TJ ET 0.267 0.267 0.267 rg BT 56.679 153.274 Td /F4 8.7 Tf [(27)] TJ ET 97.727 177.324 107.414 0.750 re f 97.727 129.474 107.414 0.750 re f 97.727 129.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.977 165.654 Td /F1 9.8 Tf [(Summer )] TJ ET BT 102.977 155.754 Td /F1 9.8 Tf [(1977,Pennsylvania, )] TJ ET BT 102.977 145.854 Td /F1 9.8 Tf [(US)] TJ ET 0.267 0.267 0.267 rg 204.390 177.324 116.898 0.750 re f 204.390 129.474 116.898 0.750 re f 204.390 129.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.640 165.654 Td /F1 9.8 Tf [(Descriptive/historical )] TJ ET BT 209.640 155.754 Td /F1 9.8 Tf [(account)] TJ ET 0.267 0.267 0.267 rg 320.538 177.324 108.976 0.750 re f 320.538 129.474 108.976 0.750 re f 320.538 129.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 325.788 165.654 Td /F1 9.8 Tf [( 78 deaths; no )] TJ ET BT 325.788 155.754 Td /F1 9.8 Tf [(additional )] TJ ET BT 325.788 145.854 Td /F1 9.8 Tf [(information )] TJ ET BT 325.788 135.954 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 428.764 177.324 152.111 0.750 re f 428.764 129.474 152.111 0.750 re f 428.764 129.474 0.750 48.600 re f 580.125 129.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 434.014 165.654 Td /F1 9.8 Tf [(Not reported)] TJ ET Q q 15.000 129.099 577.500 647.901 re W n 1.000 1.000 1.000 rg 26.250 129.099 555.000 647.901 re f 0.965 0.965 0.965 rg 27.000 745.737 71.102 31.263 re f 0.267 0.267 0.267 rg 26.625 745.362 0.750 31.638 re f 0.271 0.267 0.267 rg BT 31.500 764.645 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 98.102 745.737 106.664 31.263 re f 0.271 0.267 0.267 rg BT 102.602 764.645 Td /F4 9.8 Tf [(Event)] TJ ET 0.965 0.965 0.965 rg 204.765 745.737 116.148 31.263 re f 0.271 0.267 0.267 rg BT 209.265 764.645 Td /F4 9.8 Tf [(Summary)] TJ ET 0.965 0.965 0.965 rg 320.913 745.737 108.226 31.263 re f 0.271 0.267 0.267 rg BT 325.413 764.645 Td /F4 9.8 Tf [(Mortality \(n=15\))] TJ ET 0.965 0.965 0.965 rg 429.139 745.737 151.361 31.263 re f 0.267 0.267 0.267 rg 580.125 745.362 0.750 31.638 re f 0.271 0.267 0.267 rg BT 433.639 764.645 Td /F4 9.8 Tf [(Injury and Morbidity )] TJ ET BT 433.639 749.201 Td /F4 9.8 Tf [(\(n=11\))] TJ ET 0.267 0.267 0.267 rg 26.625 745.362 71.852 0.750 re f 26.625 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 31.875 733.692 Td /F1 9.8 Tf [(CDC, 2000)] TJ ET 0.267 0.267 0.267 rg BT 31.875 721.312 Td /F4 8.7 Tf [(21)] TJ ET 97.727 745.362 107.414 0.750 re f 97.727 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 102.977 733.692 Td /F1 9.8 Tf [(Oct 1998, Texas, )] TJ ET BT 102.977 723.792 Td /F1 9.8 Tf [(US)] TJ ET 0.267 0.267 0.267 rg 204.390 745.362 116.898 0.750 re f 204.390 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 209.640 733.692 Td /F1 9.8 Tf [(Public health )] TJ ET BT 209.640 723.792 Td /F1 9.8 Tf [(surveillance and )] TJ ET BT 209.640 713.892 Td /F1 9.8 Tf [(medical record )] TJ ET BT 209.640 703.992 Td /F1 9.8 Tf [(review)] TJ ET 0.267 0.267 0.267 rg 320.538 745.362 108.976 0.750 re f 320.538 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 325.788 733.692 Td /F1 9.8 Tf [(31 deaths mostly )] TJ ET BT 325.788 723.792 Td /F1 9.8 Tf [(from drowning )] TJ ET BT 325.788 713.892 Td /F1 9.8 Tf [(\(n=24, 77%\) and )] TJ ET BT 325.788 703.992 Td /F1 9.8 Tf [(trauma \(n=3, )] TJ ET BT 325.788 694.092 Td /F1 9.8 Tf [(10%\); most were )] TJ ET BT 325.788 684.192 Td /F1 9.8 Tf [(male and car )] TJ ET BT 325.788 674.292 Td /F1 9.8 Tf [(related)] TJ ET 0.267 0.267 0.267 rg 428.764 745.362 152.111 0.750 re f 428.764 621.174 0.750 124.938 re f 580.125 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 434.014 733.692 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 621.174 71.852 0.750 re f 26.625 543.624 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 609.504 Td /F1 9.8 Tf [(Rashid, )] TJ ET BT 31.875 596.542 Td /F1 9.8 Tf [(2000)] TJ ET 0.267 0.267 0.267 rg BT 56.679 597.124 Td /F4 8.7 Tf [(22)] TJ ET 97.727 621.174 107.414 0.750 re f 97.727 543.624 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 609.504 Td /F1 9.8 Tf [(1998, Dhaka )] TJ ET BT 102.977 599.604 Td /F1 9.8 Tf [(Bangladesh)] TJ ET 0.267 0.267 0.267 rg 204.390 621.174 116.898 0.750 re f 204.390 543.624 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 609.504 Td /F1 9.8 Tf [(Qualitative survey)] TJ ET 0.267 0.267 0.267 rg 320.538 621.174 108.976 0.750 re f 320.538 543.624 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 609.504 Td /F1 9.8 Tf [(918 officially )] TJ ET BT 325.788 599.604 Td /F1 9.8 Tf [(reported flood )] TJ ET BT 325.788 589.704 Td /F1 9.8 Tf [(deaths; qualitative )] TJ ET BT 325.788 579.804 Td /F1 9.8 Tf [(study observed )] TJ ET BT 325.788 569.904 Td /F1 9.8 Tf [(1200 deaths of )] TJ ET BT 325.788 560.004 Td /F1 9.8 Tf [(which 2% were )] TJ ET BT 325.788 550.104 Td /F1 9.8 Tf [(drownings)] TJ ET 0.267 0.267 0.267 rg 428.764 621.174 152.111 0.750 re f 428.764 543.624 0.750 78.300 re f 580.125 543.624 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 609.504 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 543.624 71.852 0.750 re f 26.625 466.074 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 531.954 Td /F1 9.8 Tf [(Ogden, )] TJ ET BT 31.875 518.992 Td /F1 9.8 Tf [(2001)] TJ ET 0.267 0.267 0.267 rg BT 56.679 519.574 Td /F4 8.7 Tf [(33)] TJ ET 97.727 543.624 107.414 0.750 re f 97.727 466.074 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 531.954 Td /F1 9.8 Tf [(May )] TJ ET BT 102.977 522.054 Td /F1 9.8 Tf [(1995,Louisiana, US)] TJ ET 0.267 0.267 0.267 rg 204.390 543.624 116.898 0.750 re f 204.390 466.074 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 531.954 Td /F1 9.8 Tf [(Surveillance and )] TJ ET BT 209.640 522.054 Td /F1 9.8 Tf [(record review of )] TJ ET BT 209.640 512.154 Td /F1 9.8 Tf [(disaster-area )] TJ ET BT 209.640 502.254 Td /F1 9.8 Tf [(hospitals and patient )] TJ ET BT 209.640 492.354 Td /F1 9.8 Tf [(visits)] TJ ET 0.267 0.267 0.267 rg 320.538 543.624 108.976 0.750 re f 320.538 466.074 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 531.954 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 543.624 152.111 0.750 re f 428.764 466.074 0.750 78.300 re f 580.125 466.074 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 531.954 Td /F1 9.8 Tf [(1855 post-flood injuries, )] TJ ET BT 434.014 522.054 Td /F1 9.8 Tf [(including musculoskeletal )] TJ ET BT 434.014 512.154 Td /F1 9.8 Tf [(\(n=791, 46%\), lacerations )] TJ ET BT 434.014 502.254 Td /F1 9.8 Tf [(\(n=385, 21%\), motor )] TJ ET BT 434.014 492.354 Td /F1 9.8 Tf [(vehicle \(n=142, 8%\), falls )] TJ ET BT 434.014 482.454 Td /F1 9.8 Tf [(\(n=134, 7%\), and other )] TJ ET BT 434.014 472.554 Td /F1 9.8 Tf [(\(n=296, 16%\))] TJ ET 0.267 0.267 0.267 rg 26.625 466.074 71.852 0.750 re f 26.625 408.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 454.404 Td /F1 9.8 Tf [(Yale, 2003 )] TJ ET 0.267 0.267 0.267 rg BT 31.875 442.024 Td /F4 8.7 Tf [(23)] TJ ET 97.727 466.074 107.414 0.750 re f 97.727 408.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 102.977 454.404 Td /F1 9.8 Tf [(Sept 1999, North )] TJ ET BT 102.977 444.504 Td /F1 9.8 Tf [(Carolina, US)] TJ ET 0.267 0.267 0.267 rg 204.390 466.074 116.898 0.750 re f 204.390 408.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 209.640 454.404 Td /F1 9.8 Tf [(Case-control study )] TJ ET BT 209.640 444.504 Td /F1 9.8 Tf [(of vehicle crashes )] TJ ET BT 209.640 434.604 Td /F1 9.8 Tf [(with drowning)] TJ ET 0.267 0.267 0.267 rg 320.538 466.074 108.976 0.750 re f 320.538 408.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 325.788 454.404 Td /F1 9.8 Tf [( 22 deaths )] TJ ET BT 325.788 444.504 Td /F1 9.8 Tf [(reported; males )] TJ ET BT 325.788 434.604 Td /F1 9.8 Tf [(and adults were )] TJ ET BT 325.788 424.704 Td /F1 9.8 Tf [(disproportionately )] TJ ET BT 325.788 414.804 Td /F1 9.8 Tf [(represented)] TJ ET 0.267 0.267 0.267 rg 428.764 466.074 152.111 0.750 re f 428.764 408.324 0.750 58.500 re f 580.125 408.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 434.014 454.404 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 408.324 71.852 0.750 re f 26.625 360.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 396.654 Td /F1 9.8 Tf [(Cariappa, )] TJ ET BT 31.875 383.692 Td /F1 9.8 Tf [(2003)] TJ ET 0.267 0.267 0.267 rg BT 56.679 384.274 Td /F4 8.7 Tf [(35)] TJ ET 97.727 408.324 107.414 0.750 re f 97.727 360.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.977 396.654 Td /F1 9.8 Tf [(July 2001,Orissa, )] TJ ET BT 102.977 386.754 Td /F1 9.8 Tf [(India)] TJ ET 0.267 0.267 0.267 rg 204.390 408.324 116.898 0.750 re f 204.390 360.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.640 396.654 Td /F1 9.8 Tf [(Assessment of flood-)] TJ ET BT 209.640 386.754 Td /F1 9.8 Tf [(related illness/injury )] TJ ET BT 209.640 376.854 Td /F1 9.8 Tf [(in care seekers)] TJ ET 0.267 0.267 0.267 rg 320.538 408.324 108.976 0.750 re f 320.538 360.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 325.788 396.654 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 408.324 152.111 0.750 re f 428.764 360.474 0.750 48.600 re f 580.125 360.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 434.014 396.654 Td /F1 9.8 Tf [(13% \(976/7450\) of health )] TJ ET BT 434.014 386.754 Td /F1 9.8 Tf [(facility visits due to injury; )] TJ ET BT 434.014 376.854 Td /F1 9.8 Tf [(males and those 11-40yrs )] TJ ET BT 434.014 366.954 Td /F1 9.8 Tf [(accounted for most injuries)] TJ ET 0.267 0.267 0.267 rg 26.625 360.474 71.852 0.750 re f 26.625 282.924 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 348.804 Td /F1 9.8 Tf [(Baxter, )] TJ ET BT 31.875 335.842 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 336.424 Td /F4 8.7 Tf [(25)] TJ ET 0.271 0.267 0.267 rg BT 68.743 335.842 Td /F1 9.8 Tf [(>)] TJ ET 0.267 0.267 0.267 rg 97.727 360.474 107.414 0.750 re f 97.727 282.924 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.977 348.804 Td /F1 9.8 Tf [(Jan & Feb1953, UK)] TJ ET 0.267 0.267 0.267 rg 204.390 360.474 116.898 0.750 re f 204.390 282.924 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.640 348.804 Td /F1 9.8 Tf [(Descriptive/historical )] TJ ET BT 209.640 338.904 Td /F1 9.8 Tf [(account)] TJ ET 0.267 0.267 0.267 rg 320.538 360.474 108.976 0.750 re f 320.538 282.924 0.750 78.300 re f 0.271 0.267 0.267 rg BT 325.788 348.804 Td /F1 9.8 Tf [(307 deaths due to )] TJ ET BT 325.788 338.904 Td /F1 9.8 Tf [(drowning and )] TJ ET BT 325.788 329.004 Td /F1 9.8 Tf [(exposure; elderly )] TJ ET BT 325.788 319.104 Td /F1 9.8 Tf [(and coastal/poor )] TJ ET BT 325.788 309.204 Td /F1 9.8 Tf [(construction )] TJ ET BT 325.788 299.304 Td /F1 9.8 Tf [(residents were )] TJ ET BT 325.788 289.404 Td /F1 9.8 Tf [(most at risk)] TJ ET 0.267 0.267 0.267 rg 428.764 360.474 152.111 0.750 re f 428.764 282.924 0.750 78.300 re f 580.125 282.924 0.750 78.300 re f 0.271 0.267 0.267 rg BT 434.014 348.804 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 282.924 71.852 0.750 re f 26.625 235.074 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 271.254 Td /F1 9.8 Tf [(Gerritsen, )] TJ ET BT 31.875 258.292 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 258.874 Td /F4 8.7 Tf [(26)] TJ ET 97.727 282.924 107.414 0.750 re f 97.727 235.074 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.977 271.254 Td /F1 9.8 Tf [(Jan & Feb 1953, )] TJ ET BT 102.977 261.354 Td /F1 9.8 Tf [(The Netherlands)] TJ ET 0.267 0.267 0.267 rg 204.390 282.924 116.898 0.750 re f 204.390 235.074 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.640 271.254 Td /F1 9.8 Tf [(Descriptive review / )] TJ ET BT 209.640 261.354 Td /F1 9.8 Tf [(historical account)] TJ ET 0.267 0.267 0.267 rg 320.538 282.924 108.976 0.750 re f 320.538 235.074 0.750 48.600 re f 0.271 0.267 0.267 rg BT 325.788 271.254 Td /F1 9.8 Tf [(1836 deaths; no )] TJ ET BT 325.788 261.354 Td /F1 9.8 Tf [(additional )] TJ ET BT 325.788 251.454 Td /F1 9.8 Tf [(information )] TJ ET BT 325.788 241.554 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 428.764 282.924 152.111 0.750 re f 428.764 235.074 0.750 48.600 re f 580.125 235.074 0.750 48.600 re f 0.271 0.267 0.267 rg BT 434.014 271.254 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 235.074 71.852 0.750 re f 26.625 177.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 223.404 Td /F1 9.8 Tf [(Pradhan, )] TJ ET BT 31.875 210.442 Td /F1 9.8 Tf [(2007)] TJ ET 0.267 0.267 0.267 rg BT 56.679 211.024 Td /F4 8.7 Tf [(24)] TJ ET 97.727 235.074 107.414 0.750 re f 97.727 177.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 102.977 223.404 Td /F1 9.8 Tf [(July 1993, Sarlahi )] TJ ET BT 102.977 213.504 Td /F1 9.8 Tf [(District, Nepal)] TJ ET 0.267 0.267 0.267 rg 204.390 235.074 116.898 0.750 re f 204.390 177.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 209.640 223.404 Td /F1 9.8 Tf [(Household survey in )] TJ ET BT 209.640 213.504 Td /F1 9.8 Tf [(flood affected areas)] TJ ET 0.267 0.267 0.267 rg 320.538 235.074 108.976 0.750 re f 320.538 177.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 325.788 223.404 Td /F1 9.8 Tf [( 302 deaths; CMR )] TJ ET BT 325.788 213.504 Td /F1 9.8 Tf [(7.3/1000; females )] TJ ET BT 325.788 203.604 Td /F1 9.8 Tf [(and young children )] TJ ET BT 325.788 193.704 Td /F1 9.8 Tf [(had greatest risk )] TJ ET BT 325.788 183.804 Td /F1 9.8 Tf [(of death)] TJ ET 0.267 0.267 0.267 rg 428.764 235.074 152.111 0.750 re f 428.764 177.324 0.750 58.500 re f 580.125 177.324 0.750 58.500 re f 0.271 0.267 0.267 rg BT 434.014 223.404 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 177.324 71.852 0.750 re f 26.625 129.474 71.852 0.750 re f 26.625 129.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 165.654 Td /F1 9.8 Tf [(Spencer, )] TJ ET BT 31.875 152.692 Td /F1 9.8 Tf [(2007)] TJ ET 0.267 0.267 0.267 rg BT 56.679 153.274 Td /F4 8.7 Tf [(27)] TJ ET 97.727 177.324 107.414 0.750 re f 97.727 129.474 107.414 0.750 re f 97.727 129.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.977 165.654 Td /F1 9.8 Tf [(Summer )] TJ ET BT 102.977 155.754 Td /F1 9.8 Tf [(1977,Pennsylvania, )] TJ ET BT 102.977 145.854 Td /F1 9.8 Tf [(US)] TJ ET 0.267 0.267 0.267 rg 204.390 177.324 116.898 0.750 re f 204.390 129.474 116.898 0.750 re f 204.390 129.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.640 165.654 Td /F1 9.8 Tf [(Descriptive/historical )] TJ ET BT 209.640 155.754 Td /F1 9.8 Tf [(account)] TJ ET 0.267 0.267 0.267 rg 320.538 177.324 108.976 0.750 re f 320.538 129.474 108.976 0.750 re f 320.538 129.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 325.788 165.654 Td /F1 9.8 Tf [( 78 deaths; no )] TJ ET BT 325.788 155.754 Td /F1 9.8 Tf [(additional )] TJ ET BT 325.788 145.854 Td /F1 9.8 Tf [(information )] TJ ET BT 325.788 135.954 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 428.764 177.324 152.111 0.750 re f 428.764 129.474 152.111 0.750 re f 428.764 129.474 0.750 48.600 re f 580.125 129.474 0.750 48.600 re f 0.271 0.267 0.267 rg BT 434.014 165.654 Td /F1 9.8 Tf [(Not reported)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(7)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 286 0 obj << /Type /Annot /Subtype /Link /A 287 0 R /Border [0 0 0] /H /I /Rect [ 31.8750 720.2720 43.9390 731.7120 ] >> endobj 287 0 obj << /Type /Action >> endobj 288 0 obj << /Type /Annot /Subtype /Link /A 289 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 596.0840 68.7430 607.5240 ] >> endobj 289 0 obj << /Type /Action >> endobj 290 0 obj << /Type /Annot /Subtype /Link /A 291 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 518.5340 68.7430 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/Action >> endobj 340 0 obj << /Type /Page /Parent 3 0 R /Annots [ 342 0 R 344 0 R 346 0 R 348 0 R 350 0 R 352 0 R 354 0 R 356 0 R 358 0 R 360 0 R 362 0 R 364 0 R ] /Contents 341 0 R >> endobj 341 0 obj << /Length 29233 >> stream 0.271 0.267 0.267 rg q 15.000 251.649 577.500 525.351 re W n 1.000 1.000 1.000 rg 26.250 289.149 555.000 487.851 re f 0.965 0.965 0.965 rg 27.000 745.737 71.102 31.263 re f 0.267 0.267 0.267 rg 26.625 745.362 0.750 31.638 re f 0.271 0.267 0.267 rg BT 31.500 764.645 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 98.102 745.737 106.664 31.263 re f 0.271 0.267 0.267 rg BT 102.602 764.645 Td /F4 9.8 Tf [(Event)] TJ ET 0.965 0.965 0.965 rg 204.765 745.737 116.148 31.263 re f 0.271 0.267 0.267 rg BT 209.265 764.645 Td /F4 9.8 Tf [(Summary)] TJ ET 0.965 0.965 0.965 rg 320.913 745.737 108.226 31.263 re f 0.271 0.267 0.267 rg BT 325.413 764.645 Td /F4 9.8 Tf [(Mortality \(n=15\))] TJ ET 0.965 0.965 0.965 rg 429.139 745.737 151.361 31.263 re f 0.267 0.267 0.267 rg 580.125 745.362 0.750 31.638 re f 0.271 0.267 0.267 rg BT 433.639 764.645 Td /F4 9.8 Tf [(Injury and Morbidity )] TJ ET BT 433.639 749.201 Td /F4 9.8 Tf [(\(n=11\))] TJ ET 0.267 0.267 0.267 rg 26.625 745.362 71.852 0.750 re f 26.625 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 31.875 733.692 Td /F1 9.8 Tf [(Schnitzler, )] TJ ET BT 31.875 720.730 Td /F1 9.8 Tf [(2007)] TJ ET 0.267 0.267 0.267 rg BT 56.679 721.312 Td /F4 8.7 Tf [(36)] TJ ET 97.727 745.362 107.414 0.750 re f 97.727 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 102.977 733.692 Td /F1 9.8 Tf [(August 2002, )] TJ ET BT 102.977 723.792 Td /F1 9.8 Tf [(Saxony, Germany)] TJ ET 0.267 0.267 0.267 rg 204.390 745.362 116.898 0.750 re f 204.390 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 209.640 733.692 Td /F1 9.8 Tf [(Telephone survey of )] TJ ET BT 209.640 723.792 Td /F1 9.8 Tf [(flood affected )] TJ ET BT 209.640 713.892 Td /F1 9.8 Tf [(households)] TJ ET 0.267 0.267 0.267 rg 320.538 745.362 108.976 0.750 re f 320.538 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 325.788 733.692 Td /F1 9.8 Tf [( Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 745.362 152.111 0.750 re f 428.764 621.174 0.750 124.938 re f 580.125 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 434.014 733.692 Td /F1 9.8 Tf [(55 \(11.7%\) of the survey )] TJ ET BT 434.014 723.792 Td /F1 9.8 Tf [(population was injured; risk )] TJ ET BT 434.014 713.892 Td /F1 9.8 Tf [(of injury was increased )] TJ ET BT 434.014 703.992 Td /F1 9.8 Tf [(among those who came )] TJ ET BT 434.014 694.092 Td /F1 9.8 Tf [(into contact with flood )] TJ ET BT 434.014 684.192 Td /F1 9.8 Tf [(water \(OR 17.8, 95% CI )] TJ ET BT 434.014 674.292 Td /F1 9.8 Tf [(17.8  30.5\).)] TJ ET 0.267 0.267 0.267 rg 26.625 621.174 71.852 0.750 re f 26.625 424.824 0.750 197.100 re f 0.271 0.267 0.267 rg BT 31.875 609.504 Td /F1 9.8 Tf [(Jonkman, )] TJ ET BT 31.875 596.542 Td /F1 9.8 Tf [(2009)] TJ ET 0.267 0.267 0.267 rg BT 56.679 597.124 Td /F4 8.7 Tf [(29)] TJ ET 97.727 621.174 107.414 0.750 re f 97.727 424.824 0.750 197.100 re f 0.271 0.267 0.267 rg BT 102.977 609.504 Td /F1 9.8 Tf [(August 2005,New )] TJ ET BT 102.977 599.604 Td /F1 9.8 Tf [(Orleans)] TJ ET 0.267 0.267 0.267 rg 204.390 621.174 116.898 0.750 re f 204.390 424.824 0.750 197.100 re f 0.271 0.267 0.267 rg BT 209.640 609.504 Td /F1 9.8 Tf [(Secondary data )] TJ ET BT 209.640 599.604 Td /F1 9.8 Tf [(analysis of )] TJ ET BT 209.640 589.704 Td /F1 9.8 Tf [(characteristics )] TJ ET BT 209.640 579.804 Td /F1 9.8 Tf [(associated with )] TJ ET BT 209.640 569.904 Td /F1 9.8 Tf [(flood-related )] TJ ET BT 209.640 560.004 Td /F1 9.8 Tf [(mortality following )] TJ ET BT 209.640 550.104 Td /F1 9.8 Tf [(hurricane Katrina)] TJ ET 0.267 0.267 0.267 rg 320.538 621.174 108.976 0.750 re f 320.538 424.824 0.750 197.100 re f 0.271 0.267 0.267 rg BT 325.788 609.504 Td /F1 9.8 Tf [( Overall mortality )] TJ ET BT 325.788 599.604 Td /F1 9.8 Tf [(percent among )] TJ ET BT 325.788 589.704 Td /F1 9.8 Tf [(exposed was 1%. )] TJ ET BT 325.788 579.804 Td /F1 9.8 Tf [(853 deaths )] TJ ET BT 325.788 569.904 Td /F1 9.8 Tf [(reported, including )] TJ ET BT 325.788 560.004 Td /F1 9.8 Tf [(51% male \(n=432\) )] TJ ET BT 325.788 550.104 Td /F1 9.8 Tf [(and 49% \(n=421\) )] TJ ET BT 325.788 540.204 Td /F1 9.8 Tf [(female. The )] TJ ET BT 325.788 530.304 Td /F1 9.8 Tf [(majority \(85%, )] TJ ET BT 325.788 520.404 Td /F1 9.8 Tf [(705/829\) were )] TJ ET BT 325.788 510.504 Td /F1 9.8 Tf [(among those > 51 )] TJ ET BT 325.788 500.604 Td /F1 9.8 Tf [(yrs of age. In )] TJ ET BT 325.788 490.704 Td /F1 9.8 Tf [(deaths where race )] TJ ET BT 325.788 480.804 Td /F1 9.8 Tf [(was reported )] TJ ET BT 325.788 470.904 Td /F1 9.8 Tf [(\(n=819\), 55% )] TJ ET BT 325.788 461.004 Td /F1 9.8 Tf [(were African )] TJ ET BT 325.788 451.104 Td /F1 9.8 Tf [(American, 40% )] TJ ET BT 325.788 441.204 Td /F1 9.8 Tf [(white, and 2% )] TJ ET BT 325.788 431.304 Td /F1 9.8 Tf [(other.)] TJ ET 0.267 0.267 0.267 rg 428.764 621.174 152.111 0.750 re f 428.764 424.824 0.750 197.100 re f 580.125 424.824 0.750 197.100 re f 0.271 0.267 0.267 rg BT 434.014 609.504 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 424.824 71.852 0.750 re f 26.625 357.174 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 413.154 Td /F1 9.8 Tf [(Biswas, )] TJ ET BT 31.875 400.192 Td /F1 9.8 Tf [(2010)] TJ ET 0.267 0.267 0.267 rg BT 56.679 400.774 Td /F4 8.7 Tf [(37)] TJ ET 97.727 424.824 107.414 0.750 re f 97.727 357.174 0.750 68.400 re f 0.271 0.267 0.267 rg BT 102.977 413.154 Td /F1 9.8 Tf [(Summer 2007, )] TJ ET BT 102.977 403.254 Td /F1 9.8 Tf [(Bangladesh)] TJ ET 0.267 0.267 0.267 rg 204.390 424.824 116.898 0.750 re f 204.390 357.174 0.750 68.400 re f 0.271 0.267 0.267 rg BT 209.640 413.154 Td /F1 9.8 Tf [(Household survey of )] TJ ET BT 209.640 403.254 Td /F1 9.8 Tf [(child injury in flood-)] TJ ET BT 209.640 393.354 Td /F1 9.8 Tf [(affected areas)] TJ ET 0.267 0.267 0.267 rg 320.538 424.824 108.976 0.750 re f 320.538 357.174 0.750 68.400 re f 0.271 0.267 0.267 rg BT 325.788 413.154 Td /F1 9.8 Tf [( Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 424.824 152.111 0.750 re f 428.764 357.174 0.750 68.400 re f 580.125 357.174 0.750 68.400 re f 0.271 0.267 0.267 rg BT 434.014 413.154 Td /F1 9.8 Tf [(>18% \(n=117\) children )] TJ ET BT 434.014 403.254 Td /F1 9.8 Tf [(injured were during flood; )] TJ ET BT 434.014 393.354 Td /F1 9.8 Tf [(injuries included 38% )] TJ ET BT 434.014 383.454 Td /F1 9.8 Tf [(lacerations, 22% falls, 21% )] TJ ET BT 434.014 373.554 Td /F1 9.8 Tf [(drowning, 8% road traffic, )] TJ ET BT 434.014 363.654 Td /F1 9.8 Tf [(6% burns, 5% animal bites.)] TJ ET 0.267 0.267 0.267 rg 26.625 357.174 71.852 0.750 re f 26.625 289.524 71.852 0.750 re f 26.625 289.524 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 345.504 Td /F1 9.8 Tf [(Bich TH, )] TJ ET BT 31.875 332.542 Td /F1 9.8 Tf [(2011)] TJ ET 0.267 0.267 0.267 rg BT 56.679 333.124 Td /F4 8.7 Tf [(54)] TJ ET 97.727 357.174 107.414 0.750 re f 97.727 289.524 107.414 0.750 re f 97.727 289.524 0.750 68.400 re f 0.271 0.267 0.267 rg BT 102.977 345.504 Td /F1 9.8 Tf [(October and )] TJ ET BT 102.977 335.604 Td /F1 9.8 Tf [(November 2008, )] TJ ET BT 102.977 325.704 Td /F1 9.8 Tf [(Hanoii, Vietnam)] TJ ET 0.267 0.267 0.267 rg 204.390 357.174 116.898 0.750 re f 204.390 289.524 116.898 0.750 re f 204.390 289.524 0.750 68.400 re f 0.271 0.267 0.267 rg BT 209.640 345.504 Td /F1 9.8 Tf [(Cross-sectional )] TJ ET BT 209.640 335.604 Td /F1 9.8 Tf [(household survey)] TJ ET 0.267 0.267 0.267 rg 320.538 357.174 108.976 0.750 re f 320.538 289.524 108.976 0.750 re f 320.538 289.524 0.750 68.400 re f 0.271 0.267 0.267 rg BT 325.788 345.504 Td /F1 9.8 Tf [( 2 deaths, no )] TJ ET BT 325.788 335.604 Td /F1 9.8 Tf [(additional )] TJ ET BT 325.788 325.704 Td /F1 9.8 Tf [(information )] TJ ET BT 325.788 315.804 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 428.764 357.174 152.111 0.750 re f 428.764 289.524 152.111 0.750 re f 428.764 289.524 0.750 68.400 re f 580.125 289.524 0.750 68.400 re f 0.271 0.267 0.267 rg BT 434.014 345.504 Td /F1 9.8 Tf [(27 injuries, including 18 )] TJ ET BT 434.014 335.604 Td /F1 9.8 Tf [(lacerations/contusions/cuts, )] TJ ET BT 434.014 325.704 Td /F1 9.8 Tf [(3 fractures, 1 trauma and 5 )] TJ ET BT 434.014 315.804 Td /F1 9.8 Tf [(others. Causes of injuries )] TJ ET BT 434.014 305.904 Td /F1 9.8 Tf [(included falls \(16\), near-)] TJ ET BT 434.014 296.004 Td /F1 9.8 Tf [(drowning \(1\) and other \(10\).)] TJ ET Q q 15.000 251.649 577.500 525.351 re W n 1.000 1.000 1.000 rg 26.250 289.149 555.000 487.851 re f 0.965 0.965 0.965 rg 27.000 745.737 71.102 31.263 re f 0.267 0.267 0.267 rg 26.625 745.362 0.750 31.638 re f 0.271 0.267 0.267 rg BT 31.500 764.645 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 98.102 745.737 106.664 31.263 re f 0.271 0.267 0.267 rg BT 102.602 764.645 Td /F4 9.8 Tf [(Event)] TJ ET 0.965 0.965 0.965 rg 204.765 745.737 116.148 31.263 re f 0.271 0.267 0.267 rg BT 209.265 764.645 Td /F4 9.8 Tf [(Summary)] TJ ET 0.965 0.965 0.965 rg 320.913 745.737 108.226 31.263 re f 0.271 0.267 0.267 rg BT 325.413 764.645 Td /F4 9.8 Tf [(Mortality \(n=15\))] TJ ET 0.965 0.965 0.965 rg 429.139 745.737 151.361 31.263 re f 0.267 0.267 0.267 rg 580.125 745.362 0.750 31.638 re f 0.271 0.267 0.267 rg BT 433.639 764.645 Td /F4 9.8 Tf [(Injury and Morbidity )] TJ ET BT 433.639 749.201 Td /F4 9.8 Tf [(\(n=11\))] TJ ET 0.267 0.267 0.267 rg 26.625 745.362 71.852 0.750 re f 26.625 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 31.875 733.692 Td /F1 9.8 Tf [(Schnitzler, )] TJ ET BT 31.875 720.730 Td /F1 9.8 Tf [(2007)] TJ ET 0.267 0.267 0.267 rg BT 56.679 721.312 Td /F4 8.7 Tf [(36)] TJ ET 97.727 745.362 107.414 0.750 re f 97.727 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 102.977 733.692 Td /F1 9.8 Tf [(August 2002, )] TJ ET BT 102.977 723.792 Td /F1 9.8 Tf [(Saxony, Germany)] TJ ET 0.267 0.267 0.267 rg 204.390 745.362 116.898 0.750 re f 204.390 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 209.640 733.692 Td /F1 9.8 Tf [(Telephone survey of )] TJ ET BT 209.640 723.792 Td /F1 9.8 Tf [(flood affected )] TJ ET BT 209.640 713.892 Td /F1 9.8 Tf [(households)] TJ ET 0.267 0.267 0.267 rg 320.538 745.362 108.976 0.750 re f 320.538 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 325.788 733.692 Td /F1 9.8 Tf [( Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 745.362 152.111 0.750 re f 428.764 621.174 0.750 124.938 re f 580.125 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 434.014 733.692 Td /F1 9.8 Tf [(55 \(11.7%\) of the survey )] TJ ET BT 434.014 723.792 Td /F1 9.8 Tf [(population was injured; risk )] TJ ET BT 434.014 713.892 Td /F1 9.8 Tf [(of injury was increased )] TJ ET BT 434.014 703.992 Td /F1 9.8 Tf [(among those who came )] TJ ET BT 434.014 694.092 Td /F1 9.8 Tf [(into contact with flood )] TJ ET BT 434.014 684.192 Td /F1 9.8 Tf [(water \(OR 17.8, 95% CI )] TJ ET BT 434.014 674.292 Td /F1 9.8 Tf [(17.8  30.5\).)] TJ ET 0.267 0.267 0.267 rg 26.625 621.174 71.852 0.750 re f 26.625 424.824 0.750 197.100 re f 0.271 0.267 0.267 rg BT 31.875 609.504 Td /F1 9.8 Tf [(Jonkman, )] TJ ET BT 31.875 596.542 Td /F1 9.8 Tf [(2009)] TJ ET 0.267 0.267 0.267 rg BT 56.679 597.124 Td /F4 8.7 Tf [(29)] TJ ET 97.727 621.174 107.414 0.750 re f 97.727 424.824 0.750 197.100 re f 0.271 0.267 0.267 rg BT 102.977 609.504 Td /F1 9.8 Tf [(August 2005,New )] TJ ET BT 102.977 599.604 Td /F1 9.8 Tf [(Orleans)] TJ ET 0.267 0.267 0.267 rg 204.390 621.174 116.898 0.750 re f 204.390 424.824 0.750 197.100 re f 0.271 0.267 0.267 rg BT 209.640 609.504 Td /F1 9.8 Tf [(Secondary data )] TJ ET BT 209.640 599.604 Td /F1 9.8 Tf [(analysis of )] TJ ET BT 209.640 589.704 Td /F1 9.8 Tf [(characteristics )] TJ ET BT 209.640 579.804 Td /F1 9.8 Tf [(associated with )] TJ ET BT 209.640 569.904 Td /F1 9.8 Tf [(flood-related )] TJ ET BT 209.640 560.004 Td /F1 9.8 Tf [(mortality following )] TJ ET BT 209.640 550.104 Td /F1 9.8 Tf [(hurricane Katrina)] TJ ET 0.267 0.267 0.267 rg 320.538 621.174 108.976 0.750 re f 320.538 424.824 0.750 197.100 re f 0.271 0.267 0.267 rg BT 325.788 609.504 Td /F1 9.8 Tf [( Overall mortality )] TJ ET BT 325.788 599.604 Td /F1 9.8 Tf [(percent among )] TJ ET BT 325.788 589.704 Td /F1 9.8 Tf [(exposed was 1%. )] TJ ET BT 325.788 579.804 Td /F1 9.8 Tf [(853 deaths )] TJ ET BT 325.788 569.904 Td /F1 9.8 Tf [(reported, including )] TJ ET BT 325.788 560.004 Td /F1 9.8 Tf [(51% male \(n=432\) )] TJ ET BT 325.788 550.104 Td /F1 9.8 Tf [(and 49% \(n=421\) )] TJ ET BT 325.788 540.204 Td /F1 9.8 Tf [(female. The )] TJ ET BT 325.788 530.304 Td /F1 9.8 Tf [(majority \(85%, )] TJ ET BT 325.788 520.404 Td /F1 9.8 Tf [(705/829\) were )] TJ ET BT 325.788 510.504 Td /F1 9.8 Tf [(among those > 51 )] TJ ET BT 325.788 500.604 Td /F1 9.8 Tf [(yrs of age. In )] TJ ET BT 325.788 490.704 Td /F1 9.8 Tf [(deaths where race )] TJ ET BT 325.788 480.804 Td /F1 9.8 Tf [(was reported )] TJ ET BT 325.788 470.904 Td /F1 9.8 Tf [(\(n=819\), 55% )] TJ ET BT 325.788 461.004 Td /F1 9.8 Tf [(were African )] TJ ET BT 325.788 451.104 Td /F1 9.8 Tf [(American, 40% )] TJ ET BT 325.788 441.204 Td /F1 9.8 Tf [(white, and 2% )] TJ ET BT 325.788 431.304 Td /F1 9.8 Tf [(other.)] TJ ET 0.267 0.267 0.267 rg 428.764 621.174 152.111 0.750 re f 428.764 424.824 0.750 197.100 re f 580.125 424.824 0.750 197.100 re f 0.271 0.267 0.267 rg BT 434.014 609.504 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 424.824 71.852 0.750 re f 26.625 357.174 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 413.154 Td /F1 9.8 Tf [(Biswas, )] TJ ET BT 31.875 400.192 Td /F1 9.8 Tf [(2010)] TJ ET 0.267 0.267 0.267 rg BT 56.679 400.774 Td /F4 8.7 Tf [(37)] TJ ET 97.727 424.824 107.414 0.750 re f 97.727 357.174 0.750 68.400 re f 0.271 0.267 0.267 rg BT 102.977 413.154 Td /F1 9.8 Tf [(Summer 2007, )] TJ ET BT 102.977 403.254 Td /F1 9.8 Tf [(Bangladesh)] TJ ET 0.267 0.267 0.267 rg 204.390 424.824 116.898 0.750 re f 204.390 357.174 0.750 68.400 re f 0.271 0.267 0.267 rg BT 209.640 413.154 Td /F1 9.8 Tf [(Household survey of )] TJ ET BT 209.640 403.254 Td /F1 9.8 Tf [(child injury in flood-)] TJ ET BT 209.640 393.354 Td /F1 9.8 Tf [(affected areas)] TJ ET 0.267 0.267 0.267 rg 320.538 424.824 108.976 0.750 re f 320.538 357.174 0.750 68.400 re f 0.271 0.267 0.267 rg BT 325.788 413.154 Td /F1 9.8 Tf [( Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 424.824 152.111 0.750 re f 428.764 357.174 0.750 68.400 re f 580.125 357.174 0.750 68.400 re f 0.271 0.267 0.267 rg BT 434.014 413.154 Td /F1 9.8 Tf [(>18% \(n=117\) children )] TJ ET BT 434.014 403.254 Td /F1 9.8 Tf [(injured were during flood; )] TJ ET BT 434.014 393.354 Td /F1 9.8 Tf [(injuries included 38% )] TJ ET BT 434.014 383.454 Td /F1 9.8 Tf [(lacerations, 22% falls, 21% )] TJ ET BT 434.014 373.554 Td /F1 9.8 Tf [(drowning, 8% road traffic, )] TJ ET BT 434.014 363.654 Td /F1 9.8 Tf [(6% burns, 5% animal bites.)] TJ ET 0.267 0.267 0.267 rg 26.625 357.174 71.852 0.750 re f 26.625 289.524 71.852 0.750 re f 26.625 289.524 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 345.504 Td /F1 9.8 Tf [(Bich TH, )] TJ ET BT 31.875 332.542 Td /F1 9.8 Tf [(2011)] TJ ET 0.267 0.267 0.267 rg BT 56.679 333.124 Td /F4 8.7 Tf [(54)] TJ ET 97.727 357.174 107.414 0.750 re f 97.727 289.524 107.414 0.750 re f 97.727 289.524 0.750 68.400 re f 0.271 0.267 0.267 rg BT 102.977 345.504 Td /F1 9.8 Tf [(October and )] TJ ET BT 102.977 335.604 Td /F1 9.8 Tf [(November 2008, )] TJ ET BT 102.977 325.704 Td /F1 9.8 Tf [(Hanoii, Vietnam)] TJ ET 0.267 0.267 0.267 rg 204.390 357.174 116.898 0.750 re f 204.390 289.524 116.898 0.750 re f 204.390 289.524 0.750 68.400 re f 0.271 0.267 0.267 rg BT 209.640 345.504 Td /F1 9.8 Tf [(Cross-sectional )] TJ ET BT 209.640 335.604 Td /F1 9.8 Tf [(household survey)] TJ ET 0.267 0.267 0.267 rg 320.538 357.174 108.976 0.750 re f 320.538 289.524 108.976 0.750 re f 320.538 289.524 0.750 68.400 re f 0.271 0.267 0.267 rg BT 325.788 345.504 Td /F1 9.8 Tf [( 2 deaths, no )] TJ ET BT 325.788 335.604 Td /F1 9.8 Tf [(additional )] TJ ET BT 325.788 325.704 Td /F1 9.8 Tf [(information )] TJ ET BT 325.788 315.804 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 428.764 357.174 152.111 0.750 re f 428.764 289.524 152.111 0.750 re f 428.764 289.524 0.750 68.400 re f 580.125 289.524 0.750 68.400 re f 0.271 0.267 0.267 rg BT 434.014 345.504 Td /F1 9.8 Tf [(27 injuries, including 18 )] TJ ET BT 434.014 335.604 Td /F1 9.8 Tf [(lacerations/contusions/cuts, )] TJ ET BT 434.014 325.704 Td /F1 9.8 Tf [(3 fractures, 1 trauma and 5 )] TJ ET BT 434.014 315.804 Td /F1 9.8 Tf [(others. Causes of injuries )] TJ ET BT 434.014 305.904 Td /F1 9.8 Tf [(included falls \(16\), near-)] TJ ET BT 434.014 296.004 Td /F1 9.8 Tf [(drowning \(1\) and other \(10\).)] TJ ET Q q 15.000 251.649 577.500 525.351 re W n 1.000 1.000 1.000 rg 26.250 289.149 555.000 487.851 re f 0.965 0.965 0.965 rg 27.000 745.737 71.102 31.263 re f 0.267 0.267 0.267 rg 26.625 745.362 0.750 31.638 re f 0.271 0.267 0.267 rg BT 31.500 764.645 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 98.102 745.737 106.664 31.263 re f 0.271 0.267 0.267 rg BT 102.602 764.645 Td /F4 9.8 Tf [(Event)] TJ ET 0.965 0.965 0.965 rg 204.765 745.737 116.148 31.263 re f 0.271 0.267 0.267 rg BT 209.265 764.645 Td /F4 9.8 Tf [(Summary)] TJ ET 0.965 0.965 0.965 rg 320.913 745.737 108.226 31.263 re f 0.271 0.267 0.267 rg BT 325.413 764.645 Td /F4 9.8 Tf [(Mortality \(n=15\))] TJ ET 0.965 0.965 0.965 rg 429.139 745.737 151.361 31.263 re f 0.267 0.267 0.267 rg 580.125 745.362 0.750 31.638 re f 0.271 0.267 0.267 rg BT 433.639 764.645 Td /F4 9.8 Tf [(Injury and Morbidity )] TJ ET BT 433.639 749.201 Td /F4 9.8 Tf [(\(n=11\))] TJ ET 0.267 0.267 0.267 rg 26.625 745.362 71.852 0.750 re f 26.625 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 31.875 733.692 Td /F1 9.8 Tf [(Schnitzler, )] TJ ET BT 31.875 720.730 Td /F1 9.8 Tf [(2007)] TJ ET 0.267 0.267 0.267 rg BT 56.679 721.312 Td /F4 8.7 Tf [(36)] TJ ET 97.727 745.362 107.414 0.750 re f 97.727 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 102.977 733.692 Td /F1 9.8 Tf [(August 2002, )] TJ ET BT 102.977 723.792 Td /F1 9.8 Tf [(Saxony, Germany)] TJ ET 0.267 0.267 0.267 rg 204.390 745.362 116.898 0.750 re f 204.390 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 209.640 733.692 Td /F1 9.8 Tf [(Telephone survey of )] TJ ET BT 209.640 723.792 Td /F1 9.8 Tf [(flood affected )] TJ ET BT 209.640 713.892 Td /F1 9.8 Tf [(households)] TJ ET 0.267 0.267 0.267 rg 320.538 745.362 108.976 0.750 re f 320.538 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 325.788 733.692 Td /F1 9.8 Tf [( Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 745.362 152.111 0.750 re f 428.764 621.174 0.750 124.938 re f 580.125 621.174 0.750 124.938 re f 0.271 0.267 0.267 rg BT 434.014 733.692 Td /F1 9.8 Tf [(55 \(11.7%\) of the survey )] TJ ET BT 434.014 723.792 Td /F1 9.8 Tf [(population was injured; risk )] TJ ET BT 434.014 713.892 Td /F1 9.8 Tf [(of injury was increased )] TJ ET BT 434.014 703.992 Td /F1 9.8 Tf [(among those who came )] TJ ET BT 434.014 694.092 Td /F1 9.8 Tf [(into contact with flood )] TJ ET BT 434.014 684.192 Td /F1 9.8 Tf [(water \(OR 17.8, 95% CI )] TJ ET BT 434.014 674.292 Td /F1 9.8 Tf [(17.8  30.5\).)] TJ ET 0.267 0.267 0.267 rg 26.625 621.174 71.852 0.750 re f 26.625 424.824 0.750 197.100 re f 0.271 0.267 0.267 rg BT 31.875 609.504 Td /F1 9.8 Tf [(Jonkman, )] TJ ET BT 31.875 596.542 Td /F1 9.8 Tf [(2009)] TJ ET 0.267 0.267 0.267 rg BT 56.679 597.124 Td /F4 8.7 Tf [(29)] TJ ET 97.727 621.174 107.414 0.750 re f 97.727 424.824 0.750 197.100 re f 0.271 0.267 0.267 rg BT 102.977 609.504 Td /F1 9.8 Tf [(August 2005,New )] TJ ET BT 102.977 599.604 Td /F1 9.8 Tf [(Orleans)] TJ ET 0.267 0.267 0.267 rg 204.390 621.174 116.898 0.750 re f 204.390 424.824 0.750 197.100 re f 0.271 0.267 0.267 rg BT 209.640 609.504 Td /F1 9.8 Tf [(Secondary data )] TJ ET BT 209.640 599.604 Td /F1 9.8 Tf [(analysis of )] TJ ET BT 209.640 589.704 Td /F1 9.8 Tf [(characteristics )] TJ ET BT 209.640 579.804 Td /F1 9.8 Tf [(associated with )] TJ ET BT 209.640 569.904 Td /F1 9.8 Tf [(flood-related )] TJ ET BT 209.640 560.004 Td /F1 9.8 Tf [(mortality following )] TJ ET BT 209.640 550.104 Td /F1 9.8 Tf [(hurricane Katrina)] TJ ET 0.267 0.267 0.267 rg 320.538 621.174 108.976 0.750 re f 320.538 424.824 0.750 197.100 re f 0.271 0.267 0.267 rg BT 325.788 609.504 Td /F1 9.8 Tf [( Overall mortality )] TJ ET BT 325.788 599.604 Td /F1 9.8 Tf [(percent among )] TJ ET BT 325.788 589.704 Td /F1 9.8 Tf [(exposed was 1%. )] TJ ET BT 325.788 579.804 Td /F1 9.8 Tf [(853 deaths )] TJ ET BT 325.788 569.904 Td /F1 9.8 Tf [(reported, including )] TJ ET BT 325.788 560.004 Td /F1 9.8 Tf [(51% male \(n=432\) )] TJ ET BT 325.788 550.104 Td /F1 9.8 Tf [(and 49% \(n=421\) )] TJ ET BT 325.788 540.204 Td /F1 9.8 Tf [(female. The )] TJ ET BT 325.788 530.304 Td /F1 9.8 Tf [(majority \(85%, )] TJ ET BT 325.788 520.404 Td /F1 9.8 Tf [(705/829\) were )] TJ ET BT 325.788 510.504 Td /F1 9.8 Tf [(among those > 51 )] TJ ET BT 325.788 500.604 Td /F1 9.8 Tf [(yrs of age. In )] TJ ET BT 325.788 490.704 Td /F1 9.8 Tf [(deaths where race )] TJ ET BT 325.788 480.804 Td /F1 9.8 Tf [(was reported )] TJ ET BT 325.788 470.904 Td /F1 9.8 Tf [(\(n=819\), 55% )] TJ ET BT 325.788 461.004 Td /F1 9.8 Tf [(were African )] TJ ET BT 325.788 451.104 Td /F1 9.8 Tf [(American, 40% )] TJ ET BT 325.788 441.204 Td /F1 9.8 Tf [(white, and 2% )] TJ ET BT 325.788 431.304 Td /F1 9.8 Tf [(other.)] TJ ET 0.267 0.267 0.267 rg 428.764 621.174 152.111 0.750 re f 428.764 424.824 0.750 197.100 re f 580.125 424.824 0.750 197.100 re f 0.271 0.267 0.267 rg BT 434.014 609.504 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 26.625 424.824 71.852 0.750 re f 26.625 357.174 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 413.154 Td /F1 9.8 Tf [(Biswas, )] TJ ET BT 31.875 400.192 Td /F1 9.8 Tf [(2010)] TJ ET 0.267 0.267 0.267 rg BT 56.679 400.774 Td /F4 8.7 Tf [(37)] TJ ET 97.727 424.824 107.414 0.750 re f 97.727 357.174 0.750 68.400 re f 0.271 0.267 0.267 rg BT 102.977 413.154 Td /F1 9.8 Tf [(Summer 2007, )] TJ ET BT 102.977 403.254 Td /F1 9.8 Tf [(Bangladesh)] TJ ET 0.267 0.267 0.267 rg 204.390 424.824 116.898 0.750 re f 204.390 357.174 0.750 68.400 re f 0.271 0.267 0.267 rg BT 209.640 413.154 Td /F1 9.8 Tf [(Household survey of )] TJ ET BT 209.640 403.254 Td /F1 9.8 Tf [(child injury in flood-)] TJ ET BT 209.640 393.354 Td /F1 9.8 Tf [(affected areas)] TJ ET 0.267 0.267 0.267 rg 320.538 424.824 108.976 0.750 re f 320.538 357.174 0.750 68.400 re f 0.271 0.267 0.267 rg BT 325.788 413.154 Td /F1 9.8 Tf [( Not reported)] TJ ET 0.267 0.267 0.267 rg 428.764 424.824 152.111 0.750 re f 428.764 357.174 0.750 68.400 re f 580.125 357.174 0.750 68.400 re f 0.271 0.267 0.267 rg BT 434.014 413.154 Td /F1 9.8 Tf [(>18% \(n=117\) children )] TJ ET BT 434.014 403.254 Td /F1 9.8 Tf [(injured were during flood; )] TJ ET BT 434.014 393.354 Td /F1 9.8 Tf [(injuries included 38% )] TJ ET BT 434.014 383.454 Td /F1 9.8 Tf [(lacerations, 22% falls, 21% )] TJ ET BT 434.014 373.554 Td /F1 9.8 Tf [(drowning, 8% road traffic, )] TJ ET BT 434.014 363.654 Td /F1 9.8 Tf [(6% burns, 5% animal bites.)] TJ ET 0.267 0.267 0.267 rg 26.625 357.174 71.852 0.750 re f 26.625 289.524 71.852 0.750 re f 26.625 289.524 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 345.504 Td /F1 9.8 Tf [(Bich TH, )] TJ ET BT 31.875 332.542 Td /F1 9.8 Tf [(2011)] TJ ET 0.267 0.267 0.267 rg BT 56.679 333.124 Td /F4 8.7 Tf [(54)] TJ ET 97.727 357.174 107.414 0.750 re f 97.727 289.524 107.414 0.750 re f 97.727 289.524 0.750 68.400 re f 0.271 0.267 0.267 rg BT 102.977 345.504 Td /F1 9.8 Tf [(October and )] TJ ET BT 102.977 335.604 Td /F1 9.8 Tf [(November 2008, )] TJ ET BT 102.977 325.704 Td /F1 9.8 Tf [(Hanoii, Vietnam)] TJ ET 0.267 0.267 0.267 rg 204.390 357.174 116.898 0.750 re f 204.390 289.524 116.898 0.750 re f 204.390 289.524 0.750 68.400 re f 0.271 0.267 0.267 rg BT 209.640 345.504 Td /F1 9.8 Tf [(Cross-sectional )] TJ ET BT 209.640 335.604 Td /F1 9.8 Tf [(household survey)] TJ ET 0.267 0.267 0.267 rg 320.538 357.174 108.976 0.750 re f 320.538 289.524 108.976 0.750 re f 320.538 289.524 0.750 68.400 re f 0.271 0.267 0.267 rg BT 325.788 345.504 Td /F1 9.8 Tf [( 2 deaths, no )] TJ ET BT 325.788 335.604 Td /F1 9.8 Tf [(additional )] TJ ET BT 325.788 325.704 Td /F1 9.8 Tf [(information )] TJ ET BT 325.788 315.804 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 428.764 357.174 152.111 0.750 re f 428.764 289.524 152.111 0.750 re f 428.764 289.524 0.750 68.400 re f 580.125 289.524 0.750 68.400 re f 0.271 0.267 0.267 rg BT 434.014 345.504 Td /F1 9.8 Tf [(27 injuries, including 18 )] TJ ET BT 434.014 335.604 Td /F1 9.8 Tf [(lacerations/contusions/cuts, )] TJ ET BT 434.014 325.704 Td /F1 9.8 Tf [(3 fractures, 1 trauma and 5 )] TJ ET BT 434.014 315.804 Td /F1 9.8 Tf [(others. Causes of injuries )] TJ ET BT 434.014 305.904 Td /F1 9.8 Tf [(included falls \(16\), near-)] TJ ET BT 434.014 296.004 Td /F1 9.8 Tf [(drowning \(1\) and other \(10\).)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(8)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 342 0 obj << /Type /Annot /Subtype /Link /A 343 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 720.2720 68.7430 731.7120 ] >> endobj 343 0 obj << /Type /Action >> endobj 344 0 obj << /Type /Annot /Subtype /Link /A 345 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 596.0840 68.7430 607.5240 ] >> endobj 345 0 obj << /Type /Action >> endobj 346 0 obj << /Type /Annot /Subtype /Link /A 347 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 399.7340 68.7430 411.1740 ] >> endobj 347 0 obj << /Type /Action >> endobj 348 0 obj << /Type /Annot /Subtype /Link /A 349 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 332.0840 68.7430 343.5240 ] >> endobj 349 0 obj << /Type /Action >> endobj 350 0 obj << /Type /Annot /Subtype /Link /A 351 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 720.2720 68.7430 731.7120 ] >> endobj 351 0 obj << /Type /Action >> endobj 352 0 obj << /Type /Annot /Subtype /Link /A 353 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 596.0840 68.7430 607.5240 ] >> endobj 353 0 obj << /Type /Action >> endobj 354 0 obj << /Type /Annot /Subtype /Link /A 355 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 399.7340 68.7430 411.1740 ] >> endobj 355 0 obj << /Type /Action >> endobj 356 0 obj << /Type /Annot /Subtype /Link /A 357 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 332.0840 68.7430 343.5240 ] >> endobj 357 0 obj << /Type /Action >> endobj 358 0 obj << /Type /Annot /Subtype /Link /A 359 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 720.2720 68.7430 731.7120 ] >> endobj 359 0 obj << /Type /Action >> endobj 360 0 obj << /Type /Annot /Subtype /Link /A 361 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 596.0840 68.7430 607.5240 ] >> endobj 361 0 obj << /Type /Action >> endobj 362 0 obj << /Type /Annot /Subtype /Link /A 363 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 399.7340 68.7430 411.1740 ] >> endobj 363 0 obj << /Type /Action >> endobj 364 0 obj << /Type /Annot /Subtype /Link /A 365 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 332.0840 68.7430 343.5240 ] >> endobj 365 0 obj << /Type /Action >> endobj 366 0 obj << /Type /Page /Parent 3 0 R /Annots [ 368 0 R 370 0 R 372 0 R 374 0 R 376 0 R 378 0 R 380 0 R 382 0 R 384 0 R 386 0 R 388 0 R 390 0 R 392 0 R 394 0 R 396 0 R 398 0 R 400 0 R 402 0 R 404 0 R 406 0 R 408 0 R 410 0 R 412 0 R 414 0 R ] /Contents 367 0 R >> endobj 367 0 obj << /Length 55009 >> stream 0.271 0.267 0.267 rg q 15.000 96.141 577.500 680.859 re W n q 26.250 741.360 555.000 35.640 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 2: Review articles identified by the systematic review relating to mortality, injury, and displacement in )] TJ ET BT 26.250 744.924 Td /F1 9.8 Tf [(flood events \(N=15\))] TJ ET Q 1.000 1.000 1.000 rg 26.250 96.141 555.000 637.719 re f 0.965 0.965 0.965 rg 27.000 717.291 73.422 15.819 re f 0.267 0.267 0.267 rg 26.625 732.735 73.797 0.750 re f 26.625 716.916 0.750 16.569 re f 0.271 0.267 0.267 rg BT 31.500 720.755 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 100.422 717.291 138.793 15.819 re f 0.267 0.267 0.267 rg 100.422 732.735 138.793 0.750 re f 0.271 0.267 0.267 rg BT 104.922 720.755 Td /F4 9.8 Tf [(Summary)] TJ ET 0.965 0.965 0.965 rg 239.214 717.291 341.286 15.819 re f 0.267 0.267 0.267 rg 239.214 732.735 341.661 0.750 re f 580.125 716.916 0.750 16.569 re f 0.271 0.267 0.267 rg BT 243.714 720.755 Td /F4 9.8 Tf [(Key Findings)] TJ ET 0.267 0.267 0.267 rg 26.625 716.916 74.172 0.750 re f 26.625 649.266 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 705.246 Td /F1 9.8 Tf [(Statistical )] TJ ET BT 31.875 695.346 Td /F1 9.8 Tf [(Bulletin )] TJ ET BT 31.875 682.384 Td /F1 9.8 Tf [(1974)] TJ ET 0.267 0.267 0.267 rg BT 56.679 682.966 Td /F4 8.7 Tf [(55)] TJ ET 100.047 716.916 139.543 0.750 re f 100.047 649.266 0.750 68.400 re f 0.271 0.267 0.267 rg BT 105.297 705.246 Td /F1 9.8 Tf [(Review of tornado, flood )] TJ ET BT 105.297 695.346 Td /F1 9.8 Tf [(and hurricane associated )] TJ ET BT 105.297 685.446 Td /F1 9.8 Tf [(mortality in the US from )] TJ ET BT 105.297 675.546 Td /F1 9.8 Tf [(1965 to 1974)] TJ ET 0.267 0.267 0.267 rg 238.839 716.916 342.036 0.750 re f 238.839 649.266 0.750 68.400 re f 580.125 649.266 0.750 68.400 re f 0.271 0.267 0.267 rg BT 244.089 705.246 Td /F1 9.8 Tf [(More than 1,200 flood deaths in the United States during the )] TJ ET BT 244.089 695.346 Td /F1 9.8 Tf [(review period with a concentrated in a few large events. 14 major )] TJ ET BT 244.089 685.446 Td /F1 9.8 Tf [(river systems were linked to flood deaths; damage can be )] TJ ET BT 244.089 675.546 Td /F1 9.8 Tf [(mitigated through reforestation, construction of reservoirs and )] TJ ET BT 244.089 665.646 Td /F1 9.8 Tf [(flood walls, diversion, and improved early warning and forecasting )] TJ ET BT 244.089 655.746 Td /F1 9.8 Tf [(systems.)] TJ ET 0.267 0.267 0.267 rg 26.625 649.266 74.172 0.750 re f 26.625 571.716 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 637.596 Td /F1 9.8 Tf [(French et )] TJ ET BT 31.875 624.634 Td /F1 9.8 Tf [(al., 1983)] TJ ET 0.267 0.267 0.267 rg BT 74.668 625.216 Td /F4 8.7 Tf [(45)] TJ ET 100.047 649.266 139.543 0.750 re f 100.047 571.716 0.750 78.300 re f 0.271 0.267 0.267 rg BT 105.297 637.596 Td /F1 9.8 Tf [(Review of National )] TJ ET BT 105.297 627.696 Td /F1 9.8 Tf [(Weather Service flash )] TJ ET BT 105.297 617.796 Td /F1 9.8 Tf [(floods reports from 1969 )] TJ ET BT 105.297 607.896 Td /F1 9.8 Tf [(to 1981 to assess )] TJ ET BT 105.297 597.996 Td /F1 9.8 Tf [(mortality effects of )] TJ ET BT 105.297 588.096 Td /F1 9.8 Tf [(warning systems)] TJ ET 0.267 0.267 0.267 rg 238.839 649.266 342.036 0.750 re f 238.839 571.716 0.750 78.300 re f 580.125 571.716 0.750 78.300 re f 0.271 0.267 0.267 rg BT 244.089 637.596 Td /F1 9.8 Tf [(Floods were the primary cause of weather-related deaths. There )] TJ ET BT 244.089 627.696 Td /F1 9.8 Tf [(were 1,185 deaths in 32 flash floods with an average of 37 deaths )] TJ ET BT 244.089 617.796 Td /F1 9.8 Tf [(per flood; the highest mortality was associated with dams )] TJ ET BT 244.089 607.896 Td /F1 9.8 Tf [(breaking after heavy rains. Mortality was greater earlier in the )] TJ ET BT 244.089 597.996 Td /F1 9.8 Tf [(study period and twice as many deaths occurred in areas with )] TJ ET BT 244.089 588.096 Td /F1 9.8 Tf [(inadequate warning systems. 93% of deaths were due to )] TJ ET BT 244.089 578.196 Td /F1 9.8 Tf [(drowning, of which 42% were car related.)] TJ ET 0.267 0.267 0.267 rg 26.625 571.716 74.172 0.750 re f 26.625 513.966 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 560.046 Td /F1 9.8 Tf [(Avakyan )] TJ ET BT 31.875 547.084 Td /F1 9.8 Tf [(1999)] TJ ET 0.267 0.267 0.267 rg BT 56.679 547.666 Td /F4 8.7 Tf [(56)] TJ ET 100.047 571.716 139.543 0.750 re f 100.047 513.966 0.750 58.500 re f 0.271 0.267 0.267 rg BT 105.297 560.046 Td /F1 9.8 Tf [(Review of global flood )] TJ ET BT 105.297 550.146 Td /F1 9.8 Tf [(events from 1997 to )] TJ ET BT 105.297 540.246 Td /F1 9.8 Tf [(1999 using Dartmouth )] TJ ET BT 105.297 530.346 Td /F1 9.8 Tf [(Flood Observatory data)] TJ ET 0.267 0.267 0.267 rg 238.839 571.716 342.036 0.750 re f 238.839 513.966 0.750 58.500 re f 580.125 513.966 0.750 58.500 re f 0.271 0.267 0.267 rg BT 244.089 560.046 Td /F1 9.8 Tf [(Damage due to floods increased over time due to more )] TJ ET BT 244.089 550.146 Td /F1 9.8 Tf [(development in flood-affected areas; mapping and regulation of )] TJ ET BT 244.089 540.246 Td /F1 9.8 Tf [(flood hazards zones are necessary to mitigate damage. Globally )] TJ ET BT 244.089 530.346 Td /F1 9.8 Tf [(Bangladesh is the most affected by floods. Number of events, )] TJ ET BT 244.089 520.446 Td /F1 9.8 Tf [(victims, evacuees and damage are reported for each year.)] TJ ET 0.267 0.267 0.267 rg 26.625 513.966 74.172 0.750 re f 26.625 416.616 0.750 98.100 re f 0.271 0.267 0.267 rg BT 31.875 502.296 Td /F1 9.8 Tf [(Berz, 2000)] TJ ET 0.267 0.267 0.267 rg BT 31.875 489.916 Td /F4 8.7 Tf [(39)] TJ ET 100.047 513.966 139.543 0.750 re f 100.047 416.616 0.750 98.100 re f 0.271 0.267 0.267 rg BT 105.297 502.296 Td /F1 9.8 Tf [(Review of the impacts of )] TJ ET BT 105.297 492.396 Td /F1 9.8 Tf [(major floods in the last )] TJ ET BT 105.297 479.434 Td /F1 9.8 Tf [(half of the 20)] TJ ET BT 170.700 482.762 Td /F1 8.7 Tf [(th)] TJ ET BT 179.592 479.434 Td /F1 9.8 Tf [( century )] TJ ET BT 105.297 468.768 Td /F1 9.8 Tf [(and summary of )] TJ ET BT 105.297 458.868 Td /F1 9.8 Tf [(significant floods from )] TJ ET BT 105.297 448.968 Td /F1 9.8 Tf [(1990 to 1998 from the )] TJ ET BT 105.297 439.068 Td /F1 9.8 Tf [(Munich Re natural event )] TJ ET BT 105.297 429.168 Td /F1 9.8 Tf [(loss database)] TJ ET 0.267 0.267 0.267 rg 238.839 513.966 342.036 0.750 re f 238.839 416.616 0.750 98.100 re f 580.125 416.616 0.750 98.100 re f 0.271 0.267 0.267 rg BT 244.089 502.296 Td /F1 9.8 Tf [(Floods account for half of all natural disaster deaths; trend )] TJ ET BT 244.089 492.396 Td /F1 9.8 Tf [(analysis suggests the frequency of and damages associated with )] TJ ET BT 244.089 482.496 Td /F1 9.8 Tf [(floods have increased over time. Excluding storm surges, the )] TJ ET BT 244.089 472.596 Td /F1 9.8 Tf [(three most deadly flood events from 1990 to 1998 were in India, )] TJ ET BT 244.089 462.696 Td /F1 9.8 Tf [(Nepal and Bangladesh in 1998 4750 deaths, China in 1998 3656 )] TJ ET BT 244.089 452.796 Td /F1 9.8 Tf [(deaths, and China in 1993-3300 deaths. Explanations for )] TJ ET BT 244.089 442.896 Td /F1 9.8 Tf [(increased mortality include population growth, vulnerability of )] TJ ET BT 244.089 432.996 Td /F1 9.8 Tf [(structures, construction in flood-prone areas, flood protection )] TJ ET BT 244.089 423.096 Td /F1 9.8 Tf [(system failures and changes in environmental conditions.)] TJ ET 0.267 0.267 0.267 rg 26.625 416.616 74.172 0.750 re f 26.625 368.766 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 404.946 Td /F1 9.8 Tf [(Beyhun, )] TJ ET BT 31.875 395.046 Td /F1 9.8 Tf [(Altintas & )] TJ ET BT 31.875 382.084 Td /F1 9.8 Tf [(Noji, 2005)] TJ ET 0.267 0.267 0.267 rg BT 81.561 382.666 Td /F4 8.7 Tf [(31)] TJ ET 100.047 416.616 139.543 0.750 re f 100.047 368.766 0.750 48.600 re f 0.271 0.267 0.267 rg BT 105.297 404.946 Td /F1 9.8 Tf [(Review of the impact of )] TJ ET BT 105.297 395.046 Td /F1 9.8 Tf [(flooding in Turkey from )] TJ ET BT 105.297 385.146 Td /F1 9.8 Tf [(1970 to 1996)] TJ ET 0.267 0.267 0.267 rg 238.839 416.616 342.036 0.750 re f 238.839 368.766 0.750 48.600 re f 580.125 368.766 0.750 48.600 re f 0.271 0.267 0.267 rg BT 244.089 404.946 Td /F1 9.8 Tf [(624 floods recorded during study period, including 83 fatal events )] TJ ET BT 244.089 395.046 Td /F1 9.8 Tf [(with 539 deaths. There was an association between deaths and )] TJ ET BT 244.089 385.146 Td /F1 9.8 Tf [(material losses, close to half of flood events occurred in summer )] TJ ET BT 244.089 375.246 Td /F1 9.8 Tf [(months, and 37% of deaths in the Black Sea region.)] TJ ET 0.267 0.267 0.267 rg 26.625 368.766 74.172 0.750 re f 26.625 271.416 0.750 98.100 re f 0.271 0.267 0.267 rg BT 31.875 357.096 Td /F1 9.8 Tf [(Guzzetti, )] TJ ET BT 31.875 344.134 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 344.716 Td /F4 8.7 Tf [(57)] TJ ET 100.047 368.766 139.543 0.750 re f 100.047 271.416 0.750 98.100 re f 0.271 0.267 0.267 rg BT 105.297 357.096 Td /F1 9.8 Tf [(Review of flood and )] TJ ET BT 105.297 347.196 Td /F1 9.8 Tf [(landslide related deaths, )] TJ ET BT 105.297 337.296 Td /F1 9.8 Tf [(missing persons, injuries )] TJ ET BT 105.297 327.396 Td /F1 9.8 Tf [(and homelessness in )] TJ ET BT 105.297 317.496 Td /F1 9.8 Tf [(Italy from 1279 to 2002)] TJ ET 0.267 0.267 0.267 rg 238.839 368.766 342.036 0.750 re f 238.839 271.416 0.750 98.100 re f 580.125 271.416 0.750 98.100 re f 0.271 0.267 0.267 rg BT 244.089 357.096 Td /F1 9.8 Tf [(50,593 people died, went missing, or were injured in 2,580 flood )] TJ ET BT 244.089 347.196 Td /F1 9.8 Tf [(and landslide events and over 733,000 were displaced. Floods )] TJ ET BT 244.089 337.296 Td /F1 9.8 Tf [(accounted for 38,242 deaths; fatal events were most frequent in )] TJ ET BT 244.089 327.396 Td /F1 9.8 Tf [(the northern Alpine regions and mortality was highest in autumn. )] TJ ET BT 244.089 317.496 Td /F1 9.8 Tf [(Floods were caused by high-intensity or prolonged rainfall, snow )] TJ ET BT 244.089 307.596 Td /F1 9.8 Tf [(melt, overtopping or failure of levees, embankments, or dams, and )] TJ ET BT 244.089 297.696 Td /F1 9.8 Tf [(reservoir mismanagement. Since World War II, landslide has )] TJ ET BT 244.089 287.796 Td /F1 9.8 Tf [(exceeded flood mortality and is comparable to earthquake )] TJ ET BT 244.089 277.896 Td /F1 9.8 Tf [(mortality.)] TJ ET 0.267 0.267 0.267 rg 26.625 271.416 74.172 0.750 re f 26.625 193.866 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 259.746 Td /F1 9.8 Tf [(Jonkman & )] TJ ET BT 31.875 249.846 Td /F1 9.8 Tf [(Kelman, )] TJ ET BT 31.875 236.884 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 237.466 Td /F4 8.7 Tf [(1)] TJ ET 100.047 271.416 139.543 0.750 re f 100.047 193.866 0.750 78.300 re f 0.271 0.267 0.267 rg BT 105.297 259.746 Td /F1 9.8 Tf [(Examination of the )] TJ ET BT 105.297 249.846 Td /F1 9.8 Tf [(causes and )] TJ ET BT 105.297 239.946 Td /F1 9.8 Tf [(circumstances of 247 )] TJ ET BT 105.297 230.046 Td /F1 9.8 Tf [(flood disaster deaths )] TJ ET BT 105.297 220.146 Td /F1 9.8 Tf [(across 13 flood events in )] TJ ET BT 105.297 210.246 Td /F1 9.8 Tf [(Europe and the US)] TJ ET 0.267 0.267 0.267 rg 238.839 271.416 342.036 0.750 re f 238.839 193.866 0.750 78.300 re f 580.125 193.866 0.750 78.300 re f 0.271 0.267 0.267 rg BT 244.089 259.746 Td /F1 9.8 Tf [(Two-thirds of deaths were due to drowning. Being male and )] TJ ET BT 244.089 249.846 Td /F1 9.8 Tf [(engaging in high risk behavior during flood events were also )] TJ ET BT 244.089 239.946 Td /F1 9.8 Tf [(linked to increased flood mortality. Findings with respect to age-)] TJ ET BT 244.089 230.046 Td /F1 9.8 Tf [(related vulnerability were inconsistent. Authors call for )] TJ ET BT 244.089 220.146 Td /F1 9.8 Tf [(standardization of data collection methodologies across regions )] TJ ET BT 244.089 210.246 Td /F1 9.8 Tf [(and flood types to improve policies and strategies to reduce flood-)] TJ ET BT 244.089 200.346 Td /F1 9.8 Tf [(related death.)] TJ ET 0.267 0.267 0.267 rg 26.625 193.866 74.172 0.750 re f 26.625 96.516 74.172 0.750 re f 26.625 96.516 0.750 98.100 re f 0.271 0.267 0.267 rg BT 31.875 182.196 Td /F1 9.8 Tf [(Jonkman, )] TJ ET BT 31.875 169.234 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 169.816 Td /F4 8.7 Tf [(3)] TJ ET 100.047 193.866 139.543 0.750 re f 100.047 96.516 139.543 0.750 re f 100.047 96.516 0.750 98.100 re f 0.271 0.267 0.267 rg BT 105.297 182.196 Td /F1 9.8 Tf [(Review of mortality from )] TJ ET BT 105.297 172.296 Td /F1 9.8 Tf [(river floods, flash floods )] TJ ET BT 105.297 162.396 Td /F1 9.8 Tf [(and drainage problems )] TJ ET BT 105.297 152.496 Td /F1 9.8 Tf [(from 1975 to 2002 using )] TJ ET BT 105.297 142.596 Td /F1 9.8 Tf [(the CRED Database)] TJ ET 0.267 0.267 0.267 rg 238.839 193.866 342.036 0.750 re f 238.839 96.516 342.036 0.750 re f 238.839 96.516 0.750 98.100 re f 580.125 96.516 0.750 98.100 re f 0.271 0.267 0.267 rg BT 244.089 182.196 Td /F1 9.8 Tf [(Of all disaster types, floods affect the most people; there )] TJ ET BT 244.089 172.296 Td /F1 9.8 Tf [(were1816 events with 175,000 deaths and 2.2 billion affected )] TJ ET BT 244.089 162.396 Td /F1 9.8 Tf [(from 1975-2002. The deadliest freshwater flood events were )] TJ ET BT 244.089 152.496 Td /F1 9.8 Tf [(Venezuela \(1999, 30,000 deaths\), Afghanistan \(1998, 6,345 )] TJ ET BT 244.089 142.596 Td /F1 9.8 Tf [(deaths\), and China \(1980, 6,200 deaths\). Flash floods resulted in )] TJ ET BT 244.089 132.696 Td /F1 9.8 Tf [(the highest average mortality per event. Average mortality \(# )] TJ ET BT 244.089 122.796 Td /F1 9.8 Tf [(fatalities / # affected\) was constant across continents while )] TJ ET BT 244.089 112.896 Td /F1 9.8 Tf [(impact magnitude \(#s of dead and affected\) varied between )] TJ ET BT 244.089 102.996 Td /F1 9.8 Tf [(continents.)] TJ ET Q q 15.000 96.141 577.500 680.859 re W n q 26.250 741.360 555.000 35.640 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 2: Review articles identified by the systematic review relating to mortality, injury, and displacement in )] TJ ET BT 26.250 744.924 Td /F1 9.8 Tf [(flood events \(N=15\))] TJ ET Q 1.000 1.000 1.000 rg 26.250 96.141 555.000 637.719 re f 0.965 0.965 0.965 rg 27.000 717.291 73.422 15.819 re f 0.267 0.267 0.267 rg 26.625 732.735 73.797 0.750 re f 26.625 716.916 0.750 16.569 re f 0.271 0.267 0.267 rg BT 31.500 720.755 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 100.422 717.291 138.793 15.819 re f 0.267 0.267 0.267 rg 100.422 732.735 138.793 0.750 re f 0.271 0.267 0.267 rg BT 104.922 720.755 Td /F4 9.8 Tf [(Summary)] TJ ET 0.965 0.965 0.965 rg 239.214 717.291 341.286 15.819 re f 0.267 0.267 0.267 rg 239.214 732.735 341.661 0.750 re f 580.125 716.916 0.750 16.569 re f 0.271 0.267 0.267 rg BT 243.714 720.755 Td /F4 9.8 Tf [(Key Findings)] TJ ET 0.267 0.267 0.267 rg 26.625 716.916 74.172 0.750 re f 26.625 649.266 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 705.246 Td /F1 9.8 Tf [(Statistical )] TJ ET BT 31.875 695.346 Td /F1 9.8 Tf [(Bulletin )] TJ ET BT 31.875 682.384 Td /F1 9.8 Tf [(1974)] TJ ET 0.267 0.267 0.267 rg BT 56.679 682.966 Td /F4 8.7 Tf [(55)] TJ ET 100.047 716.916 139.543 0.750 re f 100.047 649.266 0.750 68.400 re f 0.271 0.267 0.267 rg BT 105.297 705.246 Td /F1 9.8 Tf [(Review of tornado, flood )] TJ ET BT 105.297 695.346 Td /F1 9.8 Tf [(and hurricane associated )] TJ ET BT 105.297 685.446 Td /F1 9.8 Tf [(mortality in the US from )] TJ ET BT 105.297 675.546 Td /F1 9.8 Tf [(1965 to 1974)] TJ ET 0.267 0.267 0.267 rg 238.839 716.916 342.036 0.750 re f 238.839 649.266 0.750 68.400 re f 580.125 649.266 0.750 68.400 re f 0.271 0.267 0.267 rg BT 244.089 705.246 Td /F1 9.8 Tf [(More than 1,200 flood deaths in the United States during the )] TJ ET BT 244.089 695.346 Td /F1 9.8 Tf [(review period with a concentrated in a few large events. 14 major )] TJ ET BT 244.089 685.446 Td /F1 9.8 Tf [(river systems were linked to flood deaths; damage can be )] TJ ET BT 244.089 675.546 Td /F1 9.8 Tf [(mitigated through reforestation, construction of reservoirs and )] TJ ET BT 244.089 665.646 Td /F1 9.8 Tf [(flood walls, diversion, and improved early warning and forecasting )] TJ ET BT 244.089 655.746 Td /F1 9.8 Tf [(systems.)] TJ ET 0.267 0.267 0.267 rg 26.625 649.266 74.172 0.750 re f 26.625 571.716 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 637.596 Td /F1 9.8 Tf [(French et )] TJ ET BT 31.875 624.634 Td /F1 9.8 Tf [(al., 1983)] TJ ET 0.267 0.267 0.267 rg BT 74.668 625.216 Td /F4 8.7 Tf [(45)] TJ ET 100.047 649.266 139.543 0.750 re f 100.047 571.716 0.750 78.300 re f 0.271 0.267 0.267 rg BT 105.297 637.596 Td /F1 9.8 Tf [(Review of National )] TJ ET BT 105.297 627.696 Td /F1 9.8 Tf [(Weather Service flash )] TJ ET BT 105.297 617.796 Td /F1 9.8 Tf [(floods reports from 1969 )] TJ ET BT 105.297 607.896 Td /F1 9.8 Tf [(to 1981 to assess )] TJ ET BT 105.297 597.996 Td /F1 9.8 Tf [(mortality effects of )] TJ ET BT 105.297 588.096 Td /F1 9.8 Tf [(warning systems)] TJ ET 0.267 0.267 0.267 rg 238.839 649.266 342.036 0.750 re f 238.839 571.716 0.750 78.300 re f 580.125 571.716 0.750 78.300 re f 0.271 0.267 0.267 rg BT 244.089 637.596 Td /F1 9.8 Tf [(Floods were the primary cause of weather-related deaths. There )] TJ ET BT 244.089 627.696 Td /F1 9.8 Tf [(were 1,185 deaths in 32 flash floods with an average of 37 deaths )] TJ ET BT 244.089 617.796 Td /F1 9.8 Tf [(per flood; the highest mortality was associated with dams )] TJ ET BT 244.089 607.896 Td /F1 9.8 Tf [(breaking after heavy rains. Mortality was greater earlier in the )] TJ ET BT 244.089 597.996 Td /F1 9.8 Tf [(study period and twice as many deaths occurred in areas with )] TJ ET BT 244.089 588.096 Td /F1 9.8 Tf [(inadequate warning systems. 93% of deaths were due to )] TJ ET BT 244.089 578.196 Td /F1 9.8 Tf [(drowning, of which 42% were car related.)] TJ ET 0.267 0.267 0.267 rg 26.625 571.716 74.172 0.750 re f 26.625 513.966 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 560.046 Td /F1 9.8 Tf [(Avakyan )] TJ ET BT 31.875 547.084 Td /F1 9.8 Tf [(1999)] TJ ET 0.267 0.267 0.267 rg BT 56.679 547.666 Td /F4 8.7 Tf [(56)] TJ ET 100.047 571.716 139.543 0.750 re f 100.047 513.966 0.750 58.500 re f 0.271 0.267 0.267 rg BT 105.297 560.046 Td /F1 9.8 Tf [(Review of global flood )] TJ ET BT 105.297 550.146 Td /F1 9.8 Tf [(events from 1997 to )] TJ ET BT 105.297 540.246 Td /F1 9.8 Tf [(1999 using Dartmouth )] TJ ET BT 105.297 530.346 Td /F1 9.8 Tf [(Flood Observatory data)] TJ ET 0.267 0.267 0.267 rg 238.839 571.716 342.036 0.750 re f 238.839 513.966 0.750 58.500 re f 580.125 513.966 0.750 58.500 re f 0.271 0.267 0.267 rg BT 244.089 560.046 Td /F1 9.8 Tf [(Damage due to floods increased over time due to more )] TJ ET BT 244.089 550.146 Td /F1 9.8 Tf [(development in flood-affected areas; mapping and regulation of )] TJ ET BT 244.089 540.246 Td /F1 9.8 Tf [(flood hazards zones are necessary to mitigate damage. Globally )] TJ ET BT 244.089 530.346 Td /F1 9.8 Tf [(Bangladesh is the most affected by floods. Number of events, )] TJ ET BT 244.089 520.446 Td /F1 9.8 Tf [(victims, evacuees and damage are reported for each year.)] TJ ET 0.267 0.267 0.267 rg 26.625 513.966 74.172 0.750 re f 26.625 416.616 0.750 98.100 re f 0.271 0.267 0.267 rg BT 31.875 502.296 Td /F1 9.8 Tf [(Berz, 2000)] TJ ET 0.267 0.267 0.267 rg BT 31.875 489.916 Td /F4 8.7 Tf [(39)] TJ ET 100.047 513.966 139.543 0.750 re f 100.047 416.616 0.750 98.100 re f 0.271 0.267 0.267 rg BT 105.297 502.296 Td /F1 9.8 Tf [(Review of the impacts of )] TJ ET BT 105.297 492.396 Td /F1 9.8 Tf [(major floods in the last )] TJ ET BT 105.297 479.434 Td /F1 9.8 Tf [(half of the 20)] TJ ET BT 170.700 482.762 Td /F1 8.7 Tf [(th)] TJ ET BT 179.592 479.434 Td /F1 9.8 Tf [( century )] TJ ET BT 105.297 468.768 Td /F1 9.8 Tf [(and summary of )] TJ ET BT 105.297 458.868 Td /F1 9.8 Tf [(significant floods from )] TJ ET BT 105.297 448.968 Td /F1 9.8 Tf [(1990 to 1998 from the )] TJ ET BT 105.297 439.068 Td /F1 9.8 Tf [(Munich Re natural event )] TJ ET BT 105.297 429.168 Td /F1 9.8 Tf [(loss database)] TJ ET 0.267 0.267 0.267 rg 238.839 513.966 342.036 0.750 re f 238.839 416.616 0.750 98.100 re f 580.125 416.616 0.750 98.100 re f 0.271 0.267 0.267 rg BT 244.089 502.296 Td /F1 9.8 Tf [(Floods account for half of all natural disaster deaths; trend )] TJ ET BT 244.089 492.396 Td /F1 9.8 Tf [(analysis suggests the frequency of and damages associated with )] TJ ET BT 244.089 482.496 Td /F1 9.8 Tf [(floods have increased over time. Excluding storm surges, the )] TJ ET BT 244.089 472.596 Td /F1 9.8 Tf [(three most deadly flood events from 1990 to 1998 were in India, )] TJ ET BT 244.089 462.696 Td /F1 9.8 Tf [(Nepal and Bangladesh in 1998 4750 deaths, China in 1998 3656 )] TJ ET BT 244.089 452.796 Td /F1 9.8 Tf [(deaths, and China in 1993-3300 deaths. Explanations for )] TJ ET BT 244.089 442.896 Td /F1 9.8 Tf [(increased mortality include population growth, vulnerability of )] TJ ET BT 244.089 432.996 Td /F1 9.8 Tf [(structures, construction in flood-prone areas, flood protection )] TJ ET BT 244.089 423.096 Td /F1 9.8 Tf [(system failures and changes in environmental conditions.)] TJ ET 0.267 0.267 0.267 rg 26.625 416.616 74.172 0.750 re f 26.625 368.766 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 404.946 Td /F1 9.8 Tf [(Beyhun, )] TJ ET BT 31.875 395.046 Td /F1 9.8 Tf [(Altintas & )] TJ ET BT 31.875 382.084 Td /F1 9.8 Tf [(Noji, 2005)] TJ ET 0.267 0.267 0.267 rg BT 81.561 382.666 Td /F4 8.7 Tf [(31)] TJ ET 100.047 416.616 139.543 0.750 re f 100.047 368.766 0.750 48.600 re f 0.271 0.267 0.267 rg BT 105.297 404.946 Td /F1 9.8 Tf [(Review of the impact of )] TJ ET BT 105.297 395.046 Td /F1 9.8 Tf [(flooding in Turkey from )] TJ ET BT 105.297 385.146 Td /F1 9.8 Tf [(1970 to 1996)] TJ ET 0.267 0.267 0.267 rg 238.839 416.616 342.036 0.750 re f 238.839 368.766 0.750 48.600 re f 580.125 368.766 0.750 48.600 re f 0.271 0.267 0.267 rg BT 244.089 404.946 Td /F1 9.8 Tf [(624 floods recorded during study period, including 83 fatal events )] TJ ET BT 244.089 395.046 Td /F1 9.8 Tf [(with 539 deaths. There was an association between deaths and )] TJ ET BT 244.089 385.146 Td /F1 9.8 Tf [(material losses, close to half of flood events occurred in summer )] TJ ET BT 244.089 375.246 Td /F1 9.8 Tf [(months, and 37% of deaths in the Black Sea region.)] TJ ET 0.267 0.267 0.267 rg 26.625 368.766 74.172 0.750 re f 26.625 271.416 0.750 98.100 re f 0.271 0.267 0.267 rg BT 31.875 357.096 Td /F1 9.8 Tf [(Guzzetti, )] TJ ET BT 31.875 344.134 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 344.716 Td /F4 8.7 Tf [(57)] TJ ET 100.047 368.766 139.543 0.750 re f 100.047 271.416 0.750 98.100 re f 0.271 0.267 0.267 rg BT 105.297 357.096 Td /F1 9.8 Tf [(Review of flood and )] TJ ET BT 105.297 347.196 Td /F1 9.8 Tf [(landslide related deaths, )] TJ ET BT 105.297 337.296 Td /F1 9.8 Tf [(missing persons, injuries )] TJ ET BT 105.297 327.396 Td /F1 9.8 Tf [(and homelessness in )] TJ ET BT 105.297 317.496 Td /F1 9.8 Tf [(Italy from 1279 to 2002)] TJ ET 0.267 0.267 0.267 rg 238.839 368.766 342.036 0.750 re f 238.839 271.416 0.750 98.100 re f 580.125 271.416 0.750 98.100 re f 0.271 0.267 0.267 rg BT 244.089 357.096 Td /F1 9.8 Tf [(50,593 people died, went missing, or were injured in 2,580 flood )] TJ ET BT 244.089 347.196 Td /F1 9.8 Tf [(and landslide events and over 733,000 were displaced. Floods )] TJ ET BT 244.089 337.296 Td /F1 9.8 Tf [(accounted for 38,242 deaths; fatal events were most frequent in )] TJ ET BT 244.089 327.396 Td /F1 9.8 Tf [(the northern Alpine regions and mortality was highest in autumn. )] TJ ET BT 244.089 317.496 Td /F1 9.8 Tf [(Floods were caused by high-intensity or prolonged rainfall, snow )] TJ ET BT 244.089 307.596 Td /F1 9.8 Tf [(melt, overtopping or failure of levees, embankments, or dams, and )] TJ ET BT 244.089 297.696 Td /F1 9.8 Tf [(reservoir mismanagement. Since World War II, landslide has )] TJ ET BT 244.089 287.796 Td /F1 9.8 Tf [(exceeded flood mortality and is comparable to earthquake )] TJ ET BT 244.089 277.896 Td /F1 9.8 Tf [(mortality.)] TJ ET 0.267 0.267 0.267 rg 26.625 271.416 74.172 0.750 re f 26.625 193.866 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 259.746 Td /F1 9.8 Tf [(Jonkman & )] TJ ET BT 31.875 249.846 Td /F1 9.8 Tf [(Kelman, )] TJ ET BT 31.875 236.884 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 237.466 Td /F4 8.7 Tf [(1)] TJ ET 100.047 271.416 139.543 0.750 re f 100.047 193.866 0.750 78.300 re f 0.271 0.267 0.267 rg BT 105.297 259.746 Td /F1 9.8 Tf [(Examination of the )] TJ ET BT 105.297 249.846 Td /F1 9.8 Tf [(causes and )] TJ ET BT 105.297 239.946 Td /F1 9.8 Tf [(circumstances of 247 )] TJ ET BT 105.297 230.046 Td /F1 9.8 Tf [(flood disaster deaths )] TJ ET BT 105.297 220.146 Td /F1 9.8 Tf [(across 13 flood events in )] TJ ET BT 105.297 210.246 Td /F1 9.8 Tf [(Europe and the US)] TJ ET 0.267 0.267 0.267 rg 238.839 271.416 342.036 0.750 re f 238.839 193.866 0.750 78.300 re f 580.125 193.866 0.750 78.300 re f 0.271 0.267 0.267 rg BT 244.089 259.746 Td /F1 9.8 Tf [(Two-thirds of deaths were due to drowning. Being male and )] TJ ET BT 244.089 249.846 Td /F1 9.8 Tf [(engaging in high risk behavior during flood events were also )] TJ ET BT 244.089 239.946 Td /F1 9.8 Tf [(linked to increased flood mortality. Findings with respect to age-)] TJ ET BT 244.089 230.046 Td /F1 9.8 Tf [(related vulnerability were inconsistent. Authors call for )] TJ ET BT 244.089 220.146 Td /F1 9.8 Tf [(standardization of data collection methodologies across regions )] TJ ET BT 244.089 210.246 Td /F1 9.8 Tf [(and flood types to improve policies and strategies to reduce flood-)] TJ ET BT 244.089 200.346 Td /F1 9.8 Tf [(related death.)] TJ ET 0.267 0.267 0.267 rg 26.625 193.866 74.172 0.750 re f 26.625 96.516 74.172 0.750 re f 26.625 96.516 0.750 98.100 re f 0.271 0.267 0.267 rg BT 31.875 182.196 Td /F1 9.8 Tf [(Jonkman, )] TJ ET BT 31.875 169.234 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 169.816 Td /F4 8.7 Tf [(3)] TJ ET 100.047 193.866 139.543 0.750 re f 100.047 96.516 139.543 0.750 re f 100.047 96.516 0.750 98.100 re f 0.271 0.267 0.267 rg BT 105.297 182.196 Td /F1 9.8 Tf [(Review of mortality from )] TJ ET BT 105.297 172.296 Td /F1 9.8 Tf [(river floods, flash floods )] TJ ET BT 105.297 162.396 Td /F1 9.8 Tf [(and drainage problems )] TJ ET BT 105.297 152.496 Td /F1 9.8 Tf [(from 1975 to 2002 using )] TJ ET BT 105.297 142.596 Td /F1 9.8 Tf [(the CRED Database)] TJ ET 0.267 0.267 0.267 rg 238.839 193.866 342.036 0.750 re f 238.839 96.516 342.036 0.750 re f 238.839 96.516 0.750 98.100 re f 580.125 96.516 0.750 98.100 re f 0.271 0.267 0.267 rg BT 244.089 182.196 Td /F1 9.8 Tf [(Of all disaster types, floods affect the most people; there )] TJ ET BT 244.089 172.296 Td /F1 9.8 Tf [(were1816 events with 175,000 deaths and 2.2 billion affected )] TJ ET BT 244.089 162.396 Td /F1 9.8 Tf [(from 1975-2002. The deadliest freshwater flood events were )] TJ ET BT 244.089 152.496 Td /F1 9.8 Tf [(Venezuela \(1999, 30,000 deaths\), Afghanistan \(1998, 6,345 )] TJ ET BT 244.089 142.596 Td /F1 9.8 Tf [(deaths\), and China \(1980, 6,200 deaths\). Flash floods resulted in )] TJ ET BT 244.089 132.696 Td /F1 9.8 Tf [(the highest average mortality per event. Average mortality \(# )] TJ ET BT 244.089 122.796 Td /F1 9.8 Tf [(fatalities / # affected\) was constant across continents while )] TJ ET BT 244.089 112.896 Td /F1 9.8 Tf [(impact magnitude \(#s of dead and affected\) varied between )] TJ ET BT 244.089 102.996 Td /F1 9.8 Tf [(continents.)] TJ ET Q q 15.000 96.141 577.500 680.859 re W n q 26.250 741.360 555.000 35.640 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 2: Review articles identified by the systematic review relating to mortality, injury, and displacement in )] TJ ET BT 26.250 744.924 Td /F1 9.8 Tf [(flood events \(N=15\))] TJ ET Q 1.000 1.000 1.000 rg 26.250 96.141 555.000 637.719 re f 0.965 0.965 0.965 rg 27.000 717.291 73.422 15.819 re f 0.267 0.267 0.267 rg 26.625 732.735 73.797 0.750 re f 26.625 716.916 0.750 16.569 re f 0.271 0.267 0.267 rg BT 31.500 720.755 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 100.422 717.291 138.793 15.819 re f 0.267 0.267 0.267 rg 100.422 732.735 138.793 0.750 re f 0.271 0.267 0.267 rg BT 104.922 720.755 Td /F4 9.8 Tf [(Summary)] TJ ET 0.965 0.965 0.965 rg 239.214 717.291 341.286 15.819 re f 0.267 0.267 0.267 rg 239.214 732.735 341.661 0.750 re f 580.125 716.916 0.750 16.569 re f 0.271 0.267 0.267 rg BT 243.714 720.755 Td /F4 9.8 Tf [(Key Findings)] TJ ET 0.267 0.267 0.267 rg 26.625 716.916 74.172 0.750 re f 26.625 649.266 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 705.246 Td /F1 9.8 Tf [(Statistical )] TJ ET BT 31.875 695.346 Td /F1 9.8 Tf [(Bulletin )] TJ ET BT 31.875 682.384 Td /F1 9.8 Tf [(1974)] TJ ET 0.267 0.267 0.267 rg BT 56.679 682.966 Td /F4 8.7 Tf [(55)] TJ ET 100.047 716.916 139.543 0.750 re f 100.047 649.266 0.750 68.400 re f 0.271 0.267 0.267 rg BT 105.297 705.246 Td /F1 9.8 Tf [(Review of tornado, flood )] TJ ET BT 105.297 695.346 Td /F1 9.8 Tf [(and hurricane associated )] TJ ET BT 105.297 685.446 Td /F1 9.8 Tf [(mortality in the US from )] TJ ET BT 105.297 675.546 Td /F1 9.8 Tf [(1965 to 1974)] TJ ET 0.267 0.267 0.267 rg 238.839 716.916 342.036 0.750 re f 238.839 649.266 0.750 68.400 re f 580.125 649.266 0.750 68.400 re f 0.271 0.267 0.267 rg BT 244.089 705.246 Td /F1 9.8 Tf [(More than 1,200 flood deaths in the United States during the )] TJ ET BT 244.089 695.346 Td /F1 9.8 Tf [(review period with a concentrated in a few large events. 14 major )] TJ ET BT 244.089 685.446 Td /F1 9.8 Tf [(river systems were linked to flood deaths; damage can be )] TJ ET BT 244.089 675.546 Td /F1 9.8 Tf [(mitigated through reforestation, construction of reservoirs and )] TJ ET BT 244.089 665.646 Td /F1 9.8 Tf [(flood walls, diversion, and improved early warning and forecasting )] TJ ET BT 244.089 655.746 Td /F1 9.8 Tf [(systems.)] TJ ET 0.267 0.267 0.267 rg 26.625 649.266 74.172 0.750 re f 26.625 571.716 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 637.596 Td /F1 9.8 Tf [(French et )] TJ ET BT 31.875 624.634 Td /F1 9.8 Tf [(al., 1983)] TJ ET 0.267 0.267 0.267 rg BT 74.668 625.216 Td /F4 8.7 Tf [(45)] TJ ET 100.047 649.266 139.543 0.750 re f 100.047 571.716 0.750 78.300 re f 0.271 0.267 0.267 rg BT 105.297 637.596 Td /F1 9.8 Tf [(Review of National )] TJ ET BT 105.297 627.696 Td /F1 9.8 Tf [(Weather Service flash )] TJ ET BT 105.297 617.796 Td /F1 9.8 Tf [(floods reports from 1969 )] TJ ET BT 105.297 607.896 Td /F1 9.8 Tf [(to 1981 to assess )] TJ ET BT 105.297 597.996 Td /F1 9.8 Tf [(mortality effects of )] TJ ET BT 105.297 588.096 Td /F1 9.8 Tf [(warning systems)] TJ ET 0.267 0.267 0.267 rg 238.839 649.266 342.036 0.750 re f 238.839 571.716 0.750 78.300 re f 580.125 571.716 0.750 78.300 re f 0.271 0.267 0.267 rg BT 244.089 637.596 Td /F1 9.8 Tf [(Floods were the primary cause of weather-related deaths. There )] TJ ET BT 244.089 627.696 Td /F1 9.8 Tf [(were 1,185 deaths in 32 flash floods with an average of 37 deaths )] TJ ET BT 244.089 617.796 Td /F1 9.8 Tf [(per flood; the highest mortality was associated with dams )] TJ ET BT 244.089 607.896 Td /F1 9.8 Tf [(breaking after heavy rains. Mortality was greater earlier in the )] TJ ET BT 244.089 597.996 Td /F1 9.8 Tf [(study period and twice as many deaths occurred in areas with )] TJ ET BT 244.089 588.096 Td /F1 9.8 Tf [(inadequate warning systems. 93% of deaths were due to )] TJ ET BT 244.089 578.196 Td /F1 9.8 Tf [(drowning, of which 42% were car related.)] TJ ET 0.267 0.267 0.267 rg 26.625 571.716 74.172 0.750 re f 26.625 513.966 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 560.046 Td /F1 9.8 Tf [(Avakyan )] TJ ET BT 31.875 547.084 Td /F1 9.8 Tf [(1999)] TJ ET 0.267 0.267 0.267 rg BT 56.679 547.666 Td /F4 8.7 Tf [(56)] TJ ET 100.047 571.716 139.543 0.750 re f 100.047 513.966 0.750 58.500 re f 0.271 0.267 0.267 rg BT 105.297 560.046 Td /F1 9.8 Tf [(Review of global flood )] TJ ET BT 105.297 550.146 Td /F1 9.8 Tf [(events from 1997 to )] TJ ET BT 105.297 540.246 Td /F1 9.8 Tf [(1999 using Dartmouth )] TJ ET BT 105.297 530.346 Td /F1 9.8 Tf [(Flood Observatory data)] TJ ET 0.267 0.267 0.267 rg 238.839 571.716 342.036 0.750 re f 238.839 513.966 0.750 58.500 re f 580.125 513.966 0.750 58.500 re f 0.271 0.267 0.267 rg BT 244.089 560.046 Td /F1 9.8 Tf [(Damage due to floods increased over time due to more )] TJ ET BT 244.089 550.146 Td /F1 9.8 Tf [(development in flood-affected areas; mapping and regulation of )] TJ ET BT 244.089 540.246 Td /F1 9.8 Tf [(flood hazards zones are necessary to mitigate damage. Globally )] TJ ET BT 244.089 530.346 Td /F1 9.8 Tf [(Bangladesh is the most affected by floods. Number of events, )] TJ ET BT 244.089 520.446 Td /F1 9.8 Tf [(victims, evacuees and damage are reported for each year.)] TJ ET 0.267 0.267 0.267 rg 26.625 513.966 74.172 0.750 re f 26.625 416.616 0.750 98.100 re f 0.271 0.267 0.267 rg BT 31.875 502.296 Td /F1 9.8 Tf [(Berz, 2000)] TJ ET 0.267 0.267 0.267 rg BT 31.875 489.916 Td /F4 8.7 Tf [(39)] TJ ET 100.047 513.966 139.543 0.750 re f 100.047 416.616 0.750 98.100 re f 0.271 0.267 0.267 rg BT 105.297 502.296 Td /F1 9.8 Tf [(Review of the impacts of )] TJ ET BT 105.297 492.396 Td /F1 9.8 Tf [(major floods in the last )] TJ ET BT 105.297 479.434 Td /F1 9.8 Tf [(half of the 20)] TJ ET BT 170.700 482.762 Td /F1 8.7 Tf [(th)] TJ ET BT 179.592 479.434 Td /F1 9.8 Tf [( century )] TJ ET BT 105.297 468.768 Td /F1 9.8 Tf [(and summary of )] TJ ET BT 105.297 458.868 Td /F1 9.8 Tf [(significant floods from )] TJ ET BT 105.297 448.968 Td /F1 9.8 Tf [(1990 to 1998 from the )] TJ ET BT 105.297 439.068 Td /F1 9.8 Tf [(Munich Re natural event )] TJ ET BT 105.297 429.168 Td /F1 9.8 Tf [(loss database)] TJ ET 0.267 0.267 0.267 rg 238.839 513.966 342.036 0.750 re f 238.839 416.616 0.750 98.100 re f 580.125 416.616 0.750 98.100 re f 0.271 0.267 0.267 rg BT 244.089 502.296 Td /F1 9.8 Tf [(Floods account for half of all natural disaster deaths; trend )] TJ ET BT 244.089 492.396 Td /F1 9.8 Tf [(analysis suggests the frequency of and damages associated with )] TJ ET BT 244.089 482.496 Td /F1 9.8 Tf [(floods have increased over time. Excluding storm surges, the )] TJ ET BT 244.089 472.596 Td /F1 9.8 Tf [(three most deadly flood events from 1990 to 1998 were in India, )] TJ ET BT 244.089 462.696 Td /F1 9.8 Tf [(Nepal and Bangladesh in 1998 4750 deaths, China in 1998 3656 )] TJ ET BT 244.089 452.796 Td /F1 9.8 Tf [(deaths, and China in 1993-3300 deaths. Explanations for )] TJ ET BT 244.089 442.896 Td /F1 9.8 Tf [(increased mortality include population growth, vulnerability of )] TJ ET BT 244.089 432.996 Td /F1 9.8 Tf [(structures, construction in flood-prone areas, flood protection )] TJ ET BT 244.089 423.096 Td /F1 9.8 Tf [(system failures and changes in environmental conditions.)] TJ ET 0.267 0.267 0.267 rg 26.625 416.616 74.172 0.750 re f 26.625 368.766 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 404.946 Td /F1 9.8 Tf [(Beyhun, )] TJ ET BT 31.875 395.046 Td /F1 9.8 Tf [(Altintas & )] TJ ET BT 31.875 382.084 Td /F1 9.8 Tf [(Noji, 2005)] TJ ET 0.267 0.267 0.267 rg BT 81.561 382.666 Td /F4 8.7 Tf [(31)] TJ ET 100.047 416.616 139.543 0.750 re f 100.047 368.766 0.750 48.600 re f 0.271 0.267 0.267 rg BT 105.297 404.946 Td /F1 9.8 Tf [(Review of the impact of )] TJ ET BT 105.297 395.046 Td /F1 9.8 Tf [(flooding in Turkey from )] TJ ET BT 105.297 385.146 Td /F1 9.8 Tf [(1970 to 1996)] TJ ET 0.267 0.267 0.267 rg 238.839 416.616 342.036 0.750 re f 238.839 368.766 0.750 48.600 re f 580.125 368.766 0.750 48.600 re f 0.271 0.267 0.267 rg BT 244.089 404.946 Td /F1 9.8 Tf [(624 floods recorded during study period, including 83 fatal events )] TJ ET BT 244.089 395.046 Td /F1 9.8 Tf [(with 539 deaths. There was an association between deaths and )] TJ ET BT 244.089 385.146 Td /F1 9.8 Tf [(material losses, close to half of flood events occurred in summer )] TJ ET BT 244.089 375.246 Td /F1 9.8 Tf [(months, and 37% of deaths in the Black Sea region.)] TJ ET 0.267 0.267 0.267 rg 26.625 368.766 74.172 0.750 re f 26.625 271.416 0.750 98.100 re f 0.271 0.267 0.267 rg BT 31.875 357.096 Td /F1 9.8 Tf [(Guzzetti, )] TJ ET BT 31.875 344.134 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 344.716 Td /F4 8.7 Tf [(57)] TJ ET 100.047 368.766 139.543 0.750 re f 100.047 271.416 0.750 98.100 re f 0.271 0.267 0.267 rg BT 105.297 357.096 Td /F1 9.8 Tf [(Review of flood and )] TJ ET BT 105.297 347.196 Td /F1 9.8 Tf [(landslide related deaths, )] TJ ET BT 105.297 337.296 Td /F1 9.8 Tf [(missing persons, injuries )] TJ ET BT 105.297 327.396 Td /F1 9.8 Tf [(and homelessness in )] TJ ET BT 105.297 317.496 Td /F1 9.8 Tf [(Italy from 1279 to 2002)] TJ ET 0.267 0.267 0.267 rg 238.839 368.766 342.036 0.750 re f 238.839 271.416 0.750 98.100 re f 580.125 271.416 0.750 98.100 re f 0.271 0.267 0.267 rg BT 244.089 357.096 Td /F1 9.8 Tf [(50,593 people died, went missing, or were injured in 2,580 flood )] TJ ET BT 244.089 347.196 Td /F1 9.8 Tf [(and landslide events and over 733,000 were displaced. Floods )] TJ ET BT 244.089 337.296 Td /F1 9.8 Tf [(accounted for 38,242 deaths; fatal events were most frequent in )] TJ ET BT 244.089 327.396 Td /F1 9.8 Tf [(the northern Alpine regions and mortality was highest in autumn. )] TJ ET BT 244.089 317.496 Td /F1 9.8 Tf [(Floods were caused by high-intensity or prolonged rainfall, snow )] TJ ET BT 244.089 307.596 Td /F1 9.8 Tf [(melt, overtopping or failure of levees, embankments, or dams, and )] TJ ET BT 244.089 297.696 Td /F1 9.8 Tf [(reservoir mismanagement. Since World War II, landslide has )] TJ ET BT 244.089 287.796 Td /F1 9.8 Tf [(exceeded flood mortality and is comparable to earthquake )] TJ ET BT 244.089 277.896 Td /F1 9.8 Tf [(mortality.)] TJ ET 0.267 0.267 0.267 rg 26.625 271.416 74.172 0.750 re f 26.625 193.866 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 259.746 Td /F1 9.8 Tf [(Jonkman & )] TJ ET BT 31.875 249.846 Td /F1 9.8 Tf [(Kelman, )] TJ ET BT 31.875 236.884 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 237.466 Td /F4 8.7 Tf [(1)] TJ ET 100.047 271.416 139.543 0.750 re f 100.047 193.866 0.750 78.300 re f 0.271 0.267 0.267 rg BT 105.297 259.746 Td /F1 9.8 Tf [(Examination of the )] TJ ET BT 105.297 249.846 Td /F1 9.8 Tf [(causes and )] TJ ET BT 105.297 239.946 Td /F1 9.8 Tf [(circumstances of 247 )] TJ ET BT 105.297 230.046 Td /F1 9.8 Tf [(flood disaster deaths )] TJ ET BT 105.297 220.146 Td /F1 9.8 Tf [(across 13 flood events in )] TJ ET BT 105.297 210.246 Td /F1 9.8 Tf [(Europe and the US)] TJ ET 0.267 0.267 0.267 rg 238.839 271.416 342.036 0.750 re f 238.839 193.866 0.750 78.300 re f 580.125 193.866 0.750 78.300 re f 0.271 0.267 0.267 rg BT 244.089 259.746 Td /F1 9.8 Tf [(Two-thirds of deaths were due to drowning. Being male and )] TJ ET BT 244.089 249.846 Td /F1 9.8 Tf [(engaging in high risk behavior during flood events were also )] TJ ET BT 244.089 239.946 Td /F1 9.8 Tf [(linked to increased flood mortality. Findings with respect to age-)] TJ ET BT 244.089 230.046 Td /F1 9.8 Tf [(related vulnerability were inconsistent. Authors call for )] TJ ET BT 244.089 220.146 Td /F1 9.8 Tf [(standardization of data collection methodologies across regions )] TJ ET BT 244.089 210.246 Td /F1 9.8 Tf [(and flood types to improve policies and strategies to reduce flood-)] TJ ET BT 244.089 200.346 Td /F1 9.8 Tf [(related death.)] TJ ET 0.267 0.267 0.267 rg 26.625 193.866 74.172 0.750 re f 26.625 96.516 74.172 0.750 re f 26.625 96.516 0.750 98.100 re f 0.271 0.267 0.267 rg BT 31.875 182.196 Td /F1 9.8 Tf [(Jonkman, )] TJ ET BT 31.875 169.234 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 169.816 Td /F4 8.7 Tf [(3)] TJ ET 100.047 193.866 139.543 0.750 re f 100.047 96.516 139.543 0.750 re f 100.047 96.516 0.750 98.100 re f 0.271 0.267 0.267 rg BT 105.297 182.196 Td /F1 9.8 Tf [(Review of mortality from )] TJ ET BT 105.297 172.296 Td /F1 9.8 Tf [(river floods, flash floods )] TJ ET BT 105.297 162.396 Td /F1 9.8 Tf [(and drainage problems )] TJ ET BT 105.297 152.496 Td /F1 9.8 Tf [(from 1975 to 2002 using )] TJ ET BT 105.297 142.596 Td /F1 9.8 Tf [(the CRED Database)] TJ ET 0.267 0.267 0.267 rg 238.839 193.866 342.036 0.750 re f 238.839 96.516 342.036 0.750 re f 238.839 96.516 0.750 98.100 re f 580.125 96.516 0.750 98.100 re f 0.271 0.267 0.267 rg BT 244.089 182.196 Td /F1 9.8 Tf [(Of all disaster types, floods affect the most people; there )] TJ ET BT 244.089 172.296 Td /F1 9.8 Tf [(were1816 events with 175,000 deaths and 2.2 billion affected )] TJ ET BT 244.089 162.396 Td /F1 9.8 Tf [(from 1975-2002. The deadliest freshwater flood events were )] TJ ET BT 244.089 152.496 Td /F1 9.8 Tf [(Venezuela \(1999, 30,000 deaths\), Afghanistan \(1998, 6,345 )] TJ ET BT 244.089 142.596 Td /F1 9.8 Tf [(deaths\), and China \(1980, 6,200 deaths\). Flash floods resulted in )] TJ ET BT 244.089 132.696 Td /F1 9.8 Tf [(the highest average mortality per event. Average mortality \(# )] TJ ET BT 244.089 122.796 Td /F1 9.8 Tf [(fatalities / # affected\) was constant across continents while )] TJ ET BT 244.089 112.896 Td /F1 9.8 Tf [(impact magnitude \(#s of dead and affected\) varied between )] TJ ET BT 244.089 102.996 Td /F1 9.8 Tf [(continents.)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(9)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 368 0 obj << /Type /Annot /Subtype /Link /A 369 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 681.9260 68.7430 693.3660 ] >> endobj 369 0 obj << /Type /Action >> endobj 370 0 obj << /Type /Annot /Subtype /Link /A 371 0 R /Border [0 0 0] /H /I /Rect [ 74.6677 624.1760 86.7318 635.6160 ] >> endobj 371 0 obj << /Type /Action >> endobj 372 0 obj << /Type /Annot /Subtype /Link /A 373 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 546.6260 68.7430 558.0660 ] >> endobj 373 0 obj << /Type /Action >> endobj 374 0 obj << /Type /Annot /Subtype /Link /A 375 0 R 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0.965 0.965 rg 100.422 761.181 138.793 15.819 re f 0.271 0.267 0.267 rg BT 104.922 764.645 Td /F4 9.8 Tf [(Summary)] TJ ET 0.965 0.965 0.965 rg 239.214 761.181 341.286 15.819 re f 0.267 0.267 0.267 rg 580.125 760.806 0.750 16.194 re f 0.271 0.267 0.267 rg BT 243.714 764.645 Td /F4 9.8 Tf [(Key Findings)] TJ ET 0.267 0.267 0.267 rg 26.625 760.806 74.172 0.750 re f 26.625 661.962 0.750 99.594 re f 0.271 0.267 0.267 rg BT 31.875 749.136 Td /F1 9.8 Tf [(Tarhule, )] TJ ET BT 31.875 736.174 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 736.756 Td /F4 8.7 Tf [(32)] TJ ET 100.047 760.806 139.543 0.750 re f 100.047 661.962 0.750 99.594 re f 0.271 0.267 0.267 rg BT 105.297 749.136 Td /F1 9.8 Tf [(Review of newspaper )] TJ ET BT 105.297 739.236 Td /F1 9.8 Tf [(accounts of rainfall and )] TJ ET BT 105.297 729.336 Td /F1 9.8 Tf [(rain-induced flooding in )] TJ ET BT 105.297 719.436 Td /F1 9.8 Tf [(the Sahel savanna zone )] TJ ET BT 105.297 709.536 Td /F1 9.8 Tf [(of Niger from 1970 to )] TJ ET BT 105.297 699.636 Td /F1 9.8 Tf [(2000)] TJ ET 0.267 0.267 0.267 rg 238.839 760.806 342.036 0.750 re f 238.839 661.962 0.750 99.594 re f 580.125 661.962 0.750 99.594 re f 0.271 0.267 0.267 rg BT 244.089 749.136 Td /F1 9.8 Tf [(53 articles reported 79 damaging rainfall and flood events in 47 )] TJ ET BT 244.089 739.236 Td /F1 9.8 Tf [(communities in the Sahel of Niger during the study period; floods )] TJ ET BT 244.089 729.336 Td /F1 9.8 Tf [(destroyed 5,580 houses, killed 18, left 27,289 homeless, and )] TJ ET BT 244.089 719.436 Td /F1 9.8 Tf [(caused over $4 million in damages. Sahel residents attribute )] TJ ET BT 244.089 709.536 Td /F1 9.8 Tf [(floods to five major causes: hydrologic, extreme/unseasonable )] TJ ET BT 244.089 699.636 Td /F1 9.8 Tf [(rainfall, location of affected area, inadequate drainage, and poor )] TJ ET BT 244.089 689.736 Td /F1 9.8 Tf [(construction; cumulative rainfall in the days preceding a heavy )] TJ ET BT 244.089 679.836 Td /F1 9.8 Tf [(rain event is an important predictor of flooding.)] TJ ET 0.267 0.267 0.267 rg 26.625 661.962 74.172 0.750 re f 26.625 614.112 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 650.292 Td /F1 9.8 Tf [(Lastoria, )] TJ ET BT 31.875 637.330 Td /F1 9.8 Tf [(2006)] TJ ET 0.267 0.267 0.267 rg BT 56.679 637.912 Td /F4 8.7 Tf [(58)] TJ ET 100.047 661.962 139.543 0.750 re f 100.047 614.112 0.750 48.600 re f 0.271 0.267 0.267 rg BT 105.297 650.292 Td /F1 9.8 Tf [(Review of flood deaths )] TJ ET BT 105.297 640.392 Td /F1 9.8 Tf [(and socioeconomic )] TJ ET BT 105.297 630.492 Td /F1 9.8 Tf [(impacts in Italy,1951 to )] TJ ET BT 105.297 620.592 Td /F1 9.8 Tf [(2003)] TJ ET 0.267 0.267 0.267 rg 238.839 661.962 342.036 0.750 re f 238.839 614.112 0.750 48.600 re f 580.125 614.112 0.750 48.600 re f 0.271 0.267 0.267 rg BT 244.089 650.292 Td /F1 9.8 Tf [(During study period, ~50% of the flood events resulted in an )] TJ ET BT 244.089 640.392 Td /F1 9.8 Tf [(average of 5 deaths, and about ~10% had >100 deaths. )] TJ ET BT 244.089 630.492 Td /F1 9.8 Tf [(Investigators recommend creating an integrated database to )] TJ ET BT 244.089 620.592 Td /F1 9.8 Tf [(collect more information about flood events in Europe.)] TJ ET 0.267 0.267 0.267 rg 26.625 614.112 74.172 0.750 re f 26.625 536.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 602.442 Td /F1 9.8 Tf [(Llewellyn, )] TJ ET BT 31.875 589.480 Td /F1 9.8 Tf [(2006)] TJ ET 0.267 0.267 0.267 rg BT 56.679 590.062 Td /F4 8.7 Tf [(44)] TJ ET 100.047 614.112 139.543 0.750 re f 100.047 536.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 105.297 602.442 Td /F1 9.8 Tf [(Review mortality, injury, )] TJ ET BT 105.297 592.542 Td /F1 9.8 Tf [(illness and infectious )] TJ ET BT 105.297 582.642 Td /F1 9.8 Tf [(disease associated with )] TJ ET BT 105.297 572.742 Td /F1 9.8 Tf [(major, recent floods )] TJ ET BT 105.297 562.842 Td /F1 9.8 Tf [(events)] TJ ET 0.267 0.267 0.267 rg 238.839 614.112 342.036 0.750 re f 238.839 536.562 0.750 78.300 re f 580.125 536.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 244.089 602.442 Td /F1 9.8 Tf [(In the US, as much as 90% of natural disaster damage \(excluding )] TJ ET BT 244.089 592.542 Td /F1 9.8 Tf [(droughts\) is caused by floods which cost $3.7 billion annually from )] TJ ET BT 244.089 582.642 Td /F1 9.8 Tf [(1988 to 1997. There were an average of 110 flood deaths/yr from )] TJ ET BT 244.089 572.742 Td /F1 9.8 Tf [(Between 1940 to 1999, mostly in flash floods and automobile )] TJ ET BT 244.089 562.842 Td /F1 9.8 Tf [(related. Most flood related injuries are mild, and predominantly )] TJ ET BT 244.089 552.942 Td /F1 9.8 Tf [(consist of cuts, lacerations, puncture wounds, and strains/sprains )] TJ ET BT 244.089 543.042 Td /F1 9.8 Tf [(to extremities.)] TJ ET 0.267 0.267 0.267 rg 26.625 536.562 74.172 0.750 re f 26.625 468.912 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 524.892 Td /F1 9.8 Tf [(Ahern, 2005)] TJ ET 0.267 0.267 0.267 rg BT 31.875 512.512 Td /F4 8.7 Tf [(30)] TJ ET 100.047 536.562 139.543 0.750 re f 100.047 468.912 0.750 68.400 re f 0.271 0.267 0.267 rg BT 105.297 524.892 Td /F1 9.8 Tf [(Review of studies of )] TJ ET BT 105.297 514.992 Td /F1 9.8 Tf [(global flood events and )] TJ ET BT 105.297 505.092 Td /F1 9.8 Tf [(assessment of gaps in )] TJ ET BT 105.297 495.192 Td /F1 9.8 Tf [(knowledge relative to )] TJ ET BT 105.297 485.292 Td /F1 9.8 Tf [(reducing public health )] TJ ET BT 105.297 475.392 Td /F1 9.8 Tf [(impact of flooding)] TJ ET 0.267 0.267 0.267 rg 238.839 536.562 342.036 0.750 re f 238.839 468.912 0.750 68.400 re f 580.125 468.912 0.750 68.400 re f 0.271 0.267 0.267 rg BT 244.089 524.892 Td /F1 9.8 Tf [(Review of 212 epidemiologic studies with detailed findings )] TJ ET BT 244.089 514.992 Td /F1 9.8 Tf [(reported for 36 studies. The majority of flood deaths were due to )] TJ ET BT 244.089 505.092 Td /F1 9.8 Tf [(drowning; deaths due were diarrhea inconclusive though there is )] TJ ET BT 244.089 495.192 Td /F1 9.8 Tf [(some evidence to support increased risk of fecal-oral disease, )] TJ ET BT 244.089 485.292 Td /F1 9.8 Tf [(vector-borne disease and rodent-borne disease. There is a lack of )] TJ ET BT 244.089 475.392 Td /F1 9.8 Tf [(data on frequency of non-fatal flood injury.)] TJ ET 0.267 0.267 0.267 rg 26.625 468.912 74.172 0.750 re f 26.625 401.262 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 457.242 Td /F1 9.8 Tf [(Ashley & )] TJ ET BT 31.875 447.342 Td /F1 9.8 Tf [(Ashley, 2008)] TJ ET 0.267 0.267 0.267 rg BT 31.875 434.962 Td /F4 8.7 Tf [(8)] TJ ET 100.047 468.912 139.543 0.750 re f 100.047 401.262 0.750 68.400 re f 0.271 0.267 0.267 rg BT 105.297 457.242 Td /F1 9.8 Tf [(Review of flood fatalities )] TJ ET BT 105.297 447.342 Td /F1 9.8 Tf [(in the United States from )] TJ ET BT 105.297 437.442 Td /F1 9.8 Tf [(1959 to 2005)] TJ ET 0.267 0.267 0.267 rg 238.839 468.912 342.036 0.750 re f 238.839 401.262 0.750 68.400 re f 580.125 401.262 0.750 68.400 re f 0.271 0.267 0.267 rg BT 244.089 457.242 Td /F1 9.8 Tf [(4,585 fatalities over a 47 year period were reported \(97.6 )] TJ ET BT 244.089 447.342 Td /F1 9.8 Tf [(deaths/year\). No significant increase in flood mortality over time )] TJ ET BT 244.089 437.442 Td /F1 9.8 Tf [(was observed. The majority of flood-related deaths were in flash )] TJ ET BT 244.089 427.542 Td /F1 9.8 Tf [(floods and were motor-vehicle related \(63%\). Increased risk of )] TJ ET BT 244.089 417.642 Td /F1 9.8 Tf [(flood-related death was observed in individuals ages 10-29 and )] TJ ET BT 244.089 407.742 Td /F1 9.8 Tf [(>60 years.)] TJ ET 0.267 0.267 0.267 rg 26.625 401.262 74.172 0.750 re f 26.625 284.112 0.750 117.900 re f 0.271 0.267 0.267 rg BT 31.875 389.592 Td /F1 9.8 Tf [(Jonkman & )] TJ ET BT 31.875 379.692 Td /F1 9.8 Tf [(Vrijling, )] TJ ET BT 31.875 366.730 Td /F1 9.8 Tf [(2008)] TJ ET 0.267 0.267 0.267 rg BT 56.679 367.312 Td /F4 8.7 Tf [(49)] TJ ET 100.047 401.262 139.543 0.750 re f 100.047 284.112 0.750 117.900 re f 0.271 0.267 0.267 rg BT 105.297 389.592 Td /F1 9.8 Tf [(Review of mortality )] TJ ET BT 105.297 379.692 Td /F1 9.8 Tf [(attributed to different )] TJ ET BT 105.297 369.792 Td /F1 9.8 Tf [(flood types and )] TJ ET BT 105.297 359.892 Td /F1 9.8 Tf [(presentation of new )] TJ ET BT 105.297 349.992 Td /F1 9.8 Tf [(method for estimating )] TJ ET BT 105.297 340.092 Td /F1 9.8 Tf [(flood related deaths in )] TJ ET BT 105.297 330.192 Td /F1 9.8 Tf [(low-lying areas)] TJ ET 0.267 0.267 0.267 rg 238.839 401.262 342.036 0.750 re f 238.839 284.112 0.750 117.900 re f 580.125 284.112 0.750 117.900 re f 0.271 0.267 0.267 rg BT 244.089 389.592 Td /F1 9.8 Tf [(Reports on 1883 coastal flood events between 1975 and 2002 )] TJ ET BT 244.089 379.692 Td /F1 9.8 Tf [(resulting in 176,874 deaths and 2.27 billion affected. Mortality by )] TJ ET BT 244.089 369.792 Td /F1 9.8 Tf [(event type was reported as follows: 70 from drainage floods, 392 )] TJ ET BT 244.089 359.892 Td /F1 9.8 Tf [(from river floods and 234 from flash floods. Flood mortality was )] TJ ET BT 244.089 349.992 Td /F1 9.8 Tf [(affected by severity of flood impacts and warning and evacuation. )] TJ ET BT 244.089 340.092 Td /F1 9.8 Tf [(Primary determinants of flood-related death include: lack of )] TJ ET BT 244.089 330.192 Td /F1 9.8 Tf [(warning, inability to reach shelter, building collapse, water depth, )] TJ ET BT 244.089 320.292 Td /F1 9.8 Tf [(rapid rise in water level, water flow velocity, children, and elderly. )] TJ ET BT 244.089 310.392 Td /F1 9.8 Tf [(Applies a new method for estimating loss of life due to floods )] TJ ET BT 244.089 300.492 Td /F1 9.8 Tf [(based on flood characteristics and numbers exposed and mortality )] TJ ET BT 244.089 290.592 Td /F1 9.8 Tf [(among exposed are introduced.)] TJ ET 0.267 0.267 0.267 rg 26.625 284.112 74.172 0.750 re f 26.625 206.562 74.172 0.750 re f 26.625 206.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 272.442 Td /F1 9.8 Tf [(FitzGerald, )] TJ ET BT 31.875 259.480 Td /F1 9.8 Tf [(2010)] TJ ET 0.267 0.267 0.267 rg BT 56.679 260.062 Td /F4 8.7 Tf [(50)] TJ ET 100.047 284.112 139.543 0.750 re f 100.047 206.562 139.543 0.750 re f 100.047 206.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 105.297 272.442 Td /F1 9.8 Tf [(Review of flood fatalities )] TJ ET BT 105.297 262.542 Td /F1 9.8 Tf [(in Australia from 1997 to )] TJ ET BT 105.297 252.642 Td /F1 9.8 Tf [(2008)] TJ ET 0.267 0.267 0.267 rg 238.839 284.112 342.036 0.750 re f 238.839 206.562 342.036 0.750 re f 238.839 206.562 0.750 78.300 re f 580.125 206.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 244.089 272.442 Td /F1 9.8 Tf [(Estimated 73 flood-related deaths reported from newspapers and )] TJ ET BT 244.089 262.542 Td /F1 9.8 Tf [(historic accounts from 1997 to 2008 in Australia. Most fatalities )] TJ ET BT 244.089 252.642 Td /F1 9.8 Tf [(occurred in the summer months. Drowning deaths were more )] TJ ET BT 244.089 242.742 Td /F1 9.8 Tf [(likely among individuals between the 10-29 and >70 years of age. )] TJ ET BT 244.089 232.842 Td /F1 9.8 Tf [(No difference decline in deaths over time reported. 49% of deaths )] TJ ET BT 244.089 222.942 Td /F1 9.8 Tf [(were motor-vehicle related and 27% were attributed to high risk )] TJ ET BT 244.089 213.042 Td /F1 9.8 Tf [(behavior.)] TJ ET BT 26.250 138.481 Td /F4 12.0 Tf [(Results)] TJ ET BT 26.250 114.824 Td /F4 9.8 Tf [(Historical Event Review)] TJ ET BT 26.250 91.880 Td /F1 9.8 Tf [(Overall, an average of 131 \(range 35-287\) floods affected human populations annually with the majority \(81%\) )] TJ ET BT 26.250 76.436 Td /F1 9.8 Tf [(occurred during or after the 1990s. Part of this increase can be explained by improved reporting and by the DFO )] TJ ET BT 26.250 60.992 Td /F1 9.8 Tf [(reporting beginning in 1985. There was great variation in the number of events reported annually between EM-)] TJ ET BT 26.250 45.548 Td /F1 9.8 Tf [(DAT \(range 35-213\) and DFO \(42-235\) \(Figure 2\). While the frequency of flood events increased gradually over )] TJ ET Q q 15.000 27.015 577.500 749.985 re W n 1.000 1.000 1.000 rg 26.250 206.187 555.000 570.813 re f 0.965 0.965 0.965 rg 27.000 761.181 73.422 15.819 re f 0.267 0.267 0.267 rg 26.625 760.806 0.750 16.194 re f 0.271 0.267 0.267 rg BT 31.500 764.645 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 100.422 761.181 138.793 15.819 re f 0.271 0.267 0.267 rg BT 104.922 764.645 Td /F4 9.8 Tf [(Summary)] TJ ET 0.965 0.965 0.965 rg 239.214 761.181 341.286 15.819 re f 0.267 0.267 0.267 rg 580.125 760.806 0.750 16.194 re f 0.271 0.267 0.267 rg BT 243.714 764.645 Td /F4 9.8 Tf [(Key Findings)] TJ ET 0.267 0.267 0.267 rg 26.625 760.806 74.172 0.750 re f 26.625 661.962 0.750 99.594 re f 0.271 0.267 0.267 rg BT 31.875 749.136 Td /F1 9.8 Tf [(Tarhule, )] TJ ET BT 31.875 736.174 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 736.756 Td /F4 8.7 Tf [(32)] TJ ET 100.047 760.806 139.543 0.750 re f 100.047 661.962 0.750 99.594 re f 0.271 0.267 0.267 rg BT 105.297 749.136 Td /F1 9.8 Tf [(Review of newspaper )] TJ ET BT 105.297 739.236 Td /F1 9.8 Tf [(accounts of rainfall and )] TJ ET BT 105.297 729.336 Td /F1 9.8 Tf [(rain-induced flooding in )] TJ ET BT 105.297 719.436 Td /F1 9.8 Tf [(the Sahel savanna zone )] TJ ET BT 105.297 709.536 Td /F1 9.8 Tf [(of Niger from 1970 to )] TJ ET BT 105.297 699.636 Td /F1 9.8 Tf [(2000)] TJ ET 0.267 0.267 0.267 rg 238.839 760.806 342.036 0.750 re f 238.839 661.962 0.750 99.594 re f 580.125 661.962 0.750 99.594 re f 0.271 0.267 0.267 rg BT 244.089 749.136 Td /F1 9.8 Tf [(53 articles reported 79 damaging rainfall and flood events in 47 )] TJ ET BT 244.089 739.236 Td /F1 9.8 Tf [(communities in the Sahel of Niger during the study period; floods )] TJ ET BT 244.089 729.336 Td /F1 9.8 Tf [(destroyed 5,580 houses, killed 18, left 27,289 homeless, and )] TJ ET BT 244.089 719.436 Td /F1 9.8 Tf [(caused over $4 million in damages. Sahel residents attribute )] TJ ET BT 244.089 709.536 Td /F1 9.8 Tf [(floods to five major causes: hydrologic, extreme/unseasonable )] TJ ET BT 244.089 699.636 Td /F1 9.8 Tf [(rainfall, location of affected area, inadequate drainage, and poor )] TJ ET BT 244.089 689.736 Td /F1 9.8 Tf [(construction; cumulative rainfall in the days preceding a heavy )] TJ ET BT 244.089 679.836 Td /F1 9.8 Tf [(rain event is an important predictor of flooding.)] TJ ET 0.267 0.267 0.267 rg 26.625 661.962 74.172 0.750 re f 26.625 614.112 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 650.292 Td /F1 9.8 Tf [(Lastoria, )] TJ ET BT 31.875 637.330 Td /F1 9.8 Tf [(2006)] TJ ET 0.267 0.267 0.267 rg BT 56.679 637.912 Td /F4 8.7 Tf [(58)] TJ ET 100.047 661.962 139.543 0.750 re f 100.047 614.112 0.750 48.600 re f 0.271 0.267 0.267 rg BT 105.297 650.292 Td /F1 9.8 Tf [(Review of flood deaths )] TJ ET BT 105.297 640.392 Td /F1 9.8 Tf [(and socioeconomic )] TJ ET BT 105.297 630.492 Td /F1 9.8 Tf [(impacts in Italy,1951 to )] TJ ET BT 105.297 620.592 Td /F1 9.8 Tf [(2003)] TJ ET 0.267 0.267 0.267 rg 238.839 661.962 342.036 0.750 re f 238.839 614.112 0.750 48.600 re f 580.125 614.112 0.750 48.600 re f 0.271 0.267 0.267 rg BT 244.089 650.292 Td /F1 9.8 Tf [(During study period, ~50% of the flood events resulted in an )] TJ ET BT 244.089 640.392 Td /F1 9.8 Tf [(average of 5 deaths, and about ~10% had >100 deaths. )] TJ ET BT 244.089 630.492 Td /F1 9.8 Tf [(Investigators recommend creating an integrated database to )] TJ ET BT 244.089 620.592 Td /F1 9.8 Tf [(collect more information about flood events in Europe.)] TJ ET 0.267 0.267 0.267 rg 26.625 614.112 74.172 0.750 re f 26.625 536.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 602.442 Td /F1 9.8 Tf [(Llewellyn, )] TJ ET BT 31.875 589.480 Td /F1 9.8 Tf [(2006)] TJ ET 0.267 0.267 0.267 rg BT 56.679 590.062 Td /F4 8.7 Tf [(44)] TJ ET 100.047 614.112 139.543 0.750 re f 100.047 536.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 105.297 602.442 Td /F1 9.8 Tf [(Review mortality, injury, )] TJ ET BT 105.297 592.542 Td /F1 9.8 Tf [(illness and infectious )] TJ ET BT 105.297 582.642 Td /F1 9.8 Tf [(disease associated with )] TJ ET BT 105.297 572.742 Td /F1 9.8 Tf [(major, recent floods )] TJ ET BT 105.297 562.842 Td /F1 9.8 Tf [(events)] TJ ET 0.267 0.267 0.267 rg 238.839 614.112 342.036 0.750 re f 238.839 536.562 0.750 78.300 re f 580.125 536.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 244.089 602.442 Td /F1 9.8 Tf [(In the US, as much as 90% of natural disaster damage \(excluding )] TJ ET BT 244.089 592.542 Td /F1 9.8 Tf [(droughts\) is caused by floods which cost $3.7 billion annually from )] TJ ET BT 244.089 582.642 Td /F1 9.8 Tf [(1988 to 1997. There were an average of 110 flood deaths/yr from )] TJ ET BT 244.089 572.742 Td /F1 9.8 Tf [(Between 1940 to 1999, mostly in flash floods and automobile )] TJ ET BT 244.089 562.842 Td /F1 9.8 Tf [(related. Most flood related injuries are mild, and predominantly )] TJ ET BT 244.089 552.942 Td /F1 9.8 Tf [(consist of cuts, lacerations, puncture wounds, and strains/sprains )] TJ ET BT 244.089 543.042 Td /F1 9.8 Tf [(to extremities.)] TJ ET 0.267 0.267 0.267 rg 26.625 536.562 74.172 0.750 re f 26.625 468.912 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 524.892 Td /F1 9.8 Tf [(Ahern, 2005)] TJ ET 0.267 0.267 0.267 rg BT 31.875 512.512 Td /F4 8.7 Tf [(30)] TJ ET 100.047 536.562 139.543 0.750 re f 100.047 468.912 0.750 68.400 re f 0.271 0.267 0.267 rg BT 105.297 524.892 Td /F1 9.8 Tf [(Review of studies of )] TJ ET BT 105.297 514.992 Td /F1 9.8 Tf [(global flood events and )] TJ ET BT 105.297 505.092 Td /F1 9.8 Tf [(assessment of gaps in )] TJ ET BT 105.297 495.192 Td /F1 9.8 Tf [(knowledge relative to )] TJ ET BT 105.297 485.292 Td /F1 9.8 Tf [(reducing public health )] TJ ET BT 105.297 475.392 Td /F1 9.8 Tf [(impact of flooding)] TJ ET 0.267 0.267 0.267 rg 238.839 536.562 342.036 0.750 re f 238.839 468.912 0.750 68.400 re f 580.125 468.912 0.750 68.400 re f 0.271 0.267 0.267 rg BT 244.089 524.892 Td /F1 9.8 Tf [(Review of 212 epidemiologic studies with detailed findings )] TJ ET BT 244.089 514.992 Td /F1 9.8 Tf [(reported for 36 studies. The majority of flood deaths were due to )] TJ ET BT 244.089 505.092 Td /F1 9.8 Tf [(drowning; deaths due were diarrhea inconclusive though there is )] TJ ET BT 244.089 495.192 Td /F1 9.8 Tf [(some evidence to support increased risk of fecal-oral disease, )] TJ ET BT 244.089 485.292 Td /F1 9.8 Tf [(vector-borne disease and rodent-borne disease. There is a lack of )] TJ ET BT 244.089 475.392 Td /F1 9.8 Tf [(data on frequency of non-fatal flood injury.)] TJ ET 0.267 0.267 0.267 rg 26.625 468.912 74.172 0.750 re f 26.625 401.262 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 457.242 Td /F1 9.8 Tf [(Ashley & )] TJ ET BT 31.875 447.342 Td /F1 9.8 Tf [(Ashley, 2008)] TJ ET 0.267 0.267 0.267 rg BT 31.875 434.962 Td /F4 8.7 Tf [(8)] TJ ET 100.047 468.912 139.543 0.750 re f 100.047 401.262 0.750 68.400 re f 0.271 0.267 0.267 rg BT 105.297 457.242 Td /F1 9.8 Tf [(Review of flood fatalities )] TJ ET BT 105.297 447.342 Td /F1 9.8 Tf [(in the United States from )] TJ ET BT 105.297 437.442 Td /F1 9.8 Tf [(1959 to 2005)] TJ ET 0.267 0.267 0.267 rg 238.839 468.912 342.036 0.750 re f 238.839 401.262 0.750 68.400 re f 580.125 401.262 0.750 68.400 re f 0.271 0.267 0.267 rg BT 244.089 457.242 Td /F1 9.8 Tf [(4,585 fatalities over a 47 year period were reported \(97.6 )] TJ ET BT 244.089 447.342 Td /F1 9.8 Tf [(deaths/year\). No significant increase in flood mortality over time )] TJ ET BT 244.089 437.442 Td /F1 9.8 Tf [(was observed. The majority of flood-related deaths were in flash )] TJ ET BT 244.089 427.542 Td /F1 9.8 Tf [(floods and were motor-vehicle related \(63%\). Increased risk of )] TJ ET BT 244.089 417.642 Td /F1 9.8 Tf [(flood-related death was observed in individuals ages 10-29 and )] TJ ET BT 244.089 407.742 Td /F1 9.8 Tf [(>60 years.)] TJ ET 0.267 0.267 0.267 rg 26.625 401.262 74.172 0.750 re f 26.625 284.112 0.750 117.900 re f 0.271 0.267 0.267 rg BT 31.875 389.592 Td /F1 9.8 Tf [(Jonkman & )] TJ ET BT 31.875 379.692 Td /F1 9.8 Tf [(Vrijling, )] TJ ET BT 31.875 366.730 Td /F1 9.8 Tf [(2008)] TJ ET 0.267 0.267 0.267 rg BT 56.679 367.312 Td /F4 8.7 Tf [(49)] TJ ET 100.047 401.262 139.543 0.750 re f 100.047 284.112 0.750 117.900 re f 0.271 0.267 0.267 rg BT 105.297 389.592 Td /F1 9.8 Tf [(Review of mortality )] TJ ET BT 105.297 379.692 Td /F1 9.8 Tf [(attributed to different )] TJ ET BT 105.297 369.792 Td /F1 9.8 Tf [(flood types and )] TJ ET BT 105.297 359.892 Td /F1 9.8 Tf [(presentation of new )] TJ ET BT 105.297 349.992 Td /F1 9.8 Tf [(method for estimating )] TJ ET BT 105.297 340.092 Td /F1 9.8 Tf [(flood related deaths in )] TJ ET BT 105.297 330.192 Td /F1 9.8 Tf [(low-lying areas)] TJ ET 0.267 0.267 0.267 rg 238.839 401.262 342.036 0.750 re f 238.839 284.112 0.750 117.900 re f 580.125 284.112 0.750 117.900 re f 0.271 0.267 0.267 rg BT 244.089 389.592 Td /F1 9.8 Tf [(Reports on 1883 coastal flood events between 1975 and 2002 )] TJ ET BT 244.089 379.692 Td /F1 9.8 Tf [(resulting in 176,874 deaths and 2.27 billion affected. Mortality by )] TJ ET BT 244.089 369.792 Td /F1 9.8 Tf [(event type was reported as follows: 70 from drainage floods, 392 )] TJ ET BT 244.089 359.892 Td /F1 9.8 Tf [(from river floods and 234 from flash floods. Flood mortality was )] TJ ET BT 244.089 349.992 Td /F1 9.8 Tf [(affected by severity of flood impacts and warning and evacuation. )] TJ ET BT 244.089 340.092 Td /F1 9.8 Tf [(Primary determinants of flood-related death include: lack of )] TJ ET BT 244.089 330.192 Td /F1 9.8 Tf [(warning, inability to reach shelter, building collapse, water depth, )] TJ ET BT 244.089 320.292 Td /F1 9.8 Tf [(rapid rise in water level, water flow velocity, children, and elderly. )] TJ ET BT 244.089 310.392 Td /F1 9.8 Tf [(Applies a new method for estimating loss of life due to floods )] TJ ET BT 244.089 300.492 Td /F1 9.8 Tf [(based on flood characteristics and numbers exposed and mortality )] TJ ET BT 244.089 290.592 Td /F1 9.8 Tf [(among exposed are introduced.)] TJ ET 0.267 0.267 0.267 rg 26.625 284.112 74.172 0.750 re f 26.625 206.562 74.172 0.750 re f 26.625 206.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 272.442 Td /F1 9.8 Tf [(FitzGerald, )] TJ ET BT 31.875 259.480 Td /F1 9.8 Tf [(2010)] TJ ET 0.267 0.267 0.267 rg BT 56.679 260.062 Td /F4 8.7 Tf [(50)] TJ ET 100.047 284.112 139.543 0.750 re f 100.047 206.562 139.543 0.750 re f 100.047 206.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 105.297 272.442 Td /F1 9.8 Tf [(Review of flood fatalities )] TJ ET BT 105.297 262.542 Td /F1 9.8 Tf [(in Australia from 1997 to )] TJ ET BT 105.297 252.642 Td /F1 9.8 Tf [(2008)] TJ ET 0.267 0.267 0.267 rg 238.839 284.112 342.036 0.750 re f 238.839 206.562 342.036 0.750 re f 238.839 206.562 0.750 78.300 re f 580.125 206.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 244.089 272.442 Td /F1 9.8 Tf [(Estimated 73 flood-related deaths reported from newspapers and )] TJ ET BT 244.089 262.542 Td /F1 9.8 Tf [(historic accounts from 1997 to 2008 in Australia. Most fatalities )] TJ ET BT 244.089 252.642 Td /F1 9.8 Tf [(occurred in the summer months. Drowning deaths were more )] TJ ET BT 244.089 242.742 Td /F1 9.8 Tf [(likely among individuals between the 10-29 and >70 years of age. )] TJ ET BT 244.089 232.842 Td /F1 9.8 Tf [(No difference decline in deaths over time reported. 49% of deaths )] TJ ET BT 244.089 222.942 Td /F1 9.8 Tf [(were motor-vehicle related and 27% were attributed to high risk )] TJ ET BT 244.089 213.042 Td /F1 9.8 Tf [(behavior.)] TJ ET BT 26.250 138.481 Td /F4 12.0 Tf [(Results)] TJ ET BT 26.250 114.824 Td /F4 9.8 Tf [(Historical Event Review)] TJ ET BT 26.250 91.880 Td /F1 9.8 Tf [(Overall, an average of 131 \(range 35-287\) floods affected human populations annually with the majority \(81%\) )] TJ ET BT 26.250 76.436 Td /F1 9.8 Tf [(occurred during or after the 1990s. Part of this increase can be explained by improved reporting and by the DFO )] TJ ET BT 26.250 60.992 Td /F1 9.8 Tf [(reporting beginning in 1985. There was great variation in the number of events reported annually between EM-)] TJ ET BT 26.250 45.548 Td /F1 9.8 Tf [(DAT \(range 35-213\) and DFO \(42-235\) \(Figure 2\). While the frequency of flood events increased gradually over )] TJ ET Q q 15.000 27.015 577.500 749.985 re W n 1.000 1.000 1.000 rg 26.250 206.187 555.000 570.813 re f 0.965 0.965 0.965 rg 27.000 761.181 73.422 15.819 re f 0.267 0.267 0.267 rg 26.625 760.806 0.750 16.194 re f 0.271 0.267 0.267 rg BT 31.500 764.645 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 100.422 761.181 138.793 15.819 re f 0.271 0.267 0.267 rg BT 104.922 764.645 Td /F4 9.8 Tf [(Summary)] TJ ET 0.965 0.965 0.965 rg 239.214 761.181 341.286 15.819 re f 0.267 0.267 0.267 rg 580.125 760.806 0.750 16.194 re f 0.271 0.267 0.267 rg BT 243.714 764.645 Td /F4 9.8 Tf [(Key Findings)] TJ ET 0.267 0.267 0.267 rg 26.625 760.806 74.172 0.750 re f 26.625 661.962 0.750 99.594 re f 0.271 0.267 0.267 rg BT 31.875 749.136 Td /F1 9.8 Tf [(Tarhule, )] TJ ET BT 31.875 736.174 Td /F1 9.8 Tf [(2005)] TJ ET 0.267 0.267 0.267 rg BT 56.679 736.756 Td /F4 8.7 Tf [(32)] TJ ET 100.047 760.806 139.543 0.750 re f 100.047 661.962 0.750 99.594 re f 0.271 0.267 0.267 rg BT 105.297 749.136 Td /F1 9.8 Tf [(Review of newspaper )] TJ ET BT 105.297 739.236 Td /F1 9.8 Tf [(accounts of rainfall and )] TJ ET BT 105.297 729.336 Td /F1 9.8 Tf [(rain-induced flooding in )] TJ ET BT 105.297 719.436 Td /F1 9.8 Tf [(the Sahel savanna zone )] TJ ET BT 105.297 709.536 Td /F1 9.8 Tf [(of Niger from 1970 to )] TJ ET BT 105.297 699.636 Td /F1 9.8 Tf [(2000)] TJ ET 0.267 0.267 0.267 rg 238.839 760.806 342.036 0.750 re f 238.839 661.962 0.750 99.594 re f 580.125 661.962 0.750 99.594 re f 0.271 0.267 0.267 rg BT 244.089 749.136 Td /F1 9.8 Tf [(53 articles reported 79 damaging rainfall and flood events in 47 )] TJ ET BT 244.089 739.236 Td /F1 9.8 Tf [(communities in the Sahel of Niger during the study period; floods )] TJ ET BT 244.089 729.336 Td /F1 9.8 Tf [(destroyed 5,580 houses, killed 18, left 27,289 homeless, and )] TJ ET BT 244.089 719.436 Td /F1 9.8 Tf [(caused over $4 million in damages. Sahel residents attribute )] TJ ET BT 244.089 709.536 Td /F1 9.8 Tf [(floods to five major causes: hydrologic, extreme/unseasonable )] TJ ET BT 244.089 699.636 Td /F1 9.8 Tf [(rainfall, location of affected area, inadequate drainage, and poor )] TJ ET BT 244.089 689.736 Td /F1 9.8 Tf [(construction; cumulative rainfall in the days preceding a heavy )] TJ ET BT 244.089 679.836 Td /F1 9.8 Tf [(rain event is an important predictor of flooding.)] TJ ET 0.267 0.267 0.267 rg 26.625 661.962 74.172 0.750 re f 26.625 614.112 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 650.292 Td /F1 9.8 Tf [(Lastoria, )] TJ ET BT 31.875 637.330 Td /F1 9.8 Tf [(2006)] TJ ET 0.267 0.267 0.267 rg BT 56.679 637.912 Td /F4 8.7 Tf [(58)] TJ ET 100.047 661.962 139.543 0.750 re f 100.047 614.112 0.750 48.600 re f 0.271 0.267 0.267 rg BT 105.297 650.292 Td /F1 9.8 Tf [(Review of flood deaths )] TJ ET BT 105.297 640.392 Td /F1 9.8 Tf [(and socioeconomic )] TJ ET BT 105.297 630.492 Td /F1 9.8 Tf [(impacts in Italy,1951 to )] TJ ET BT 105.297 620.592 Td /F1 9.8 Tf [(2003)] TJ ET 0.267 0.267 0.267 rg 238.839 661.962 342.036 0.750 re f 238.839 614.112 0.750 48.600 re f 580.125 614.112 0.750 48.600 re f 0.271 0.267 0.267 rg BT 244.089 650.292 Td /F1 9.8 Tf [(During study period, ~50% of the flood events resulted in an )] TJ ET BT 244.089 640.392 Td /F1 9.8 Tf [(average of 5 deaths, and about ~10% had >100 deaths. )] TJ ET BT 244.089 630.492 Td /F1 9.8 Tf [(Investigators recommend creating an integrated database to )] TJ ET BT 244.089 620.592 Td /F1 9.8 Tf [(collect more information about flood events in Europe.)] TJ ET 0.267 0.267 0.267 rg 26.625 614.112 74.172 0.750 re f 26.625 536.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 602.442 Td /F1 9.8 Tf [(Llewellyn, )] TJ ET BT 31.875 589.480 Td /F1 9.8 Tf [(2006)] TJ ET 0.267 0.267 0.267 rg BT 56.679 590.062 Td /F4 8.7 Tf [(44)] TJ ET 100.047 614.112 139.543 0.750 re f 100.047 536.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 105.297 602.442 Td /F1 9.8 Tf [(Review mortality, injury, )] TJ ET BT 105.297 592.542 Td /F1 9.8 Tf [(illness and infectious )] TJ ET BT 105.297 582.642 Td /F1 9.8 Tf [(disease associated with )] TJ ET BT 105.297 572.742 Td /F1 9.8 Tf [(major, recent floods )] TJ ET BT 105.297 562.842 Td /F1 9.8 Tf [(events)] TJ ET 0.267 0.267 0.267 rg 238.839 614.112 342.036 0.750 re f 238.839 536.562 0.750 78.300 re f 580.125 536.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 244.089 602.442 Td /F1 9.8 Tf [(In the US, as much as 90% of natural disaster damage \(excluding )] TJ ET BT 244.089 592.542 Td /F1 9.8 Tf [(droughts\) is caused by floods which cost $3.7 billion annually from )] TJ ET BT 244.089 582.642 Td /F1 9.8 Tf [(1988 to 1997. There were an average of 110 flood deaths/yr from )] TJ ET BT 244.089 572.742 Td /F1 9.8 Tf [(Between 1940 to 1999, mostly in flash floods and automobile )] TJ ET BT 244.089 562.842 Td /F1 9.8 Tf [(related. Most flood related injuries are mild, and predominantly )] TJ ET BT 244.089 552.942 Td /F1 9.8 Tf [(consist of cuts, lacerations, puncture wounds, and strains/sprains )] TJ ET BT 244.089 543.042 Td /F1 9.8 Tf [(to extremities.)] TJ ET 0.267 0.267 0.267 rg 26.625 536.562 74.172 0.750 re f 26.625 468.912 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 524.892 Td /F1 9.8 Tf [(Ahern, 2005)] TJ ET 0.267 0.267 0.267 rg BT 31.875 512.512 Td /F4 8.7 Tf [(30)] TJ ET 100.047 536.562 139.543 0.750 re f 100.047 468.912 0.750 68.400 re f 0.271 0.267 0.267 rg BT 105.297 524.892 Td /F1 9.8 Tf [(Review of studies of )] TJ ET BT 105.297 514.992 Td /F1 9.8 Tf [(global flood events and )] TJ ET BT 105.297 505.092 Td /F1 9.8 Tf [(assessment of gaps in )] TJ ET BT 105.297 495.192 Td /F1 9.8 Tf [(knowledge relative to )] TJ ET BT 105.297 485.292 Td /F1 9.8 Tf [(reducing public health )] TJ ET BT 105.297 475.392 Td /F1 9.8 Tf [(impact of flooding)] TJ ET 0.267 0.267 0.267 rg 238.839 536.562 342.036 0.750 re f 238.839 468.912 0.750 68.400 re f 580.125 468.912 0.750 68.400 re f 0.271 0.267 0.267 rg BT 244.089 524.892 Td /F1 9.8 Tf [(Review of 212 epidemiologic studies with detailed findings )] TJ ET BT 244.089 514.992 Td /F1 9.8 Tf [(reported for 36 studies. The majority of flood deaths were due to )] TJ ET BT 244.089 505.092 Td /F1 9.8 Tf [(drowning; deaths due were diarrhea inconclusive though there is )] TJ ET BT 244.089 495.192 Td /F1 9.8 Tf [(some evidence to support increased risk of fecal-oral disease, )] TJ ET BT 244.089 485.292 Td /F1 9.8 Tf [(vector-borne disease and rodent-borne disease. There is a lack of )] TJ ET BT 244.089 475.392 Td /F1 9.8 Tf [(data on frequency of non-fatal flood injury.)] TJ ET 0.267 0.267 0.267 rg 26.625 468.912 74.172 0.750 re f 26.625 401.262 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 457.242 Td /F1 9.8 Tf [(Ashley & )] TJ ET BT 31.875 447.342 Td /F1 9.8 Tf [(Ashley, 2008)] TJ ET 0.267 0.267 0.267 rg BT 31.875 434.962 Td /F4 8.7 Tf [(8)] TJ ET 100.047 468.912 139.543 0.750 re f 100.047 401.262 0.750 68.400 re f 0.271 0.267 0.267 rg BT 105.297 457.242 Td /F1 9.8 Tf [(Review of flood fatalities )] TJ ET BT 105.297 447.342 Td /F1 9.8 Tf [(in the United States from )] TJ ET BT 105.297 437.442 Td /F1 9.8 Tf [(1959 to 2005)] TJ ET 0.267 0.267 0.267 rg 238.839 468.912 342.036 0.750 re f 238.839 401.262 0.750 68.400 re f 580.125 401.262 0.750 68.400 re f 0.271 0.267 0.267 rg BT 244.089 457.242 Td /F1 9.8 Tf [(4,585 fatalities over a 47 year period were reported \(97.6 )] TJ ET BT 244.089 447.342 Td /F1 9.8 Tf [(deaths/year\). No significant increase in flood mortality over time )] TJ ET BT 244.089 437.442 Td /F1 9.8 Tf [(was observed. The majority of flood-related deaths were in flash )] TJ ET BT 244.089 427.542 Td /F1 9.8 Tf [(floods and were motor-vehicle related \(63%\). Increased risk of )] TJ ET BT 244.089 417.642 Td /F1 9.8 Tf [(flood-related death was observed in individuals ages 10-29 and )] TJ ET BT 244.089 407.742 Td /F1 9.8 Tf [(>60 years.)] TJ ET 0.267 0.267 0.267 rg 26.625 401.262 74.172 0.750 re f 26.625 284.112 0.750 117.900 re f 0.271 0.267 0.267 rg BT 31.875 389.592 Td /F1 9.8 Tf [(Jonkman & )] TJ ET BT 31.875 379.692 Td /F1 9.8 Tf [(Vrijling, )] TJ ET BT 31.875 366.730 Td /F1 9.8 Tf [(2008)] TJ ET 0.267 0.267 0.267 rg BT 56.679 367.312 Td /F4 8.7 Tf [(49)] TJ ET 100.047 401.262 139.543 0.750 re f 100.047 284.112 0.750 117.900 re f 0.271 0.267 0.267 rg BT 105.297 389.592 Td /F1 9.8 Tf [(Review of mortality )] TJ ET BT 105.297 379.692 Td /F1 9.8 Tf [(attributed to different )] TJ ET BT 105.297 369.792 Td /F1 9.8 Tf [(flood types and )] TJ ET BT 105.297 359.892 Td /F1 9.8 Tf [(presentation of new )] TJ ET BT 105.297 349.992 Td /F1 9.8 Tf [(method for estimating )] TJ ET BT 105.297 340.092 Td /F1 9.8 Tf [(flood related deaths in )] TJ ET BT 105.297 330.192 Td /F1 9.8 Tf [(low-lying areas)] TJ ET 0.267 0.267 0.267 rg 238.839 401.262 342.036 0.750 re f 238.839 284.112 0.750 117.900 re f 580.125 284.112 0.750 117.900 re f 0.271 0.267 0.267 rg BT 244.089 389.592 Td /F1 9.8 Tf [(Reports on 1883 coastal flood events between 1975 and 2002 )] TJ ET BT 244.089 379.692 Td /F1 9.8 Tf [(resulting in 176,874 deaths and 2.27 billion affected. Mortality by )] TJ ET BT 244.089 369.792 Td /F1 9.8 Tf [(event type was reported as follows: 70 from drainage floods, 392 )] TJ ET BT 244.089 359.892 Td /F1 9.8 Tf [(from river floods and 234 from flash floods. Flood mortality was )] TJ ET BT 244.089 349.992 Td /F1 9.8 Tf [(affected by severity of flood impacts and warning and evacuation. )] TJ ET BT 244.089 340.092 Td /F1 9.8 Tf [(Primary determinants of flood-related death include: lack of )] TJ ET BT 244.089 330.192 Td /F1 9.8 Tf [(warning, inability to reach shelter, building collapse, water depth, )] TJ ET BT 244.089 320.292 Td /F1 9.8 Tf [(rapid rise in water level, water flow velocity, children, and elderly. )] TJ ET BT 244.089 310.392 Td /F1 9.8 Tf [(Applies a new method for estimating loss of life due to floods )] TJ ET BT 244.089 300.492 Td /F1 9.8 Tf [(based on flood characteristics and numbers exposed and mortality )] TJ ET BT 244.089 290.592 Td /F1 9.8 Tf [(among exposed are introduced.)] TJ ET 0.267 0.267 0.267 rg 26.625 284.112 74.172 0.750 re f 26.625 206.562 74.172 0.750 re f 26.625 206.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 272.442 Td /F1 9.8 Tf [(FitzGerald, )] TJ ET BT 31.875 259.480 Td /F1 9.8 Tf [(2010)] TJ ET 0.267 0.267 0.267 rg BT 56.679 260.062 Td /F4 8.7 Tf [(50)] TJ ET 100.047 284.112 139.543 0.750 re f 100.047 206.562 139.543 0.750 re f 100.047 206.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 105.297 272.442 Td /F1 9.8 Tf [(Review of flood fatalities )] TJ ET BT 105.297 262.542 Td /F1 9.8 Tf [(in Australia from 1997 to )] TJ ET BT 105.297 252.642 Td /F1 9.8 Tf [(2008)] TJ ET 0.267 0.267 0.267 rg 238.839 284.112 342.036 0.750 re f 238.839 206.562 342.036 0.750 re f 238.839 206.562 0.750 78.300 re f 580.125 206.562 0.750 78.300 re f 0.271 0.267 0.267 rg BT 244.089 272.442 Td /F1 9.8 Tf [(Estimated 73 flood-related deaths reported from newspapers and )] TJ ET BT 244.089 262.542 Td /F1 9.8 Tf [(historic accounts from 1997 to 2008 in Australia. Most fatalities )] TJ ET BT 244.089 252.642 Td /F1 9.8 Tf [(occurred in the summer months. Drowning deaths were more )] TJ ET BT 244.089 242.742 Td /F1 9.8 Tf [(likely among individuals between the 10-29 and >70 years of age. )] TJ ET BT 244.089 232.842 Td /F1 9.8 Tf [(No difference decline in deaths over time reported. 49% of deaths )] TJ ET BT 244.089 222.942 Td /F1 9.8 Tf [(were motor-vehicle related and 27% were attributed to high risk )] TJ ET BT 244.089 213.042 Td /F1 9.8 Tf [(behavior.)] TJ ET BT 26.250 138.481 Td /F4 12.0 Tf [(Results)] TJ ET BT 26.250 114.824 Td /F4 9.8 Tf [(Historical Event Review)] TJ ET BT 26.250 91.880 Td /F1 9.8 Tf [(Overall, an average of 131 \(range 35-287\) floods affected human populations annually with the majority \(81%\) )] TJ ET BT 26.250 76.436 Td /F1 9.8 Tf [(occurred during or after the 1990s. Part of this increase can be explained by improved reporting and by the DFO )] TJ ET BT 26.250 60.992 Td /F1 9.8 Tf [(reporting beginning in 1985. There was great variation in the number of events reported annually between EM-)] TJ ET BT 26.250 45.548 Td /F1 9.8 Tf [(DAT \(range 35-213\) and DFO \(42-235\) \(Figure 2\). While the frequency of flood events increased gradually over )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(10)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 418 0 obj << /Type /Annot /Subtype /Link /A 419 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 735.7160 68.7430 747.1560 ] >> endobj 419 0 obj << /Type /Action >> endobj 420 0 obj << /Type /Annot /Subtype /Link /A 421 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 636.8720 68.7430 648.3120 ] >> endobj 421 0 obj << /Type /Action >> endobj 422 0 obj << /Type /Annot /Subtype /Link /A 423 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 589.0220 68.7430 600.4620 ] >> endobj 423 0 obj << /Type /Action >> endobj 424 0 obj << /Type /Annot /Subtype /Link /A 425 0 R /Border [0 0 0] /H /I /Rect [ 31.8750 511.4720 43.9390 522.9120 ] >> endobj 425 0 obj << /Type /Action >> endobj 426 0 obj << /Type /Annot /Subtype /Link /A 427 0 R /Border [0 0 0] /H /I /Rect [ 31.8750 433.9220 37.9070 445.3620 ] >> endobj 427 0 obj << /Type /Action >> endobj 428 0 obj << /Type /Annot /Subtype /Link /A 429 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 366.2720 68.7430 377.7120 ] >> endobj 429 0 obj << /Type /Action >> endobj 430 0 obj << /Type /Annot /Subtype /Link /A 431 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 259.0220 68.7430 270.4620 ] >> endobj 431 0 obj << /Type /Action >> endobj 432 0 obj << /Type /Annot /Subtype /Link /A 433 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 735.7160 68.7430 747.1560 ] >> endobj 433 0 obj << /Type /Action >> endobj 434 0 obj << /Type /Annot /Subtype /Link /A 435 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 636.8720 68.7430 648.3120 ] >> endobj 435 0 obj << /Type /Action >> endobj 436 0 obj << /Type /Annot /Subtype /Link /A 437 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 589.0220 68.7430 600.4620 ] >> endobj 437 0 obj << /Type /Action >> endobj 438 0 obj << /Type /Annot /Subtype /Link /A 439 0 R /Border [0 0 0] /H /I /Rect [ 31.8750 511.4720 43.9390 522.9120 ] >> endobj 439 0 obj << /Type /Action >> endobj 440 0 obj << /Type /Annot /Subtype /Link /A 441 0 R /Border [0 0 0] /H /I /Rect [ 31.8750 433.9220 37.9070 445.3620 ] >> endobj 441 0 obj << /Type /Action >> endobj 442 0 obj << /Type /Annot /Subtype /Link /A 443 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 366.2720 68.7430 377.7120 ] >> endobj 443 0 obj << /Type /Action >> endobj 444 0 obj << /Type /Annot /Subtype /Link /A 445 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 259.0220 68.7430 270.4620 ] >> endobj 445 0 obj << /Type /Action >> endobj 446 0 obj << /Type /Annot /Subtype /Link /A 447 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 735.7160 68.7430 747.1560 ] >> endobj 447 0 obj << /Type /Action >> endobj 448 0 obj << /Type /Annot /Subtype /Link /A 449 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 636.8720 68.7430 648.3120 ] >> endobj 449 0 obj << /Type /Action >> endobj 450 0 obj << /Type /Annot /Subtype /Link /A 451 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 589.0220 68.7430 600.4620 ] >> endobj 451 0 obj << /Type /Action >> endobj 452 0 obj << /Type /Annot /Subtype /Link /A 453 0 R /Border [0 0 0] /H /I /Rect [ 31.8750 511.4720 43.9390 522.9120 ] >> endobj 453 0 obj << /Type /Action >> endobj 454 0 obj << /Type /Annot /Subtype /Link /A 455 0 R /Border [0 0 0] /H /I /Rect [ 31.8750 433.9220 37.9070 445.3620 ] >> endobj 455 0 obj << /Type /Action >> endobj 456 0 obj << /Type /Annot /Subtype /Link /A 457 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 366.2720 68.7430 377.7120 ] >> endobj 457 0 obj << /Type /Action >> endobj 458 0 obj << /Type /Annot /Subtype /Link /A 459 0 R /Border [0 0 0] /H /I /Rect [ 56.6790 259.0220 68.7430 270.4620 ] >> endobj 459 0 obj << /Type /Action >> endobj 460 0 obj << /Type /Page /Parent 3 0 R /Contents 461 0 R >> endobj 461 0 obj << /Length 7701 >> stream 0.271 0.267 0.267 rg q 15.000 615.060 577.500 161.940 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(time, their impacts on human populations in terms of mortality and affected populations varied greatly between )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(years and were often concentrated around large-scale events \(Figure 3\). Using the WHO regions the Americas )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(\(AMRO\) and Western Pacific \(WPRO\) regions experienced the most flooding events while the fewest were )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(reported in Europe \(EURO\) \(Figure 4\). Deaths were overwhelmingly concentrated in South East Asia \(SEARO\), )] TJ ET BT 26.250 702.869 Td /F1 9.8 Tf [(which accounted for 69% of global flood mortality, though both the Americas \(AMRO\) and Western Pacific )] TJ ET BT 26.250 687.425 Td /F1 9.8 Tf [(\(WPRO\) had significant minorities of flood fatalities. The great majority of the flood affected population was in )] TJ ET BT 26.250 671.981 Td /F1 9.8 Tf [(WPRO \(59%\) and SEARO \(35%\) of the global total. Overall, the human impacts of floods in Europe, Africa, and )] TJ ET BT 26.250 656.537 Td /F1 9.8 Tf [(the Eastern Mediterranean regions were limited; together the regions accounted for no more than 8% of flood )] TJ ET BT 26.250 641.093 Td /F1 9.8 Tf [(deaths and 4% flood affected populations, respectively. The overall impact of flooding on human populations is )] TJ ET BT 26.250 625.649 Td /F1 9.8 Tf [(summarized in Table 3.)] TJ ET Q q 15.000 615.060 577.500 161.940 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(time, their impacts on human populations in terms of mortality and affected populations varied greatly between )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(years and were often concentrated around large-scale events \(Figure 3\). Using the WHO regions the Americas )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(\(AMRO\) and Western Pacific \(WPRO\) regions experienced the most flooding events while the fewest were )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(reported in Europe \(EURO\) \(Figure 4\). Deaths were overwhelmingly concentrated in South East Asia \(SEARO\), )] TJ ET BT 26.250 702.869 Td /F1 9.8 Tf [(which accounted for 69% of global flood mortality, though both the Americas \(AMRO\) and Western Pacific )] TJ ET BT 26.250 687.425 Td /F1 9.8 Tf [(\(WPRO\) had significant minorities of flood fatalities. The great majority of the flood affected population was in )] TJ ET BT 26.250 671.981 Td /F1 9.8 Tf [(WPRO \(59%\) and SEARO \(35%\) of the global total. Overall, the human impacts of floods in Europe, Africa, and )] TJ ET BT 26.250 656.537 Td /F1 9.8 Tf [(the Eastern Mediterranean regions were limited; together the regions accounted for no more than 8% of flood )] TJ ET BT 26.250 641.093 Td /F1 9.8 Tf [(deaths and 4% flood affected populations, respectively. The overall impact of flooding on human populations is )] TJ ET BT 26.250 625.649 Td /F1 9.8 Tf [(summarized in Table 3.)] TJ ET Q q 15.000 615.060 577.500 161.940 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(time, their impacts on human populations in terms of mortality and affected populations varied greatly between )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(years and were often concentrated around large-scale events \(Figure 3\). Using the WHO regions the Americas )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(\(AMRO\) and Western Pacific \(WPRO\) regions experienced the most flooding events while the fewest were )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(reported in Europe \(EURO\) \(Figure 4\). Deaths were overwhelmingly concentrated in South East Asia \(SEARO\), )] TJ ET BT 26.250 702.869 Td /F1 9.8 Tf [(which accounted for 69% of global flood mortality, though both the Americas \(AMRO\) and Western Pacific )] TJ ET BT 26.250 687.425 Td /F1 9.8 Tf [(\(WPRO\) had significant minorities of flood fatalities. The great majority of the flood affected population was in )] TJ ET BT 26.250 671.981 Td /F1 9.8 Tf [(WPRO \(59%\) and SEARO \(35%\) of the global total. Overall, the human impacts of floods in Europe, Africa, and )] TJ ET BT 26.250 656.537 Td /F1 9.8 Tf [(the Eastern Mediterranean regions were limited; together the regions accounted for no more than 8% of flood )] TJ ET BT 26.250 641.093 Td /F1 9.8 Tf [(deaths and 4% flood affected populations, respectively. The overall impact of flooding on human populations is )] TJ ET BT 26.250 625.649 Td /F1 9.8 Tf [(summarized in Table 3.)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(11)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 462 0 obj << /Type /Page /Parent 3 0 R /Annots [ 464 0 R 468 0 R 472 0 R ] /Contents 463 0 R >> endobj 463 0 obj << /Length 1877 >> stream 0.271 0.267 0.267 rg q 15.000 595.806 577.500 181.194 re W n 0.965 0.965 0.965 rg 26.250 603.306 555.000 173.694 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 777.000 m 581.250 777.000 l 581.250 776.250 l 26.250 776.250 l f 26.250 603.306 m 581.250 603.306 l 581.250 604.056 l 26.250 604.056 l f q 225.000 0 0 132.750 35.250 634.500 cm /I12 Do Q q 35.250 607.056 537.000 21.444 re W n 0.271 0.267 0.267 rg BT 35.250 616.145 Td /F4 9.8 Tf [(Fig. 2: Reporting of flood events by source and year)] TJ ET Q Q q 15.000 595.806 577.500 181.194 re W n 0.965 0.965 0.965 rg 26.250 603.306 555.000 173.694 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 777.000 m 581.250 777.000 l 581.250 776.250 l 26.250 776.250 l f 26.250 603.306 m 581.250 603.306 l 581.250 604.056 l 26.250 604.056 l f q 225.000 0 0 132.750 35.250 634.500 cm /I14 Do Q q 35.250 607.056 537.000 21.444 re W n 0.271 0.267 0.267 rg BT 35.250 616.145 Td /F4 9.8 Tf [(Fig. 2: Reporting of flood events by source and year)] TJ ET Q Q q 15.000 595.806 577.500 181.194 re W n 0.965 0.965 0.965 rg 26.250 603.306 555.000 173.694 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 777.000 m 581.250 777.000 l 581.250 776.250 l 26.250 776.250 l f 26.250 603.306 m 581.250 603.306 l 581.250 604.056 l 26.250 604.056 l f q 225.000 0 0 132.750 35.250 634.500 cm /I16 Do Q q 35.250 607.056 537.000 21.444 re W n 0.271 0.267 0.267 rg BT 35.250 616.145 Td /F4 9.8 Tf [(Fig. 2: Reporting of flood events by source and year)] TJ ET Q Q q 225.000 0 0 132.750 35.250 634.500 cm /I18 Do Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(12)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 464 0 obj << /Type /Annot /Subtype /Link /A 465 0 R /Border [0 0 0] /H /I /Rect [ 35.2500 634.5000 260.2500 767.2500 ] >> endobj 465 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/files/2013/01/Floods-figure-2.png) >> endobj 466 0 obj << /Type /XObject /Subtype /Image /Width 300 /Height 177 /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 1 /Columns 300 /BitsPerComponent 8>> /ColorSpace /DeviceGray /BitsPerComponent 8 /Length 383>> stream xA 0 =fy9뀟\Ay, endstream endobj 467 0 obj << /Type /XObject /Subtype /Image /Width 300 /Height 177 /SMask 466 0 R /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 3 /Columns 300 /BitsPerComponent 8>> /ColorSpace /DeviceRGB /BitsPerComponent 8 /Length 29532>> stream xy]E?Թk{g#ž%d Ȉ8 :8 ^_щ|PQAQA@E8` $-!;!d!K,w߾~N{yꩺg7'N>K=UOչ8R8猱YeUʼS^,wrlu Qu9Yd^8 "4&:6Rm|k|ZA'q& :I)NUqL#T5 gH 2^PAuT)&Cto0J'B$f@#5/ukl)nrw@a|2D;Q +F ŐZW+ R$۠}JAa5M i/P&8eU1tn~"MIK*f"_WQ'0ՎCUCQm,e3MƑMjnDeb0S]_ey̙Ǐ3JS{ :BI3!q$T;zI߰d[Cqb[swQDZ1kE6S|F P[٠ؘƽ /رD,{ꩧ̙sW>裃`)obO sիyW^/}K$Vھ}mۏ<Ⱥu8缣SNg>[o :t'|g`V\'O|@?&y ׏ΘX}TD[4GwU.r8.:_!6kL;. `qISH>݄v]vÆ \pA6}W{zz,˪:>SO~O?eY`0 Z{---XtC=/xI&^{\lܹs/_~w744w}>lMMh>fx'߿k/‘#G~K>#[bŚ5kO^YY)V>rgsuuٝ|ɕ[2c5O(l@%x>QFPLU72QV:w`9K,y''N,˪srv>}oֶL&#gY?x$Z۶gΜ#H*jnn^re&qy۷/ ڶtO4iڴi&LH$|HXpd/pdߒÁE7*]ERjH+u"*ZYZ!}*JEUMC-BD[!1T&^xa iSN; *r_sN49s&NXQQ-[\~3f3fVwض=ufؽ{Y6n~饗._#|tg ֭'>sϥK/:sjjjc/ۗ,Y;?m۶;v],f͚eY9眳vZ۶=zWWW դ'ucIdQytGucM'Q'ΠɡtoME|@atff%'B5q=u]7.&ٳghhs_fhpO<񄨗ˌLdZu,ej^Vg*d?m}_깏qe@w8CSߗɕSr/:1ʦ8uerB"ct2(fVr WO].BӤ dEk*{ddĉs jnnnhhK&ӧO',B5LF9?V9nX;8RkYqksQR>`ơa}vEܦM9qƪ*~?O.ŋ[_S Q1 )rGS 9ˠH[)GBzKT%S-%]RI6JJt:_9Xr`)4W*=*FȭL:uy_nݥ^:s5k,^efwc@ܨ{?Ulu3Ű9!]jm۝-dGD;v,dUΟU>冿ɓ'˔Q-*A?4bg͝;o/l۶mMlB1Y@0]M.M2 }18x<80 qzRD_GKoqa ĬpuUo۞%K455}߭Ko}spxʔ)Xl„ p@# 8$QwU亭:_˲L"8u& :H~,Sۼ N0X=ݻwg`L4)q@^Pd~'ԢFeBZO}S ,by> ck&L8zѣGL2cƌ7x#H,^]rٓH$.\^fCN`/cǏ8q9sdDB1-!~VY5\P+ 9y;ۓOE8p5a쫲d_e"χnH3K,K9 ;oj_۫|0Nu]6mo~,Zj՛o9::|U{M&79Ǐߵk8Lf۶m###Xreoo믿3o~zW';ر#H񮮮C+W;voϞ=Ř4w\HRm 䦦K.dppp߾},]wJ&]tQUU\r% ,6mڤINDf묕 zj.rՁ7(_?:}h(Z鄎[+&JH(sY5 +,=Ri>OWUUM>]|6r.2>?5!O]`zEP(󺃜 ")feTŐzo:q:IȢ:JHơnnK.*{E!}W8P]]yŋgeɽ@ݳJDd/& >k+ݥ@;n\Z:&W̽|yeQW/T:;PkT~-͇eE"5 `Ju:5O<\Q b~Dl~3yF}B4ʰR5AB%l0&k1sg~>p m==ّ#ר:RjP@7~(~f_Wf|: ^f?mnYH_ ݿbk8΃>c͘1|:V8磣.%ϻϔٶ-3  \RT6u U5RG4厈"uԁ00~ 5W%U򣀁NTLXydMT:G*qUqdU"_B>a>_zuooe"裏ܹv:sWXqmE"kv:3dl>uwKlX=so~+\`Ϟ={ɒ%sݰas=7{믿1K7nTS7[vQ>C@jp%ˀ\Q!]r\U_4,I;\Jz $^Gv|» W+r4AB7|͛of*;w֭[WO$d2@>h^S]X=5zj}}}/^t?駟^b? 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Deaths were reported in 4,093 )] TJ ET BT 33.000 723.546 Td /F1 9.0 Tf [(events. Homeless, injured, and total affected populations are reported only by EM-DAT, thus ranges are not presented )] TJ ET BT 33.000 711.666 Td /F1 9.0 Tf [(for overall impact estimates.)] TJ ET 1.000 1.000 1.000 rg 26.250 401.064 555.000 300.726 re f 0.965 0.965 0.965 rg 27.000 685.221 553.500 15.819 re f 0.267 0.267 0.267 rg 26.625 700.665 151.266 0.750 re f 177.891 700.665 59.874 0.750 re f 237.765 700.665 68.659 0.750 re f 306.425 700.665 71.942 0.750 re f 378.367 700.665 86.866 0.750 re f 465.233 700.665 115.642 0.750 re f 26.625 684.846 0.750 16.569 re f 580.125 684.846 0.750 16.569 re f 0.271 0.267 0.267 rg BT 31.500 688.685 Td /F4 9.8 Tf [(Reported Overall Impact of Flooding Events)] TJ ET 0.965 0.965 0.965 rg 27.000 669.402 150.891 15.819 re f 0.267 0.267 0.267 rg 26.625 684.846 151.266 0.750 re f 26.625 669.027 0.750 16.569 re f 0.271 0.267 0.267 rg BT 31.500 672.866 Td /F4 9.8 Tf [(Human Consequence)] TJ ET 0.965 0.965 0.965 rg 177.891 669.402 128.534 15.819 re f 0.267 0.267 0.267 rg 177.891 684.846 59.874 0.750 re f 237.765 684.846 68.659 0.750 re f 0.271 0.267 0.267 rg BT 182.391 672.866 Td /F4 9.8 Tf [(# of Events)] TJ ET 0.965 0.965 0.965 rg 306.425 669.402 158.808 15.819 re f 0.267 0.267 0.267 rg 306.425 684.846 71.942 0.750 re f 378.367 684.846 86.866 0.750 re f 0.271 0.267 0.267 rg BT 310.925 672.866 Td /F4 9.8 Tf [(Best Estimate)] TJ ET 0.965 0.965 0.965 rg 465.233 669.402 115.267 15.819 re f 0.267 0.267 0.267 rg 465.233 684.846 115.642 0.750 re f 580.125 669.027 0.750 16.569 re f 0.271 0.267 0.267 rg BT 469.733 672.866 Td /F4 9.8 Tf [(Range)] TJ ET 0.267 0.267 0.267 rg 26.625 669.027 151.641 0.750 re f 26.625 650.877 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 657.357 Td /F1 9.8 Tf [(Deaths)] TJ ET 0.267 0.267 0.267 rg 177.516 669.027 60.249 0.750 re f 237.765 669.027 69.034 0.750 re f 177.516 650.877 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 657.357 Td /F1 9.8 Tf [(4,093)] TJ ET 0.267 0.267 0.267 rg 306.050 669.027 72.317 0.750 re f 378.367 669.027 87.241 0.750 re f 306.050 650.877 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 657.357 Td /F1 9.8 Tf [(539,811)] TJ ET 0.267 0.267 0.267 rg 464.858 669.027 116.017 0.750 re f 464.858 650.877 0.750 18.900 re f 580.125 650.877 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 657.357 Td /F1 9.8 Tf [(510,941-568,680)] TJ ET 0.267 0.267 0.267 rg 26.625 650.877 151.641 0.750 re f 26.625 632.727 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 639.207 Td /F1 9.8 Tf [(Injuries)] TJ ET 0.267 0.267 0.267 rg 177.516 650.877 60.249 0.750 re f 237.765 650.877 69.034 0.750 re f 177.516 632.727 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 639.207 Td /F1 9.8 Tf [(401)] TJ ET 0.267 0.267 0.267 rg 306.050 650.877 72.317 0.750 re f 378.367 650.877 87.241 0.750 re f 306.050 632.727 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 639.207 Td /F1 9.8 Tf [(362,122)] TJ ET 0.267 0.267 0.267 rg 464.858 650.877 116.017 0.750 re f 464.858 632.727 0.750 18.900 re f 580.125 632.727 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 639.207 Td /F1 9.8 Tf [( )] TJ ET 0.267 0.267 0.267 rg 26.625 632.727 151.641 0.750 re f 26.625 614.577 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 621.057 Td /F1 9.8 Tf [(Homeless)] TJ ET 0.267 0.267 0.267 rg 177.516 632.727 60.249 0.750 re f 237.765 632.727 69.034 0.750 re f 177.516 614.577 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 621.057 Td /F1 9.8 Tf [(611)] TJ ET 0.267 0.267 0.267 rg 306.050 632.727 72.317 0.750 re f 378.367 632.727 87.241 0.750 re f 306.050 614.577 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 621.057 Td /F1 9.8 Tf [(4,580,522)] TJ ET 0.267 0.267 0.267 rg 464.858 632.727 116.017 0.750 re f 464.858 614.577 0.750 18.900 re f 580.125 614.577 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 621.057 Td /F1 9.8 Tf [( )] TJ ET 0.267 0.267 0.267 rg 26.625 614.577 151.641 0.750 re f 26.625 596.427 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 602.907 Td /F1 9.8 Tf [(Total Affected)] TJ ET 0.267 0.267 0.267 rg 177.516 614.577 60.249 0.750 re f 237.765 614.577 69.034 0.750 re f 177.516 596.427 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 602.907 Td /F1 9.8 Tf [(2,632)] TJ ET 0.267 0.267 0.267 rg 306.050 614.577 72.317 0.750 re f 378.367 614.577 87.241 0.750 re f 306.050 596.427 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 602.907 Td /F1 9.8 Tf [(2,898,579,881)] TJ ET 0.267 0.267 0.267 rg 464.858 614.577 116.017 0.750 re f 464.858 596.427 0.750 18.900 re f 580.125 596.427 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 602.907 Td /F1 9.8 Tf [( )] TJ ET 0.965 0.965 0.965 rg 27.000 580.983 553.500 15.819 re f 0.267 0.267 0.267 rg 26.625 596.427 151.266 0.750 re f 177.891 596.427 59.874 0.750 re f 237.765 596.427 68.659 0.750 re f 306.425 596.427 71.942 0.750 re f 378.367 596.427 86.866 0.750 re f 465.233 596.427 115.642 0.750 re f 26.625 580.608 0.750 16.569 re f 580.125 580.608 0.750 16.569 re f 0.271 0.267 0.267 rg BT 31.500 584.447 Td /F4 9.8 Tf [(Event Summary Statistics)] TJ ET 0.965 0.965 0.965 rg 27.000 565.164 150.891 15.819 re f 0.267 0.267 0.267 rg 26.625 580.608 151.266 0.750 re f 26.625 564.789 0.750 16.569 re f 0.271 0.267 0.267 rg BT 31.500 568.628 Td /F4 9.8 Tf [(Human Consequence)] TJ ET 0.965 0.965 0.965 rg 177.891 565.164 128.534 15.819 re f 0.267 0.267 0.267 rg 177.891 580.608 59.874 0.750 re f 237.765 580.608 68.659 0.750 re f 0.271 0.267 0.267 rg BT 182.391 568.628 Td /F4 9.8 Tf [(# of Events)] TJ ET 0.965 0.965 0.965 rg 306.425 565.164 71.942 15.819 re f 0.267 0.267 0.267 rg 306.425 580.608 71.942 0.750 re f 0.271 0.267 0.267 rg BT 310.925 568.628 Td /F4 9.8 Tf [(Median)] TJ ET 0.965 0.965 0.965 rg 378.367 565.164 86.866 15.819 re f 0.267 0.267 0.267 rg 378.367 580.608 86.866 0.750 re f 0.271 0.267 0.267 rg BT 382.867 568.628 Td /F4 9.8 Tf [(Mean)] TJ ET 0.965 0.965 0.965 rg 465.233 565.164 115.267 15.819 re f 0.267 0.267 0.267 rg 465.233 580.608 115.642 0.750 re f 580.125 564.789 0.750 16.569 re f 0.271 0.267 0.267 rg BT 469.733 568.628 Td /F4 9.8 Tf [(Range)] TJ ET 0.267 0.267 0.267 rg 26.625 564.789 151.641 0.750 re f 26.625 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 553.119 Td /F4 9.8 Tf [(Deaths, all events)] TJ ET 0.267 0.267 0.267 rg 177.516 564.789 60.624 0.750 re f 177.516 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 553.119 Td /F4 9.8 Tf [(3,960)] TJ ET 0.267 0.267 0.267 rg 237.390 564.789 69.409 0.750 re f 237.390 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 553.119 Td /F4 9.8 Tf [(96.8%)] TJ ET 0.267 0.267 0.267 rg 306.050 564.789 72.692 0.750 re f 306.050 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 553.119 Td /F4 9.8 Tf [(9)] TJ ET 0.267 0.267 0.267 rg 377.992 564.789 87.616 0.750 re f 377.992 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 553.119 Td /F4 9.8 Tf [(135)] TJ ET 0.267 0.267 0.267 rg 464.858 564.789 116.017 0.750 re f 464.858 546.639 0.750 18.900 re f 580.125 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 553.119 Td /F4 9.8 Tf [(0-138,000)] TJ ET 0.267 0.267 0.267 rg 26.625 546.639 151.641 0.750 re f 26.625 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 534.969 Td /F1 9.8 Tf [(Reported by EM-DAT)] TJ ET 0.267 0.267 0.267 rg 177.516 546.639 60.624 0.750 re f 177.516 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 534.969 Td /F1 9.8 Tf [(2,646)] TJ ET 0.267 0.267 0.267 rg 237.390 546.639 69.409 0.750 re f 237.390 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 534.969 Td /F1 9.8 Tf [(64.6%)] TJ ET 0.267 0.267 0.267 rg 306.050 546.639 72.692 0.750 re f 306.050 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 534.969 Td /F1 9.8 Tf [(10)] TJ ET 0.267 0.267 0.267 rg 377.992 546.639 87.616 0.750 re f 377.992 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 534.969 Td /F1 9.8 Tf [(74)] TJ ET 0.267 0.267 0.267 rg 464.858 546.639 116.017 0.750 re f 464.858 528.489 0.750 18.900 re f 580.125 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 534.969 Td /F1 9.8 Tf [(0-30,000)] TJ ET 0.267 0.267 0.267 rg 26.625 528.489 151.641 0.750 re f 26.625 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 516.819 Td /F1 9.8 Tf [(Reported by DFO)] TJ ET 0.267 0.267 0.267 rg 177.516 528.489 60.624 0.750 re f 177.516 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 516.819 Td /F1 9.8 Tf [(2,732)] TJ ET 0.267 0.267 0.267 rg 237.390 528.489 69.409 0.750 re f 237.390 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 516.819 Td /F1 9.8 Tf [(66.75%)] TJ ET 0.267 0.267 0.267 rg 306.050 528.489 72.692 0.750 re f 306.050 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 516.819 Td /F1 9.8 Tf [(11)] TJ ET 0.267 0.267 0.267 rg 377.992 528.489 87.616 0.750 re f 377.992 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 516.819 Td /F1 9.8 Tf [(166)] TJ ET 0.267 0.267 0.267 rg 464.858 528.489 116.017 0.750 re f 464.858 510.339 0.750 18.900 re f 580.125 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 516.819 Td /F1 9.8 Tf [(0-138,000)] TJ ET 0.267 0.267 0.267 rg 26.625 510.339 151.641 0.750 re f 26.625 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 498.669 Td /F4 9.8 Tf [(Events with deaths)] TJ ET 0.267 0.267 0.267 rg 177.516 510.339 60.624 0.750 re f 177.516 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 498.669 Td /F4 9.8 Tf [(2,673)] TJ ET 0.267 0.267 0.267 rg 237.390 510.339 69.409 0.750 re f 237.390 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 498.669 Td /F4 9.8 Tf [(65.3%)] TJ ET 0.267 0.267 0.267 rg 306.050 510.339 72.692 0.750 re f 306.050 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 498.669 Td /F4 9.8 Tf [(11)] TJ ET 0.267 0.267 0.267 rg 377.992 510.339 87.616 0.750 re f 377.992 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 498.669 Td /F4 9.8 Tf [(146)] TJ ET 0.267 0.267 0.267 rg 464.858 510.339 116.017 0.750 re f 464.858 492.189 0.750 18.900 re f 580.125 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 498.669 Td /F4 9.8 Tf [(1-138,000)] TJ ET 0.267 0.267 0.267 rg 26.625 492.189 151.641 0.750 re f 26.625 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 480.519 Td /F1 9.8 Tf [(Reported by EM-DAT)] TJ ET 0.267 0.267 0.267 rg 177.516 492.189 60.624 0.750 re f 177.516 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 480.519 Td /F1 9.8 Tf [(2,146)] TJ ET 0.267 0.267 0.267 rg 237.390 492.189 69.409 0.750 re f 237.390 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 480.519 Td /F1 9.8 Tf [(52.4%)] TJ ET 0.267 0.267 0.267 rg 306.050 492.189 72.692 0.750 re f 306.050 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 480.519 Td /F1 9.8 Tf [(10)] TJ ET 0.267 0.267 0.267 rg 377.992 492.189 87.616 0.750 re f 377.992 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 480.519 Td /F1 9.8 Tf [(87)] TJ ET 0.267 0.267 0.267 rg 464.858 492.189 116.017 0.750 re f 464.858 474.039 0.750 18.900 re f 580.125 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 480.519 Td /F1 9.8 Tf [(1-30,000)] TJ ET 0.267 0.267 0.267 rg 26.625 474.039 151.641 0.750 re f 26.625 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 462.369 Td /F1 9.8 Tf [(Reported by DFO)] TJ ET 0.267 0.267 0.267 rg 177.516 474.039 60.624 0.750 re f 177.516 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 462.369 Td /F1 9.8 Tf [(1,289)] TJ ET 0.267 0.267 0.267 rg 237.390 474.039 69.409 0.750 re f 237.390 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 462.369 Td /F1 9.8 Tf [(31.5%)] TJ ET 0.267 0.267 0.267 rg 306.050 474.039 72.692 0.750 re f 306.050 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 462.369 Td /F1 9.8 Tf [(13)] TJ ET 0.267 0.267 0.267 rg 377.992 474.039 87.616 0.750 re f 377.992 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 462.369 Td /F1 9.8 Tf [(178)] TJ ET 0.267 0.267 0.267 rg 464.858 474.039 116.017 0.750 re f 464.858 455.889 0.750 18.900 re f 580.125 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 462.369 Td /F1 9.8 Tf [(1-138,000)] TJ ET 0.267 0.267 0.267 rg 26.625 455.889 151.641 0.750 re f 26.625 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 444.219 Td /F4 9.8 Tf [(Injured, all events)] TJ ET 0.267 0.267 0.267 rg 177.516 455.889 60.624 0.750 re f 177.516 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 444.219 Td /F1 9.8 Tf [(401)] TJ ET 0.267 0.267 0.267 rg 237.390 455.889 69.409 0.750 re f 237.390 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 444.219 Td /F1 9.8 Tf [(9.8%)] TJ ET 0.267 0.267 0.267 rg 306.050 455.889 72.692 0.750 re f 306.050 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 444.219 Td /F1 9.8 Tf [(12.5)] TJ ET 0.267 0.267 0.267 rg 377.992 455.889 87.616 0.750 re f 377.992 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 444.219 Td /F1 9.8 Tf [(904)] TJ ET 0.267 0.267 0.267 rg 464.858 455.889 116.017 0.750 re f 464.858 437.739 0.750 18.900 re f 580.125 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 444.219 Td /F1 9.8 Tf [(0-249,378)] TJ ET 0.267 0.267 0.267 rg 26.625 437.739 151.641 0.750 re f 26.625 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 426.069 Td /F4 9.8 Tf [(Homeless, all events)] TJ ET 0.267 0.267 0.267 rg 177.516 437.739 60.624 0.750 re f 177.516 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 426.069 Td /F1 9.8 Tf [(611)] TJ ET 0.267 0.267 0.267 rg 237.390 437.739 69.409 0.750 re f 237.390 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 426.069 Td /F1 9.8 Tf [(14.9%)] TJ ET 0.267 0.267 0.267 rg 306.050 437.739 72.692 0.750 re f 306.050 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 426.069 Td /F1 9.8 Tf [(15)] TJ ET 0.267 0.267 0.267 rg 377.992 437.739 87.616 0.750 re f 377.992 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 426.069 Td /F1 9.8 Tf [(7,506)] TJ ET 0.267 0.267 0.267 rg 464.858 437.739 116.017 0.750 re f 464.858 419.589 0.750 18.900 re f 580.125 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 426.069 Td /F1 9.8 Tf [(0-2,951,315)] TJ ET 0.267 0.267 0.267 rg 26.625 419.589 151.641 0.750 re f 26.625 401.439 151.641 0.750 re f 26.625 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 407.919 Td /F4 9.8 Tf [(Total Affected, all events)] TJ ET 0.267 0.267 0.267 rg 177.516 419.589 60.624 0.750 re f 177.516 401.439 60.624 0.750 re f 177.516 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 407.919 Td /F1 9.8 Tf [(2,632)] TJ ET 0.267 0.267 0.267 rg 237.390 419.589 69.409 0.750 re f 237.390 401.439 69.409 0.750 re f 237.390 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 407.919 Td /F1 9.8 Tf [(64.3%)] TJ ET 0.267 0.267 0.267 rg 306.050 419.589 72.692 0.750 re f 306.050 401.439 72.692 0.750 re f 306.050 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 407.919 Td /F1 9.8 Tf [(6,000)] TJ ET 0.267 0.267 0.267 rg 377.992 419.589 87.616 0.750 re f 377.992 401.439 87.616 0.750 re f 377.992 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 407.919 Td /F1 9.8 Tf [(1,071,829)] TJ ET 0.267 0.267 0.267 rg 464.858 419.589 116.017 0.750 re f 464.858 401.439 116.017 0.750 re f 464.858 401.439 0.750 18.900 re f 580.125 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 407.919 Td /F1 9.8 Tf [(0-238,973,000)] TJ ET BT 26.250 351.209 Td /F1 9.8 Tf [(Affected Population. An estimated 2.8 billion people were reported to be affected by flood events between )] TJ ET BT 550.702 351.209 Td /F1 9.8 Tf [(1980 )] TJ ET BT 26.250 335.765 Td /F1 9.8 Tf [(and 2009, including nearly 4.6 million rendered homeless. However, these figures likely substantially )] TJ ET BT 26.250 320.321 Td /F1 9.8 Tf [(underestimate the true impact of floods on human populations because estimates of the total affected )] TJ ET BT 26.250 304.877 Td /F1 9.8 Tf [(population and the homeless population were reported in only 64.3% \(n=2,632\) and 14.9% \(n=611\) of events, )] TJ ET BT 26.250 289.433 Td /F1 9.8 Tf [(respectively. The distribution of the number affected was highly skewed with mean and median affected )] TJ ET BT 26.250 273.989 Td /F1 9.8 Tf [(populations of 1,071,829 and 6,000 per event, respectively, which indicates that the median affected )] TJ ET BT 26.250 258.545 Td /F1 9.8 Tf [(population may better reflect the impact of a typical flood event.)] TJ ET BT 26.250 235.601 Td /F1 9.8 Tf [(Mortality and Injury. When mortality data from the two sources were combined, deaths were reported in 96.8% )] TJ ET BT 26.250 220.157 Td /F1 9.8 Tf [(\(n=3,960\) of floods since 1980. This figure excludes 13.9% of floods where no information on mortality was )] TJ ET BT 26.250 204.713 Td /F1 9.8 Tf [(reported; if no deaths are presumed and these events are included, deaths occurred in 65.3% \(n=2,673\) of )] TJ ET BT 26.250 189.269 Td /F1 9.8 Tf [(floods. 539,811 deaths \(range: 510,941-568,680\) resulting from flood events were reported. For floods where )] TJ ET BT 26.250 173.825 Td /F1 9.8 Tf [(mortality was reported, there was a median of 9 \(mean=135; range 0-138,000\) deaths per event when using )] TJ ET BT 26.250 158.381 Td /F1 9.8 Tf [(the highest reported death toll. Mortality exceeded 10,000 in only 4 events and 100,000 in two. The two )] TJ ET BT 26.250 142.937 Td /F1 9.8 Tf [(deadliest events occurred in Bangladesh \(138,000 deaths in 1991\) and Myanmar \(100,000 deaths in 2008\). )] TJ ET BT 26.250 127.493 Td /F1 9.8 Tf [(Injuries were reported in 401 \(9.8%\) events, where a total of 361,974 injuries were documented. In events )] TJ ET BT 26.250 112.049 Td /F1 9.8 Tf [(where injuries were reported, there was a median of 12.5 \(mean=904: range 1-249,378\) per flood event. To )] TJ ET BT 26.250 96.605 Td /F1 9.8 Tf [(estimate the total number of injuries due to flood events, it was presumed that injuries would occur in events )] TJ ET BT 26.250 81.161 Td /F1 9.8 Tf [(where deaths were reported. There were 2,673 floods with fatalities but only 401 \(9.8%\) with injuries reported. )] TJ ET BT 26.250 65.717 Td /F1 9.8 Tf [(When the median and mean for injuries were applied to the remaining 3,077 events, it was estimated that )] TJ ET BT 26.250 50.273 Td /F1 9.8 Tf [(between 38,463 and 2,717,681 additional unreported flood related injuries may have occurred between 1980 )] TJ ET Q q 15.000 31.740 577.500 745.260 re W n q 26.250 759.180 555.000 17.820 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 3: Summary measures for the impact of floods on human populations, 1980-2009 \(N=4,093\)*)] TJ ET Q 0.965 0.965 0.965 rg 26.250 701.790 555.000 49.890 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 751.680 m 581.250 751.680 l 580.500 750.930 l 27.000 750.930 l f 581.250 751.680 m 581.250 701.790 l 580.500 701.790 l 580.500 750.930 l f 26.250 751.680 m 26.250 701.790 l 27.000 701.790 l 27.000 750.930 l f 0.271 0.267 0.267 rg BT 33.000 735.426 Td /F1 9.0 Tf [(*Figures are based on the highest reported number of deaths or injuries in an event. Deaths were reported in 4,093 )] TJ ET BT 33.000 723.546 Td /F1 9.0 Tf [(events. Homeless, injured, and total affected populations are reported only by EM-DAT, thus ranges are not presented )] TJ ET BT 33.000 711.666 Td /F1 9.0 Tf [(for overall impact estimates.)] TJ ET 1.000 1.000 1.000 rg 26.250 401.064 555.000 300.726 re f 0.965 0.965 0.965 rg 27.000 685.221 553.500 15.819 re f 0.267 0.267 0.267 rg 26.625 700.665 151.266 0.750 re f 177.891 700.665 59.874 0.750 re f 237.765 700.665 68.659 0.750 re f 306.425 700.665 71.942 0.750 re f 378.367 700.665 86.866 0.750 re f 465.233 700.665 115.642 0.750 re f 26.625 684.846 0.750 16.569 re f 580.125 684.846 0.750 16.569 re f 0.271 0.267 0.267 rg BT 31.500 688.685 Td /F4 9.8 Tf [(Reported Overall Impact of Flooding Events)] TJ ET 0.965 0.965 0.965 rg 27.000 669.402 150.891 15.819 re f 0.267 0.267 0.267 rg 26.625 684.846 151.266 0.750 re f 26.625 669.027 0.750 16.569 re f 0.271 0.267 0.267 rg BT 31.500 672.866 Td /F4 9.8 Tf [(Human Consequence)] TJ ET 0.965 0.965 0.965 rg 177.891 669.402 128.534 15.819 re f 0.267 0.267 0.267 rg 177.891 684.846 59.874 0.750 re f 237.765 684.846 68.659 0.750 re f 0.271 0.267 0.267 rg BT 182.391 672.866 Td /F4 9.8 Tf [(# of Events)] TJ ET 0.965 0.965 0.965 rg 306.425 669.402 158.808 15.819 re f 0.267 0.267 0.267 rg 306.425 684.846 71.942 0.750 re f 378.367 684.846 86.866 0.750 re f 0.271 0.267 0.267 rg BT 310.925 672.866 Td /F4 9.8 Tf [(Best Estimate)] TJ ET 0.965 0.965 0.965 rg 465.233 669.402 115.267 15.819 re f 0.267 0.267 0.267 rg 465.233 684.846 115.642 0.750 re f 580.125 669.027 0.750 16.569 re f 0.271 0.267 0.267 rg BT 469.733 672.866 Td /F4 9.8 Tf [(Range)] TJ ET 0.267 0.267 0.267 rg 26.625 669.027 151.641 0.750 re f 26.625 650.877 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 657.357 Td /F1 9.8 Tf [(Deaths)] TJ ET 0.267 0.267 0.267 rg 177.516 669.027 60.249 0.750 re f 237.765 669.027 69.034 0.750 re f 177.516 650.877 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 657.357 Td /F1 9.8 Tf [(4,093)] TJ ET 0.267 0.267 0.267 rg 306.050 669.027 72.317 0.750 re f 378.367 669.027 87.241 0.750 re f 306.050 650.877 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 657.357 Td /F1 9.8 Tf [(539,811)] TJ ET 0.267 0.267 0.267 rg 464.858 669.027 116.017 0.750 re f 464.858 650.877 0.750 18.900 re f 580.125 650.877 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 657.357 Td /F1 9.8 Tf [(510,941-568,680)] TJ ET 0.267 0.267 0.267 rg 26.625 650.877 151.641 0.750 re f 26.625 632.727 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 639.207 Td /F1 9.8 Tf [(Injuries)] TJ ET 0.267 0.267 0.267 rg 177.516 650.877 60.249 0.750 re f 237.765 650.877 69.034 0.750 re f 177.516 632.727 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 639.207 Td /F1 9.8 Tf [(401)] TJ ET 0.267 0.267 0.267 rg 306.050 650.877 72.317 0.750 re f 378.367 650.877 87.241 0.750 re f 306.050 632.727 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 639.207 Td /F1 9.8 Tf [(362,122)] TJ ET 0.267 0.267 0.267 rg 464.858 650.877 116.017 0.750 re f 464.858 632.727 0.750 18.900 re f 580.125 632.727 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 639.207 Td /F1 9.8 Tf [( )] TJ ET 0.267 0.267 0.267 rg 26.625 632.727 151.641 0.750 re f 26.625 614.577 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 621.057 Td /F1 9.8 Tf [(Homeless)] TJ ET 0.267 0.267 0.267 rg 177.516 632.727 60.249 0.750 re f 237.765 632.727 69.034 0.750 re f 177.516 614.577 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 621.057 Td /F1 9.8 Tf [(611)] TJ ET 0.267 0.267 0.267 rg 306.050 632.727 72.317 0.750 re f 378.367 632.727 87.241 0.750 re f 306.050 614.577 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 621.057 Td /F1 9.8 Tf [(4,580,522)] TJ ET 0.267 0.267 0.267 rg 464.858 632.727 116.017 0.750 re f 464.858 614.577 0.750 18.900 re f 580.125 614.577 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 621.057 Td /F1 9.8 Tf [( )] TJ ET 0.267 0.267 0.267 rg 26.625 614.577 151.641 0.750 re f 26.625 596.427 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 602.907 Td /F1 9.8 Tf [(Total Affected)] TJ ET 0.267 0.267 0.267 rg 177.516 614.577 60.249 0.750 re f 237.765 614.577 69.034 0.750 re f 177.516 596.427 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 602.907 Td /F1 9.8 Tf [(2,632)] TJ ET 0.267 0.267 0.267 rg 306.050 614.577 72.317 0.750 re f 378.367 614.577 87.241 0.750 re f 306.050 596.427 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 602.907 Td /F1 9.8 Tf [(2,898,579,881)] TJ ET 0.267 0.267 0.267 rg 464.858 614.577 116.017 0.750 re f 464.858 596.427 0.750 18.900 re f 580.125 596.427 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 602.907 Td /F1 9.8 Tf [( )] TJ ET 0.965 0.965 0.965 rg 27.000 580.983 553.500 15.819 re f 0.267 0.267 0.267 rg 26.625 596.427 151.266 0.750 re f 177.891 596.427 59.874 0.750 re f 237.765 596.427 68.659 0.750 re f 306.425 596.427 71.942 0.750 re f 378.367 596.427 86.866 0.750 re f 465.233 596.427 115.642 0.750 re f 26.625 580.608 0.750 16.569 re f 580.125 580.608 0.750 16.569 re f 0.271 0.267 0.267 rg BT 31.500 584.447 Td /F4 9.8 Tf [(Event Summary Statistics)] TJ ET 0.965 0.965 0.965 rg 27.000 565.164 150.891 15.819 re f 0.267 0.267 0.267 rg 26.625 580.608 151.266 0.750 re f 26.625 564.789 0.750 16.569 re f 0.271 0.267 0.267 rg BT 31.500 568.628 Td /F4 9.8 Tf [(Human Consequence)] TJ ET 0.965 0.965 0.965 rg 177.891 565.164 128.534 15.819 re f 0.267 0.267 0.267 rg 177.891 580.608 59.874 0.750 re f 237.765 580.608 68.659 0.750 re f 0.271 0.267 0.267 rg BT 182.391 568.628 Td /F4 9.8 Tf [(# of Events)] TJ ET 0.965 0.965 0.965 rg 306.425 565.164 71.942 15.819 re f 0.267 0.267 0.267 rg 306.425 580.608 71.942 0.750 re f 0.271 0.267 0.267 rg BT 310.925 568.628 Td /F4 9.8 Tf [(Median)] TJ ET 0.965 0.965 0.965 rg 378.367 565.164 86.866 15.819 re f 0.267 0.267 0.267 rg 378.367 580.608 86.866 0.750 re f 0.271 0.267 0.267 rg BT 382.867 568.628 Td /F4 9.8 Tf [(Mean)] TJ ET 0.965 0.965 0.965 rg 465.233 565.164 115.267 15.819 re f 0.267 0.267 0.267 rg 465.233 580.608 115.642 0.750 re f 580.125 564.789 0.750 16.569 re f 0.271 0.267 0.267 rg BT 469.733 568.628 Td /F4 9.8 Tf [(Range)] TJ ET 0.267 0.267 0.267 rg 26.625 564.789 151.641 0.750 re f 26.625 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 553.119 Td /F4 9.8 Tf [(Deaths, all events)] TJ ET 0.267 0.267 0.267 rg 177.516 564.789 60.624 0.750 re f 177.516 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 553.119 Td /F4 9.8 Tf [(3,960)] TJ ET 0.267 0.267 0.267 rg 237.390 564.789 69.409 0.750 re f 237.390 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 553.119 Td /F4 9.8 Tf [(96.8%)] TJ ET 0.267 0.267 0.267 rg 306.050 564.789 72.692 0.750 re f 306.050 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 553.119 Td /F4 9.8 Tf [(9)] TJ ET 0.267 0.267 0.267 rg 377.992 564.789 87.616 0.750 re f 377.992 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 553.119 Td /F4 9.8 Tf [(135)] TJ ET 0.267 0.267 0.267 rg 464.858 564.789 116.017 0.750 re f 464.858 546.639 0.750 18.900 re f 580.125 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 553.119 Td /F4 9.8 Tf [(0-138,000)] TJ ET 0.267 0.267 0.267 rg 26.625 546.639 151.641 0.750 re f 26.625 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 534.969 Td /F1 9.8 Tf [(Reported by EM-DAT)] TJ ET 0.267 0.267 0.267 rg 177.516 546.639 60.624 0.750 re f 177.516 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 534.969 Td /F1 9.8 Tf [(2,646)] TJ ET 0.267 0.267 0.267 rg 237.390 546.639 69.409 0.750 re f 237.390 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 534.969 Td /F1 9.8 Tf [(64.6%)] TJ ET 0.267 0.267 0.267 rg 306.050 546.639 72.692 0.750 re f 306.050 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 534.969 Td /F1 9.8 Tf [(10)] TJ ET 0.267 0.267 0.267 rg 377.992 546.639 87.616 0.750 re f 377.992 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 534.969 Td /F1 9.8 Tf [(74)] TJ ET 0.267 0.267 0.267 rg 464.858 546.639 116.017 0.750 re f 464.858 528.489 0.750 18.900 re f 580.125 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 534.969 Td /F1 9.8 Tf [(0-30,000)] TJ ET 0.267 0.267 0.267 rg 26.625 528.489 151.641 0.750 re f 26.625 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 516.819 Td /F1 9.8 Tf [(Reported by DFO)] TJ ET 0.267 0.267 0.267 rg 177.516 528.489 60.624 0.750 re f 177.516 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 516.819 Td /F1 9.8 Tf [(2,732)] TJ ET 0.267 0.267 0.267 rg 237.390 528.489 69.409 0.750 re f 237.390 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 516.819 Td /F1 9.8 Tf [(66.75%)] TJ ET 0.267 0.267 0.267 rg 306.050 528.489 72.692 0.750 re f 306.050 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 516.819 Td /F1 9.8 Tf [(11)] TJ ET 0.267 0.267 0.267 rg 377.992 528.489 87.616 0.750 re f 377.992 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 516.819 Td /F1 9.8 Tf [(166)] TJ ET 0.267 0.267 0.267 rg 464.858 528.489 116.017 0.750 re f 464.858 510.339 0.750 18.900 re f 580.125 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 516.819 Td /F1 9.8 Tf [(0-138,000)] TJ ET 0.267 0.267 0.267 rg 26.625 510.339 151.641 0.750 re f 26.625 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 498.669 Td /F4 9.8 Tf [(Events with deaths)] TJ ET 0.267 0.267 0.267 rg 177.516 510.339 60.624 0.750 re f 177.516 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 498.669 Td /F4 9.8 Tf [(2,673)] TJ ET 0.267 0.267 0.267 rg 237.390 510.339 69.409 0.750 re f 237.390 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 498.669 Td /F4 9.8 Tf [(65.3%)] TJ ET 0.267 0.267 0.267 rg 306.050 510.339 72.692 0.750 re f 306.050 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 498.669 Td /F4 9.8 Tf [(11)] TJ ET 0.267 0.267 0.267 rg 377.992 510.339 87.616 0.750 re f 377.992 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 498.669 Td /F4 9.8 Tf [(146)] TJ ET 0.267 0.267 0.267 rg 464.858 510.339 116.017 0.750 re f 464.858 492.189 0.750 18.900 re f 580.125 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 498.669 Td /F4 9.8 Tf [(1-138,000)] TJ ET 0.267 0.267 0.267 rg 26.625 492.189 151.641 0.750 re f 26.625 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 480.519 Td /F1 9.8 Tf [(Reported by EM-DAT)] TJ ET 0.267 0.267 0.267 rg 177.516 492.189 60.624 0.750 re f 177.516 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 480.519 Td /F1 9.8 Tf [(2,146)] TJ ET 0.267 0.267 0.267 rg 237.390 492.189 69.409 0.750 re f 237.390 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 480.519 Td /F1 9.8 Tf [(52.4%)] TJ ET 0.267 0.267 0.267 rg 306.050 492.189 72.692 0.750 re f 306.050 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 480.519 Td /F1 9.8 Tf [(10)] TJ ET 0.267 0.267 0.267 rg 377.992 492.189 87.616 0.750 re f 377.992 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 480.519 Td /F1 9.8 Tf [(87)] TJ ET 0.267 0.267 0.267 rg 464.858 492.189 116.017 0.750 re f 464.858 474.039 0.750 18.900 re f 580.125 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 480.519 Td /F1 9.8 Tf [(1-30,000)] TJ ET 0.267 0.267 0.267 rg 26.625 474.039 151.641 0.750 re f 26.625 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 462.369 Td /F1 9.8 Tf [(Reported by DFO)] TJ ET 0.267 0.267 0.267 rg 177.516 474.039 60.624 0.750 re f 177.516 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 462.369 Td /F1 9.8 Tf [(1,289)] TJ ET 0.267 0.267 0.267 rg 237.390 474.039 69.409 0.750 re f 237.390 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 462.369 Td /F1 9.8 Tf [(31.5%)] TJ ET 0.267 0.267 0.267 rg 306.050 474.039 72.692 0.750 re f 306.050 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 462.369 Td /F1 9.8 Tf [(13)] TJ ET 0.267 0.267 0.267 rg 377.992 474.039 87.616 0.750 re f 377.992 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 462.369 Td /F1 9.8 Tf [(178)] TJ ET 0.267 0.267 0.267 rg 464.858 474.039 116.017 0.750 re f 464.858 455.889 0.750 18.900 re f 580.125 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 462.369 Td /F1 9.8 Tf [(1-138,000)] TJ ET 0.267 0.267 0.267 rg 26.625 455.889 151.641 0.750 re f 26.625 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 444.219 Td /F4 9.8 Tf [(Injured, all events)] TJ ET 0.267 0.267 0.267 rg 177.516 455.889 60.624 0.750 re f 177.516 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 444.219 Td /F1 9.8 Tf [(401)] TJ ET 0.267 0.267 0.267 rg 237.390 455.889 69.409 0.750 re f 237.390 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 444.219 Td /F1 9.8 Tf [(9.8%)] TJ ET 0.267 0.267 0.267 rg 306.050 455.889 72.692 0.750 re f 306.050 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 444.219 Td /F1 9.8 Tf [(12.5)] TJ ET 0.267 0.267 0.267 rg 377.992 455.889 87.616 0.750 re f 377.992 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 444.219 Td /F1 9.8 Tf [(904)] TJ ET 0.267 0.267 0.267 rg 464.858 455.889 116.017 0.750 re f 464.858 437.739 0.750 18.900 re f 580.125 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 444.219 Td /F1 9.8 Tf [(0-249,378)] TJ ET 0.267 0.267 0.267 rg 26.625 437.739 151.641 0.750 re f 26.625 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 426.069 Td /F4 9.8 Tf [(Homeless, all events)] TJ ET 0.267 0.267 0.267 rg 177.516 437.739 60.624 0.750 re f 177.516 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 426.069 Td /F1 9.8 Tf [(611)] TJ ET 0.267 0.267 0.267 rg 237.390 437.739 69.409 0.750 re f 237.390 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 426.069 Td /F1 9.8 Tf [(14.9%)] TJ ET 0.267 0.267 0.267 rg 306.050 437.739 72.692 0.750 re f 306.050 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 426.069 Td /F1 9.8 Tf [(15)] TJ ET 0.267 0.267 0.267 rg 377.992 437.739 87.616 0.750 re f 377.992 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 426.069 Td /F1 9.8 Tf [(7,506)] TJ ET 0.267 0.267 0.267 rg 464.858 437.739 116.017 0.750 re f 464.858 419.589 0.750 18.900 re f 580.125 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 426.069 Td /F1 9.8 Tf [(0-2,951,315)] TJ ET 0.267 0.267 0.267 rg 26.625 419.589 151.641 0.750 re f 26.625 401.439 151.641 0.750 re f 26.625 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 407.919 Td /F4 9.8 Tf [(Total Affected, all events)] TJ ET 0.267 0.267 0.267 rg 177.516 419.589 60.624 0.750 re f 177.516 401.439 60.624 0.750 re f 177.516 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 407.919 Td /F1 9.8 Tf [(2,632)] TJ ET 0.267 0.267 0.267 rg 237.390 419.589 69.409 0.750 re f 237.390 401.439 69.409 0.750 re f 237.390 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 407.919 Td /F1 9.8 Tf [(64.3%)] TJ ET 0.267 0.267 0.267 rg 306.050 419.589 72.692 0.750 re f 306.050 401.439 72.692 0.750 re f 306.050 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 407.919 Td /F1 9.8 Tf [(6,000)] TJ ET 0.267 0.267 0.267 rg 377.992 419.589 87.616 0.750 re f 377.992 401.439 87.616 0.750 re f 377.992 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 407.919 Td /F1 9.8 Tf [(1,071,829)] TJ ET 0.267 0.267 0.267 rg 464.858 419.589 116.017 0.750 re f 464.858 401.439 116.017 0.750 re f 464.858 401.439 0.750 18.900 re f 580.125 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 407.919 Td /F1 9.8 Tf [(0-238,973,000)] TJ ET BT 26.250 351.209 Td /F1 9.8 Tf [(Affected Population. An estimated 2.8 billion people were reported to be affected by flood events between )] TJ ET BT 550.702 351.209 Td /F1 9.8 Tf [(1980 )] TJ ET BT 26.250 335.765 Td /F1 9.8 Tf [(and 2009, including nearly 4.6 million rendered homeless. However, these figures likely substantially )] TJ ET BT 26.250 320.321 Td /F1 9.8 Tf [(underestimate the true impact of floods on human populations because estimates of the total affected )] TJ ET BT 26.250 304.877 Td /F1 9.8 Tf [(population and the homeless population were reported in only 64.3% \(n=2,632\) and 14.9% \(n=611\) of events, )] TJ ET BT 26.250 289.433 Td /F1 9.8 Tf [(respectively. The distribution of the number affected was highly skewed with mean and median affected )] TJ ET BT 26.250 273.989 Td /F1 9.8 Tf [(populations of 1,071,829 and 6,000 per event, respectively, which indicates that the median affected )] TJ ET BT 26.250 258.545 Td /F1 9.8 Tf [(population may better reflect the impact of a typical flood event.)] TJ ET BT 26.250 235.601 Td /F1 9.8 Tf [(Mortality and Injury. When mortality data from the two sources were combined, deaths were reported in 96.8% )] TJ ET BT 26.250 220.157 Td /F1 9.8 Tf [(\(n=3,960\) of floods since 1980. This figure excludes 13.9% of floods where no information on mortality was )] TJ ET BT 26.250 204.713 Td /F1 9.8 Tf [(reported; if no deaths are presumed and these events are included, deaths occurred in 65.3% \(n=2,673\) of )] TJ ET BT 26.250 189.269 Td /F1 9.8 Tf [(floods. 539,811 deaths \(range: 510,941-568,680\) resulting from flood events were reported. For floods where )] TJ ET BT 26.250 173.825 Td /F1 9.8 Tf [(mortality was reported, there was a median of 9 \(mean=135; range 0-138,000\) deaths per event when using )] TJ ET BT 26.250 158.381 Td /F1 9.8 Tf [(the highest reported death toll. Mortality exceeded 10,000 in only 4 events and 100,000 in two. The two )] TJ ET BT 26.250 142.937 Td /F1 9.8 Tf [(deadliest events occurred in Bangladesh \(138,000 deaths in 1991\) and Myanmar \(100,000 deaths in 2008\). )] TJ ET BT 26.250 127.493 Td /F1 9.8 Tf [(Injuries were reported in 401 \(9.8%\) events, where a total of 361,974 injuries were documented. In events )] TJ ET BT 26.250 112.049 Td /F1 9.8 Tf [(where injuries were reported, there was a median of 12.5 \(mean=904: range 1-249,378\) per flood event. To )] TJ ET BT 26.250 96.605 Td /F1 9.8 Tf [(estimate the total number of injuries due to flood events, it was presumed that injuries would occur in events )] TJ ET BT 26.250 81.161 Td /F1 9.8 Tf [(where deaths were reported. There were 2,673 floods with fatalities but only 401 \(9.8%\) with injuries reported. )] TJ ET BT 26.250 65.717 Td /F1 9.8 Tf [(When the median and mean for injuries were applied to the remaining 3,077 events, it was estimated that )] TJ ET BT 26.250 50.273 Td /F1 9.8 Tf [(between 38,463 and 2,717,681 additional unreported flood related injuries may have occurred between 1980 )] TJ ET Q q 15.000 31.740 577.500 745.260 re W n q 26.250 759.180 555.000 17.820 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 3: Summary measures for the impact of floods on human populations, 1980-2009 \(N=4,093\)*)] TJ ET Q 0.965 0.965 0.965 rg 26.250 701.790 555.000 49.890 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 751.680 m 581.250 751.680 l 580.500 750.930 l 27.000 750.930 l f 581.250 751.680 m 581.250 701.790 l 580.500 701.790 l 580.500 750.930 l f 26.250 751.680 m 26.250 701.790 l 27.000 701.790 l 27.000 750.930 l f 0.271 0.267 0.267 rg BT 33.000 735.426 Td /F1 9.0 Tf [(*Figures are based on the highest reported number of deaths or injuries in an event. Deaths were reported in 4,093 )] TJ ET BT 33.000 723.546 Td /F1 9.0 Tf [(events. Homeless, injured, and total affected populations are reported only by EM-DAT, thus ranges are not presented )] TJ ET BT 33.000 711.666 Td /F1 9.0 Tf [(for overall impact estimates.)] TJ ET 1.000 1.000 1.000 rg 26.250 401.064 555.000 300.726 re f 0.965 0.965 0.965 rg 27.000 685.221 553.500 15.819 re f 0.267 0.267 0.267 rg 26.625 700.665 151.266 0.750 re f 177.891 700.665 59.874 0.750 re f 237.765 700.665 68.659 0.750 re f 306.425 700.665 71.942 0.750 re f 378.367 700.665 86.866 0.750 re f 465.233 700.665 115.642 0.750 re f 26.625 684.846 0.750 16.569 re f 580.125 684.846 0.750 16.569 re f 0.271 0.267 0.267 rg BT 31.500 688.685 Td /F4 9.8 Tf [(Reported Overall Impact of Flooding Events)] TJ ET 0.965 0.965 0.965 rg 27.000 669.402 150.891 15.819 re f 0.267 0.267 0.267 rg 26.625 684.846 151.266 0.750 re f 26.625 669.027 0.750 16.569 re f 0.271 0.267 0.267 rg BT 31.500 672.866 Td /F4 9.8 Tf [(Human Consequence)] TJ ET 0.965 0.965 0.965 rg 177.891 669.402 128.534 15.819 re f 0.267 0.267 0.267 rg 177.891 684.846 59.874 0.750 re f 237.765 684.846 68.659 0.750 re f 0.271 0.267 0.267 rg BT 182.391 672.866 Td /F4 9.8 Tf [(# of Events)] TJ ET 0.965 0.965 0.965 rg 306.425 669.402 158.808 15.819 re f 0.267 0.267 0.267 rg 306.425 684.846 71.942 0.750 re f 378.367 684.846 86.866 0.750 re f 0.271 0.267 0.267 rg BT 310.925 672.866 Td /F4 9.8 Tf [(Best Estimate)] TJ ET 0.965 0.965 0.965 rg 465.233 669.402 115.267 15.819 re f 0.267 0.267 0.267 rg 465.233 684.846 115.642 0.750 re f 580.125 669.027 0.750 16.569 re f 0.271 0.267 0.267 rg BT 469.733 672.866 Td /F4 9.8 Tf [(Range)] TJ ET 0.267 0.267 0.267 rg 26.625 669.027 151.641 0.750 re f 26.625 650.877 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 657.357 Td /F1 9.8 Tf [(Deaths)] TJ ET 0.267 0.267 0.267 rg 177.516 669.027 60.249 0.750 re f 237.765 669.027 69.034 0.750 re f 177.516 650.877 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 657.357 Td /F1 9.8 Tf [(4,093)] TJ ET 0.267 0.267 0.267 rg 306.050 669.027 72.317 0.750 re f 378.367 669.027 87.241 0.750 re f 306.050 650.877 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 657.357 Td /F1 9.8 Tf [(539,811)] TJ ET 0.267 0.267 0.267 rg 464.858 669.027 116.017 0.750 re f 464.858 650.877 0.750 18.900 re f 580.125 650.877 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 657.357 Td /F1 9.8 Tf [(510,941-568,680)] TJ ET 0.267 0.267 0.267 rg 26.625 650.877 151.641 0.750 re f 26.625 632.727 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 639.207 Td /F1 9.8 Tf [(Injuries)] TJ ET 0.267 0.267 0.267 rg 177.516 650.877 60.249 0.750 re f 237.765 650.877 69.034 0.750 re f 177.516 632.727 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 639.207 Td /F1 9.8 Tf [(401)] TJ ET 0.267 0.267 0.267 rg 306.050 650.877 72.317 0.750 re f 378.367 650.877 87.241 0.750 re f 306.050 632.727 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 639.207 Td /F1 9.8 Tf [(362,122)] TJ ET 0.267 0.267 0.267 rg 464.858 650.877 116.017 0.750 re f 464.858 632.727 0.750 18.900 re f 580.125 632.727 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 639.207 Td /F1 9.8 Tf [( )] TJ ET 0.267 0.267 0.267 rg 26.625 632.727 151.641 0.750 re f 26.625 614.577 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 621.057 Td /F1 9.8 Tf [(Homeless)] TJ ET 0.267 0.267 0.267 rg 177.516 632.727 60.249 0.750 re f 237.765 632.727 69.034 0.750 re f 177.516 614.577 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 621.057 Td /F1 9.8 Tf [(611)] TJ ET 0.267 0.267 0.267 rg 306.050 632.727 72.317 0.750 re f 378.367 632.727 87.241 0.750 re f 306.050 614.577 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 621.057 Td /F1 9.8 Tf [(4,580,522)] TJ ET 0.267 0.267 0.267 rg 464.858 632.727 116.017 0.750 re f 464.858 614.577 0.750 18.900 re f 580.125 614.577 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 621.057 Td /F1 9.8 Tf [( )] TJ ET 0.267 0.267 0.267 rg 26.625 614.577 151.641 0.750 re f 26.625 596.427 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 602.907 Td /F1 9.8 Tf [(Total Affected)] TJ ET 0.267 0.267 0.267 rg 177.516 614.577 60.249 0.750 re f 237.765 614.577 69.034 0.750 re f 177.516 596.427 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 602.907 Td /F1 9.8 Tf [(2,632)] TJ ET 0.267 0.267 0.267 rg 306.050 614.577 72.317 0.750 re f 378.367 614.577 87.241 0.750 re f 306.050 596.427 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 602.907 Td /F1 9.8 Tf [(2,898,579,881)] TJ ET 0.267 0.267 0.267 rg 464.858 614.577 116.017 0.750 re f 464.858 596.427 0.750 18.900 re f 580.125 596.427 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 602.907 Td /F1 9.8 Tf [( )] TJ ET 0.965 0.965 0.965 rg 27.000 580.983 553.500 15.819 re f 0.267 0.267 0.267 rg 26.625 596.427 151.266 0.750 re f 177.891 596.427 59.874 0.750 re f 237.765 596.427 68.659 0.750 re f 306.425 596.427 71.942 0.750 re f 378.367 596.427 86.866 0.750 re f 465.233 596.427 115.642 0.750 re f 26.625 580.608 0.750 16.569 re f 580.125 580.608 0.750 16.569 re f 0.271 0.267 0.267 rg BT 31.500 584.447 Td /F4 9.8 Tf [(Event Summary Statistics)] TJ ET 0.965 0.965 0.965 rg 27.000 565.164 150.891 15.819 re f 0.267 0.267 0.267 rg 26.625 580.608 151.266 0.750 re f 26.625 564.789 0.750 16.569 re f 0.271 0.267 0.267 rg BT 31.500 568.628 Td /F4 9.8 Tf [(Human Consequence)] TJ ET 0.965 0.965 0.965 rg 177.891 565.164 128.534 15.819 re f 0.267 0.267 0.267 rg 177.891 580.608 59.874 0.750 re f 237.765 580.608 68.659 0.750 re f 0.271 0.267 0.267 rg BT 182.391 568.628 Td /F4 9.8 Tf [(# of Events)] TJ ET 0.965 0.965 0.965 rg 306.425 565.164 71.942 15.819 re f 0.267 0.267 0.267 rg 306.425 580.608 71.942 0.750 re f 0.271 0.267 0.267 rg BT 310.925 568.628 Td /F4 9.8 Tf [(Median)] TJ ET 0.965 0.965 0.965 rg 378.367 565.164 86.866 15.819 re f 0.267 0.267 0.267 rg 378.367 580.608 86.866 0.750 re f 0.271 0.267 0.267 rg BT 382.867 568.628 Td /F4 9.8 Tf [(Mean)] TJ ET 0.965 0.965 0.965 rg 465.233 565.164 115.267 15.819 re f 0.267 0.267 0.267 rg 465.233 580.608 115.642 0.750 re f 580.125 564.789 0.750 16.569 re f 0.271 0.267 0.267 rg BT 469.733 568.628 Td /F4 9.8 Tf [(Range)] TJ ET 0.267 0.267 0.267 rg 26.625 564.789 151.641 0.750 re f 26.625 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 553.119 Td /F4 9.8 Tf [(Deaths, all events)] TJ ET 0.267 0.267 0.267 rg 177.516 564.789 60.624 0.750 re f 177.516 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 553.119 Td /F4 9.8 Tf [(3,960)] TJ ET 0.267 0.267 0.267 rg 237.390 564.789 69.409 0.750 re f 237.390 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 553.119 Td /F4 9.8 Tf [(96.8%)] TJ ET 0.267 0.267 0.267 rg 306.050 564.789 72.692 0.750 re f 306.050 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 553.119 Td /F4 9.8 Tf [(9)] TJ ET 0.267 0.267 0.267 rg 377.992 564.789 87.616 0.750 re f 377.992 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 553.119 Td /F4 9.8 Tf [(135)] TJ ET 0.267 0.267 0.267 rg 464.858 564.789 116.017 0.750 re f 464.858 546.639 0.750 18.900 re f 580.125 546.639 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 553.119 Td /F4 9.8 Tf [(0-138,000)] TJ ET 0.267 0.267 0.267 rg 26.625 546.639 151.641 0.750 re f 26.625 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 534.969 Td /F1 9.8 Tf [(Reported by EM-DAT)] TJ ET 0.267 0.267 0.267 rg 177.516 546.639 60.624 0.750 re f 177.516 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 534.969 Td /F1 9.8 Tf [(2,646)] TJ ET 0.267 0.267 0.267 rg 237.390 546.639 69.409 0.750 re f 237.390 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 534.969 Td /F1 9.8 Tf [(64.6%)] TJ ET 0.267 0.267 0.267 rg 306.050 546.639 72.692 0.750 re f 306.050 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 534.969 Td /F1 9.8 Tf [(10)] TJ ET 0.267 0.267 0.267 rg 377.992 546.639 87.616 0.750 re f 377.992 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 534.969 Td /F1 9.8 Tf [(74)] TJ ET 0.267 0.267 0.267 rg 464.858 546.639 116.017 0.750 re f 464.858 528.489 0.750 18.900 re f 580.125 528.489 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 534.969 Td /F1 9.8 Tf [(0-30,000)] TJ ET 0.267 0.267 0.267 rg 26.625 528.489 151.641 0.750 re f 26.625 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 516.819 Td /F1 9.8 Tf [(Reported by DFO)] TJ ET 0.267 0.267 0.267 rg 177.516 528.489 60.624 0.750 re f 177.516 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 516.819 Td /F1 9.8 Tf [(2,732)] TJ ET 0.267 0.267 0.267 rg 237.390 528.489 69.409 0.750 re f 237.390 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 516.819 Td /F1 9.8 Tf [(66.75%)] TJ ET 0.267 0.267 0.267 rg 306.050 528.489 72.692 0.750 re f 306.050 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 516.819 Td /F1 9.8 Tf [(11)] TJ ET 0.267 0.267 0.267 rg 377.992 528.489 87.616 0.750 re f 377.992 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 516.819 Td /F1 9.8 Tf [(166)] TJ ET 0.267 0.267 0.267 rg 464.858 528.489 116.017 0.750 re f 464.858 510.339 0.750 18.900 re f 580.125 510.339 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 516.819 Td /F1 9.8 Tf [(0-138,000)] TJ ET 0.267 0.267 0.267 rg 26.625 510.339 151.641 0.750 re f 26.625 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 498.669 Td /F4 9.8 Tf [(Events with deaths)] TJ ET 0.267 0.267 0.267 rg 177.516 510.339 60.624 0.750 re f 177.516 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 498.669 Td /F4 9.8 Tf [(2,673)] TJ ET 0.267 0.267 0.267 rg 237.390 510.339 69.409 0.750 re f 237.390 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 498.669 Td /F4 9.8 Tf [(65.3%)] TJ ET 0.267 0.267 0.267 rg 306.050 510.339 72.692 0.750 re f 306.050 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 498.669 Td /F4 9.8 Tf [(11)] TJ ET 0.267 0.267 0.267 rg 377.992 510.339 87.616 0.750 re f 377.992 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 498.669 Td /F4 9.8 Tf [(146)] TJ ET 0.267 0.267 0.267 rg 464.858 510.339 116.017 0.750 re f 464.858 492.189 0.750 18.900 re f 580.125 492.189 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 498.669 Td /F4 9.8 Tf [(1-138,000)] TJ ET 0.267 0.267 0.267 rg 26.625 492.189 151.641 0.750 re f 26.625 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 480.519 Td /F1 9.8 Tf [(Reported by EM-DAT)] TJ ET 0.267 0.267 0.267 rg 177.516 492.189 60.624 0.750 re f 177.516 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 480.519 Td /F1 9.8 Tf [(2,146)] TJ ET 0.267 0.267 0.267 rg 237.390 492.189 69.409 0.750 re f 237.390 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 480.519 Td /F1 9.8 Tf [(52.4%)] TJ ET 0.267 0.267 0.267 rg 306.050 492.189 72.692 0.750 re f 306.050 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 480.519 Td /F1 9.8 Tf [(10)] TJ ET 0.267 0.267 0.267 rg 377.992 492.189 87.616 0.750 re f 377.992 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 480.519 Td /F1 9.8 Tf [(87)] TJ ET 0.267 0.267 0.267 rg 464.858 492.189 116.017 0.750 re f 464.858 474.039 0.750 18.900 re f 580.125 474.039 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 480.519 Td /F1 9.8 Tf [(1-30,000)] TJ ET 0.267 0.267 0.267 rg 26.625 474.039 151.641 0.750 re f 26.625 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 462.369 Td /F1 9.8 Tf [(Reported by DFO)] TJ ET 0.267 0.267 0.267 rg 177.516 474.039 60.624 0.750 re f 177.516 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 462.369 Td /F1 9.8 Tf [(1,289)] TJ ET 0.267 0.267 0.267 rg 237.390 474.039 69.409 0.750 re f 237.390 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 462.369 Td /F1 9.8 Tf [(31.5%)] TJ ET 0.267 0.267 0.267 rg 306.050 474.039 72.692 0.750 re f 306.050 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 462.369 Td /F1 9.8 Tf [(13)] TJ ET 0.267 0.267 0.267 rg 377.992 474.039 87.616 0.750 re f 377.992 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 462.369 Td /F1 9.8 Tf [(178)] TJ ET 0.267 0.267 0.267 rg 464.858 474.039 116.017 0.750 re f 464.858 455.889 0.750 18.900 re f 580.125 455.889 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 462.369 Td /F1 9.8 Tf [(1-138,000)] TJ ET 0.267 0.267 0.267 rg 26.625 455.889 151.641 0.750 re f 26.625 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 444.219 Td /F4 9.8 Tf [(Injured, all events)] TJ ET 0.267 0.267 0.267 rg 177.516 455.889 60.624 0.750 re f 177.516 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 444.219 Td /F1 9.8 Tf [(401)] TJ ET 0.267 0.267 0.267 rg 237.390 455.889 69.409 0.750 re f 237.390 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 444.219 Td /F1 9.8 Tf [(9.8%)] TJ ET 0.267 0.267 0.267 rg 306.050 455.889 72.692 0.750 re f 306.050 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 444.219 Td /F1 9.8 Tf [(12.5)] TJ ET 0.267 0.267 0.267 rg 377.992 455.889 87.616 0.750 re f 377.992 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 444.219 Td /F1 9.8 Tf [(904)] TJ ET 0.267 0.267 0.267 rg 464.858 455.889 116.017 0.750 re f 464.858 437.739 0.750 18.900 re f 580.125 437.739 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 444.219 Td /F1 9.8 Tf [(0-249,378)] TJ ET 0.267 0.267 0.267 rg 26.625 437.739 151.641 0.750 re f 26.625 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 426.069 Td /F4 9.8 Tf [(Homeless, all events)] TJ ET 0.267 0.267 0.267 rg 177.516 437.739 60.624 0.750 re f 177.516 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 426.069 Td /F1 9.8 Tf [(611)] TJ ET 0.267 0.267 0.267 rg 237.390 437.739 69.409 0.750 re f 237.390 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 426.069 Td /F1 9.8 Tf [(14.9%)] TJ ET 0.267 0.267 0.267 rg 306.050 437.739 72.692 0.750 re f 306.050 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 426.069 Td /F1 9.8 Tf [(15)] TJ ET 0.267 0.267 0.267 rg 377.992 437.739 87.616 0.750 re f 377.992 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 426.069 Td /F1 9.8 Tf [(7,506)] TJ ET 0.267 0.267 0.267 rg 464.858 437.739 116.017 0.750 re f 464.858 419.589 0.750 18.900 re f 580.125 419.589 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 426.069 Td /F1 9.8 Tf [(0-2,951,315)] TJ ET 0.267 0.267 0.267 rg 26.625 419.589 151.641 0.750 re f 26.625 401.439 151.641 0.750 re f 26.625 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 407.919 Td /F4 9.8 Tf [(Total Affected, all events)] TJ ET 0.267 0.267 0.267 rg 177.516 419.589 60.624 0.750 re f 177.516 401.439 60.624 0.750 re f 177.516 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 182.766 407.919 Td /F1 9.8 Tf [(2,632)] TJ ET 0.267 0.267 0.267 rg 237.390 419.589 69.409 0.750 re f 237.390 401.439 69.409 0.750 re f 237.390 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 242.640 407.919 Td /F1 9.8 Tf [(64.3%)] TJ ET 0.267 0.267 0.267 rg 306.050 419.589 72.692 0.750 re f 306.050 401.439 72.692 0.750 re f 306.050 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 311.300 407.919 Td /F1 9.8 Tf [(6,000)] TJ ET 0.267 0.267 0.267 rg 377.992 419.589 87.616 0.750 re f 377.992 401.439 87.616 0.750 re f 377.992 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 383.242 407.919 Td /F1 9.8 Tf [(1,071,829)] TJ ET 0.267 0.267 0.267 rg 464.858 419.589 116.017 0.750 re f 464.858 401.439 116.017 0.750 re f 464.858 401.439 0.750 18.900 re f 580.125 401.439 0.750 18.900 re f 0.271 0.267 0.267 rg BT 470.108 407.919 Td /F1 9.8 Tf [(0-238,973,000)] TJ ET BT 26.250 351.209 Td /F1 9.8 Tf [(Affected Population. An estimated 2.8 billion people were reported to be affected by flood events between )] TJ ET BT 550.702 351.209 Td /F1 9.8 Tf [(1980 )] TJ ET BT 26.250 335.765 Td /F1 9.8 Tf [(and 2009, including nearly 4.6 million rendered homeless. However, these figures likely substantially )] TJ ET BT 26.250 320.321 Td /F1 9.8 Tf [(underestimate the true impact of floods on human populations because estimates of the total affected )] TJ ET BT 26.250 304.877 Td /F1 9.8 Tf [(population and the homeless population were reported in only 64.3% \(n=2,632\) and 14.9% \(n=611\) of events, )] TJ ET BT 26.250 289.433 Td /F1 9.8 Tf [(respectively. The distribution of the number affected was highly skewed with mean and median affected )] TJ ET BT 26.250 273.989 Td /F1 9.8 Tf [(populations of 1,071,829 and 6,000 per event, respectively, which indicates that the median affected )] TJ ET BT 26.250 258.545 Td /F1 9.8 Tf [(population may better reflect the impact of a typical flood event.)] TJ ET BT 26.250 235.601 Td /F1 9.8 Tf [(Mortality and Injury. When mortality data from the two sources were combined, deaths were reported in 96.8% )] TJ ET BT 26.250 220.157 Td /F1 9.8 Tf [(\(n=3,960\) of floods since 1980. This figure excludes 13.9% of floods where no information on mortality was )] TJ ET BT 26.250 204.713 Td /F1 9.8 Tf [(reported; if no deaths are presumed and these events are included, deaths occurred in 65.3% \(n=2,673\) of )] TJ ET BT 26.250 189.269 Td /F1 9.8 Tf [(floods. 539,811 deaths \(range: 510,941-568,680\) resulting from flood events were reported. For floods where )] TJ ET BT 26.250 173.825 Td /F1 9.8 Tf [(mortality was reported, there was a median of 9 \(mean=135; range 0-138,000\) deaths per event when using )] TJ ET BT 26.250 158.381 Td /F1 9.8 Tf [(the highest reported death toll. Mortality exceeded 10,000 in only 4 events and 100,000 in two. The two )] TJ ET BT 26.250 142.937 Td /F1 9.8 Tf [(deadliest events occurred in Bangladesh \(138,000 deaths in 1991\) and Myanmar \(100,000 deaths in 2008\). )] TJ ET BT 26.250 127.493 Td /F1 9.8 Tf [(Injuries were reported in 401 \(9.8%\) events, where a total of 361,974 injuries were documented. In events )] TJ ET BT 26.250 112.049 Td /F1 9.8 Tf [(where injuries were reported, there was a median of 12.5 \(mean=904: range 1-249,378\) per flood event. To )] TJ ET BT 26.250 96.605 Td /F1 9.8 Tf [(estimate the total number of injuries due to flood events, it was presumed that injuries would occur in events )] TJ ET BT 26.250 81.161 Td /F1 9.8 Tf [(where deaths were reported. There were 2,673 floods with fatalities but only 401 \(9.8%\) with injuries reported. )] TJ ET BT 26.250 65.717 Td /F1 9.8 Tf [(When the median and mean for injuries were applied to the remaining 3,077 events, it was estimated that )] TJ ET BT 26.250 50.273 Td /F1 9.8 Tf [(between 38,463 and 2,717,681 additional unreported flood related injuries may have occurred between 1980 )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(15)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 512 0 obj << /Type /Page /Parent 3 0 R /Contents 513 0 R >> endobj 513 0 obj << /Length 5118 >> stream 0.271 0.267 0.267 rg 0.267 0.267 0.267 RG q 15.000 653.892 577.500 123.108 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(and 2009.)] TJ ET BT 26.250 741.701 Td /F1 9.8 Tf [(Bivariate associations between country-level characteristics and flood-related mortality from 1980 through 2009 )] TJ ET BT 26.250 726.257 Td /F1 9.8 Tf [(are presented in Table 4. Findings suggests that the proportion of events with high mortality \()] TJ ET BT 486.801 726.257 Td /F1 9.8 Tf [(>)] TJ ET BT 494.971 726.257 Td /F1 9.8 Tf [(50 deaths\) have )] TJ ET BT 26.250 710.813 Td /F1 9.8 Tf [(decreased over time. Income level was also significantly associated with flood mortality, where for both low and )] TJ ET BT 26.250 695.369 Td /F1 9.8 Tf [(lower-middle income countries, a greater proportion of events fell in the medium and high death categories as )] TJ ET BT 26.250 679.925 Td /F1 9.8 Tf [(compared to higher income countries. Higher mortality events were concentrated in the South East Asian and )] TJ ET BT 26.250 664.481 Td /F1 9.8 Tf [(Western Pacific regions.)] TJ ET Q q 15.000 653.892 577.500 123.108 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(and 2009.)] TJ ET BT 26.250 741.701 Td /F1 9.8 Tf [(Bivariate associations between country-level characteristics and flood-related mortality from 1980 through 2009 )] TJ ET BT 26.250 726.257 Td /F1 9.8 Tf [(are presented in Table 4. Findings suggests that the proportion of events with high mortality \()] TJ ET BT 486.801 726.257 Td /F1 9.8 Tf [(>)] TJ ET BT 494.971 726.257 Td /F1 9.8 Tf [(50 deaths\) have )] TJ ET BT 26.250 710.813 Td /F1 9.8 Tf [(decreased over time. Income level was also significantly associated with flood mortality, where for both low and )] TJ ET BT 26.250 695.369 Td /F1 9.8 Tf [(lower-middle income countries, a greater proportion of events fell in the medium and high death categories as )] TJ ET BT 26.250 679.925 Td /F1 9.8 Tf [(compared to higher income countries. Higher mortality events were concentrated in the South East Asian and )] TJ ET BT 26.250 664.481 Td /F1 9.8 Tf [(Western Pacific regions.)] TJ ET Q q 15.000 653.892 577.500 123.108 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(and 2009.)] TJ ET BT 26.250 741.701 Td /F1 9.8 Tf [(Bivariate associations between country-level characteristics and flood-related mortality from 1980 through 2009 )] TJ ET BT 26.250 726.257 Td /F1 9.8 Tf [(are presented in Table 4. Findings suggests that the proportion of events with high mortality \()] TJ ET BT 486.801 726.257 Td /F1 9.8 Tf [(>)] TJ ET BT 494.971 726.257 Td /F1 9.8 Tf [(50 deaths\) have )] TJ ET BT 26.250 710.813 Td /F1 9.8 Tf [(decreased over time. Income level was also significantly associated with flood mortality, where for both low and )] TJ ET BT 26.250 695.369 Td /F1 9.8 Tf [(lower-middle income countries, a greater proportion of events fell in the medium and high death categories as )] TJ ET BT 26.250 679.925 Td /F1 9.8 Tf [(compared to higher income countries. Higher mortality events were concentrated in the South East Asian and )] TJ ET BT 26.250 664.481 Td /F1 9.8 Tf [(Western Pacific regions.)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(16)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 514 0 obj << /Type /Page /Parent 3 0 R /Annots [ 516 0 R 518 0 R 520 0 R ] /Contents 515 0 R >> endobj 515 0 obj << /Length 73704 >> stream 0.271 0.267 0.267 rg q 15.000 26.133 577.500 750.867 re W n q 26.250 759.180 555.000 17.820 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 4: Flood event mortality characteristics, 1980-2009 \(N = 4,093\))] TJ ET Q 0.965 0.965 0.965 rg 26.250 681.618 555.000 70.062 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 751.680 m 581.250 751.680 l 580.500 750.930 l 27.000 750.930 l f 581.250 751.680 m 581.250 681.618 l 580.500 681.618 l 580.500 750.930 l f 26.250 751.680 m 26.250 681.618 l 27.000 681.618 l 27.000 750.930 l f 0.271 0.267 0.267 rg BT 33.000 735.426 Td /F1 9.0 Tf [(*GINI coefficient scores for income distribution range from 0 to 100 with 0 representing a perfect equality and 100 )] TJ ET BT 33.000 722.912 Td /F1 9.0 Tf [(perfect inequality.)] TJ ET 0.267 0.267 0.267 rg BT 115.395 723.450 Td /F4 8.0 Tf [(59)] TJ ET 0.271 0.267 0.267 rg BT 33.000 703.374 Td /F1 9.0 Tf [(** Magnitude is a composite score of flood severity created by DFO that includes flood duration and affected area size, )] TJ ET BT 33.000 691.494 Td /F1 9.0 Tf [(with the following categories: low magnitude,6.0. Flood magnitude is only available for events from 1985 onward.)] TJ ET 1.000 1.000 1.000 rg 26.250 264.405 555.000 417.213 re f 0.965 0.965 0.965 rg 27.000 649.605 143.487 31.263 re f 0.267 0.267 0.267 rg 26.625 680.493 143.862 0.750 re f 26.625 649.230 0.750 32.013 re f 0.271 0.267 0.267 rg BT 31.500 668.513 Td /F4 9.8 Tf [(Characteristic)] TJ ET 0.965 0.965 0.965 rg 170.487 649.605 77.203 31.263 re f 0.267 0.267 0.267 rg 170.487 680.493 77.203 0.750 re f 0.271 0.267 0.267 rg BT 174.987 668.513 Td /F4 9.8 Tf [(No deaths )] TJ ET BT 174.987 653.069 Td /F4 9.8 Tf [(\(n=706\))] TJ ET 0.965 0.965 0.965 rg 247.690 649.605 86.347 31.263 re f 0.267 0.267 0.267 rg 247.690 680.493 86.347 0.750 re f 0.271 0.267 0.267 rg BT 252.190 668.513 Td /F4 9.8 Tf [(1-9 deaths )] TJ ET BT 252.190 653.069 Td /F4 9.8 Tf [(\(n=1,378\))] TJ ET 0.965 0.965 0.965 rg 334.037 649.605 103.609 31.263 re f 0.267 0.267 0.267 rg 334.037 680.493 103.609 0.750 re f 0.271 0.267 0.267 rg BT 338.537 668.513 Td /F4 9.8 Tf [(10-49 deaths )] TJ ET BT 338.537 653.069 Td /F4 9.8 Tf [(\(n=1,223\))] TJ ET 0.965 0.965 0.965 rg 437.646 649.605 93.941 31.263 re f 0.267 0.267 0.267 rg 437.646 680.493 93.941 0.750 re f 0.271 0.267 0.267 rg BT 442.146 668.513 Td /F4 9.8 Tf [(>50 deaths )] TJ ET BT 442.146 653.069 Td /F4 9.8 Tf [(\(n=785\))] TJ ET 0.965 0.965 0.965 rg 531.587 649.605 48.913 31.263 re f 0.267 0.267 0.267 rg 531.587 680.493 49.288 0.750 re f 580.125 649.230 0.750 32.013 re f 0.271 0.267 0.267 rg BT 536.087 668.513 Td /F4 9.8 Tf [(P-)] TJ ET BT 536.087 653.069 Td /F4 9.8 Tf [(value)] TJ ET 0.267 0.267 0.267 rg 26.625 649.230 143.862 0.750 re f 170.487 649.230 77.203 0.750 re f 247.690 649.230 86.347 0.750 re f 334.037 649.230 103.609 0.750 re f 437.646 649.230 93.941 0.750 re f 531.587 649.230 49.288 0.750 re f 26.625 631.080 0.750 18.900 re f 580.125 631.080 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 637.560 Td /F4 9.8 Tf [(Decade, N \(%\))] TJ ET 0.267 0.267 0.267 rg 26.625 631.080 144.237 0.750 re f 26.625 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 619.410 Td /F1 9.8 Tf [(1980)] TJ ET 0.267 0.267 0.267 rg 170.112 631.080 77.953 0.750 re f 170.112 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 619.410 Td /F1 9.8 Tf [(121 \(17%\))] TJ ET 0.267 0.267 0.267 rg 247.315 631.080 87.097 0.750 re f 247.315 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 619.410 Td /F1 9.8 Tf [(149 \(11%\))] TJ ET 0.267 0.267 0.267 rg 333.662 631.080 104.359 0.750 re f 333.662 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 619.410 Td /F1 9.8 Tf [(212 \(17%\))] TJ ET 0.267 0.267 0.267 rg 437.271 631.080 94.691 0.750 re f 437.271 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 619.410 Td /F1 9.8 Tf [(205 \(26%\))] TJ ET 0.267 0.267 0.267 rg 531.212 631.080 49.663 0.750 re f 531.212 612.930 0.750 18.900 re f 580.125 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 536.462 619.410 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 612.930 144.237 0.750 re f 26.625 594.780 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 601.260 Td /F1 9.8 Tf [(1990)] TJ ET 0.267 0.267 0.267 rg 170.112 612.930 77.953 0.750 re f 170.112 594.780 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 601.260 Td /F1 9.8 Tf [(191 \(27%\))] TJ ET 0.267 0.267 0.267 rg 247.315 612.930 87.097 0.750 re f 247.315 594.780 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 601.260 Td /F1 9.8 Tf [(418 \(30%\))] TJ ET 0.267 0.267 0.267 rg 333.662 612.930 104.359 0.750 re f 333.662 594.780 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 601.260 Td /F1 9.8 Tf [(437 \(35%\))] TJ ET 0.267 0.267 0.267 rg 437.271 612.930 94.691 0.750 re f 437.271 594.780 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 601.260 Td /F1 9.8 Tf [(317 \(40%\))] TJ ET 0.267 0.267 0.267 rg 531.212 612.930 49.663 0.750 re f 531.212 594.780 0.750 18.900 re f 580.125 594.780 0.750 18.900 re f 26.625 594.780 144.237 0.750 re f 26.625 576.630 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 583.110 Td /F1 9.8 Tf [(2000)] TJ ET 0.267 0.267 0.267 rg 170.112 594.780 77.953 0.750 re f 170.112 576.630 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 583.110 Td /F1 9.8 Tf [(394 \(55%\))] TJ ET 0.267 0.267 0.267 rg 247.315 594.780 87.097 0.750 re f 247.315 576.630 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 583.110 Td /F1 9.8 Tf [(811 \(58\))] TJ ET 0.267 0.267 0.267 rg 333.662 594.780 104.359 0.750 re f 333.662 576.630 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 583.110 Td /F1 9.8 Tf [(574 \(45%\))] TJ ET 0.267 0.267 0.267 rg 437.271 594.780 94.691 0.750 re f 437.271 576.630 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 583.110 Td /F1 9.8 Tf [(263 \(33%\))] TJ ET 0.267 0.267 0.267 rg 531.212 594.780 49.663 0.750 re f 531.212 576.630 0.750 18.900 re f 580.125 576.630 0.750 18.900 re f 26.625 576.630 143.862 0.750 re f 170.487 576.630 77.203 0.750 re f 247.690 576.630 86.347 0.750 re f 334.037 576.630 103.609 0.750 re f 437.646 576.630 93.941 0.750 re f 531.587 576.630 49.288 0.750 re f 26.625 558.480 0.750 18.900 re f 580.125 558.480 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 564.960 Td /F4 9.8 Tf [(World Bank Development Level, N \(%\))] TJ ET 0.267 0.267 0.267 rg 26.625 558.480 144.237 0.750 re f 26.625 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 546.810 Td /F1 9.8 Tf [(Low income)] TJ ET 0.267 0.267 0.267 rg 170.112 558.480 77.953 0.750 re f 170.112 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 546.810 Td /F1 9.8 Tf [(172\(24%\))] TJ ET 0.267 0.267 0.267 rg 247.315 558.480 87.097 0.750 re f 247.315 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 546.810 Td /F1 9.8 Tf [(263 \(20%\))] TJ ET 0.267 0.267 0.267 rg 333.662 558.480 104.359 0.750 re f 333.662 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 546.810 Td /F1 9.8 Tf [(370 \(30%\))] TJ ET 0.267 0.267 0.267 rg 437.271 558.480 94.691 0.750 re f 437.271 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 546.810 Td /F1 9.8 Tf [(365 \(45%\))] TJ ET 0.267 0.267 0.267 rg 531.212 558.480 49.663 0.750 re f 531.212 540.330 0.750 18.900 re f 580.125 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 536.462 546.810 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 540.330 144.237 0.750 re f 26.625 522.180 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 528.660 Td /F1 9.8 Tf [(Lower Middle income)] TJ ET 0.267 0.267 0.267 rg 170.112 540.330 77.953 0.750 re f 170.112 522.180 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 528.660 Td /F1 9.8 Tf [(164 \(23%\))] TJ ET 0.267 0.267 0.267 rg 247.315 540.330 87.097 0.750 re f 247.315 522.180 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 528.660 Td /F1 9.8 Tf [(395 \(29%\))] TJ ET 0.267 0.267 0.267 rg 333.662 540.330 104.359 0.750 re f 333.662 522.180 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 528.660 Td /F1 9.8 Tf [(465 \(38%\))] TJ ET 0.267 0.267 0.267 rg 437.271 540.330 94.691 0.750 re f 437.271 522.180 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 528.660 Td /F1 9.8 Tf [(328 \(41%\))] TJ ET 0.267 0.267 0.267 rg 531.212 540.330 49.663 0.750 re f 531.212 522.180 0.750 18.900 re f 580.125 522.180 0.750 18.900 re f 26.625 522.180 144.237 0.750 re f 26.625 504.030 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 510.510 Td /F1 9.8 Tf [(Upper-middle income)] TJ ET 0.267 0.267 0.267 rg 170.112 522.180 77.953 0.750 re f 170.112 504.030 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 510.510 Td /F1 9.8 Tf [(142 \(20%\))] TJ ET 0.267 0.267 0.267 rg 247.315 522.180 87.097 0.750 re f 247.315 504.030 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 510.510 Td /F1 9.8 Tf [(276 \(21%\))] TJ ET 0.267 0.267 0.267 rg 333.662 522.180 104.359 0.750 re f 333.662 504.030 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 510.510 Td /F1 9.8 Tf [(219 \(18%\))] TJ ET 0.267 0.267 0.267 rg 437.271 522.180 94.691 0.750 re f 437.271 504.030 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 510.510 Td /F1 9.8 Tf [(79 \(10%\))] TJ ET 0.267 0.267 0.267 rg 531.212 522.180 49.663 0.750 re f 531.212 504.030 0.750 18.900 re f 580.125 504.030 0.750 18.900 re f 26.625 504.030 144.237 0.750 re f 26.625 485.880 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 492.360 Td /F1 9.8 Tf [(High Income)] TJ ET 0.267 0.267 0.267 rg 170.112 504.030 77.953 0.750 re f 170.112 485.880 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 492.360 Td /F1 9.8 Tf [(227 \(32%\))] TJ ET 0.267 0.267 0.267 rg 247.315 504.030 87.097 0.750 re f 247.315 485.880 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 492.360 Td /F1 9.8 Tf [(408 \(30%\))] TJ ET 0.267 0.267 0.267 rg 333.662 504.030 104.359 0.750 re f 333.662 485.880 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 492.360 Td /F1 9.8 Tf [(176 \(14%\))] TJ ET 0.267 0.267 0.267 rg 437.271 504.030 94.691 0.750 re f 437.271 485.880 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 492.360 Td /F1 9.8 Tf [(33 \(4%\))] TJ ET 0.267 0.267 0.267 rg 531.212 504.030 49.663 0.750 re f 531.212 485.880 0.750 18.900 re f 580.125 485.880 0.750 18.900 re f 26.625 485.880 143.862 0.750 re f 170.487 485.880 77.203 0.750 re f 247.690 485.880 86.347 0.750 re f 334.037 485.880 103.609 0.750 re f 437.646 485.880 93.941 0.750 re f 531.587 485.880 49.288 0.750 re f 26.625 467.730 0.750 18.900 re f 580.125 467.730 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 474.210 Td /F4 9.8 Tf [(World Health Organization Region, N \(%\))] TJ ET 0.267 0.267 0.267 rg 26.625 467.730 144.237 0.750 re f 26.625 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 456.060 Td /F1 9.8 Tf [(Africa)] TJ ET 0.267 0.267 0.267 rg 170.112 467.730 77.953 0.750 re f 170.112 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 456.060 Td /F1 9.8 Tf [(139 \(20%\))] TJ ET 0.267 0.267 0.267 rg 247.315 467.730 87.097 0.750 re f 247.315 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 456.060 Td /F1 9.8 Tf [(228 \(17%\))] TJ ET 0.267 0.267 0.267 rg 333.662 467.730 104.359 0.750 re f 333.662 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 456.060 Td /F1 9.8 Tf [(157 \(13%\))] TJ ET 0.267 0.267 0.267 rg 437.271 467.730 94.691 0.750 re f 437.271 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 456.060 Td /F1 9.8 Tf [(73 \(8%\))] TJ ET 0.267 0.267 0.267 rg 531.212 467.730 49.663 0.750 re f 531.212 449.580 0.750 18.900 re f 580.125 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 536.462 456.060 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 449.580 144.237 0.750 re f 26.625 431.430 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 437.910 Td /F1 9.8 Tf [(Americas)] TJ ET 0.267 0.267 0.267 rg 170.112 449.580 77.953 0.750 re f 170.112 431.430 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 437.910 Td /F1 9.8 Tf [(182 \(26%\))] TJ ET 0.267 0.267 0.267 rg 247.315 449.580 87.097 0.750 re f 247.315 431.430 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 437.910 Td /F1 9.8 Tf [(387 \(29%\))] TJ ET 0.267 0.267 0.267 rg 333.662 449.580 104.359 0.750 re f 333.662 431.430 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 437.910 Td /F1 9.8 Tf [(293 \(24%\))] TJ ET 0.267 0.267 0.267 rg 437.271 449.580 94.691 0.750 re f 437.271 431.430 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 437.910 Td /F1 9.8 Tf [(122\(15%\))] TJ ET 0.267 0.267 0.267 rg 531.212 449.580 49.663 0.750 re f 531.212 431.430 0.750 18.900 re f 580.125 431.430 0.750 18.900 re f 26.625 431.430 144.237 0.750 re f 26.625 413.280 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 419.760 Td /F1 9.8 Tf [(Eastern Mediterranean)] TJ ET 0.267 0.267 0.267 rg 170.112 431.430 77.953 0.750 re f 170.112 413.280 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 419.760 Td /F1 9.8 Tf [(46 \(6%\))] TJ ET 0.267 0.267 0.267 rg 247.315 431.430 87.097 0.750 re f 247.315 413.280 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 419.760 Td /F1 9.8 Tf [(107 \(8%\))] TJ ET 0.267 0.267 0.267 rg 333.662 431.430 104.359 0.750 re f 333.662 413.280 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 419.760 Td /F1 9.8 Tf [(147 \(12%\))] TJ ET 0.267 0.267 0.267 rg 437.271 431.430 94.691 0.750 re f 437.271 413.280 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 419.760 Td /F1 9.8 Tf [(74 \(9%\))] TJ ET 0.267 0.267 0.267 rg 531.212 431.430 49.663 0.750 re f 531.212 413.280 0.750 18.900 re f 580.125 413.280 0.750 18.900 re f 26.625 413.280 144.237 0.750 re f 26.625 395.130 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 401.610 Td /F1 9.8 Tf [(European)] TJ ET 0.267 0.267 0.267 rg 170.112 413.280 77.953 0.750 re f 170.112 395.130 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 401.610 Td /F1 9.8 Tf [(171 \(23%\))] TJ ET 0.267 0.267 0.267 rg 247.315 413.280 87.097 0.750 re f 247.315 395.130 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 401.610 Td /F1 9.8 Tf [(246 \(18%\))] TJ ET 0.267 0.267 0.267 rg 333.662 413.280 104.359 0.750 re f 333.662 395.130 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 401.610 Td /F1 9.8 Tf [(104 \(9%\))] TJ ET 0.267 0.267 0.267 rg 437.271 413.280 94.691 0.750 re f 437.271 395.130 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 401.610 Td /F1 9.8 Tf [(26 \(3%\))] TJ ET 0.267 0.267 0.267 rg 531.212 413.280 49.663 0.750 re f 531.212 395.130 0.750 18.900 re f 580.125 395.130 0.750 18.900 re f 26.625 395.130 144.237 0.750 re f 26.625 376.980 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 383.460 Td /F1 9.8 Tf [(South East Asian)] TJ ET 0.267 0.267 0.267 rg 170.112 395.130 77.953 0.750 re f 170.112 376.980 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 383.460 Td /F1 9.8 Tf [(47 \(7%\))] TJ ET 0.267 0.267 0.267 rg 247.315 395.130 87.097 0.750 re f 247.315 376.980 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 383.460 Td /F1 9.8 Tf [(137 \(10%\))] TJ ET 0.267 0.267 0.267 rg 333.662 395.130 104.359 0.750 re f 333.662 376.980 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 383.460 Td /F1 9.8 Tf [(229 \(19%\))] TJ ET 0.267 0.267 0.267 rg 437.271 395.130 94.691 0.750 re f 437.271 376.980 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 383.460 Td /F1 9.8 Tf [(264 \(33%\))] TJ ET 0.267 0.267 0.267 rg 531.212 395.130 49.663 0.750 re f 531.212 376.980 0.750 18.900 re f 580.125 376.980 0.750 18.900 re f 26.625 376.980 144.237 0.750 re f 26.625 358.830 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 365.310 Td /F1 9.8 Tf [(Western Pacific)] TJ ET 0.267 0.267 0.267 rg 170.112 376.980 77.953 0.750 re f 170.112 358.830 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 365.310 Td /F1 9.8 Tf [(124 \(18%\))] TJ ET 0.267 0.267 0.267 rg 247.315 376.980 87.097 0.750 re f 247.315 358.830 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 365.310 Td /F1 9.8 Tf [(238 \(18%\))] TJ ET 0.267 0.267 0.267 rg 333.662 376.980 104.359 0.750 re f 333.662 358.830 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 365.310 Td /F1 9.8 Tf [(299 \(24%\))] TJ ET 0.267 0.267 0.267 rg 437.271 376.980 94.691 0.750 re f 437.271 358.830 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 365.310 Td /F1 9.8 Tf [(262 \(32%\))] TJ ET 0.267 0.267 0.267 rg 531.212 376.980 49.663 0.750 re f 531.212 358.830 0.750 18.900 re f 580.125 358.830 0.750 18.900 re f 26.625 358.830 144.237 0.750 re f 26.625 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 31.875 347.160 Td /F4 9.8 Tf [(Gross Domestic )] TJ ET BT 31.875 337.260 Td /F4 9.8 Tf [(Product, per capita, )] TJ ET BT 31.875 327.360 Td /F4 9.8 Tf [(mean \(SD\), \(n=4,089\))] TJ ET 0.267 0.267 0.267 rg 170.112 358.830 77.953 0.750 re f 170.112 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 175.362 347.160 Td /F1 9.8 Tf [(14,827 )] TJ ET BT 175.362 337.260 Td /F1 9.8 Tf [(\(18,077\))] TJ ET 0.267 0.267 0.267 rg 247.315 358.830 87.097 0.750 re f 247.315 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 252.565 347.160 Td /F1 9.8 Tf [(14,330 )] TJ ET BT 252.565 337.260 Td /F1 9.8 Tf [(\(17,710\))] TJ ET 0.267 0.267 0.267 rg 333.662 358.830 104.359 0.750 re f 333.662 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 338.912 347.160 Td /F1 9.8 Tf [(1,457\(12,563\))] TJ ET 0.267 0.267 0.267 rg 437.271 358.830 94.691 0.750 re f 437.271 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 442.521 347.160 Td /F1 9.8 Tf [(3,325\(6,518\))] TJ ET 0.267 0.267 0.267 rg 531.212 358.830 49.663 0.750 re f 531.212 320.880 0.750 38.700 re f 580.125 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 536.462 347.160 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 320.880 144.237 0.750 re f 26.625 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 309.210 Td /F4 9.8 Tf [(GINI,* mean \(SD\), )] TJ ET BT 31.875 299.310 Td /F4 9.8 Tf [(\(n=3,830\))] TJ ET 0.267 0.267 0.267 rg 170.112 320.880 77.953 0.750 re f 170.112 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 175.362 309.210 Td /F1 9.8 Tf [(40.2 \(7.6\))] TJ ET 0.267 0.267 0.267 rg 247.315 320.880 87.097 0.750 re f 247.315 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 252.565 309.210 Td /F1 9.8 Tf [(41.0 \(7.7\))] TJ ET 0.267 0.267 0.267 rg 333.662 320.880 104.359 0.750 re f 333.662 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 338.912 309.210 Td /F1 9.8 Tf [(41.7 \(7.9\))] TJ ET 0.267 0.267 0.267 rg 437.271 320.880 94.691 0.750 re f 437.271 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 442.521 309.210 Td /F1 9.8 Tf [(41.3 \(7.1\))] TJ ET 0.267 0.267 0.267 rg 531.212 320.880 49.663 0.750 re f 531.212 292.830 0.750 28.800 re f 580.125 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 536.462 309.210 Td /F1 9.8 Tf [(0.004)] TJ ET 0.267 0.267 0.267 rg 26.625 292.830 144.237 0.750 re f 26.625 264.780 144.237 0.750 re f 26.625 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 281.160 Td /F4 9.8 Tf [(Magnitude,** mean )] TJ ET BT 31.875 271.260 Td /F4 9.8 Tf [(\(SD\), \(n=2911\))] TJ ET 0.267 0.267 0.267 rg 170.112 292.830 77.953 0.750 re f 170.112 264.780 77.953 0.750 re f 170.112 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 175.362 281.160 Td /F1 9.8 Tf [(4.8 \(1.2\))] TJ ET 0.267 0.267 0.267 rg 247.315 292.830 87.097 0.750 re f 247.315 264.780 87.097 0.750 re f 247.315 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 252.565 281.160 Td /F1 9.8 Tf [(4.9 \(1.1\))] TJ ET 0.267 0.267 0.267 rg 333.662 292.830 104.359 0.750 re f 333.662 264.780 104.359 0.750 re f 333.662 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 338.912 281.160 Td /F1 9.8 Tf [(5.3 \(1.0\))] TJ ET 0.267 0.267 0.267 rg 437.271 292.830 94.691 0.750 re f 437.271 264.780 94.691 0.750 re f 437.271 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 442.521 281.160 Td /F1 9.8 Tf [(6.0 \(1.1\))] TJ ET 0.267 0.267 0.267 rg 531.212 292.830 49.663 0.750 re f 531.212 264.780 49.663 0.750 re f 531.212 264.780 0.750 28.800 re f 580.125 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 536.462 281.160 Td /F1 9.8 Tf [(<.001)] TJ ET BT 26.250 214.550 Td /F1 9.8 Tf [(Findings from the adjusted analyses \(Table 5\) modeling the relative risk of flood related mortality show that all )] TJ ET BT 26.250 199.106 Td /F1 9.8 Tf [(predictors were significantly associated with flood mortality. The relative risk of medium- and high-level )] TJ ET BT 26.250 183.662 Td /F1 9.8 Tf [(mortality events compared to events with no deaths significantly decreased over time. There was also a )] TJ ET BT 26.250 168.218 Td /F1 9.8 Tf [(significant decreased relative risk of mortality in excess of 50 deaths for events in higher income countries )] TJ ET BT 26.250 152.774 Td /F1 9.8 Tf [(compared with lower income country events. Additionally, as magnitude of a flood increased, so did the risk of )] TJ ET BT 26.250 137.330 Td /F1 9.8 Tf [(having high mortality when adjusting for all other predictors. A flood rated as high magnitude as compared to )] TJ ET BT 26.250 121.886 Td /F1 9.8 Tf [(one with low magnitude was associated with an increased relative risk of having high mortality as compared to )] TJ ET BT 26.250 106.442 Td /F1 9.8 Tf [(no mortality \(RR=13.20, 95% CI 8.25, 22.11\). Caution should be taken when interpreting such findings, )] TJ ET BT 26.250 90.998 Td /F1 9.8 Tf [(however, as magnitude estimates were missing for a large proportion of events, and missing magnitude was )] TJ ET BT 26.250 75.554 Td /F1 9.8 Tf [(associated with the outcome in this study. Regional differences in reported mortality were also supported by the )] TJ ET BT 26.250 60.110 Td /F1 9.8 Tf [(analysis. Higher mortality events were concentrated in the South East Asian and Western Pacific regions, )] TJ ET BT 26.250 44.666 Td /F1 9.8 Tf [(compared to events occurring in the Americas \(Southeast Asia RR=3.35, 95 CI: 2.21, 5.72; Western Pacific )] TJ ET Q q 15.000 26.133 577.500 750.867 re W n q 26.250 759.180 555.000 17.820 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 4: Flood event mortality characteristics, 1980-2009 \(N = 4,093\))] TJ ET Q 0.965 0.965 0.965 rg 26.250 681.618 555.000 70.062 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 751.680 m 581.250 751.680 l 580.500 750.930 l 27.000 750.930 l f 581.250 751.680 m 581.250 681.618 l 580.500 681.618 l 580.500 750.930 l f 26.250 751.680 m 26.250 681.618 l 27.000 681.618 l 27.000 750.930 l f 0.271 0.267 0.267 rg BT 33.000 735.426 Td /F1 9.0 Tf [(*GINI coefficient scores for income distribution range from 0 to 100 with 0 representing a perfect equality and 100 )] TJ ET BT 33.000 722.912 Td /F1 9.0 Tf [(perfect inequality.)] TJ ET 0.267 0.267 0.267 rg BT 115.395 723.450 Td /F4 8.0 Tf [(59)] TJ ET 0.271 0.267 0.267 rg BT 33.000 703.374 Td /F1 9.0 Tf [(** Magnitude is a composite score of flood severity created by DFO that includes flood duration and affected area size, )] TJ ET BT 33.000 691.494 Td /F1 9.0 Tf [(with the following categories: low magnitude,6.0. Flood magnitude is only available for events from 1985 onward.)] TJ ET 1.000 1.000 1.000 rg 26.250 264.405 555.000 417.213 re f 0.965 0.965 0.965 rg 27.000 649.605 143.487 31.263 re f 0.267 0.267 0.267 rg 26.625 680.493 143.862 0.750 re f 26.625 649.230 0.750 32.013 re f 0.271 0.267 0.267 rg BT 31.500 668.513 Td /F4 9.8 Tf [(Characteristic)] TJ ET 0.965 0.965 0.965 rg 170.487 649.605 77.203 31.263 re f 0.267 0.267 0.267 rg 170.487 680.493 77.203 0.750 re f 0.271 0.267 0.267 rg BT 174.987 668.513 Td /F4 9.8 Tf [(No deaths )] TJ ET BT 174.987 653.069 Td /F4 9.8 Tf [(\(n=706\))] TJ ET 0.965 0.965 0.965 rg 247.690 649.605 86.347 31.263 re f 0.267 0.267 0.267 rg 247.690 680.493 86.347 0.750 re f 0.271 0.267 0.267 rg BT 252.190 668.513 Td /F4 9.8 Tf [(1-9 deaths )] TJ ET BT 252.190 653.069 Td /F4 9.8 Tf [(\(n=1,378\))] TJ ET 0.965 0.965 0.965 rg 334.037 649.605 103.609 31.263 re f 0.267 0.267 0.267 rg 334.037 680.493 103.609 0.750 re f 0.271 0.267 0.267 rg BT 338.537 668.513 Td /F4 9.8 Tf [(10-49 deaths )] TJ ET BT 338.537 653.069 Td /F4 9.8 Tf [(\(n=1,223\))] TJ ET 0.965 0.965 0.965 rg 437.646 649.605 93.941 31.263 re f 0.267 0.267 0.267 rg 437.646 680.493 93.941 0.750 re f 0.271 0.267 0.267 rg BT 442.146 668.513 Td /F4 9.8 Tf [(>50 deaths )] TJ ET BT 442.146 653.069 Td /F4 9.8 Tf [(\(n=785\))] TJ ET 0.965 0.965 0.965 rg 531.587 649.605 48.913 31.263 re f 0.267 0.267 0.267 rg 531.587 680.493 49.288 0.750 re f 580.125 649.230 0.750 32.013 re f 0.271 0.267 0.267 rg BT 536.087 668.513 Td /F4 9.8 Tf [(P-)] TJ ET BT 536.087 653.069 Td /F4 9.8 Tf [(value)] TJ ET 0.267 0.267 0.267 rg 26.625 649.230 143.862 0.750 re f 170.487 649.230 77.203 0.750 re f 247.690 649.230 86.347 0.750 re f 334.037 649.230 103.609 0.750 re f 437.646 649.230 93.941 0.750 re f 531.587 649.230 49.288 0.750 re f 26.625 631.080 0.750 18.900 re f 580.125 631.080 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 637.560 Td /F4 9.8 Tf [(Decade, N \(%\))] TJ ET 0.267 0.267 0.267 rg 26.625 631.080 144.237 0.750 re f 26.625 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 619.410 Td /F1 9.8 Tf [(1980)] TJ ET 0.267 0.267 0.267 rg 170.112 631.080 77.953 0.750 re f 170.112 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 619.410 Td /F1 9.8 Tf [(121 \(17%\))] TJ ET 0.267 0.267 0.267 rg 247.315 631.080 87.097 0.750 re f 247.315 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 619.410 Td /F1 9.8 Tf [(149 \(11%\))] TJ ET 0.267 0.267 0.267 rg 333.662 631.080 104.359 0.750 re f 333.662 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 619.410 Td /F1 9.8 Tf [(212 \(17%\))] TJ ET 0.267 0.267 0.267 rg 437.271 631.080 94.691 0.750 re f 437.271 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 619.410 Td /F1 9.8 Tf [(205 \(26%\))] TJ ET 0.267 0.267 0.267 rg 531.212 631.080 49.663 0.750 re f 531.212 612.930 0.750 18.900 re f 580.125 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 536.462 619.410 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 612.930 144.237 0.750 re f 26.625 594.780 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 601.260 Td /F1 9.8 Tf [(1990)] TJ ET 0.267 0.267 0.267 rg 170.112 612.930 77.953 0.750 re f 170.112 594.780 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 601.260 Td /F1 9.8 Tf [(191 \(27%\))] TJ ET 0.267 0.267 0.267 rg 247.315 612.930 87.097 0.750 re f 247.315 594.780 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 601.260 Td /F1 9.8 Tf [(418 \(30%\))] TJ ET 0.267 0.267 0.267 rg 333.662 612.930 104.359 0.750 re f 333.662 594.780 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 601.260 Td /F1 9.8 Tf [(437 \(35%\))] TJ ET 0.267 0.267 0.267 rg 437.271 612.930 94.691 0.750 re f 437.271 594.780 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 601.260 Td /F1 9.8 Tf [(317 \(40%\))] TJ ET 0.267 0.267 0.267 rg 531.212 612.930 49.663 0.750 re f 531.212 594.780 0.750 18.900 re f 580.125 594.780 0.750 18.900 re f 26.625 594.780 144.237 0.750 re f 26.625 576.630 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 583.110 Td /F1 9.8 Tf [(2000)] TJ ET 0.267 0.267 0.267 rg 170.112 594.780 77.953 0.750 re f 170.112 576.630 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 583.110 Td /F1 9.8 Tf [(394 \(55%\))] TJ ET 0.267 0.267 0.267 rg 247.315 594.780 87.097 0.750 re f 247.315 576.630 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 583.110 Td /F1 9.8 Tf [(811 \(58\))] TJ ET 0.267 0.267 0.267 rg 333.662 594.780 104.359 0.750 re f 333.662 576.630 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 583.110 Td /F1 9.8 Tf [(574 \(45%\))] TJ ET 0.267 0.267 0.267 rg 437.271 594.780 94.691 0.750 re f 437.271 576.630 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 583.110 Td /F1 9.8 Tf [(263 \(33%\))] TJ ET 0.267 0.267 0.267 rg 531.212 594.780 49.663 0.750 re f 531.212 576.630 0.750 18.900 re f 580.125 576.630 0.750 18.900 re f 26.625 576.630 143.862 0.750 re f 170.487 576.630 77.203 0.750 re f 247.690 576.630 86.347 0.750 re f 334.037 576.630 103.609 0.750 re f 437.646 576.630 93.941 0.750 re f 531.587 576.630 49.288 0.750 re f 26.625 558.480 0.750 18.900 re f 580.125 558.480 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 564.960 Td /F4 9.8 Tf [(World Bank Development Level, N \(%\))] TJ ET 0.267 0.267 0.267 rg 26.625 558.480 144.237 0.750 re f 26.625 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 546.810 Td /F1 9.8 Tf [(Low income)] TJ ET 0.267 0.267 0.267 rg 170.112 558.480 77.953 0.750 re f 170.112 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 546.810 Td /F1 9.8 Tf [(172\(24%\))] TJ ET 0.267 0.267 0.267 rg 247.315 558.480 87.097 0.750 re f 247.315 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 546.810 Td /F1 9.8 Tf [(263 \(20%\))] TJ ET 0.267 0.267 0.267 rg 333.662 558.480 104.359 0.750 re f 333.662 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 546.810 Td /F1 9.8 Tf [(370 \(30%\))] TJ ET 0.267 0.267 0.267 rg 437.271 558.480 94.691 0.750 re f 437.271 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 546.810 Td /F1 9.8 Tf [(365 \(45%\))] TJ ET 0.267 0.267 0.267 rg 531.212 558.480 49.663 0.750 re f 531.212 540.330 0.750 18.900 re f 580.125 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 536.462 546.810 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 540.330 144.237 0.750 re f 26.625 522.180 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 528.660 Td /F1 9.8 Tf [(Lower Middle income)] TJ ET 0.267 0.267 0.267 rg 170.112 540.330 77.953 0.750 re f 170.112 522.180 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 528.660 Td /F1 9.8 Tf [(164 \(23%\))] TJ ET 0.267 0.267 0.267 rg 247.315 540.330 87.097 0.750 re f 247.315 522.180 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 528.660 Td /F1 9.8 Tf [(395 \(29%\))] TJ ET 0.267 0.267 0.267 rg 333.662 540.330 104.359 0.750 re f 333.662 522.180 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 528.660 Td /F1 9.8 Tf [(465 \(38%\))] TJ ET 0.267 0.267 0.267 rg 437.271 540.330 94.691 0.750 re f 437.271 522.180 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 528.660 Td /F1 9.8 Tf [(328 \(41%\))] TJ ET 0.267 0.267 0.267 rg 531.212 540.330 49.663 0.750 re f 531.212 522.180 0.750 18.900 re f 580.125 522.180 0.750 18.900 re f 26.625 522.180 144.237 0.750 re f 26.625 504.030 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 510.510 Td /F1 9.8 Tf [(Upper-middle income)] TJ ET 0.267 0.267 0.267 rg 170.112 522.180 77.953 0.750 re f 170.112 504.030 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 510.510 Td /F1 9.8 Tf [(142 \(20%\))] TJ ET 0.267 0.267 0.267 rg 247.315 522.180 87.097 0.750 re f 247.315 504.030 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 510.510 Td /F1 9.8 Tf [(276 \(21%\))] TJ ET 0.267 0.267 0.267 rg 333.662 522.180 104.359 0.750 re f 333.662 504.030 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 510.510 Td /F1 9.8 Tf [(219 \(18%\))] TJ ET 0.267 0.267 0.267 rg 437.271 522.180 94.691 0.750 re f 437.271 504.030 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 510.510 Td /F1 9.8 Tf [(79 \(10%\))] TJ ET 0.267 0.267 0.267 rg 531.212 522.180 49.663 0.750 re f 531.212 504.030 0.750 18.900 re f 580.125 504.030 0.750 18.900 re f 26.625 504.030 144.237 0.750 re f 26.625 485.880 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 492.360 Td /F1 9.8 Tf [(High Income)] TJ ET 0.267 0.267 0.267 rg 170.112 504.030 77.953 0.750 re f 170.112 485.880 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 492.360 Td /F1 9.8 Tf [(227 \(32%\))] TJ ET 0.267 0.267 0.267 rg 247.315 504.030 87.097 0.750 re f 247.315 485.880 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 492.360 Td /F1 9.8 Tf [(408 \(30%\))] TJ ET 0.267 0.267 0.267 rg 333.662 504.030 104.359 0.750 re f 333.662 485.880 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 492.360 Td /F1 9.8 Tf [(176 \(14%\))] TJ ET 0.267 0.267 0.267 rg 437.271 504.030 94.691 0.750 re f 437.271 485.880 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 492.360 Td /F1 9.8 Tf [(33 \(4%\))] TJ ET 0.267 0.267 0.267 rg 531.212 504.030 49.663 0.750 re f 531.212 485.880 0.750 18.900 re f 580.125 485.880 0.750 18.900 re f 26.625 485.880 143.862 0.750 re f 170.487 485.880 77.203 0.750 re f 247.690 485.880 86.347 0.750 re f 334.037 485.880 103.609 0.750 re f 437.646 485.880 93.941 0.750 re f 531.587 485.880 49.288 0.750 re f 26.625 467.730 0.750 18.900 re f 580.125 467.730 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 474.210 Td /F4 9.8 Tf [(World Health Organization Region, N \(%\))] TJ ET 0.267 0.267 0.267 rg 26.625 467.730 144.237 0.750 re f 26.625 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 456.060 Td /F1 9.8 Tf [(Africa)] TJ ET 0.267 0.267 0.267 rg 170.112 467.730 77.953 0.750 re f 170.112 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 456.060 Td /F1 9.8 Tf [(139 \(20%\))] TJ ET 0.267 0.267 0.267 rg 247.315 467.730 87.097 0.750 re f 247.315 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 456.060 Td /F1 9.8 Tf [(228 \(17%\))] TJ ET 0.267 0.267 0.267 rg 333.662 467.730 104.359 0.750 re f 333.662 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 456.060 Td /F1 9.8 Tf [(157 \(13%\))] TJ ET 0.267 0.267 0.267 rg 437.271 467.730 94.691 0.750 re f 437.271 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 456.060 Td /F1 9.8 Tf [(73 \(8%\))] TJ ET 0.267 0.267 0.267 rg 531.212 467.730 49.663 0.750 re f 531.212 449.580 0.750 18.900 re f 580.125 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 536.462 456.060 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 449.580 144.237 0.750 re f 26.625 431.430 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 437.910 Td /F1 9.8 Tf [(Americas)] TJ ET 0.267 0.267 0.267 rg 170.112 449.580 77.953 0.750 re f 170.112 431.430 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 437.910 Td /F1 9.8 Tf [(182 \(26%\))] TJ ET 0.267 0.267 0.267 rg 247.315 449.580 87.097 0.750 re f 247.315 431.430 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 437.910 Td /F1 9.8 Tf [(387 \(29%\))] TJ ET 0.267 0.267 0.267 rg 333.662 449.580 104.359 0.750 re f 333.662 431.430 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 437.910 Td /F1 9.8 Tf [(293 \(24%\))] TJ ET 0.267 0.267 0.267 rg 437.271 449.580 94.691 0.750 re f 437.271 431.430 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 437.910 Td /F1 9.8 Tf [(122\(15%\))] TJ ET 0.267 0.267 0.267 rg 531.212 449.580 49.663 0.750 re f 531.212 431.430 0.750 18.900 re f 580.125 431.430 0.750 18.900 re f 26.625 431.430 144.237 0.750 re f 26.625 413.280 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 419.760 Td /F1 9.8 Tf [(Eastern Mediterranean)] TJ ET 0.267 0.267 0.267 rg 170.112 431.430 77.953 0.750 re f 170.112 413.280 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 419.760 Td /F1 9.8 Tf [(46 \(6%\))] TJ ET 0.267 0.267 0.267 rg 247.315 431.430 87.097 0.750 re f 247.315 413.280 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 419.760 Td /F1 9.8 Tf [(107 \(8%\))] TJ ET 0.267 0.267 0.267 rg 333.662 431.430 104.359 0.750 re f 333.662 413.280 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 419.760 Td /F1 9.8 Tf [(147 \(12%\))] TJ ET 0.267 0.267 0.267 rg 437.271 431.430 94.691 0.750 re f 437.271 413.280 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 419.760 Td /F1 9.8 Tf [(74 \(9%\))] TJ ET 0.267 0.267 0.267 rg 531.212 431.430 49.663 0.750 re f 531.212 413.280 0.750 18.900 re f 580.125 413.280 0.750 18.900 re f 26.625 413.280 144.237 0.750 re f 26.625 395.130 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 401.610 Td /F1 9.8 Tf [(European)] TJ ET 0.267 0.267 0.267 rg 170.112 413.280 77.953 0.750 re f 170.112 395.130 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 401.610 Td /F1 9.8 Tf [(171 \(23%\))] TJ ET 0.267 0.267 0.267 rg 247.315 413.280 87.097 0.750 re f 247.315 395.130 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 401.610 Td /F1 9.8 Tf [(246 \(18%\))] TJ ET 0.267 0.267 0.267 rg 333.662 413.280 104.359 0.750 re f 333.662 395.130 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 401.610 Td /F1 9.8 Tf [(104 \(9%\))] TJ ET 0.267 0.267 0.267 rg 437.271 413.280 94.691 0.750 re f 437.271 395.130 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 401.610 Td /F1 9.8 Tf [(26 \(3%\))] TJ ET 0.267 0.267 0.267 rg 531.212 413.280 49.663 0.750 re f 531.212 395.130 0.750 18.900 re f 580.125 395.130 0.750 18.900 re f 26.625 395.130 144.237 0.750 re f 26.625 376.980 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 383.460 Td /F1 9.8 Tf [(South East Asian)] TJ ET 0.267 0.267 0.267 rg 170.112 395.130 77.953 0.750 re f 170.112 376.980 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 383.460 Td /F1 9.8 Tf [(47 \(7%\))] TJ ET 0.267 0.267 0.267 rg 247.315 395.130 87.097 0.750 re f 247.315 376.980 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 383.460 Td /F1 9.8 Tf [(137 \(10%\))] TJ ET 0.267 0.267 0.267 rg 333.662 395.130 104.359 0.750 re f 333.662 376.980 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 383.460 Td /F1 9.8 Tf [(229 \(19%\))] TJ ET 0.267 0.267 0.267 rg 437.271 395.130 94.691 0.750 re f 437.271 376.980 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 383.460 Td /F1 9.8 Tf [(264 \(33%\))] TJ ET 0.267 0.267 0.267 rg 531.212 395.130 49.663 0.750 re f 531.212 376.980 0.750 18.900 re f 580.125 376.980 0.750 18.900 re f 26.625 376.980 144.237 0.750 re f 26.625 358.830 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 365.310 Td /F1 9.8 Tf [(Western Pacific)] TJ ET 0.267 0.267 0.267 rg 170.112 376.980 77.953 0.750 re f 170.112 358.830 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 365.310 Td /F1 9.8 Tf [(124 \(18%\))] TJ ET 0.267 0.267 0.267 rg 247.315 376.980 87.097 0.750 re f 247.315 358.830 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 365.310 Td /F1 9.8 Tf [(238 \(18%\))] TJ ET 0.267 0.267 0.267 rg 333.662 376.980 104.359 0.750 re f 333.662 358.830 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 365.310 Td /F1 9.8 Tf [(299 \(24%\))] TJ ET 0.267 0.267 0.267 rg 437.271 376.980 94.691 0.750 re f 437.271 358.830 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 365.310 Td /F1 9.8 Tf [(262 \(32%\))] TJ ET 0.267 0.267 0.267 rg 531.212 376.980 49.663 0.750 re f 531.212 358.830 0.750 18.900 re f 580.125 358.830 0.750 18.900 re f 26.625 358.830 144.237 0.750 re f 26.625 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 31.875 347.160 Td /F4 9.8 Tf [(Gross Domestic )] TJ ET BT 31.875 337.260 Td /F4 9.8 Tf [(Product, per capita, )] TJ ET BT 31.875 327.360 Td /F4 9.8 Tf [(mean \(SD\), \(n=4,089\))] TJ ET 0.267 0.267 0.267 rg 170.112 358.830 77.953 0.750 re f 170.112 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 175.362 347.160 Td /F1 9.8 Tf [(14,827 )] TJ ET BT 175.362 337.260 Td /F1 9.8 Tf [(\(18,077\))] TJ ET 0.267 0.267 0.267 rg 247.315 358.830 87.097 0.750 re f 247.315 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 252.565 347.160 Td /F1 9.8 Tf [(14,330 )] TJ ET BT 252.565 337.260 Td /F1 9.8 Tf [(\(17,710\))] TJ ET 0.267 0.267 0.267 rg 333.662 358.830 104.359 0.750 re f 333.662 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 338.912 347.160 Td /F1 9.8 Tf [(1,457\(12,563\))] TJ ET 0.267 0.267 0.267 rg 437.271 358.830 94.691 0.750 re f 437.271 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 442.521 347.160 Td /F1 9.8 Tf [(3,325\(6,518\))] TJ ET 0.267 0.267 0.267 rg 531.212 358.830 49.663 0.750 re f 531.212 320.880 0.750 38.700 re f 580.125 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 536.462 347.160 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 320.880 144.237 0.750 re f 26.625 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 309.210 Td /F4 9.8 Tf [(GINI,* mean \(SD\), )] TJ ET BT 31.875 299.310 Td /F4 9.8 Tf [(\(n=3,830\))] TJ ET 0.267 0.267 0.267 rg 170.112 320.880 77.953 0.750 re f 170.112 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 175.362 309.210 Td /F1 9.8 Tf [(40.2 \(7.6\))] TJ ET 0.267 0.267 0.267 rg 247.315 320.880 87.097 0.750 re f 247.315 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 252.565 309.210 Td /F1 9.8 Tf [(41.0 \(7.7\))] TJ ET 0.267 0.267 0.267 rg 333.662 320.880 104.359 0.750 re f 333.662 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 338.912 309.210 Td /F1 9.8 Tf [(41.7 \(7.9\))] TJ ET 0.267 0.267 0.267 rg 437.271 320.880 94.691 0.750 re f 437.271 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 442.521 309.210 Td /F1 9.8 Tf [(41.3 \(7.1\))] TJ ET 0.267 0.267 0.267 rg 531.212 320.880 49.663 0.750 re f 531.212 292.830 0.750 28.800 re f 580.125 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 536.462 309.210 Td /F1 9.8 Tf [(0.004)] TJ ET 0.267 0.267 0.267 rg 26.625 292.830 144.237 0.750 re f 26.625 264.780 144.237 0.750 re f 26.625 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 281.160 Td /F4 9.8 Tf [(Magnitude,** mean )] TJ ET BT 31.875 271.260 Td /F4 9.8 Tf [(\(SD\), \(n=2911\))] TJ ET 0.267 0.267 0.267 rg 170.112 292.830 77.953 0.750 re f 170.112 264.780 77.953 0.750 re f 170.112 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 175.362 281.160 Td /F1 9.8 Tf [(4.8 \(1.2\))] TJ ET 0.267 0.267 0.267 rg 247.315 292.830 87.097 0.750 re f 247.315 264.780 87.097 0.750 re f 247.315 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 252.565 281.160 Td /F1 9.8 Tf [(4.9 \(1.1\))] TJ ET 0.267 0.267 0.267 rg 333.662 292.830 104.359 0.750 re f 333.662 264.780 104.359 0.750 re f 333.662 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 338.912 281.160 Td /F1 9.8 Tf [(5.3 \(1.0\))] TJ ET 0.267 0.267 0.267 rg 437.271 292.830 94.691 0.750 re f 437.271 264.780 94.691 0.750 re f 437.271 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 442.521 281.160 Td /F1 9.8 Tf [(6.0 \(1.1\))] TJ ET 0.267 0.267 0.267 rg 531.212 292.830 49.663 0.750 re f 531.212 264.780 49.663 0.750 re f 531.212 264.780 0.750 28.800 re f 580.125 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 536.462 281.160 Td /F1 9.8 Tf [(<.001)] TJ ET BT 26.250 214.550 Td /F1 9.8 Tf [(Findings from the adjusted analyses \(Table 5\) modeling the relative risk of flood related mortality show that all )] TJ ET BT 26.250 199.106 Td /F1 9.8 Tf [(predictors were significantly associated with flood mortality. The relative risk of medium- and high-level )] TJ ET BT 26.250 183.662 Td /F1 9.8 Tf [(mortality events compared to events with no deaths significantly decreased over time. There was also a )] TJ ET BT 26.250 168.218 Td /F1 9.8 Tf [(significant decreased relative risk of mortality in excess of 50 deaths for events in higher income countries )] TJ ET BT 26.250 152.774 Td /F1 9.8 Tf [(compared with lower income country events. Additionally, as magnitude of a flood increased, so did the risk of )] TJ ET BT 26.250 137.330 Td /F1 9.8 Tf [(having high mortality when adjusting for all other predictors. A flood rated as high magnitude as compared to )] TJ ET BT 26.250 121.886 Td /F1 9.8 Tf [(one with low magnitude was associated with an increased relative risk of having high mortality as compared to )] TJ ET BT 26.250 106.442 Td /F1 9.8 Tf [(no mortality \(RR=13.20, 95% CI 8.25, 22.11\). Caution should be taken when interpreting such findings, )] TJ ET BT 26.250 90.998 Td /F1 9.8 Tf [(however, as magnitude estimates were missing for a large proportion of events, and missing magnitude was )] TJ ET BT 26.250 75.554 Td /F1 9.8 Tf [(associated with the outcome in this study. Regional differences in reported mortality were also supported by the )] TJ ET BT 26.250 60.110 Td /F1 9.8 Tf [(analysis. Higher mortality events were concentrated in the South East Asian and Western Pacific regions, )] TJ ET BT 26.250 44.666 Td /F1 9.8 Tf [(compared to events occurring in the Americas \(Southeast Asia RR=3.35, 95 CI: 2.21, 5.72; Western Pacific )] TJ ET Q q 15.000 26.133 577.500 750.867 re W n q 26.250 759.180 555.000 17.820 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 4: Flood event mortality characteristics, 1980-2009 \(N = 4,093\))] TJ ET Q 0.965 0.965 0.965 rg 26.250 681.618 555.000 70.062 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 751.680 m 581.250 751.680 l 580.500 750.930 l 27.000 750.930 l f 581.250 751.680 m 581.250 681.618 l 580.500 681.618 l 580.500 750.930 l f 26.250 751.680 m 26.250 681.618 l 27.000 681.618 l 27.000 750.930 l f 0.271 0.267 0.267 rg BT 33.000 735.426 Td /F1 9.0 Tf [(*GINI coefficient scores for income distribution range from 0 to 100 with 0 representing a perfect equality and 100 )] TJ ET BT 33.000 722.912 Td /F1 9.0 Tf [(perfect inequality.)] TJ ET 0.267 0.267 0.267 rg BT 115.395 723.450 Td /F4 8.0 Tf [(59)] TJ ET 0.271 0.267 0.267 rg BT 33.000 703.374 Td /F1 9.0 Tf [(** Magnitude is a composite score of flood severity created by DFO that includes flood duration and affected area size, )] TJ ET BT 33.000 691.494 Td /F1 9.0 Tf [(with the following categories: low magnitude,6.0. Flood magnitude is only available for events from 1985 onward.)] TJ ET 1.000 1.000 1.000 rg 26.250 264.405 555.000 417.213 re f 0.965 0.965 0.965 rg 27.000 649.605 143.487 31.263 re f 0.267 0.267 0.267 rg 26.625 680.493 143.862 0.750 re f 26.625 649.230 0.750 32.013 re f 0.271 0.267 0.267 rg BT 31.500 668.513 Td /F4 9.8 Tf [(Characteristic)] TJ ET 0.965 0.965 0.965 rg 170.487 649.605 77.203 31.263 re f 0.267 0.267 0.267 rg 170.487 680.493 77.203 0.750 re f 0.271 0.267 0.267 rg BT 174.987 668.513 Td /F4 9.8 Tf [(No deaths )] TJ ET BT 174.987 653.069 Td /F4 9.8 Tf [(\(n=706\))] TJ ET 0.965 0.965 0.965 rg 247.690 649.605 86.347 31.263 re f 0.267 0.267 0.267 rg 247.690 680.493 86.347 0.750 re f 0.271 0.267 0.267 rg BT 252.190 668.513 Td /F4 9.8 Tf [(1-9 deaths )] TJ ET BT 252.190 653.069 Td /F4 9.8 Tf [(\(n=1,378\))] TJ ET 0.965 0.965 0.965 rg 334.037 649.605 103.609 31.263 re f 0.267 0.267 0.267 rg 334.037 680.493 103.609 0.750 re f 0.271 0.267 0.267 rg BT 338.537 668.513 Td /F4 9.8 Tf [(10-49 deaths )] TJ ET BT 338.537 653.069 Td /F4 9.8 Tf [(\(n=1,223\))] TJ ET 0.965 0.965 0.965 rg 437.646 649.605 93.941 31.263 re f 0.267 0.267 0.267 rg 437.646 680.493 93.941 0.750 re f 0.271 0.267 0.267 rg BT 442.146 668.513 Td /F4 9.8 Tf [(>50 deaths )] TJ ET BT 442.146 653.069 Td /F4 9.8 Tf [(\(n=785\))] TJ ET 0.965 0.965 0.965 rg 531.587 649.605 48.913 31.263 re f 0.267 0.267 0.267 rg 531.587 680.493 49.288 0.750 re f 580.125 649.230 0.750 32.013 re f 0.271 0.267 0.267 rg BT 536.087 668.513 Td /F4 9.8 Tf [(P-)] TJ ET BT 536.087 653.069 Td /F4 9.8 Tf [(value)] TJ ET 0.267 0.267 0.267 rg 26.625 649.230 143.862 0.750 re f 170.487 649.230 77.203 0.750 re f 247.690 649.230 86.347 0.750 re f 334.037 649.230 103.609 0.750 re f 437.646 649.230 93.941 0.750 re f 531.587 649.230 49.288 0.750 re f 26.625 631.080 0.750 18.900 re f 580.125 631.080 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 637.560 Td /F4 9.8 Tf [(Decade, N \(%\))] TJ ET 0.267 0.267 0.267 rg 26.625 631.080 144.237 0.750 re f 26.625 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 619.410 Td /F1 9.8 Tf [(1980)] TJ ET 0.267 0.267 0.267 rg 170.112 631.080 77.953 0.750 re f 170.112 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 619.410 Td /F1 9.8 Tf [(121 \(17%\))] TJ ET 0.267 0.267 0.267 rg 247.315 631.080 87.097 0.750 re f 247.315 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 619.410 Td /F1 9.8 Tf [(149 \(11%\))] TJ ET 0.267 0.267 0.267 rg 333.662 631.080 104.359 0.750 re f 333.662 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 619.410 Td /F1 9.8 Tf [(212 \(17%\))] TJ ET 0.267 0.267 0.267 rg 437.271 631.080 94.691 0.750 re f 437.271 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 619.410 Td /F1 9.8 Tf [(205 \(26%\))] TJ ET 0.267 0.267 0.267 rg 531.212 631.080 49.663 0.750 re f 531.212 612.930 0.750 18.900 re f 580.125 612.930 0.750 18.900 re f 0.271 0.267 0.267 rg BT 536.462 619.410 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 612.930 144.237 0.750 re f 26.625 594.780 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 601.260 Td /F1 9.8 Tf [(1990)] TJ ET 0.267 0.267 0.267 rg 170.112 612.930 77.953 0.750 re f 170.112 594.780 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 601.260 Td /F1 9.8 Tf [(191 \(27%\))] TJ ET 0.267 0.267 0.267 rg 247.315 612.930 87.097 0.750 re f 247.315 594.780 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 601.260 Td /F1 9.8 Tf [(418 \(30%\))] TJ ET 0.267 0.267 0.267 rg 333.662 612.930 104.359 0.750 re f 333.662 594.780 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 601.260 Td /F1 9.8 Tf [(437 \(35%\))] TJ ET 0.267 0.267 0.267 rg 437.271 612.930 94.691 0.750 re f 437.271 594.780 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 601.260 Td /F1 9.8 Tf [(317 \(40%\))] TJ ET 0.267 0.267 0.267 rg 531.212 612.930 49.663 0.750 re f 531.212 594.780 0.750 18.900 re f 580.125 594.780 0.750 18.900 re f 26.625 594.780 144.237 0.750 re f 26.625 576.630 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 583.110 Td /F1 9.8 Tf [(2000)] TJ ET 0.267 0.267 0.267 rg 170.112 594.780 77.953 0.750 re f 170.112 576.630 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 583.110 Td /F1 9.8 Tf [(394 \(55%\))] TJ ET 0.267 0.267 0.267 rg 247.315 594.780 87.097 0.750 re f 247.315 576.630 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 583.110 Td /F1 9.8 Tf [(811 \(58\))] TJ ET 0.267 0.267 0.267 rg 333.662 594.780 104.359 0.750 re f 333.662 576.630 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 583.110 Td /F1 9.8 Tf [(574 \(45%\))] TJ ET 0.267 0.267 0.267 rg 437.271 594.780 94.691 0.750 re f 437.271 576.630 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 583.110 Td /F1 9.8 Tf [(263 \(33%\))] TJ ET 0.267 0.267 0.267 rg 531.212 594.780 49.663 0.750 re f 531.212 576.630 0.750 18.900 re f 580.125 576.630 0.750 18.900 re f 26.625 576.630 143.862 0.750 re f 170.487 576.630 77.203 0.750 re f 247.690 576.630 86.347 0.750 re f 334.037 576.630 103.609 0.750 re f 437.646 576.630 93.941 0.750 re f 531.587 576.630 49.288 0.750 re f 26.625 558.480 0.750 18.900 re f 580.125 558.480 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 564.960 Td /F4 9.8 Tf [(World Bank Development Level, N \(%\))] TJ ET 0.267 0.267 0.267 rg 26.625 558.480 144.237 0.750 re f 26.625 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 546.810 Td /F1 9.8 Tf [(Low income)] TJ ET 0.267 0.267 0.267 rg 170.112 558.480 77.953 0.750 re f 170.112 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 546.810 Td /F1 9.8 Tf [(172\(24%\))] TJ ET 0.267 0.267 0.267 rg 247.315 558.480 87.097 0.750 re f 247.315 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 546.810 Td /F1 9.8 Tf [(263 \(20%\))] TJ ET 0.267 0.267 0.267 rg 333.662 558.480 104.359 0.750 re f 333.662 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 546.810 Td /F1 9.8 Tf [(370 \(30%\))] TJ ET 0.267 0.267 0.267 rg 437.271 558.480 94.691 0.750 re f 437.271 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 546.810 Td /F1 9.8 Tf [(365 \(45%\))] TJ ET 0.267 0.267 0.267 rg 531.212 558.480 49.663 0.750 re f 531.212 540.330 0.750 18.900 re f 580.125 540.330 0.750 18.900 re f 0.271 0.267 0.267 rg BT 536.462 546.810 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 540.330 144.237 0.750 re f 26.625 522.180 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 528.660 Td /F1 9.8 Tf [(Lower Middle income)] TJ ET 0.267 0.267 0.267 rg 170.112 540.330 77.953 0.750 re f 170.112 522.180 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 528.660 Td /F1 9.8 Tf [(164 \(23%\))] TJ ET 0.267 0.267 0.267 rg 247.315 540.330 87.097 0.750 re f 247.315 522.180 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 528.660 Td /F1 9.8 Tf [(395 \(29%\))] TJ ET 0.267 0.267 0.267 rg 333.662 540.330 104.359 0.750 re f 333.662 522.180 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 528.660 Td /F1 9.8 Tf [(465 \(38%\))] TJ ET 0.267 0.267 0.267 rg 437.271 540.330 94.691 0.750 re f 437.271 522.180 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 528.660 Td /F1 9.8 Tf [(328 \(41%\))] TJ ET 0.267 0.267 0.267 rg 531.212 540.330 49.663 0.750 re f 531.212 522.180 0.750 18.900 re f 580.125 522.180 0.750 18.900 re f 26.625 522.180 144.237 0.750 re f 26.625 504.030 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 510.510 Td /F1 9.8 Tf [(Upper-middle income)] TJ ET 0.267 0.267 0.267 rg 170.112 522.180 77.953 0.750 re f 170.112 504.030 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 510.510 Td /F1 9.8 Tf [(142 \(20%\))] TJ ET 0.267 0.267 0.267 rg 247.315 522.180 87.097 0.750 re f 247.315 504.030 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 510.510 Td /F1 9.8 Tf [(276 \(21%\))] TJ ET 0.267 0.267 0.267 rg 333.662 522.180 104.359 0.750 re f 333.662 504.030 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 510.510 Td /F1 9.8 Tf [(219 \(18%\))] TJ ET 0.267 0.267 0.267 rg 437.271 522.180 94.691 0.750 re f 437.271 504.030 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 510.510 Td /F1 9.8 Tf [(79 \(10%\))] TJ ET 0.267 0.267 0.267 rg 531.212 522.180 49.663 0.750 re f 531.212 504.030 0.750 18.900 re f 580.125 504.030 0.750 18.900 re f 26.625 504.030 144.237 0.750 re f 26.625 485.880 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 492.360 Td /F1 9.8 Tf [(High Income)] TJ ET 0.267 0.267 0.267 rg 170.112 504.030 77.953 0.750 re f 170.112 485.880 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 492.360 Td /F1 9.8 Tf [(227 \(32%\))] TJ ET 0.267 0.267 0.267 rg 247.315 504.030 87.097 0.750 re f 247.315 485.880 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 492.360 Td /F1 9.8 Tf [(408 \(30%\))] TJ ET 0.267 0.267 0.267 rg 333.662 504.030 104.359 0.750 re f 333.662 485.880 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 492.360 Td /F1 9.8 Tf [(176 \(14%\))] TJ ET 0.267 0.267 0.267 rg 437.271 504.030 94.691 0.750 re f 437.271 485.880 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 492.360 Td /F1 9.8 Tf [(33 \(4%\))] TJ ET 0.267 0.267 0.267 rg 531.212 504.030 49.663 0.750 re f 531.212 485.880 0.750 18.900 re f 580.125 485.880 0.750 18.900 re f 26.625 485.880 143.862 0.750 re f 170.487 485.880 77.203 0.750 re f 247.690 485.880 86.347 0.750 re f 334.037 485.880 103.609 0.750 re f 437.646 485.880 93.941 0.750 re f 531.587 485.880 49.288 0.750 re f 26.625 467.730 0.750 18.900 re f 580.125 467.730 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 474.210 Td /F4 9.8 Tf [(World Health Organization Region, N \(%\))] TJ ET 0.267 0.267 0.267 rg 26.625 467.730 144.237 0.750 re f 26.625 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 456.060 Td /F1 9.8 Tf [(Africa)] TJ ET 0.267 0.267 0.267 rg 170.112 467.730 77.953 0.750 re f 170.112 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 456.060 Td /F1 9.8 Tf [(139 \(20%\))] TJ ET 0.267 0.267 0.267 rg 247.315 467.730 87.097 0.750 re f 247.315 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 456.060 Td /F1 9.8 Tf [(228 \(17%\))] TJ ET 0.267 0.267 0.267 rg 333.662 467.730 104.359 0.750 re f 333.662 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 456.060 Td /F1 9.8 Tf [(157 \(13%\))] TJ ET 0.267 0.267 0.267 rg 437.271 467.730 94.691 0.750 re f 437.271 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 456.060 Td /F1 9.8 Tf [(73 \(8%\))] TJ ET 0.267 0.267 0.267 rg 531.212 467.730 49.663 0.750 re f 531.212 449.580 0.750 18.900 re f 580.125 449.580 0.750 18.900 re f 0.271 0.267 0.267 rg BT 536.462 456.060 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 449.580 144.237 0.750 re f 26.625 431.430 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 437.910 Td /F1 9.8 Tf [(Americas)] TJ ET 0.267 0.267 0.267 rg 170.112 449.580 77.953 0.750 re f 170.112 431.430 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 437.910 Td /F1 9.8 Tf [(182 \(26%\))] TJ ET 0.267 0.267 0.267 rg 247.315 449.580 87.097 0.750 re f 247.315 431.430 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 437.910 Td /F1 9.8 Tf [(387 \(29%\))] TJ ET 0.267 0.267 0.267 rg 333.662 449.580 104.359 0.750 re f 333.662 431.430 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 437.910 Td /F1 9.8 Tf [(293 \(24%\))] TJ ET 0.267 0.267 0.267 rg 437.271 449.580 94.691 0.750 re f 437.271 431.430 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 437.910 Td /F1 9.8 Tf [(122\(15%\))] TJ ET 0.267 0.267 0.267 rg 531.212 449.580 49.663 0.750 re f 531.212 431.430 0.750 18.900 re f 580.125 431.430 0.750 18.900 re f 26.625 431.430 144.237 0.750 re f 26.625 413.280 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 419.760 Td /F1 9.8 Tf [(Eastern Mediterranean)] TJ ET 0.267 0.267 0.267 rg 170.112 431.430 77.953 0.750 re f 170.112 413.280 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 419.760 Td /F1 9.8 Tf [(46 \(6%\))] TJ ET 0.267 0.267 0.267 rg 247.315 431.430 87.097 0.750 re f 247.315 413.280 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 419.760 Td /F1 9.8 Tf [(107 \(8%\))] TJ ET 0.267 0.267 0.267 rg 333.662 431.430 104.359 0.750 re f 333.662 413.280 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 419.760 Td /F1 9.8 Tf [(147 \(12%\))] TJ ET 0.267 0.267 0.267 rg 437.271 431.430 94.691 0.750 re f 437.271 413.280 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 419.760 Td /F1 9.8 Tf [(74 \(9%\))] TJ ET 0.267 0.267 0.267 rg 531.212 431.430 49.663 0.750 re f 531.212 413.280 0.750 18.900 re f 580.125 413.280 0.750 18.900 re f 26.625 413.280 144.237 0.750 re f 26.625 395.130 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 401.610 Td /F1 9.8 Tf [(European)] TJ ET 0.267 0.267 0.267 rg 170.112 413.280 77.953 0.750 re f 170.112 395.130 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 401.610 Td /F1 9.8 Tf [(171 \(23%\))] TJ ET 0.267 0.267 0.267 rg 247.315 413.280 87.097 0.750 re f 247.315 395.130 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 401.610 Td /F1 9.8 Tf [(246 \(18%\))] TJ ET 0.267 0.267 0.267 rg 333.662 413.280 104.359 0.750 re f 333.662 395.130 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 401.610 Td /F1 9.8 Tf [(104 \(9%\))] TJ ET 0.267 0.267 0.267 rg 437.271 413.280 94.691 0.750 re f 437.271 395.130 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 401.610 Td /F1 9.8 Tf [(26 \(3%\))] TJ ET 0.267 0.267 0.267 rg 531.212 413.280 49.663 0.750 re f 531.212 395.130 0.750 18.900 re f 580.125 395.130 0.750 18.900 re f 26.625 395.130 144.237 0.750 re f 26.625 376.980 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 383.460 Td /F1 9.8 Tf [(South East Asian)] TJ ET 0.267 0.267 0.267 rg 170.112 395.130 77.953 0.750 re f 170.112 376.980 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 383.460 Td /F1 9.8 Tf [(47 \(7%\))] TJ ET 0.267 0.267 0.267 rg 247.315 395.130 87.097 0.750 re f 247.315 376.980 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 383.460 Td /F1 9.8 Tf [(137 \(10%\))] TJ ET 0.267 0.267 0.267 rg 333.662 395.130 104.359 0.750 re f 333.662 376.980 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 383.460 Td /F1 9.8 Tf [(229 \(19%\))] TJ ET 0.267 0.267 0.267 rg 437.271 395.130 94.691 0.750 re f 437.271 376.980 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 383.460 Td /F1 9.8 Tf [(264 \(33%\))] TJ ET 0.267 0.267 0.267 rg 531.212 395.130 49.663 0.750 re f 531.212 376.980 0.750 18.900 re f 580.125 376.980 0.750 18.900 re f 26.625 376.980 144.237 0.750 re f 26.625 358.830 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 365.310 Td /F1 9.8 Tf [(Western Pacific)] TJ ET 0.267 0.267 0.267 rg 170.112 376.980 77.953 0.750 re f 170.112 358.830 0.750 18.900 re f 0.271 0.267 0.267 rg BT 175.362 365.310 Td /F1 9.8 Tf [(124 \(18%\))] TJ ET 0.267 0.267 0.267 rg 247.315 376.980 87.097 0.750 re f 247.315 358.830 0.750 18.900 re f 0.271 0.267 0.267 rg BT 252.565 365.310 Td /F1 9.8 Tf [(238 \(18%\))] TJ ET 0.267 0.267 0.267 rg 333.662 376.980 104.359 0.750 re f 333.662 358.830 0.750 18.900 re f 0.271 0.267 0.267 rg BT 338.912 365.310 Td /F1 9.8 Tf [(299 \(24%\))] TJ ET 0.267 0.267 0.267 rg 437.271 376.980 94.691 0.750 re f 437.271 358.830 0.750 18.900 re f 0.271 0.267 0.267 rg BT 442.521 365.310 Td /F1 9.8 Tf [(262 \(32%\))] TJ ET 0.267 0.267 0.267 rg 531.212 376.980 49.663 0.750 re f 531.212 358.830 0.750 18.900 re f 580.125 358.830 0.750 18.900 re f 26.625 358.830 144.237 0.750 re f 26.625 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 31.875 347.160 Td /F4 9.8 Tf [(Gross Domestic )] TJ ET BT 31.875 337.260 Td /F4 9.8 Tf [(Product, per capita, )] TJ ET BT 31.875 327.360 Td /F4 9.8 Tf [(mean \(SD\), \(n=4,089\))] TJ ET 0.267 0.267 0.267 rg 170.112 358.830 77.953 0.750 re f 170.112 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 175.362 347.160 Td /F1 9.8 Tf [(14,827 )] TJ ET BT 175.362 337.260 Td /F1 9.8 Tf [(\(18,077\))] TJ ET 0.267 0.267 0.267 rg 247.315 358.830 87.097 0.750 re f 247.315 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 252.565 347.160 Td /F1 9.8 Tf [(14,330 )] TJ ET BT 252.565 337.260 Td /F1 9.8 Tf [(\(17,710\))] TJ ET 0.267 0.267 0.267 rg 333.662 358.830 104.359 0.750 re f 333.662 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 338.912 347.160 Td /F1 9.8 Tf [(1,457\(12,563\))] TJ ET 0.267 0.267 0.267 rg 437.271 358.830 94.691 0.750 re f 437.271 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 442.521 347.160 Td /F1 9.8 Tf [(3,325\(6,518\))] TJ ET 0.267 0.267 0.267 rg 531.212 358.830 49.663 0.750 re f 531.212 320.880 0.750 38.700 re f 580.125 320.880 0.750 38.700 re f 0.271 0.267 0.267 rg BT 536.462 347.160 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 320.880 144.237 0.750 re f 26.625 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 309.210 Td /F4 9.8 Tf [(GINI,* mean \(SD\), )] TJ ET BT 31.875 299.310 Td /F4 9.8 Tf [(\(n=3,830\))] TJ ET 0.267 0.267 0.267 rg 170.112 320.880 77.953 0.750 re f 170.112 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 175.362 309.210 Td /F1 9.8 Tf [(40.2 \(7.6\))] TJ ET 0.267 0.267 0.267 rg 247.315 320.880 87.097 0.750 re f 247.315 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 252.565 309.210 Td /F1 9.8 Tf [(41.0 \(7.7\))] TJ ET 0.267 0.267 0.267 rg 333.662 320.880 104.359 0.750 re f 333.662 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 338.912 309.210 Td /F1 9.8 Tf [(41.7 \(7.9\))] TJ ET 0.267 0.267 0.267 rg 437.271 320.880 94.691 0.750 re f 437.271 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 442.521 309.210 Td /F1 9.8 Tf [(41.3 \(7.1\))] TJ ET 0.267 0.267 0.267 rg 531.212 320.880 49.663 0.750 re f 531.212 292.830 0.750 28.800 re f 580.125 292.830 0.750 28.800 re f 0.271 0.267 0.267 rg BT 536.462 309.210 Td /F1 9.8 Tf [(0.004)] TJ ET 0.267 0.267 0.267 rg 26.625 292.830 144.237 0.750 re f 26.625 264.780 144.237 0.750 re f 26.625 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 281.160 Td /F4 9.8 Tf [(Magnitude,** mean )] TJ ET BT 31.875 271.260 Td /F4 9.8 Tf [(\(SD\), \(n=2911\))] TJ ET 0.267 0.267 0.267 rg 170.112 292.830 77.953 0.750 re f 170.112 264.780 77.953 0.750 re f 170.112 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 175.362 281.160 Td /F1 9.8 Tf [(4.8 \(1.2\))] TJ ET 0.267 0.267 0.267 rg 247.315 292.830 87.097 0.750 re f 247.315 264.780 87.097 0.750 re f 247.315 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 252.565 281.160 Td /F1 9.8 Tf [(4.9 \(1.1\))] TJ ET 0.267 0.267 0.267 rg 333.662 292.830 104.359 0.750 re f 333.662 264.780 104.359 0.750 re f 333.662 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 338.912 281.160 Td /F1 9.8 Tf [(5.3 \(1.0\))] TJ ET 0.267 0.267 0.267 rg 437.271 292.830 94.691 0.750 re f 437.271 264.780 94.691 0.750 re f 437.271 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 442.521 281.160 Td /F1 9.8 Tf [(6.0 \(1.1\))] TJ ET 0.267 0.267 0.267 rg 531.212 292.830 49.663 0.750 re f 531.212 264.780 49.663 0.750 re f 531.212 264.780 0.750 28.800 re f 580.125 264.780 0.750 28.800 re f 0.271 0.267 0.267 rg BT 536.462 281.160 Td /F1 9.8 Tf [(<.001)] TJ ET BT 26.250 214.550 Td /F1 9.8 Tf [(Findings from the adjusted analyses \(Table 5\) modeling the relative risk of flood related mortality show that all )] TJ ET BT 26.250 199.106 Td /F1 9.8 Tf [(predictors were significantly associated with flood mortality. The relative risk of medium- and high-level )] TJ ET BT 26.250 183.662 Td /F1 9.8 Tf [(mortality events compared to events with no deaths significantly decreased over time. There was also a )] TJ ET BT 26.250 168.218 Td /F1 9.8 Tf [(significant decreased relative risk of mortality in excess of 50 deaths for events in higher income countries )] TJ ET BT 26.250 152.774 Td /F1 9.8 Tf [(compared with lower income country events. Additionally, as magnitude of a flood increased, so did the risk of )] TJ ET BT 26.250 137.330 Td /F1 9.8 Tf [(having high mortality when adjusting for all other predictors. A flood rated as high magnitude as compared to )] TJ ET BT 26.250 121.886 Td /F1 9.8 Tf [(one with low magnitude was associated with an increased relative risk of having high mortality as compared to )] TJ ET BT 26.250 106.442 Td /F1 9.8 Tf [(no mortality \(RR=13.20, 95% CI 8.25, 22.11\). Caution should be taken when interpreting such findings, )] TJ ET BT 26.250 90.998 Td /F1 9.8 Tf [(however, as magnitude estimates were missing for a large proportion of events, and missing magnitude was )] TJ ET BT 26.250 75.554 Td /F1 9.8 Tf [(associated with the outcome in this study. Regional differences in reported mortality were also supported by the )] TJ ET BT 26.250 60.110 Td /F1 9.8 Tf [(analysis. Higher mortality events were concentrated in the South East Asian and Western Pacific regions, )] TJ ET BT 26.250 44.666 Td /F1 9.8 Tf [(compared to events occurring in the Americas \(Southeast Asia RR=3.35, 95 CI: 2.21, 5.72; Western Pacific )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(17)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 516 0 obj << /Type /Annot /Subtype /Link /A 517 0 R /Border [0 0 0] /H /I /Rect [ 115.3950 722.4900 126.5310 733.0500 ] >> endobj 517 0 obj << /Type /Action >> endobj 518 0 obj << /Type /Annot /Subtype /Link /A 519 0 R /Border [0 0 0] /H /I /Rect [ 115.3950 722.4900 126.5310 733.0500 ] >> endobj 519 0 obj << /Type /Action >> endobj 520 0 obj << /Type /Annot /Subtype /Link /A 521 0 R /Border [0 0 0] /H /I /Rect [ 115.3950 722.4900 126.5310 733.0500 ] >> endobj 521 0 obj << /Type /Action >> endobj 522 0 obj << /Type /Page /Parent 3 0 R /Contents 523 0 R >> endobj 523 0 obj << /Length 696 >> stream 0.271 0.267 0.267 rg 0.267 0.267 0.267 RG q 15.000 754.056 577.500 22.944 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(RR=2.38, 95 CI: 1.62, 3.34\).)] TJ ET Q q 15.000 754.056 577.500 22.944 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(RR=2.38, 95 CI: 1.62, 3.34\).)] TJ ET Q q 15.000 754.056 577.500 22.944 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(RR=2.38, 95 CI: 1.62, 3.34\).)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(18)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 524 0 obj << /Type /Page /Parent 3 0 R /Annots [ 526 0 R 528 0 R 530 0 R 532 0 R 534 0 R 536 0 R 538 0 R 540 0 R 542 0 R 544 0 R 546 0 R 548 0 R 550 0 R 552 0 R 554 0 R 556 0 R 558 0 R 560 0 R 562 0 R 564 0 R 566 0 R 568 0 R 570 0 R 572 0 R 574 0 R 576 0 R 578 0 R 580 0 R 582 0 R 584 0 R 586 0 R 588 0 R 590 0 R 592 0 R 594 0 R 596 0 R 598 0 R 600 0 R 602 0 R 604 0 R 606 0 R 608 0 R 610 0 R 612 0 R 614 0 R 616 0 R 618 0 R 620 0 R 622 0 R 624 0 R 626 0 R 628 0 R 630 0 R 632 0 R 634 0 R 636 0 R 638 0 R 640 0 R 642 0 R 644 0 R 646 0 R 648 0 R 650 0 R ] /Contents 525 0 R >> endobj 525 0 obj << /Length 91839 >> stream 0.271 0.267 0.267 rg q 15.000 62.391 577.500 714.609 re W n q 26.250 759.180 555.000 17.820 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 5: Multinomial logistic regression results for mortality in flood events, 1980-2009 \(N =4,093\)*)] TJ ET Q 0.965 0.965 0.965 rg 26.250 725.550 555.000 26.130 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 751.680 m 581.250 751.680 l 580.500 750.930 l 27.000 750.930 l f 581.250 751.680 m 581.250 725.550 l 580.500 725.550 l 580.500 750.930 l f 26.250 751.680 m 26.250 725.550 l 27.000 725.550 l 27.000 750.930 l f 0.271 0.267 0.267 rg BT 33.000 735.426 Td /F1 9.0 Tf [(* Reference is no deaths  for all categories \(n=743\) **see Table 4 notes for definition of flood magnitude)] TJ ET 1.000 1.000 1.000 rg 26.250 253.887 555.000 471.663 re f 0.965 0.965 0.965 rg 27.000 693.537 109.230 31.263 re f 0.267 0.267 0.267 rg 26.625 724.425 109.605 0.750 re f 26.625 693.162 0.750 32.013 re f 0.271 0.267 0.267 rg BT 31.500 712.445 Td /F4 9.8 Tf [(Characteristic)] TJ ET 0.965 0.965 0.965 rg 136.230 693.537 96.089 31.263 re f 0.267 0.267 0.267 rg 136.230 724.425 96.089 0.750 re f 0.271 0.267 0.267 rg BT 140.730 712.445 Td /F4 9.8 Tf [(1-9 deaths )] TJ ET BT 140.730 697.001 Td /F4 9.8 Tf [(COR \(95% CI\))] TJ ET 0.965 0.965 0.965 rg 232.318 693.537 54.165 31.263 re f 0.267 0.267 0.267 rg 232.318 724.425 54.165 0.750 re f 0.271 0.267 0.267 rg BT 236.818 712.445 Td /F4 9.8 Tf [(P- value)] TJ ET 0.965 0.965 0.965 rg 286.483 693.537 89.400 31.263 re f 0.267 0.267 0.267 rg 286.483 724.425 89.400 0.750 re f 0.271 0.267 0.267 rg BT 290.983 712.445 Td /F4 9.8 Tf [(10-49 deaths )] TJ ET BT 290.983 697.001 Td /F4 9.8 Tf [(COR \(95% CI\))] TJ ET 0.965 0.965 0.965 rg 375.883 693.537 54.165 31.263 re f 0.267 0.267 0.267 rg 375.883 724.425 54.165 0.750 re f 0.271 0.267 0.267 rg BT 380.383 712.445 Td /F4 9.8 Tf [(P- value)] TJ ET 0.965 0.965 0.965 rg 430.048 693.537 97.211 31.263 re f 0.267 0.267 0.267 rg 430.048 724.425 97.211 0.750 re f 0.271 0.267 0.267 rg BT 434.548 712.445 Td /F4 9.8 Tf [(>50 deaths )] TJ ET BT 434.548 697.001 Td /F4 9.8 Tf [(COR \(95% CI\))] TJ ET 0.965 0.965 0.965 rg 527.259 693.537 53.241 31.263 re f 0.267 0.267 0.267 rg 527.259 724.425 53.616 0.750 re f 580.125 693.162 0.750 32.013 re f 0.271 0.267 0.267 rg BT 531.759 712.445 Td /F4 9.8 Tf [(P-value)] TJ ET 0.267 0.267 0.267 rg 26.625 693.162 109.605 0.750 re f 136.230 693.162 96.089 0.750 re f 232.318 693.162 54.165 0.750 re f 286.483 693.162 89.400 0.750 re f 375.883 693.162 54.165 0.750 re f 430.048 693.162 97.211 0.750 re f 527.259 693.162 53.616 0.750 re f 26.625 675.012 0.750 18.900 re f 580.125 675.012 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 681.492 Td /F4 9.8 Tf [(Decade)] TJ ET 0.267 0.267 0.267 rg 26.625 675.012 109.980 0.750 re f 26.625 656.862 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 663.342 Td /F1 9.8 Tf [(1980)] TJ ET 0.267 0.267 0.267 rg 135.855 675.012 96.464 0.750 re f 232.318 675.012 54.540 0.750 re f 135.855 656.862 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 663.342 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 286.108 675.012 89.775 0.750 re f 375.883 675.012 54.540 0.750 re f 286.108 656.862 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 663.342 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 429.673 675.012 97.586 0.750 re f 527.259 675.012 53.616 0.750 re f 429.673 656.862 0.750 18.900 re f 580.125 656.862 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 663.342 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 26.625 656.862 109.980 0.750 re f 26.625 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 645.192 Td /F1 9.8 Tf [(1990)] TJ ET 0.267 0.267 0.267 rg 135.855 656.862 96.839 0.750 re f 135.855 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 645.192 Td /F1 9.8 Tf [(1.09 \(0.87, 1.37\))] TJ ET 0.267 0.267 0.267 rg 231.943 656.862 54.915 0.750 re f 231.943 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 645.192 Td /F1 9.8 Tf [(.426)] TJ ET 0.267 0.267 0.267 rg 286.108 656.862 90.150 0.750 re f 286.108 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 645.192 Td /F1 9.8 Tf [(1.64 \(1.29-2.07\))] TJ ET 0.267 0.267 0.267 rg 375.508 656.862 54.915 0.750 re f 375.508 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 645.192 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 656.862 97.961 0.750 re f 429.673 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 645.192 Td /F1 9.8 Tf [(2.61 \(1.99-3.42\))] TJ ET 0.267 0.267 0.267 rg 526.884 656.862 53.991 0.750 re f 526.884 638.712 0.750 18.900 re f 580.125 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 645.192 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 638.712 109.980 0.750 re f 26.625 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 627.042 Td /F1 9.8 Tf [(2000)] TJ ET 0.267 0.267 0.267 rg 135.855 638.712 96.839 0.750 re f 135.855 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 627.042 Td /F1 9.8 Tf [(0.86 \(0.64, 1.15\))] TJ ET 0.267 0.267 0.267 rg 231.943 638.712 54.915 0.750 re f 231.943 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 627.042 Td /F1 9.8 Tf [(.313)] TJ ET 0.267 0.267 0.267 rg 286.108 638.712 90.150 0.750 re f 286.108 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 627.042 Td /F1 9.8 Tf [(1.85 \(1.39-2.46\))] TJ ET 0.267 0.267 0.267 rg 375.508 638.712 54.915 0.750 re f 375.508 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 627.042 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 638.712 97.961 0.750 re f 429.673 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 627.042 Td /F1 9.8 Tf [(4,46 \(3.22-6.18\))] TJ ET 0.267 0.267 0.267 rg 526.884 638.712 53.991 0.750 re f 526.884 620.562 0.750 18.900 re f 580.125 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 627.042 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 620.562 109.605 0.750 re f 136.230 620.562 96.089 0.750 re f 232.318 620.562 54.165 0.750 re f 286.483 620.562 89.400 0.750 re f 375.883 620.562 54.165 0.750 re f 430.048 620.562 97.211 0.750 re f 527.259 620.562 53.616 0.750 re f 26.625 602.412 0.750 18.900 re f 580.125 602.412 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 608.892 Td /F4 9.8 Tf [(World Health Organization Region)] TJ ET 0.267 0.267 0.267 rg 26.625 602.412 109.980 0.750 re f 26.625 584.262 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 590.742 Td /F1 9.8 Tf [(AMRO)] TJ ET 0.267 0.267 0.267 rg 135.855 602.412 96.464 0.750 re f 232.318 602.412 54.540 0.750 re f 135.855 584.262 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 590.742 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 286.108 602.412 89.775 0.750 re f 375.883 602.412 54.540 0.750 re f 286.108 584.262 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 590.742 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 429.673 602.412 97.586 0.750 re f 527.259 602.412 53.616 0.750 re f 429.673 584.262 0.750 18.900 re f 580.125 584.262 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 590.742 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 26.625 584.262 109.980 0.750 re f 26.625 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 572.592 Td /F1 9.8 Tf [(AFRO)] TJ ET 0.267 0.267 0.267 rg 135.855 584.262 96.839 0.750 re f 135.855 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 572.592 Td /F1 9.8 Tf [(1.09 \(0.76-1.55\))] TJ ET 0.267 0.267 0.267 rg 231.943 584.262 54.915 0.750 re f 231.943 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 572.592 Td /F1 9.8 Tf [(.0.62)] TJ ET 0.267 0.267 0.267 rg 286.108 584.262 90.150 0.750 re f 286.108 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 572.592 Td /F1 9.8 Tf [(0.58 \(0.41-0.84\))] TJ ET 0.267 0.267 0.267 rg 375.508 584.262 54.915 0.750 re f 375.508 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 572.592 Td /F1 9.8 Tf [(.005)] TJ ET 0.267 0.267 0.267 rg 429.673 584.262 97.961 0.750 re f 429.673 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 572.592 Td /F1 9.8 Tf [(0.35 \(0.22-0.56\))] TJ ET 0.267 0.267 0.267 rg 526.884 584.262 53.991 0.750 re f 526.884 566.112 0.750 18.900 re f 580.125 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 572.592 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 566.112 109.980 0.750 re f 26.625 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 554.442 Td /F1 9.8 Tf [(EURO)] TJ ET 0.267 0.267 0.267 rg 135.855 566.112 96.839 0.750 re f 135.855 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 554.442 Td /F1 9.8 Tf [(0.72 \(0.54-0.96\))] TJ ET 0.267 0.267 0.267 rg 231.943 566.112 54.915 0.750 re f 231.943 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 554.442 Td /F1 9.8 Tf [(.024)] TJ ET 0.267 0.267 0.267 rg 286.108 566.112 90.150 0.750 re f 286.108 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 554.442 Td /F1 9.8 Tf [(0.45 \(0.32-0.63\))] TJ ET 0.267 0.267 0.267 rg 375.508 566.112 54.915 0.750 re f 375.508 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 554.442 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 566.112 97.961 0.750 re f 429.673 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 554.442 Td /F1 9.8 Tf [(0.31 \(0.18-0.52\))] TJ ET 0.267 0.267 0.267 rg 526.884 566.112 53.991 0.750 re f 526.884 547.962 0.750 18.900 re f 580.125 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 554.442 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 547.962 109.980 0.750 re f 26.625 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 536.292 Td /F1 9.8 Tf [(EMRO)] TJ ET 0.267 0.267 0.267 rg 135.855 547.962 96.839 0.750 re f 135.855 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 536.292 Td /F1 9.8 Tf [(1.31 \(0.83-2.06\))] TJ ET 0.267 0.267 0.267 rg 231.943 547.962 54.915 0.750 re f 231.943 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 536.292 Td /F1 9.8 Tf [(.240)] TJ ET 0.267 0.267 0.267 rg 286.108 547.962 90.150 0.750 re f 286.108 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 536.292 Td /F1 9.8 Tf [(1.49 \(0.95-2.33\))] TJ ET 0.267 0.267 0.267 rg 375.508 547.962 54.915 0.750 re f 375.508 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 536.292 Td /F1 9.8 Tf [(.082)] TJ ET 0.267 0.267 0.267 rg 429.673 547.962 97.961 0.750 re f 429.673 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 536.292 Td /F1 9.8 Tf [(1.31 \(0.78-2.21\))] TJ ET 0.267 0.267 0.267 rg 526.884 547.962 53.991 0.750 re f 526.884 529.812 0.750 18.900 re f 580.125 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 536.292 Td /F1 9.8 Tf [(.3120)] TJ ET 0.267 0.267 0.267 rg 26.625 529.812 109.980 0.750 re f 26.625 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 518.142 Td /F1 9.8 Tf [(WPRO)] TJ ET 0.267 0.267 0.267 rg 135.855 529.812 96.839 0.750 re f 135.855 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 518.142 Td /F1 9.8 Tf [(0.80\(0.59-1.09\))] TJ ET 0.267 0.267 0.267 rg 231.943 529.812 54.915 0.750 re f 231.943 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 518.142 Td /F1 9.8 Tf [(.165)] TJ ET 0.267 0.267 0.267 rg 286.108 529.812 90.150 0.750 re f 286.108 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 518.142 Td /F1 9.8 Tf [(1.22 \(0.88-1.67\))] TJ ET 0.267 0.267 0.267 rg 375.508 529.812 54.915 0.750 re f 375.508 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 518.142 Td /F1 9.8 Tf [(.217)] TJ ET 0.267 0.267 0.267 rg 429.673 529.812 97.961 0.750 re f 429.673 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 518.142 Td /F1 9.8 Tf [(2.38\(1.62-3.49\))] TJ ET 0.267 0.267 0.267 rg 526.884 529.812 53.991 0.750 re f 526.884 511.662 0.750 18.900 re f 580.125 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 518.142 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 511.662 109.980 0.750 re f 26.625 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 499.992 Td /F1 9.8 Tf [(SEARO)] TJ ET 0.267 0.267 0.267 rg 135.855 511.662 96.839 0.750 re f 135.855 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 499.992 Td /F1 9.8 Tf [(1.61\(1.04-2.49\))] TJ ET 0.267 0.267 0.267 rg 231.943 511.662 54.915 0.750 re f 231.943 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 499.992 Td /F1 9.8 Tf [(.032)] TJ ET 0.267 0.267 0.267 rg 286.108 511.662 90.150 0.750 re f 286.108 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 499.992 Td /F1 9.8 Tf [(2.15 \(1.40-3.29\))] TJ ET 0.267 0.267 0.267 rg 375.508 511.662 54.915 0.750 re f 375.508 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 499.992 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 511.662 97.961 0.750 re f 429.673 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 499.992 Td /F1 9.8 Tf [(3.35 \(2.21-5.72\))] TJ ET 0.267 0.267 0.267 rg 526.884 511.662 53.991 0.750 re f 526.884 493.512 0.750 18.900 re f 580.125 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 499.992 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 493.512 109.605 0.750 re f 136.230 493.512 96.089 0.750 re f 232.318 493.512 54.165 0.750 re f 286.483 493.512 89.400 0.750 re f 375.883 493.512 54.165 0.750 re f 430.048 493.512 97.211 0.750 re f 527.259 493.512 53.616 0.750 re f 26.625 475.362 0.750 18.900 re f 580.125 475.362 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 481.842 Td /F4 9.8 Tf [(World Bank Income Level)] TJ ET 0.267 0.267 0.267 rg 26.625 475.362 109.980 0.750 re f 26.625 457.212 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 463.692 Td /F1 9.8 Tf [(Low)] TJ ET 0.267 0.267 0.267 rg 135.855 475.362 96.464 0.750 re f 232.318 475.362 54.540 0.750 re f 135.855 457.212 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 463.692 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 286.108 475.362 89.775 0.750 re f 375.883 475.362 54.540 0.750 re f 286.108 457.212 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 463.692 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 429.673 475.362 97.586 0.750 re f 527.259 475.362 53.616 0.750 re f 429.673 457.212 0.750 18.900 re f 580.125 457.212 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 463.692 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 26.625 457.212 109.980 0.750 re f 26.625 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 445.542 Td /F1 9.8 Tf [(Lower middle)] TJ ET 0.267 0.267 0.267 rg 135.855 457.212 96.839 0.750 re f 135.855 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 445.542 Td /F1 9.8 Tf [(152 \(1.06-1.92\))] TJ ET 0.267 0.267 0.267 rg 231.943 457.212 54.915 0.750 re f 231.943 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 445.542 Td /F1 9.8 Tf [(0.007)] TJ ET 0.267 0.267 0.267 rg 286.108 457.212 90.150 0.750 re f 286.108 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 445.542 Td /F1 9.8 Tf [(0.99 \(0.74-1.34\))] TJ ET 0.267 0.267 0.267 rg 375.508 457.212 54.915 0.750 re f 375.508 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 445.542 Td /F1 9.8 Tf [(.992)] TJ ET 0.267 0.267 0.267 rg 429.673 457.212 97.961 0.750 re f 429.673 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 445.542 Td /F1 9.8 Tf [(0.59 \(0.43-0.82\))] TJ ET 0.267 0.267 0.267 rg 526.884 457.212 53.991 0.750 re f 526.884 439.062 0.750 18.900 re f 580.125 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 445.542 Td /F1 9.8 Tf [(0.002)] TJ ET 0.267 0.267 0.267 rg 26.625 439.062 109.980 0.750 re f 26.625 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 427.392 Td /F1 9.8 Tf [(Upper middle)] TJ ET 0.267 0.267 0.267 rg 135.855 439.062 96.839 0.750 re f 135.855 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 427.392 Td /F1 9.8 Tf [(1.56 \(1.05-2.13\))] TJ ET 0.267 0.267 0.267 rg 231.943 439.062 54.915 0.750 re f 231.943 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 427.392 Td /F1 9.8 Tf [(0.014)] TJ ET 0.267 0.267 0.267 rg 286.108 439.062 90.150 0.750 re f 286.108 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 427.392 Td /F1 9.8 Tf [(0.90 \(0.62-1.29\))] TJ ET 0.267 0.267 0.267 rg 375.508 439.062 54.915 0.750 re f 375.508 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 427.392 Td /F1 9.8 Tf [(.576)] TJ ET 0.267 0.267 0.267 rg 429.673 439.062 97.961 0.750 re f 429.673 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 427.392 Td /F1 9.8 Tf [(0.39 \(0.24-0.61\))] TJ ET 0.267 0.267 0.267 rg 526.884 439.062 53.991 0.750 re f 526.884 420.912 0.750 18.900 re f 580.125 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 427.392 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 420.912 109.980 0.750 re f 26.625 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 409.242 Td /F1 9.8 Tf [(High)] TJ ET 0.267 0.267 0.267 rg 135.855 420.912 96.839 0.750 re f 135.855 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 409.242 Td /F1 9.8 Tf [(1.16 \(0.86-1.71\))] TJ ET 0.267 0.267 0.267 rg 231.943 420.912 54.915 0.750 re f 231.943 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 409.242 Td /F1 9.8 Tf [(0.400)] TJ ET 0.267 0.267 0.267 rg 286.108 420.912 90.150 0.750 re f 286.108 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 409.242 Td /F1 9.8 Tf [(0.29 \(0.20-0.42\))] TJ ET 0.267 0.267 0.267 rg 375.508 420.912 54.915 0.750 re f 375.508 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 409.242 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 420.912 97.961 0.750 re f 429.673 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 409.242 Td /F1 9.8 Tf [(0.05 \(0.03-0.08\))] TJ ET 0.267 0.267 0.267 rg 526.884 420.912 53.991 0.750 re f 526.884 402.762 0.750 18.900 re f 580.125 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 409.242 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 402.762 109.605 0.750 re f 136.230 402.762 96.089 0.750 re f 232.318 402.762 54.165 0.750 re f 286.483 402.762 89.400 0.750 re f 375.883 402.762 54.165 0.750 re f 430.048 402.762 97.211 0.750 re f 527.259 402.762 53.616 0.750 re f 26.625 384.612 0.750 18.900 re f 580.125 384.612 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 391.092 Td /F4 9.8 Tf [(Flood Magnitude Category**)] TJ ET 0.267 0.267 0.267 rg 26.625 384.612 109.980 0.750 re f 26.625 366.462 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 372.942 Td /F1 9.8 Tf [(Low)] TJ ET 0.267 0.267 0.267 rg 135.855 384.612 96.464 0.750 re f 232.318 384.612 54.540 0.750 re f 135.855 366.462 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 372.942 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 286.108 384.612 89.775 0.750 re f 375.883 384.612 54.540 0.750 re f 286.108 366.462 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 372.942 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 429.673 384.612 97.586 0.750 re f 527.259 384.612 53.616 0.750 re f 429.673 366.462 0.750 18.900 re f 580.125 366.462 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 372.942 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 26.625 366.462 109.980 0.750 re f 26.625 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 354.792 Td /F1 9.8 Tf [(Medium Low)] TJ ET 0.267 0.267 0.267 rg 135.855 366.462 96.839 0.750 re f 135.855 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 141.105 354.792 Td /F1 9.8 Tf [(1.03 \(0.74, 1.44\))] TJ ET 0.267 0.267 0.267 rg 231.943 366.462 54.915 0.750 re f 231.943 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 237.193 354.792 Td /F1 9.8 Tf [(.859)] TJ ET 0.267 0.267 0.267 rg 286.108 366.462 90.150 0.750 re f 286.108 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 291.358 354.792 Td /F1 9.8 Tf [(1.47 \(1.03, )] TJ ET BT 291.358 344.892 Td /F1 9.8 Tf [(2.10\))] TJ ET 0.267 0.267 0.267 rg 375.508 366.462 54.915 0.750 re f 375.508 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 380.758 354.792 Td /F1 9.8 Tf [(.035)] TJ ET 0.267 0.267 0.267 rg 429.673 366.462 97.961 0.750 re f 429.673 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 434.923 354.792 Td /F1 9.8 Tf [(1.52 \(.95, 2.43\))] TJ ET 0.267 0.267 0.267 rg 526.884 366.462 53.991 0.750 re f 526.884 338.412 0.750 28.800 re f 580.125 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 532.134 354.792 Td /F1 9.8 Tf [(.0878)] TJ ET 0.267 0.267 0.267 rg 26.625 338.412 109.980 0.750 re f 26.625 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 326.742 Td /F1 9.8 Tf [(Medium High)] TJ ET 0.267 0.267 0.267 rg 135.855 338.412 96.839 0.750 re f 135.855 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 141.105 326.742 Td /F1 9.8 Tf [(1.19 \(0.85, 1.69\))] TJ ET 0.267 0.267 0.267 rg 231.943 338.412 54.915 0.750 re f 231.943 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 237.193 326.742 Td /F1 9.8 Tf [(.310)] TJ ET 0.267 0.267 0.267 rg 286.108 338.412 90.150 0.750 re f 286.108 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 291.358 326.742 Td /F1 9.8 Tf [(2.19 \(1.50, )] TJ ET BT 291.358 316.842 Td /F1 9.8 Tf [(3.16\))] TJ ET 0.267 0.267 0.267 rg 375.508 338.412 54.915 0.750 re f 375.508 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 380.758 326.742 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 338.412 97.961 0.750 re f 429.673 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 434.923 326.742 Td /F1 9.8 Tf [(3.87 \(2.45, 6.10\))] TJ ET 0.267 0.267 0.267 rg 526.884 338.412 53.991 0.750 re f 526.884 310.362 0.750 28.800 re f 580.125 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 532.134 326.742 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 310.362 109.980 0.750 re f 26.625 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 298.692 Td /F1 9.8 Tf [(High)] TJ ET 0.267 0.267 0.267 rg 135.855 310.362 96.839 0.750 re f 135.855 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 141.105 298.692 Td /F1 9.8 Tf [(0.91 \(0.62, 1.35\))] TJ ET 0.267 0.267 0.267 rg 231.943 310.362 54.915 0.750 re f 231.943 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 237.193 298.692 Td /F1 9.8 Tf [(.664)] TJ ET 0.267 0.267 0.267 rg 286.108 310.362 90.150 0.750 re f 286.108 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 291.358 298.692 Td /F1 9.8 Tf [(2.37 \(1.58, )] TJ ET BT 291.358 288.792 Td /F1 9.8 Tf [(3.55\))] TJ ET 0.267 0.267 0.267 rg 375.508 310.362 54.915 0.750 re f 375.508 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 380.758 298.692 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 310.362 97.961 0.750 re f 429.673 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 434.923 298.692 Td /F1 9.8 Tf [(13.20 \(8.25, )] TJ ET BT 434.923 288.792 Td /F1 9.8 Tf [(21.11\))] TJ ET 0.267 0.267 0.267 rg 526.884 310.362 53.991 0.750 re f 526.884 282.312 0.750 28.800 re f 580.125 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 532.134 298.692 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 282.312 109.980 0.750 re f 26.625 254.262 109.980 0.750 re f 26.625 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 270.642 Td /F1 9.8 Tf [(Missing)] TJ ET 0.267 0.267 0.267 rg 135.855 282.312 96.839 0.750 re f 135.855 254.262 96.839 0.750 re f 135.855 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 141.105 270.642 Td /F1 9.8 Tf [(0.19 \(0.15, 0.25\))] TJ ET 0.267 0.267 0.267 rg 231.943 282.312 54.915 0.750 re f 231.943 254.262 54.915 0.750 re f 231.943 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 237.193 270.642 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 286.108 282.312 90.150 0.750 re f 286.108 254.262 90.150 0.750 re f 286.108 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 291.358 270.642 Td /F1 9.8 Tf [(0.32 \(0.24, )] TJ ET BT 291.358 260.742 Td /F1 9.8 Tf [(0.43\))] TJ ET 0.267 0.267 0.267 rg 375.508 282.312 54.915 0.750 re f 375.508 254.262 54.915 0.750 re f 375.508 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 380.758 270.642 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 282.312 97.961 0.750 re f 429.673 254.262 97.961 0.750 re f 429.673 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 434.923 270.642 Td /F1 9.8 Tf [(0.59 \(0.40, 0.87\))] TJ ET 0.267 0.267 0.267 rg 526.884 282.312 53.991 0.750 re f 526.884 254.262 53.991 0.750 re f 526.884 254.262 0.750 28.800 re f 580.125 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 532.134 270.642 Td /F1 9.8 Tf [(.007)] TJ ET BT 26.250 204.032 Td /F4 9.8 Tf [(Systematic Literature Review)] TJ ET BT 26.250 181.088 Td /F1 9.8 Tf [(Mortality. Fourteen of the reviewed articles reported mortality data including ten that provided information on )] TJ ET BT 26.250 165.644 Td /F1 9.8 Tf [(direct or indirect causes of mortality and/or risk factors for flood-related deaths \(Table 6\) )] TJ ET 0.267 0.267 0.267 rg BT 464.542 167.599 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 476.606 170.688 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 479.362 167.599 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 491.426 170.688 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 494.182 167.599 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 506.246 170.688 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 509.002 167.599 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 521.066 170.688 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 523.822 167.599 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 535.886 170.688 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 538.642 167.599 Td /F4 8.7 Tf [(20)] TJ ET 0.271 0.267 0.267 rg BT 550.706 170.688 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 553.462 167.599 Td /F4 8.7 Tf [(21)] TJ ET 0.271 0.267 0.267 rg BT 565.526 170.688 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 568.282 167.599 Td /F4 8.7 Tf [(22)] TJ ET 0.271 0.267 0.267 rg BT 26.250 155.244 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 29.006 152.155 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 41.070 155.244 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 43.826 152.155 Td /F4 8.7 Tf [(24)] TJ ET 0.271 0.267 0.267 rg BT 55.890 155.244 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 58.646 152.155 Td /F4 8.7 Tf [(25)] TJ ET 0.271 0.267 0.267 rg BT 70.710 155.244 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 73.466 152.155 Td /F4 8.7 Tf [(26)] TJ ET 0.271 0.267 0.267 rg BT 85.530 155.244 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 88.286 152.155 Td /F4 8.7 Tf [(27)] TJ ET 0.271 0.267 0.267 rg BT 100.350 155.244 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 103.106 152.155 Td /F4 8.7 Tf [(28)] TJ ET 0.271 0.267 0.267 rg BT 115.170 150.200 Td /F1 9.8 Tf [( . Most articles provided some information about the distribution of deaths across population )] TJ ET BT 26.250 134.756 Td /F1 9.8 Tf [(subgroups \(i.e. gender, age\) and/or an individual s location at the time of the event; seven of these ten articles )] TJ ET BT 26.250 119.312 Td /F1 9.8 Tf [(reported on floods in the United States. Nearly all articles reporting cause of death cited drowning as the most )] TJ ET BT 26.250 103.868 Td /F1 9.8 Tf [(frequent cause of death )] TJ ET 0.267 0.267 0.267 rg BT 146.624 105.823 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 152.656 108.912 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 155.412 105.823 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 167.476 108.912 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 170.232 105.823 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 182.296 108.912 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 185.052 105.823 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 197.116 108.912 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 199.872 105.823 Td /F4 8.7 Tf [(20)] TJ ET 0.271 0.267 0.267 rg BT 211.936 108.912 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 214.692 105.823 Td /F4 8.7 Tf [(22)] TJ ET 0.271 0.267 0.267 rg BT 226.756 108.912 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 229.512 105.823 Td /F4 8.7 Tf [(29)] TJ ET 0.271 0.267 0.267 rg BT 241.576 103.868 Td /F1 9.8 Tf [( . Cumulatively, drowning accounted for 75% of deaths; other )] TJ ET BT 26.250 88.424 Td /F1 9.8 Tf [(causes of death included falls, electrocution, heart attack, hypothermia, trauma, snake bites, and carbon )] TJ ET BT 26.250 72.980 Td /F1 9.8 Tf [(monoxide poisoning.)] TJ ET Q q 15.000 62.391 577.500 714.609 re W n q 26.250 759.180 555.000 17.820 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 5: Multinomial logistic regression results for mortality in flood events, 1980-2009 \(N =4,093\)*)] TJ ET Q 0.965 0.965 0.965 rg 26.250 725.550 555.000 26.130 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 751.680 m 581.250 751.680 l 580.500 750.930 l 27.000 750.930 l f 581.250 751.680 m 581.250 725.550 l 580.500 725.550 l 580.500 750.930 l f 26.250 751.680 m 26.250 725.550 l 27.000 725.550 l 27.000 750.930 l f 0.271 0.267 0.267 rg BT 33.000 735.426 Td /F1 9.0 Tf [(* Reference is no deaths  for all categories \(n=743\) **see Table 4 notes for definition of flood magnitude)] TJ ET 1.000 1.000 1.000 rg 26.250 253.887 555.000 471.663 re f 0.965 0.965 0.965 rg 27.000 693.537 109.230 31.263 re f 0.267 0.267 0.267 rg 26.625 724.425 109.605 0.750 re f 26.625 693.162 0.750 32.013 re f 0.271 0.267 0.267 rg BT 31.500 712.445 Td /F4 9.8 Tf [(Characteristic)] TJ ET 0.965 0.965 0.965 rg 136.230 693.537 96.089 31.263 re f 0.267 0.267 0.267 rg 136.230 724.425 96.089 0.750 re f 0.271 0.267 0.267 rg BT 140.730 712.445 Td /F4 9.8 Tf [(1-9 deaths )] TJ ET BT 140.730 697.001 Td /F4 9.8 Tf [(COR \(95% CI\))] TJ ET 0.965 0.965 0.965 rg 232.318 693.537 54.165 31.263 re f 0.267 0.267 0.267 rg 232.318 724.425 54.165 0.750 re f 0.271 0.267 0.267 rg BT 236.818 712.445 Td /F4 9.8 Tf [(P- value)] TJ ET 0.965 0.965 0.965 rg 286.483 693.537 89.400 31.263 re f 0.267 0.267 0.267 rg 286.483 724.425 89.400 0.750 re f 0.271 0.267 0.267 rg BT 290.983 712.445 Td /F4 9.8 Tf [(10-49 deaths )] TJ ET BT 290.983 697.001 Td /F4 9.8 Tf [(COR \(95% CI\))] TJ ET 0.965 0.965 0.965 rg 375.883 693.537 54.165 31.263 re f 0.267 0.267 0.267 rg 375.883 724.425 54.165 0.750 re f 0.271 0.267 0.267 rg BT 380.383 712.445 Td /F4 9.8 Tf [(P- value)] TJ ET 0.965 0.965 0.965 rg 430.048 693.537 97.211 31.263 re f 0.267 0.267 0.267 rg 430.048 724.425 97.211 0.750 re f 0.271 0.267 0.267 rg BT 434.548 712.445 Td /F4 9.8 Tf [(>50 deaths )] TJ ET BT 434.548 697.001 Td /F4 9.8 Tf [(COR \(95% CI\))] TJ ET 0.965 0.965 0.965 rg 527.259 693.537 53.241 31.263 re f 0.267 0.267 0.267 rg 527.259 724.425 53.616 0.750 re f 580.125 693.162 0.750 32.013 re f 0.271 0.267 0.267 rg BT 531.759 712.445 Td /F4 9.8 Tf [(P-value)] TJ ET 0.267 0.267 0.267 rg 26.625 693.162 109.605 0.750 re f 136.230 693.162 96.089 0.750 re f 232.318 693.162 54.165 0.750 re f 286.483 693.162 89.400 0.750 re f 375.883 693.162 54.165 0.750 re f 430.048 693.162 97.211 0.750 re f 527.259 693.162 53.616 0.750 re f 26.625 675.012 0.750 18.900 re f 580.125 675.012 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 681.492 Td /F4 9.8 Tf [(Decade)] TJ ET 0.267 0.267 0.267 rg 26.625 675.012 109.980 0.750 re f 26.625 656.862 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 663.342 Td /F1 9.8 Tf [(1980)] TJ ET 0.267 0.267 0.267 rg 135.855 675.012 96.464 0.750 re f 232.318 675.012 54.540 0.750 re f 135.855 656.862 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 663.342 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 286.108 675.012 89.775 0.750 re f 375.883 675.012 54.540 0.750 re f 286.108 656.862 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 663.342 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 429.673 675.012 97.586 0.750 re f 527.259 675.012 53.616 0.750 re f 429.673 656.862 0.750 18.900 re f 580.125 656.862 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 663.342 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 26.625 656.862 109.980 0.750 re f 26.625 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 645.192 Td /F1 9.8 Tf [(1990)] TJ ET 0.267 0.267 0.267 rg 135.855 656.862 96.839 0.750 re f 135.855 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 645.192 Td /F1 9.8 Tf [(1.09 \(0.87, 1.37\))] TJ ET 0.267 0.267 0.267 rg 231.943 656.862 54.915 0.750 re f 231.943 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 645.192 Td /F1 9.8 Tf [(.426)] TJ ET 0.267 0.267 0.267 rg 286.108 656.862 90.150 0.750 re f 286.108 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 645.192 Td /F1 9.8 Tf [(1.64 \(1.29-2.07\))] TJ ET 0.267 0.267 0.267 rg 375.508 656.862 54.915 0.750 re f 375.508 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 645.192 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 656.862 97.961 0.750 re f 429.673 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 645.192 Td /F1 9.8 Tf [(2.61 \(1.99-3.42\))] TJ ET 0.267 0.267 0.267 rg 526.884 656.862 53.991 0.750 re f 526.884 638.712 0.750 18.900 re f 580.125 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 645.192 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 638.712 109.980 0.750 re f 26.625 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 627.042 Td /F1 9.8 Tf [(2000)] TJ ET 0.267 0.267 0.267 rg 135.855 638.712 96.839 0.750 re f 135.855 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 627.042 Td /F1 9.8 Tf [(0.86 \(0.64, 1.15\))] TJ ET 0.267 0.267 0.267 rg 231.943 638.712 54.915 0.750 re f 231.943 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 627.042 Td /F1 9.8 Tf [(.313)] TJ ET 0.267 0.267 0.267 rg 286.108 638.712 90.150 0.750 re f 286.108 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 627.042 Td /F1 9.8 Tf [(1.85 \(1.39-2.46\))] TJ ET 0.267 0.267 0.267 rg 375.508 638.712 54.915 0.750 re f 375.508 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 627.042 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 638.712 97.961 0.750 re f 429.673 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 627.042 Td /F1 9.8 Tf [(4,46 \(3.22-6.18\))] TJ ET 0.267 0.267 0.267 rg 526.884 638.712 53.991 0.750 re f 526.884 620.562 0.750 18.900 re f 580.125 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 627.042 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 620.562 109.605 0.750 re f 136.230 620.562 96.089 0.750 re f 232.318 620.562 54.165 0.750 re f 286.483 620.562 89.400 0.750 re f 375.883 620.562 54.165 0.750 re f 430.048 620.562 97.211 0.750 re f 527.259 620.562 53.616 0.750 re f 26.625 602.412 0.750 18.900 re f 580.125 602.412 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 608.892 Td /F4 9.8 Tf [(World Health Organization Region)] TJ ET 0.267 0.267 0.267 rg 26.625 602.412 109.980 0.750 re f 26.625 584.262 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 590.742 Td /F1 9.8 Tf [(AMRO)] TJ ET 0.267 0.267 0.267 rg 135.855 602.412 96.464 0.750 re f 232.318 602.412 54.540 0.750 re f 135.855 584.262 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 590.742 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 286.108 602.412 89.775 0.750 re f 375.883 602.412 54.540 0.750 re f 286.108 584.262 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 590.742 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 429.673 602.412 97.586 0.750 re f 527.259 602.412 53.616 0.750 re f 429.673 584.262 0.750 18.900 re f 580.125 584.262 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 590.742 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 26.625 584.262 109.980 0.750 re f 26.625 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 572.592 Td /F1 9.8 Tf [(AFRO)] TJ ET 0.267 0.267 0.267 rg 135.855 584.262 96.839 0.750 re f 135.855 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 572.592 Td /F1 9.8 Tf [(1.09 \(0.76-1.55\))] TJ ET 0.267 0.267 0.267 rg 231.943 584.262 54.915 0.750 re f 231.943 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 572.592 Td /F1 9.8 Tf [(.0.62)] TJ ET 0.267 0.267 0.267 rg 286.108 584.262 90.150 0.750 re f 286.108 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 572.592 Td /F1 9.8 Tf [(0.58 \(0.41-0.84\))] TJ ET 0.267 0.267 0.267 rg 375.508 584.262 54.915 0.750 re f 375.508 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 572.592 Td /F1 9.8 Tf [(.005)] TJ ET 0.267 0.267 0.267 rg 429.673 584.262 97.961 0.750 re f 429.673 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 572.592 Td /F1 9.8 Tf [(0.35 \(0.22-0.56\))] TJ ET 0.267 0.267 0.267 rg 526.884 584.262 53.991 0.750 re f 526.884 566.112 0.750 18.900 re f 580.125 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 572.592 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 566.112 109.980 0.750 re f 26.625 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 554.442 Td /F1 9.8 Tf [(EURO)] TJ ET 0.267 0.267 0.267 rg 135.855 566.112 96.839 0.750 re f 135.855 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 554.442 Td /F1 9.8 Tf [(0.72 \(0.54-0.96\))] TJ ET 0.267 0.267 0.267 rg 231.943 566.112 54.915 0.750 re f 231.943 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 554.442 Td /F1 9.8 Tf [(.024)] TJ ET 0.267 0.267 0.267 rg 286.108 566.112 90.150 0.750 re f 286.108 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 554.442 Td /F1 9.8 Tf [(0.45 \(0.32-0.63\))] TJ ET 0.267 0.267 0.267 rg 375.508 566.112 54.915 0.750 re f 375.508 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 554.442 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 566.112 97.961 0.750 re f 429.673 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 554.442 Td /F1 9.8 Tf [(0.31 \(0.18-0.52\))] TJ ET 0.267 0.267 0.267 rg 526.884 566.112 53.991 0.750 re f 526.884 547.962 0.750 18.900 re f 580.125 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 554.442 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 547.962 109.980 0.750 re f 26.625 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 536.292 Td /F1 9.8 Tf [(EMRO)] TJ ET 0.267 0.267 0.267 rg 135.855 547.962 96.839 0.750 re f 135.855 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 536.292 Td /F1 9.8 Tf [(1.31 \(0.83-2.06\))] TJ ET 0.267 0.267 0.267 rg 231.943 547.962 54.915 0.750 re f 231.943 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 536.292 Td /F1 9.8 Tf [(.240)] TJ ET 0.267 0.267 0.267 rg 286.108 547.962 90.150 0.750 re f 286.108 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 536.292 Td /F1 9.8 Tf [(1.49 \(0.95-2.33\))] TJ ET 0.267 0.267 0.267 rg 375.508 547.962 54.915 0.750 re f 375.508 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 536.292 Td /F1 9.8 Tf [(.082)] TJ ET 0.267 0.267 0.267 rg 429.673 547.962 97.961 0.750 re f 429.673 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 536.292 Td /F1 9.8 Tf [(1.31 \(0.78-2.21\))] TJ ET 0.267 0.267 0.267 rg 526.884 547.962 53.991 0.750 re f 526.884 529.812 0.750 18.900 re f 580.125 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 536.292 Td /F1 9.8 Tf [(.3120)] TJ ET 0.267 0.267 0.267 rg 26.625 529.812 109.980 0.750 re f 26.625 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 518.142 Td /F1 9.8 Tf [(WPRO)] TJ ET 0.267 0.267 0.267 rg 135.855 529.812 96.839 0.750 re f 135.855 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 518.142 Td /F1 9.8 Tf [(0.80\(0.59-1.09\))] TJ ET 0.267 0.267 0.267 rg 231.943 529.812 54.915 0.750 re f 231.943 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 518.142 Td /F1 9.8 Tf [(.165)] TJ ET 0.267 0.267 0.267 rg 286.108 529.812 90.150 0.750 re f 286.108 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 518.142 Td /F1 9.8 Tf [(1.22 \(0.88-1.67\))] TJ ET 0.267 0.267 0.267 rg 375.508 529.812 54.915 0.750 re f 375.508 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 518.142 Td /F1 9.8 Tf [(.217)] TJ ET 0.267 0.267 0.267 rg 429.673 529.812 97.961 0.750 re f 429.673 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 518.142 Td /F1 9.8 Tf [(2.38\(1.62-3.49\))] TJ ET 0.267 0.267 0.267 rg 526.884 529.812 53.991 0.750 re f 526.884 511.662 0.750 18.900 re f 580.125 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 518.142 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 511.662 109.980 0.750 re f 26.625 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 499.992 Td /F1 9.8 Tf [(SEARO)] TJ ET 0.267 0.267 0.267 rg 135.855 511.662 96.839 0.750 re f 135.855 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 499.992 Td /F1 9.8 Tf [(1.61\(1.04-2.49\))] TJ ET 0.267 0.267 0.267 rg 231.943 511.662 54.915 0.750 re f 231.943 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 499.992 Td /F1 9.8 Tf [(.032)] TJ ET 0.267 0.267 0.267 rg 286.108 511.662 90.150 0.750 re f 286.108 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 499.992 Td /F1 9.8 Tf [(2.15 \(1.40-3.29\))] TJ ET 0.267 0.267 0.267 rg 375.508 511.662 54.915 0.750 re f 375.508 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 499.992 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 511.662 97.961 0.750 re f 429.673 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 499.992 Td /F1 9.8 Tf [(3.35 \(2.21-5.72\))] TJ ET 0.267 0.267 0.267 rg 526.884 511.662 53.991 0.750 re f 526.884 493.512 0.750 18.900 re f 580.125 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 499.992 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 493.512 109.605 0.750 re f 136.230 493.512 96.089 0.750 re f 232.318 493.512 54.165 0.750 re f 286.483 493.512 89.400 0.750 re f 375.883 493.512 54.165 0.750 re f 430.048 493.512 97.211 0.750 re f 527.259 493.512 53.616 0.750 re f 26.625 475.362 0.750 18.900 re f 580.125 475.362 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 481.842 Td /F4 9.8 Tf [(World Bank Income Level)] TJ ET 0.267 0.267 0.267 rg 26.625 475.362 109.980 0.750 re f 26.625 457.212 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 463.692 Td /F1 9.8 Tf [(Low)] TJ ET 0.267 0.267 0.267 rg 135.855 475.362 96.464 0.750 re f 232.318 475.362 54.540 0.750 re f 135.855 457.212 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 463.692 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 286.108 475.362 89.775 0.750 re f 375.883 475.362 54.540 0.750 re f 286.108 457.212 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 463.692 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 429.673 475.362 97.586 0.750 re f 527.259 475.362 53.616 0.750 re f 429.673 457.212 0.750 18.900 re f 580.125 457.212 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 463.692 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 26.625 457.212 109.980 0.750 re f 26.625 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 445.542 Td /F1 9.8 Tf [(Lower middle)] TJ ET 0.267 0.267 0.267 rg 135.855 457.212 96.839 0.750 re f 135.855 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 445.542 Td /F1 9.8 Tf [(152 \(1.06-1.92\))] TJ ET 0.267 0.267 0.267 rg 231.943 457.212 54.915 0.750 re f 231.943 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 445.542 Td /F1 9.8 Tf [(0.007)] TJ ET 0.267 0.267 0.267 rg 286.108 457.212 90.150 0.750 re f 286.108 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 445.542 Td /F1 9.8 Tf [(0.99 \(0.74-1.34\))] TJ ET 0.267 0.267 0.267 rg 375.508 457.212 54.915 0.750 re f 375.508 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 445.542 Td /F1 9.8 Tf [(.992)] TJ ET 0.267 0.267 0.267 rg 429.673 457.212 97.961 0.750 re f 429.673 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 445.542 Td /F1 9.8 Tf [(0.59 \(0.43-0.82\))] TJ ET 0.267 0.267 0.267 rg 526.884 457.212 53.991 0.750 re f 526.884 439.062 0.750 18.900 re f 580.125 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 445.542 Td /F1 9.8 Tf [(0.002)] TJ ET 0.267 0.267 0.267 rg 26.625 439.062 109.980 0.750 re f 26.625 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 427.392 Td /F1 9.8 Tf [(Upper middle)] TJ ET 0.267 0.267 0.267 rg 135.855 439.062 96.839 0.750 re f 135.855 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 427.392 Td /F1 9.8 Tf [(1.56 \(1.05-2.13\))] TJ ET 0.267 0.267 0.267 rg 231.943 439.062 54.915 0.750 re f 231.943 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 427.392 Td /F1 9.8 Tf [(0.014)] TJ ET 0.267 0.267 0.267 rg 286.108 439.062 90.150 0.750 re f 286.108 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 427.392 Td /F1 9.8 Tf [(0.90 \(0.62-1.29\))] TJ ET 0.267 0.267 0.267 rg 375.508 439.062 54.915 0.750 re f 375.508 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 427.392 Td /F1 9.8 Tf [(.576)] TJ ET 0.267 0.267 0.267 rg 429.673 439.062 97.961 0.750 re f 429.673 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 427.392 Td /F1 9.8 Tf [(0.39 \(0.24-0.61\))] TJ ET 0.267 0.267 0.267 rg 526.884 439.062 53.991 0.750 re f 526.884 420.912 0.750 18.900 re f 580.125 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 427.392 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 420.912 109.980 0.750 re f 26.625 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 409.242 Td /F1 9.8 Tf [(High)] TJ ET 0.267 0.267 0.267 rg 135.855 420.912 96.839 0.750 re f 135.855 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 409.242 Td /F1 9.8 Tf [(1.16 \(0.86-1.71\))] TJ ET 0.267 0.267 0.267 rg 231.943 420.912 54.915 0.750 re f 231.943 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 409.242 Td /F1 9.8 Tf [(0.400)] TJ ET 0.267 0.267 0.267 rg 286.108 420.912 90.150 0.750 re f 286.108 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 409.242 Td /F1 9.8 Tf [(0.29 \(0.20-0.42\))] TJ ET 0.267 0.267 0.267 rg 375.508 420.912 54.915 0.750 re f 375.508 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 409.242 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 420.912 97.961 0.750 re f 429.673 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 409.242 Td /F1 9.8 Tf [(0.05 \(0.03-0.08\))] TJ ET 0.267 0.267 0.267 rg 526.884 420.912 53.991 0.750 re f 526.884 402.762 0.750 18.900 re f 580.125 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 409.242 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 402.762 109.605 0.750 re f 136.230 402.762 96.089 0.750 re f 232.318 402.762 54.165 0.750 re f 286.483 402.762 89.400 0.750 re f 375.883 402.762 54.165 0.750 re f 430.048 402.762 97.211 0.750 re f 527.259 402.762 53.616 0.750 re f 26.625 384.612 0.750 18.900 re f 580.125 384.612 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 391.092 Td /F4 9.8 Tf [(Flood Magnitude Category**)] TJ ET 0.267 0.267 0.267 rg 26.625 384.612 109.980 0.750 re f 26.625 366.462 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 372.942 Td /F1 9.8 Tf [(Low)] TJ ET 0.267 0.267 0.267 rg 135.855 384.612 96.464 0.750 re f 232.318 384.612 54.540 0.750 re f 135.855 366.462 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 372.942 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 286.108 384.612 89.775 0.750 re f 375.883 384.612 54.540 0.750 re f 286.108 366.462 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 372.942 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 429.673 384.612 97.586 0.750 re f 527.259 384.612 53.616 0.750 re f 429.673 366.462 0.750 18.900 re f 580.125 366.462 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 372.942 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 26.625 366.462 109.980 0.750 re f 26.625 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 354.792 Td /F1 9.8 Tf [(Medium Low)] TJ ET 0.267 0.267 0.267 rg 135.855 366.462 96.839 0.750 re f 135.855 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 141.105 354.792 Td /F1 9.8 Tf [(1.03 \(0.74, 1.44\))] TJ ET 0.267 0.267 0.267 rg 231.943 366.462 54.915 0.750 re f 231.943 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 237.193 354.792 Td /F1 9.8 Tf [(.859)] TJ ET 0.267 0.267 0.267 rg 286.108 366.462 90.150 0.750 re f 286.108 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 291.358 354.792 Td /F1 9.8 Tf [(1.47 \(1.03, )] TJ ET BT 291.358 344.892 Td /F1 9.8 Tf [(2.10\))] TJ ET 0.267 0.267 0.267 rg 375.508 366.462 54.915 0.750 re f 375.508 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 380.758 354.792 Td /F1 9.8 Tf [(.035)] TJ ET 0.267 0.267 0.267 rg 429.673 366.462 97.961 0.750 re f 429.673 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 434.923 354.792 Td /F1 9.8 Tf [(1.52 \(.95, 2.43\))] TJ ET 0.267 0.267 0.267 rg 526.884 366.462 53.991 0.750 re f 526.884 338.412 0.750 28.800 re f 580.125 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 532.134 354.792 Td /F1 9.8 Tf [(.0878)] TJ ET 0.267 0.267 0.267 rg 26.625 338.412 109.980 0.750 re f 26.625 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 326.742 Td /F1 9.8 Tf [(Medium High)] TJ ET 0.267 0.267 0.267 rg 135.855 338.412 96.839 0.750 re f 135.855 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 141.105 326.742 Td /F1 9.8 Tf [(1.19 \(0.85, 1.69\))] TJ ET 0.267 0.267 0.267 rg 231.943 338.412 54.915 0.750 re f 231.943 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 237.193 326.742 Td /F1 9.8 Tf [(.310)] TJ ET 0.267 0.267 0.267 rg 286.108 338.412 90.150 0.750 re f 286.108 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 291.358 326.742 Td /F1 9.8 Tf [(2.19 \(1.50, )] TJ ET BT 291.358 316.842 Td /F1 9.8 Tf [(3.16\))] TJ ET 0.267 0.267 0.267 rg 375.508 338.412 54.915 0.750 re f 375.508 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 380.758 326.742 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 338.412 97.961 0.750 re f 429.673 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 434.923 326.742 Td /F1 9.8 Tf [(3.87 \(2.45, 6.10\))] TJ ET 0.267 0.267 0.267 rg 526.884 338.412 53.991 0.750 re f 526.884 310.362 0.750 28.800 re f 580.125 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 532.134 326.742 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 310.362 109.980 0.750 re f 26.625 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 298.692 Td /F1 9.8 Tf [(High)] TJ ET 0.267 0.267 0.267 rg 135.855 310.362 96.839 0.750 re f 135.855 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 141.105 298.692 Td /F1 9.8 Tf [(0.91 \(0.62, 1.35\))] TJ ET 0.267 0.267 0.267 rg 231.943 310.362 54.915 0.750 re f 231.943 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 237.193 298.692 Td /F1 9.8 Tf [(.664)] TJ ET 0.267 0.267 0.267 rg 286.108 310.362 90.150 0.750 re f 286.108 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 291.358 298.692 Td /F1 9.8 Tf [(2.37 \(1.58, )] TJ ET BT 291.358 288.792 Td /F1 9.8 Tf [(3.55\))] TJ ET 0.267 0.267 0.267 rg 375.508 310.362 54.915 0.750 re f 375.508 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 380.758 298.692 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 310.362 97.961 0.750 re f 429.673 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 434.923 298.692 Td /F1 9.8 Tf [(13.20 \(8.25, )] TJ ET BT 434.923 288.792 Td /F1 9.8 Tf [(21.11\))] TJ ET 0.267 0.267 0.267 rg 526.884 310.362 53.991 0.750 re f 526.884 282.312 0.750 28.800 re f 580.125 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 532.134 298.692 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 282.312 109.980 0.750 re f 26.625 254.262 109.980 0.750 re f 26.625 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 270.642 Td /F1 9.8 Tf [(Missing)] TJ ET 0.267 0.267 0.267 rg 135.855 282.312 96.839 0.750 re f 135.855 254.262 96.839 0.750 re f 135.855 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 141.105 270.642 Td /F1 9.8 Tf [(0.19 \(0.15, 0.25\))] TJ ET 0.267 0.267 0.267 rg 231.943 282.312 54.915 0.750 re f 231.943 254.262 54.915 0.750 re f 231.943 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 237.193 270.642 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 286.108 282.312 90.150 0.750 re f 286.108 254.262 90.150 0.750 re f 286.108 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 291.358 270.642 Td /F1 9.8 Tf [(0.32 \(0.24, )] TJ ET BT 291.358 260.742 Td /F1 9.8 Tf [(0.43\))] TJ ET 0.267 0.267 0.267 rg 375.508 282.312 54.915 0.750 re f 375.508 254.262 54.915 0.750 re f 375.508 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 380.758 270.642 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 282.312 97.961 0.750 re f 429.673 254.262 97.961 0.750 re f 429.673 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 434.923 270.642 Td /F1 9.8 Tf [(0.59 \(0.40, 0.87\))] TJ ET 0.267 0.267 0.267 rg 526.884 282.312 53.991 0.750 re f 526.884 254.262 53.991 0.750 re f 526.884 254.262 0.750 28.800 re f 580.125 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 532.134 270.642 Td /F1 9.8 Tf [(.007)] TJ ET BT 26.250 204.032 Td /F4 9.8 Tf [(Systematic Literature Review)] TJ ET BT 26.250 181.088 Td /F1 9.8 Tf [(Mortality. Fourteen of the reviewed articles reported mortality data including ten that provided information on )] TJ ET BT 26.250 165.644 Td /F1 9.8 Tf [(direct or indirect causes of mortality and/or risk factors for flood-related deaths \(Table 6\) )] TJ ET 0.267 0.267 0.267 rg BT 464.542 167.599 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 476.606 170.688 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 479.362 167.599 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 491.426 170.688 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 494.182 167.599 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 506.246 170.688 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 509.002 167.599 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 521.066 170.688 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 523.822 167.599 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 535.886 170.688 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 538.642 167.599 Td /F4 8.7 Tf [(20)] TJ ET 0.271 0.267 0.267 rg BT 550.706 170.688 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 553.462 167.599 Td /F4 8.7 Tf [(21)] TJ ET 0.271 0.267 0.267 rg BT 565.526 170.688 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 568.282 167.599 Td /F4 8.7 Tf [(22)] TJ ET 0.271 0.267 0.267 rg BT 26.250 155.244 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 29.006 152.155 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 41.070 155.244 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 43.826 152.155 Td /F4 8.7 Tf [(24)] TJ ET 0.271 0.267 0.267 rg BT 55.890 155.244 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 58.646 152.155 Td /F4 8.7 Tf [(25)] TJ ET 0.271 0.267 0.267 rg BT 70.710 155.244 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 73.466 152.155 Td /F4 8.7 Tf [(26)] TJ ET 0.271 0.267 0.267 rg BT 85.530 155.244 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 88.286 152.155 Td /F4 8.7 Tf [(27)] TJ ET 0.271 0.267 0.267 rg BT 100.350 155.244 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 103.106 152.155 Td /F4 8.7 Tf [(28)] TJ ET 0.271 0.267 0.267 rg BT 115.170 150.200 Td /F1 9.8 Tf [( . Most articles provided some information about the distribution of deaths across population )] TJ ET BT 26.250 134.756 Td /F1 9.8 Tf [(subgroups \(i.e. gender, age\) and/or an individual s location at the time of the event; seven of these ten articles )] TJ ET BT 26.250 119.312 Td /F1 9.8 Tf [(reported on floods in the United States. Nearly all articles reporting cause of death cited drowning as the most )] TJ ET BT 26.250 103.868 Td /F1 9.8 Tf [(frequent cause of death )] TJ ET 0.267 0.267 0.267 rg BT 146.624 105.823 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 152.656 108.912 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 155.412 105.823 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 167.476 108.912 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 170.232 105.823 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 182.296 108.912 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 185.052 105.823 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 197.116 108.912 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 199.872 105.823 Td /F4 8.7 Tf [(20)] TJ ET 0.271 0.267 0.267 rg BT 211.936 108.912 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 214.692 105.823 Td /F4 8.7 Tf [(22)] TJ ET 0.271 0.267 0.267 rg BT 226.756 108.912 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 229.512 105.823 Td /F4 8.7 Tf [(29)] TJ ET 0.271 0.267 0.267 rg BT 241.576 103.868 Td /F1 9.8 Tf [( . Cumulatively, drowning accounted for 75% of deaths; other )] TJ ET BT 26.250 88.424 Td /F1 9.8 Tf [(causes of death included falls, electrocution, heart attack, hypothermia, trauma, snake bites, and carbon )] TJ ET BT 26.250 72.980 Td /F1 9.8 Tf [(monoxide poisoning.)] TJ ET Q q 15.000 62.391 577.500 714.609 re W n q 26.250 759.180 555.000 17.820 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 5: Multinomial logistic regression results for mortality in flood events, 1980-2009 \(N =4,093\)*)] TJ ET Q 0.965 0.965 0.965 rg 26.250 725.550 555.000 26.130 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 751.680 m 581.250 751.680 l 580.500 750.930 l 27.000 750.930 l f 581.250 751.680 m 581.250 725.550 l 580.500 725.550 l 580.500 750.930 l f 26.250 751.680 m 26.250 725.550 l 27.000 725.550 l 27.000 750.930 l f 0.271 0.267 0.267 rg BT 33.000 735.426 Td /F1 9.0 Tf [(* Reference is no deaths  for all categories \(n=743\) **see Table 4 notes for definition of flood magnitude)] TJ ET 1.000 1.000 1.000 rg 26.250 253.887 555.000 471.663 re f 0.965 0.965 0.965 rg 27.000 693.537 109.230 31.263 re f 0.267 0.267 0.267 rg 26.625 724.425 109.605 0.750 re f 26.625 693.162 0.750 32.013 re f 0.271 0.267 0.267 rg BT 31.500 712.445 Td /F4 9.8 Tf [(Characteristic)] TJ ET 0.965 0.965 0.965 rg 136.230 693.537 96.089 31.263 re f 0.267 0.267 0.267 rg 136.230 724.425 96.089 0.750 re f 0.271 0.267 0.267 rg BT 140.730 712.445 Td /F4 9.8 Tf [(1-9 deaths )] TJ ET BT 140.730 697.001 Td /F4 9.8 Tf [(COR \(95% CI\))] TJ ET 0.965 0.965 0.965 rg 232.318 693.537 54.165 31.263 re f 0.267 0.267 0.267 rg 232.318 724.425 54.165 0.750 re f 0.271 0.267 0.267 rg BT 236.818 712.445 Td /F4 9.8 Tf [(P- value)] TJ ET 0.965 0.965 0.965 rg 286.483 693.537 89.400 31.263 re f 0.267 0.267 0.267 rg 286.483 724.425 89.400 0.750 re f 0.271 0.267 0.267 rg BT 290.983 712.445 Td /F4 9.8 Tf [(10-49 deaths )] TJ ET BT 290.983 697.001 Td /F4 9.8 Tf [(COR \(95% CI\))] TJ ET 0.965 0.965 0.965 rg 375.883 693.537 54.165 31.263 re f 0.267 0.267 0.267 rg 375.883 724.425 54.165 0.750 re f 0.271 0.267 0.267 rg BT 380.383 712.445 Td /F4 9.8 Tf [(P- value)] TJ ET 0.965 0.965 0.965 rg 430.048 693.537 97.211 31.263 re f 0.267 0.267 0.267 rg 430.048 724.425 97.211 0.750 re f 0.271 0.267 0.267 rg BT 434.548 712.445 Td /F4 9.8 Tf [(>50 deaths )] TJ ET BT 434.548 697.001 Td /F4 9.8 Tf [(COR \(95% CI\))] TJ ET 0.965 0.965 0.965 rg 527.259 693.537 53.241 31.263 re f 0.267 0.267 0.267 rg 527.259 724.425 53.616 0.750 re f 580.125 693.162 0.750 32.013 re f 0.271 0.267 0.267 rg BT 531.759 712.445 Td /F4 9.8 Tf [(P-value)] TJ ET 0.267 0.267 0.267 rg 26.625 693.162 109.605 0.750 re f 136.230 693.162 96.089 0.750 re f 232.318 693.162 54.165 0.750 re f 286.483 693.162 89.400 0.750 re f 375.883 693.162 54.165 0.750 re f 430.048 693.162 97.211 0.750 re f 527.259 693.162 53.616 0.750 re f 26.625 675.012 0.750 18.900 re f 580.125 675.012 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 681.492 Td /F4 9.8 Tf [(Decade)] TJ ET 0.267 0.267 0.267 rg 26.625 675.012 109.980 0.750 re f 26.625 656.862 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 663.342 Td /F1 9.8 Tf [(1980)] TJ ET 0.267 0.267 0.267 rg 135.855 675.012 96.464 0.750 re f 232.318 675.012 54.540 0.750 re f 135.855 656.862 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 663.342 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 286.108 675.012 89.775 0.750 re f 375.883 675.012 54.540 0.750 re f 286.108 656.862 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 663.342 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 429.673 675.012 97.586 0.750 re f 527.259 675.012 53.616 0.750 re f 429.673 656.862 0.750 18.900 re f 580.125 656.862 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 663.342 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 26.625 656.862 109.980 0.750 re f 26.625 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 645.192 Td /F1 9.8 Tf [(1990)] TJ ET 0.267 0.267 0.267 rg 135.855 656.862 96.839 0.750 re f 135.855 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 645.192 Td /F1 9.8 Tf [(1.09 \(0.87, 1.37\))] TJ ET 0.267 0.267 0.267 rg 231.943 656.862 54.915 0.750 re f 231.943 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 645.192 Td /F1 9.8 Tf [(.426)] TJ ET 0.267 0.267 0.267 rg 286.108 656.862 90.150 0.750 re f 286.108 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 645.192 Td /F1 9.8 Tf [(1.64 \(1.29-2.07\))] TJ ET 0.267 0.267 0.267 rg 375.508 656.862 54.915 0.750 re f 375.508 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 645.192 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 656.862 97.961 0.750 re f 429.673 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 645.192 Td /F1 9.8 Tf [(2.61 \(1.99-3.42\))] TJ ET 0.267 0.267 0.267 rg 526.884 656.862 53.991 0.750 re f 526.884 638.712 0.750 18.900 re f 580.125 638.712 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 645.192 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 638.712 109.980 0.750 re f 26.625 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 627.042 Td /F1 9.8 Tf [(2000)] TJ ET 0.267 0.267 0.267 rg 135.855 638.712 96.839 0.750 re f 135.855 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 627.042 Td /F1 9.8 Tf [(0.86 \(0.64, 1.15\))] TJ ET 0.267 0.267 0.267 rg 231.943 638.712 54.915 0.750 re f 231.943 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 627.042 Td /F1 9.8 Tf [(.313)] TJ ET 0.267 0.267 0.267 rg 286.108 638.712 90.150 0.750 re f 286.108 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 627.042 Td /F1 9.8 Tf [(1.85 \(1.39-2.46\))] TJ ET 0.267 0.267 0.267 rg 375.508 638.712 54.915 0.750 re f 375.508 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 627.042 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 638.712 97.961 0.750 re f 429.673 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 627.042 Td /F1 9.8 Tf [(4,46 \(3.22-6.18\))] TJ ET 0.267 0.267 0.267 rg 526.884 638.712 53.991 0.750 re f 526.884 620.562 0.750 18.900 re f 580.125 620.562 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 627.042 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 620.562 109.605 0.750 re f 136.230 620.562 96.089 0.750 re f 232.318 620.562 54.165 0.750 re f 286.483 620.562 89.400 0.750 re f 375.883 620.562 54.165 0.750 re f 430.048 620.562 97.211 0.750 re f 527.259 620.562 53.616 0.750 re f 26.625 602.412 0.750 18.900 re f 580.125 602.412 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 608.892 Td /F4 9.8 Tf [(World Health Organization Region)] TJ ET 0.267 0.267 0.267 rg 26.625 602.412 109.980 0.750 re f 26.625 584.262 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 590.742 Td /F1 9.8 Tf [(AMRO)] TJ ET 0.267 0.267 0.267 rg 135.855 602.412 96.464 0.750 re f 232.318 602.412 54.540 0.750 re f 135.855 584.262 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 590.742 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 286.108 602.412 89.775 0.750 re f 375.883 602.412 54.540 0.750 re f 286.108 584.262 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 590.742 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 429.673 602.412 97.586 0.750 re f 527.259 602.412 53.616 0.750 re f 429.673 584.262 0.750 18.900 re f 580.125 584.262 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 590.742 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 26.625 584.262 109.980 0.750 re f 26.625 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 572.592 Td /F1 9.8 Tf [(AFRO)] TJ ET 0.267 0.267 0.267 rg 135.855 584.262 96.839 0.750 re f 135.855 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 572.592 Td /F1 9.8 Tf [(1.09 \(0.76-1.55\))] TJ ET 0.267 0.267 0.267 rg 231.943 584.262 54.915 0.750 re f 231.943 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 572.592 Td /F1 9.8 Tf [(.0.62)] TJ ET 0.267 0.267 0.267 rg 286.108 584.262 90.150 0.750 re f 286.108 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 572.592 Td /F1 9.8 Tf [(0.58 \(0.41-0.84\))] TJ ET 0.267 0.267 0.267 rg 375.508 584.262 54.915 0.750 re f 375.508 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 572.592 Td /F1 9.8 Tf [(.005)] TJ ET 0.267 0.267 0.267 rg 429.673 584.262 97.961 0.750 re f 429.673 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 572.592 Td /F1 9.8 Tf [(0.35 \(0.22-0.56\))] TJ ET 0.267 0.267 0.267 rg 526.884 584.262 53.991 0.750 re f 526.884 566.112 0.750 18.900 re f 580.125 566.112 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 572.592 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 566.112 109.980 0.750 re f 26.625 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 554.442 Td /F1 9.8 Tf [(EURO)] TJ ET 0.267 0.267 0.267 rg 135.855 566.112 96.839 0.750 re f 135.855 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 554.442 Td /F1 9.8 Tf [(0.72 \(0.54-0.96\))] TJ ET 0.267 0.267 0.267 rg 231.943 566.112 54.915 0.750 re f 231.943 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 554.442 Td /F1 9.8 Tf [(.024)] TJ ET 0.267 0.267 0.267 rg 286.108 566.112 90.150 0.750 re f 286.108 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 554.442 Td /F1 9.8 Tf [(0.45 \(0.32-0.63\))] TJ ET 0.267 0.267 0.267 rg 375.508 566.112 54.915 0.750 re f 375.508 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 554.442 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 566.112 97.961 0.750 re f 429.673 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 554.442 Td /F1 9.8 Tf [(0.31 \(0.18-0.52\))] TJ ET 0.267 0.267 0.267 rg 526.884 566.112 53.991 0.750 re f 526.884 547.962 0.750 18.900 re f 580.125 547.962 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 554.442 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 547.962 109.980 0.750 re f 26.625 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 536.292 Td /F1 9.8 Tf [(EMRO)] TJ ET 0.267 0.267 0.267 rg 135.855 547.962 96.839 0.750 re f 135.855 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 536.292 Td /F1 9.8 Tf [(1.31 \(0.83-2.06\))] TJ ET 0.267 0.267 0.267 rg 231.943 547.962 54.915 0.750 re f 231.943 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 536.292 Td /F1 9.8 Tf [(.240)] TJ ET 0.267 0.267 0.267 rg 286.108 547.962 90.150 0.750 re f 286.108 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 536.292 Td /F1 9.8 Tf [(1.49 \(0.95-2.33\))] TJ ET 0.267 0.267 0.267 rg 375.508 547.962 54.915 0.750 re f 375.508 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 536.292 Td /F1 9.8 Tf [(.082)] TJ ET 0.267 0.267 0.267 rg 429.673 547.962 97.961 0.750 re f 429.673 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 536.292 Td /F1 9.8 Tf [(1.31 \(0.78-2.21\))] TJ ET 0.267 0.267 0.267 rg 526.884 547.962 53.991 0.750 re f 526.884 529.812 0.750 18.900 re f 580.125 529.812 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 536.292 Td /F1 9.8 Tf [(.3120)] TJ ET 0.267 0.267 0.267 rg 26.625 529.812 109.980 0.750 re f 26.625 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 518.142 Td /F1 9.8 Tf [(WPRO)] TJ ET 0.267 0.267 0.267 rg 135.855 529.812 96.839 0.750 re f 135.855 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 518.142 Td /F1 9.8 Tf [(0.80\(0.59-1.09\))] TJ ET 0.267 0.267 0.267 rg 231.943 529.812 54.915 0.750 re f 231.943 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 518.142 Td /F1 9.8 Tf [(.165)] TJ ET 0.267 0.267 0.267 rg 286.108 529.812 90.150 0.750 re f 286.108 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 518.142 Td /F1 9.8 Tf [(1.22 \(0.88-1.67\))] TJ ET 0.267 0.267 0.267 rg 375.508 529.812 54.915 0.750 re f 375.508 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 518.142 Td /F1 9.8 Tf [(.217)] TJ ET 0.267 0.267 0.267 rg 429.673 529.812 97.961 0.750 re f 429.673 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 518.142 Td /F1 9.8 Tf [(2.38\(1.62-3.49\))] TJ ET 0.267 0.267 0.267 rg 526.884 529.812 53.991 0.750 re f 526.884 511.662 0.750 18.900 re f 580.125 511.662 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 518.142 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 511.662 109.980 0.750 re f 26.625 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 499.992 Td /F1 9.8 Tf [(SEARO)] TJ ET 0.267 0.267 0.267 rg 135.855 511.662 96.839 0.750 re f 135.855 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 499.992 Td /F1 9.8 Tf [(1.61\(1.04-2.49\))] TJ ET 0.267 0.267 0.267 rg 231.943 511.662 54.915 0.750 re f 231.943 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 499.992 Td /F1 9.8 Tf [(.032)] TJ ET 0.267 0.267 0.267 rg 286.108 511.662 90.150 0.750 re f 286.108 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 499.992 Td /F1 9.8 Tf [(2.15 \(1.40-3.29\))] TJ ET 0.267 0.267 0.267 rg 375.508 511.662 54.915 0.750 re f 375.508 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 499.992 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 511.662 97.961 0.750 re f 429.673 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 499.992 Td /F1 9.8 Tf [(3.35 \(2.21-5.72\))] TJ ET 0.267 0.267 0.267 rg 526.884 511.662 53.991 0.750 re f 526.884 493.512 0.750 18.900 re f 580.125 493.512 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 499.992 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 493.512 109.605 0.750 re f 136.230 493.512 96.089 0.750 re f 232.318 493.512 54.165 0.750 re f 286.483 493.512 89.400 0.750 re f 375.883 493.512 54.165 0.750 re f 430.048 493.512 97.211 0.750 re f 527.259 493.512 53.616 0.750 re f 26.625 475.362 0.750 18.900 re f 580.125 475.362 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 481.842 Td /F4 9.8 Tf [(World Bank Income Level)] TJ ET 0.267 0.267 0.267 rg 26.625 475.362 109.980 0.750 re f 26.625 457.212 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 463.692 Td /F1 9.8 Tf [(Low)] TJ ET 0.267 0.267 0.267 rg 135.855 475.362 96.464 0.750 re f 232.318 475.362 54.540 0.750 re f 135.855 457.212 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 463.692 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 286.108 475.362 89.775 0.750 re f 375.883 475.362 54.540 0.750 re f 286.108 457.212 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 463.692 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 429.673 475.362 97.586 0.750 re f 527.259 475.362 53.616 0.750 re f 429.673 457.212 0.750 18.900 re f 580.125 457.212 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 463.692 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 26.625 457.212 109.980 0.750 re f 26.625 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 445.542 Td /F1 9.8 Tf [(Lower middle)] TJ ET 0.267 0.267 0.267 rg 135.855 457.212 96.839 0.750 re f 135.855 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 445.542 Td /F1 9.8 Tf [(152 \(1.06-1.92\))] TJ ET 0.267 0.267 0.267 rg 231.943 457.212 54.915 0.750 re f 231.943 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 445.542 Td /F1 9.8 Tf [(0.007)] TJ ET 0.267 0.267 0.267 rg 286.108 457.212 90.150 0.750 re f 286.108 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 445.542 Td /F1 9.8 Tf [(0.99 \(0.74-1.34\))] TJ ET 0.267 0.267 0.267 rg 375.508 457.212 54.915 0.750 re f 375.508 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 445.542 Td /F1 9.8 Tf [(.992)] TJ ET 0.267 0.267 0.267 rg 429.673 457.212 97.961 0.750 re f 429.673 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 445.542 Td /F1 9.8 Tf [(0.59 \(0.43-0.82\))] TJ ET 0.267 0.267 0.267 rg 526.884 457.212 53.991 0.750 re f 526.884 439.062 0.750 18.900 re f 580.125 439.062 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 445.542 Td /F1 9.8 Tf [(0.002)] TJ ET 0.267 0.267 0.267 rg 26.625 439.062 109.980 0.750 re f 26.625 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 427.392 Td /F1 9.8 Tf [(Upper middle)] TJ ET 0.267 0.267 0.267 rg 135.855 439.062 96.839 0.750 re f 135.855 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 427.392 Td /F1 9.8 Tf [(1.56 \(1.05-2.13\))] TJ ET 0.267 0.267 0.267 rg 231.943 439.062 54.915 0.750 re f 231.943 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 427.392 Td /F1 9.8 Tf [(0.014)] TJ ET 0.267 0.267 0.267 rg 286.108 439.062 90.150 0.750 re f 286.108 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 427.392 Td /F1 9.8 Tf [(0.90 \(0.62-1.29\))] TJ ET 0.267 0.267 0.267 rg 375.508 439.062 54.915 0.750 re f 375.508 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 427.392 Td /F1 9.8 Tf [(.576)] TJ ET 0.267 0.267 0.267 rg 429.673 439.062 97.961 0.750 re f 429.673 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 427.392 Td /F1 9.8 Tf [(0.39 \(0.24-0.61\))] TJ ET 0.267 0.267 0.267 rg 526.884 439.062 53.991 0.750 re f 526.884 420.912 0.750 18.900 re f 580.125 420.912 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 427.392 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 420.912 109.980 0.750 re f 26.625 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 409.242 Td /F1 9.8 Tf [(High)] TJ ET 0.267 0.267 0.267 rg 135.855 420.912 96.839 0.750 re f 135.855 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 409.242 Td /F1 9.8 Tf [(1.16 \(0.86-1.71\))] TJ ET 0.267 0.267 0.267 rg 231.943 420.912 54.915 0.750 re f 231.943 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 237.193 409.242 Td /F1 9.8 Tf [(0.400)] TJ ET 0.267 0.267 0.267 rg 286.108 420.912 90.150 0.750 re f 286.108 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 409.242 Td /F1 9.8 Tf [(0.29 \(0.20-0.42\))] TJ ET 0.267 0.267 0.267 rg 375.508 420.912 54.915 0.750 re f 375.508 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 380.758 409.242 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 420.912 97.961 0.750 re f 429.673 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 409.242 Td /F1 9.8 Tf [(0.05 \(0.03-0.08\))] TJ ET 0.267 0.267 0.267 rg 526.884 420.912 53.991 0.750 re f 526.884 402.762 0.750 18.900 re f 580.125 402.762 0.750 18.900 re f 0.271 0.267 0.267 rg BT 532.134 409.242 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 402.762 109.605 0.750 re f 136.230 402.762 96.089 0.750 re f 232.318 402.762 54.165 0.750 re f 286.483 402.762 89.400 0.750 re f 375.883 402.762 54.165 0.750 re f 430.048 402.762 97.211 0.750 re f 527.259 402.762 53.616 0.750 re f 26.625 384.612 0.750 18.900 re f 580.125 384.612 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 391.092 Td /F4 9.8 Tf [(Flood Magnitude Category**)] TJ ET 0.267 0.267 0.267 rg 26.625 384.612 109.980 0.750 re f 26.625 366.462 0.750 18.900 re f 0.271 0.267 0.267 rg BT 31.875 372.942 Td /F1 9.8 Tf [(Low)] TJ ET 0.267 0.267 0.267 rg 135.855 384.612 96.464 0.750 re f 232.318 384.612 54.540 0.750 re f 135.855 366.462 0.750 18.900 re f 0.271 0.267 0.267 rg BT 141.105 372.942 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 286.108 384.612 89.775 0.750 re f 375.883 384.612 54.540 0.750 re f 286.108 366.462 0.750 18.900 re f 0.271 0.267 0.267 rg BT 291.358 372.942 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 429.673 384.612 97.586 0.750 re f 527.259 384.612 53.616 0.750 re f 429.673 366.462 0.750 18.900 re f 580.125 366.462 0.750 18.900 re f 0.271 0.267 0.267 rg BT 434.923 372.942 Td /F1 9.8 Tf [(Reference)] TJ ET 0.267 0.267 0.267 rg 26.625 366.462 109.980 0.750 re f 26.625 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 354.792 Td /F1 9.8 Tf [(Medium Low)] TJ ET 0.267 0.267 0.267 rg 135.855 366.462 96.839 0.750 re f 135.855 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 141.105 354.792 Td /F1 9.8 Tf [(1.03 \(0.74, 1.44\))] TJ ET 0.267 0.267 0.267 rg 231.943 366.462 54.915 0.750 re f 231.943 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 237.193 354.792 Td /F1 9.8 Tf [(.859)] TJ ET 0.267 0.267 0.267 rg 286.108 366.462 90.150 0.750 re f 286.108 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 291.358 354.792 Td /F1 9.8 Tf [(1.47 \(1.03, )] TJ ET BT 291.358 344.892 Td /F1 9.8 Tf [(2.10\))] TJ ET 0.267 0.267 0.267 rg 375.508 366.462 54.915 0.750 re f 375.508 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 380.758 354.792 Td /F1 9.8 Tf [(.035)] TJ ET 0.267 0.267 0.267 rg 429.673 366.462 97.961 0.750 re f 429.673 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 434.923 354.792 Td /F1 9.8 Tf [(1.52 \(.95, 2.43\))] TJ ET 0.267 0.267 0.267 rg 526.884 366.462 53.991 0.750 re f 526.884 338.412 0.750 28.800 re f 580.125 338.412 0.750 28.800 re f 0.271 0.267 0.267 rg BT 532.134 354.792 Td /F1 9.8 Tf [(.0878)] TJ ET 0.267 0.267 0.267 rg 26.625 338.412 109.980 0.750 re f 26.625 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 326.742 Td /F1 9.8 Tf [(Medium High)] TJ ET 0.267 0.267 0.267 rg 135.855 338.412 96.839 0.750 re f 135.855 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 141.105 326.742 Td /F1 9.8 Tf [(1.19 \(0.85, 1.69\))] TJ ET 0.267 0.267 0.267 rg 231.943 338.412 54.915 0.750 re f 231.943 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 237.193 326.742 Td /F1 9.8 Tf [(.310)] TJ ET 0.267 0.267 0.267 rg 286.108 338.412 90.150 0.750 re f 286.108 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 291.358 326.742 Td /F1 9.8 Tf [(2.19 \(1.50, )] TJ ET BT 291.358 316.842 Td /F1 9.8 Tf [(3.16\))] TJ ET 0.267 0.267 0.267 rg 375.508 338.412 54.915 0.750 re f 375.508 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 380.758 326.742 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 338.412 97.961 0.750 re f 429.673 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 434.923 326.742 Td /F1 9.8 Tf [(3.87 \(2.45, 6.10\))] TJ ET 0.267 0.267 0.267 rg 526.884 338.412 53.991 0.750 re f 526.884 310.362 0.750 28.800 re f 580.125 310.362 0.750 28.800 re f 0.271 0.267 0.267 rg BT 532.134 326.742 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 310.362 109.980 0.750 re f 26.625 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 298.692 Td /F1 9.8 Tf [(High)] TJ ET 0.267 0.267 0.267 rg 135.855 310.362 96.839 0.750 re f 135.855 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 141.105 298.692 Td /F1 9.8 Tf [(0.91 \(0.62, 1.35\))] TJ ET 0.267 0.267 0.267 rg 231.943 310.362 54.915 0.750 re f 231.943 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 237.193 298.692 Td /F1 9.8 Tf [(.664)] TJ ET 0.267 0.267 0.267 rg 286.108 310.362 90.150 0.750 re f 286.108 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 291.358 298.692 Td /F1 9.8 Tf [(2.37 \(1.58, )] TJ ET BT 291.358 288.792 Td /F1 9.8 Tf [(3.55\))] TJ ET 0.267 0.267 0.267 rg 375.508 310.362 54.915 0.750 re f 375.508 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 380.758 298.692 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 310.362 97.961 0.750 re f 429.673 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 434.923 298.692 Td /F1 9.8 Tf [(13.20 \(8.25, )] TJ ET BT 434.923 288.792 Td /F1 9.8 Tf [(21.11\))] TJ ET 0.267 0.267 0.267 rg 526.884 310.362 53.991 0.750 re f 526.884 282.312 0.750 28.800 re f 580.125 282.312 0.750 28.800 re f 0.271 0.267 0.267 rg BT 532.134 298.692 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 26.625 282.312 109.980 0.750 re f 26.625 254.262 109.980 0.750 re f 26.625 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 270.642 Td /F1 9.8 Tf [(Missing)] TJ ET 0.267 0.267 0.267 rg 135.855 282.312 96.839 0.750 re f 135.855 254.262 96.839 0.750 re f 135.855 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 141.105 270.642 Td /F1 9.8 Tf [(0.19 \(0.15, 0.25\))] TJ ET 0.267 0.267 0.267 rg 231.943 282.312 54.915 0.750 re f 231.943 254.262 54.915 0.750 re f 231.943 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 237.193 270.642 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 286.108 282.312 90.150 0.750 re f 286.108 254.262 90.150 0.750 re f 286.108 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 291.358 270.642 Td /F1 9.8 Tf [(0.32 \(0.24, )] TJ ET BT 291.358 260.742 Td /F1 9.8 Tf [(0.43\))] TJ ET 0.267 0.267 0.267 rg 375.508 282.312 54.915 0.750 re f 375.508 254.262 54.915 0.750 re f 375.508 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 380.758 270.642 Td /F1 9.8 Tf [(<.001)] TJ ET 0.267 0.267 0.267 rg 429.673 282.312 97.961 0.750 re f 429.673 254.262 97.961 0.750 re f 429.673 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 434.923 270.642 Td /F1 9.8 Tf [(0.59 \(0.40, 0.87\))] TJ ET 0.267 0.267 0.267 rg 526.884 282.312 53.991 0.750 re f 526.884 254.262 53.991 0.750 re f 526.884 254.262 0.750 28.800 re f 580.125 254.262 0.750 28.800 re f 0.271 0.267 0.267 rg BT 532.134 270.642 Td /F1 9.8 Tf [(.007)] TJ ET BT 26.250 204.032 Td /F4 9.8 Tf [(Systematic Literature Review)] TJ ET BT 26.250 181.088 Td /F1 9.8 Tf [(Mortality. 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Most articles provided some information about the distribution of deaths across population )] TJ ET BT 26.250 134.756 Td /F1 9.8 Tf [(subgroups \(i.e. gender, age\) and/or an individual s location at the time of the event; seven of these ten articles )] TJ ET BT 26.250 119.312 Td /F1 9.8 Tf [(reported on floods in the United States. 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0.267 0.267 rg BT 33.000 735.426 Td /F1 9.0 Tf [(*excludes 1150 deaths from diarrhea and other possibly deaths reported during the 4 month period surrounding the )] TJ ET BT 33.000 723.546 Td /F1 9.0 Tf [(event)] TJ ET 1.000 1.000 1.000 rg 26.250 121.710 631.558 591.960 re f 0.965 0.965 0.965 rg 27.000 681.657 70.463 31.263 re f 0.267 0.267 0.267 rg 26.625 712.545 70.838 0.750 re f 26.625 681.282 0.750 32.013 re f 0.271 0.267 0.267 rg BT 31.500 700.565 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 97.463 681.657 70.025 31.263 re f 0.267 0.267 0.267 rg 97.463 712.545 70.025 0.750 re f 0.271 0.267 0.267 rg BT 101.963 700.565 Td /F4 9.8 Tf [(Country & )] TJ ET BT 101.963 685.121 Td /F4 9.8 Tf [(Year)] TJ ET 0.965 0.965 0.965 rg 167.488 681.657 133.908 31.263 re f 0.267 0.267 0.267 rg 167.488 712.545 36.934 0.750 re f 204.422 712.545 45.221 0.750 re f 249.642 712.545 51.754 0.750 re f 0.271 0.267 0.267 rg BT 171.988 700.565 Td /F4 9.8 Tf [(Flood Related Deaths)] TJ ET 0.965 0.965 0.965 rg 301.396 681.657 141.853 31.263 re f 0.267 0.267 0.267 rg 301.396 712.545 61.816 0.750 re f 363.212 712.545 80.038 0.750 re f 0.271 0.267 0.267 rg BT 305.896 700.565 Td /F4 9.8 Tf [(By Cause)] TJ ET 0.965 0.965 0.965 rg 443.249 681.657 94.186 31.263 re f 0.267 0.267 0.267 rg 443.249 712.545 45.221 0.750 re f 488.470 712.545 48.965 0.750 re f 0.271 0.267 0.267 rg BT 447.749 700.565 Td /F4 9.8 Tf [(By Sex)] TJ ET 0.965 0.965 0.965 rg 537.435 681.657 67.694 31.263 re f 0.267 0.267 0.267 rg 537.435 712.545 67.694 0.750 re f 0.271 0.267 0.267 rg BT 541.935 700.565 Td /F4 9.8 Tf [(By Age)] TJ ET 0.965 0.965 0.965 rg 605.129 681.657 51.928 31.263 re f 0.267 0.267 0.267 rg 605.129 712.545 52.303 0.750 re f 656.683 681.282 0.750 32.013 re f 0.271 0.267 0.267 rg BT 609.629 700.565 Td /F4 9.8 Tf [(Vehicle )] TJ ET BT 609.629 685.121 Td /F4 9.8 Tf [(Related)] TJ ET 0.965 0.965 0.965 rg 27.000 650.394 140.488 31.263 re f 0.267 0.267 0.267 rg 26.625 681.282 70.838 0.750 re f 97.463 681.282 70.025 0.750 re f 26.625 650.019 0.750 32.013 re f 0.965 0.965 0.965 rg 167.488 650.394 36.934 31.263 re f 0.267 0.267 0.267 rg 167.488 681.282 36.934 0.750 re f 0.271 0.267 0.267 rg BT 171.988 669.302 Td /F4 9.8 Tf [(Total)] TJ ET 0.965 0.965 0.965 rg 204.422 650.394 45.221 31.263 re f 0.267 0.267 0.267 rg 204.422 681.282 45.221 0.750 re f 0.271 0.267 0.267 rg BT 208.922 669.302 Td /F4 9.8 Tf [(Direct)] TJ ET 0.965 0.965 0.965 rg 249.642 650.394 51.754 31.263 re f 0.267 0.267 0.267 rg 249.642 681.282 51.754 0.750 re f 0.271 0.267 0.267 rg BT 254.142 669.302 Td /F4 9.8 Tf [(Indirect)] TJ ET 0.965 0.965 0.965 rg 301.396 650.394 61.816 31.263 re f 0.267 0.267 0.267 rg 301.396 681.282 61.816 0.750 re f 0.271 0.267 0.267 rg BT 305.896 669.302 Td /F4 9.8 Tf [(Drowning)] TJ ET 0.965 0.965 0.965 rg 363.212 650.394 80.038 31.263 re f 0.267 0.267 0.267 rg 363.212 681.282 80.038 0.750 re f 0.271 0.267 0.267 rg BT 367.712 669.302 Td /F4 9.8 Tf [(Other )] TJ ET BT 367.712 653.858 Td /F4 9.8 Tf [(Causes)] TJ ET 0.965 0.965 0.965 rg 443.249 650.394 45.221 31.263 re f 0.267 0.267 0.267 rg 443.249 681.282 45.221 0.750 re f 0.271 0.267 0.267 rg BT 447.749 669.302 Td /F4 9.8 Tf [(Males)] TJ ET 0.965 0.965 0.965 rg 488.470 650.394 48.965 31.263 re f 0.267 0.267 0.267 rg 488.470 681.282 48.965 0.750 re f 0.271 0.267 0.267 rg BT 492.970 669.302 Td /F4 9.8 Tf [(Female)] TJ ET 0.965 0.965 0.965 rg 537.435 650.394 67.694 31.263 re f 0.267 0.267 0.267 rg 537.435 681.282 67.694 0.750 re f 0.965 0.965 0.965 rg 605.129 650.394 51.928 31.263 re f 0.267 0.267 0.267 rg 605.129 681.282 52.303 0.750 re f 656.683 650.019 0.750 32.013 re f 26.625 650.019 71.213 0.750 re f 26.625 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 31.875 638.349 Td /F1 9.8 Tf [(Duclos,1991 )] TJ ET 0.267 0.267 0.267 rg BT 31.875 625.969 Td /F4 8.7 Tf [(16)] TJ ET 97.088 650.019 70.775 0.750 re f 97.088 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 102.338 638.349 Td /F1 9.8 Tf [(France, )] TJ ET BT 102.338 628.449 Td /F1 9.8 Tf [(1988)] TJ ET 0.267 0.267 0.267 rg 167.113 650.019 37.684 0.750 re f 167.113 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 172.363 638.349 Td /F1 9.8 Tf [(9)] TJ ET 0.267 0.267 0.267 rg 204.047 650.019 45.971 0.750 re f 204.047 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 209.297 638.349 Td /F1 9.8 Tf [(9 )] TJ ET BT 209.297 628.449 Td /F1 9.8 Tf [(\(100%\))] TJ ET 0.267 0.267 0.267 rg 249.267 650.019 52.504 0.750 re f 249.267 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 254.517 638.349 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 301.021 650.019 62.566 0.750 re f 301.021 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 306.271 638.349 Td /F1 9.8 Tf [(9 \(100%\))] TJ ET 0.267 0.267 0.267 rg 362.837 650.019 80.788 0.750 re f 362.837 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 368.087 638.349 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 442.874 650.019 45.596 0.750 re f 488.470 650.019 49.340 0.750 re f 442.874 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 448.124 638.349 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 537.060 650.019 68.444 0.750 re f 537.060 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 542.310 638.349 Td /F1 9.8 Tf [(Not )] TJ ET BT 542.310 628.449 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 604.754 650.019 52.678 0.750 re f 604.754 618.141 0.750 32.628 re f 656.683 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 610.004 638.349 Td /F1 9.8 Tf [(Not )] TJ ET BT 610.004 628.449 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 26.625 618.141 71.213 0.750 re f 26.625 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 606.471 Td /F1 9.8 Tf [(CDC, 1993)] TJ ET 0.267 0.267 0.267 rg BT 31.875 594.091 Td /F4 8.7 Tf [(18)] TJ ET 97.088 618.141 70.775 0.750 re f 97.088 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 102.338 606.471 Td /F1 9.8 Tf [(USA, 1993)] TJ ET 0.267 0.267 0.267 rg 167.113 618.141 37.684 0.750 re f 167.113 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 172.363 606.471 Td /F1 9.8 Tf [(27)] TJ ET 0.267 0.267 0.267 rg 204.047 618.141 45.971 0.750 re f 204.047 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 209.297 606.471 Td /F1 9.8 Tf [(21 )] TJ ET BT 209.297 596.571 Td /F1 9.8 Tf [(\(78%\))] TJ ET 0.267 0.267 0.267 rg 249.267 618.141 52.504 0.750 re f 249.267 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 254.517 606.471 Td /F1 9.8 Tf [(6 \(22%\))] TJ ET 0.267 0.267 0.267 rg 301.021 618.141 62.566 0.750 re f 301.021 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 306.271 606.471 Td /F1 9.8 Tf [(21 \(78%\))] TJ ET 0.267 0.267 0.267 rg 362.837 618.141 80.788 0.750 re f 362.837 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 368.087 606.471 Td /F1 9.8 Tf [(2 \(7%\) )] TJ ET BT 368.087 596.571 Td /F1 9.8 Tf [(electrocution2 )] TJ ET BT 368.087 586.671 Td /F1 9.8 Tf [(\(7%\) vehicle )] TJ ET BT 368.087 576.771 Td /F1 9.8 Tf [(accident 2 )] TJ ET BT 368.087 566.871 Td /F1 9.8 Tf [(\(7%\) cardiac )] TJ ET BT 368.087 556.971 Td /F1 9.8 Tf [(arrest)] TJ ET 0.267 0.267 0.267 rg 442.874 618.141 45.971 0.750 re f 442.874 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 448.124 606.471 Td /F1 9.8 Tf [(18 )] TJ ET BT 448.124 596.571 Td /F1 9.8 Tf [(\(67%\))] TJ ET 0.267 0.267 0.267 rg 488.095 618.141 49.715 0.750 re f 488.095 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 493.345 606.471 Td /F1 9.8 Tf [(9 \(33%\))] TJ ET 0.267 0.267 0.267 rg 537.060 618.141 68.444 0.750 re f 537.060 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 542.310 606.471 Td /F1 9.8 Tf [(Average )] TJ ET BT 542.310 596.571 Td /F1 9.8 Tf [(age = )] TJ ET BT 542.310 586.671 Td /F1 9.8 Tf [(38\(range 9-)] TJ ET BT 542.310 576.771 Td /F1 9.8 Tf [(88\))] TJ ET 0.267 0.267 0.267 rg 604.754 618.141 52.678 0.750 re f 604.754 550.491 0.750 68.400 re f 656.683 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 610.004 606.471 Td /F1 9.8 Tf [(13 )] TJ ET BT 610.004 596.571 Td /F1 9.8 Tf [(\(48%\))] TJ ET 0.267 0.267 0.267 rg 26.625 550.491 71.213 0.750 re f 26.625 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 538.821 Td /F1 9.8 Tf [(CDC,1994)] TJ ET 0.267 0.267 0.267 rg BT 31.875 526.441 Td /F4 8.7 Tf [(19)] TJ ET 97.088 550.491 70.775 0.750 re f 97.088 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.338 538.821 Td /F1 9.8 Tf [(USA, 1994)] TJ ET 0.267 0.267 0.267 rg 167.113 550.491 37.684 0.750 re f 167.113 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 172.363 538.821 Td /F1 9.8 Tf [(28)] TJ ET 0.267 0.267 0.267 rg 204.047 550.491 45.971 0.750 re f 204.047 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.297 538.821 Td /F1 9.8 Tf [(27 )] TJ ET BT 209.297 528.921 Td /F1 9.8 Tf [(\(96%\))] TJ ET 0.267 0.267 0.267 rg 249.267 550.491 52.504 0.750 re f 249.267 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 254.517 538.821 Td /F1 9.8 Tf [(1 \(4%\))] TJ ET 0.267 0.267 0.267 rg 301.021 550.491 62.566 0.750 re f 301.021 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 306.271 538.821 Td /F1 9.8 Tf [(27 \(96%\))] TJ ET 0.267 0.267 0.267 rg 362.837 550.491 80.788 0.750 re f 362.837 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 368.087 538.821 Td /F1 9.8 Tf [(1 \(4%\) other)] TJ ET 0.267 0.267 0.267 rg 442.874 550.491 45.971 0.750 re f 442.874 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 448.124 538.821 Td /F1 9.8 Tf [(20 )] TJ ET BT 448.124 528.921 Td /F1 9.8 Tf [(\(71%\))] TJ ET 0.267 0.267 0.267 rg 488.095 550.491 49.715 0.750 re f 488.095 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 493.345 538.821 Td /F1 9.8 Tf [(8 \(29%\))] TJ ET 0.267 0.267 0.267 rg 537.060 550.491 68.444 0.750 re f 537.060 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 542.310 538.821 Td /F1 9.8 Tf [(Average )] TJ ET BT 542.310 528.921 Td /F1 9.8 Tf [(age = )] TJ ET BT 542.310 519.021 Td /F1 9.8 Tf [(31\(range 2-)] TJ ET BT 542.310 509.121 Td /F1 9.8 Tf [(84\))] TJ ET 0.267 0.267 0.267 rg 604.754 550.491 52.678 0.750 re f 604.754 502.641 0.750 48.600 re f 656.683 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 610.004 538.821 Td /F1 9.8 Tf [(20 )] TJ ET BT 610.004 528.921 Td /F1 9.8 Tf [(\(71%\))] TJ ET 0.267 0.267 0.267 rg 26.625 502.641 71.213 0.750 re f 26.625 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 490.971 Td /F1 9.8 Tf [(Staes,1994)] TJ ET 0.267 0.267 0.267 rg BT 31.875 478.591 Td /F4 8.7 Tf [(20)] TJ ET 97.088 502.641 70.775 0.750 re f 97.088 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.338 490.971 Td /F1 9.8 Tf [(USA, 1992)] TJ ET 0.267 0.267 0.267 rg 167.113 502.641 37.684 0.750 re f 167.113 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 172.363 490.971 Td /F1 9.8 Tf [(23)] TJ ET 0.267 0.267 0.267 rg 204.047 502.641 45.971 0.750 re f 204.047 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.297 490.971 Td /F1 9.8 Tf [(22 )] TJ ET BT 209.297 481.071 Td /F1 9.8 Tf [(\(96%\))] TJ ET 0.267 0.267 0.267 rg 249.267 502.641 52.504 0.750 re f 249.267 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 254.517 490.971 Td /F1 9.8 Tf [(1 \(4%\))] TJ ET 0.267 0.267 0.267 rg 301.021 502.641 62.566 0.750 re f 301.021 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 306.271 490.971 Td /F1 9.8 Tf [(22 \(96%\))] TJ ET 0.267 0.267 0.267 rg 362.837 502.641 80.788 0.750 re f 362.837 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 368.087 490.971 Td /F1 9.8 Tf [(1 \(4%\) )] TJ ET BT 368.087 481.071 Td /F1 9.8 Tf [(carbon )] TJ ET BT 368.087 471.171 Td /F1 9.8 Tf [(monoxide )] TJ ET BT 368.087 461.271 Td /F1 9.8 Tf [(poisoning)] TJ ET 0.267 0.267 0.267 rg 442.874 502.641 45.971 0.750 re f 442.874 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 448.124 490.971 Td /F1 9.8 Tf [(10 )] TJ ET BT 448.124 481.071 Td /F1 9.8 Tf [(\(43%\))] TJ ET 0.267 0.267 0.267 rg 488.095 502.641 49.715 0.750 re f 488.095 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 493.345 490.971 Td /F1 9.8 Tf [(13 )] TJ ET BT 493.345 481.071 Td /F1 9.8 Tf [(\(57%\))] TJ ET 0.267 0.267 0.267 rg 537.060 502.641 68.444 0.750 re f 537.060 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 542.310 490.971 Td /F1 9.8 Tf [(16 \(70%\) )] TJ ET BT 542.310 481.071 Td /F1 9.8 Tf [("e 16 yrs)] TJ ET 0.267 0.267 0.267 rg 604.754 502.641 52.678 0.750 re f 604.754 454.791 0.750 48.600 re f 656.683 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 610.004 490.971 Td /F1 9.8 Tf [(20 )] TJ ET BT 610.004 481.071 Td /F1 9.8 Tf [(\(87%\))] TJ ET 0.267 0.267 0.267 rg 26.625 454.791 71.213 0.750 re f 26.625 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 31.875 443.121 Td /F1 9.8 Tf [(Grigg, 1999)] TJ ET 0.267 0.267 0.267 rg BT 31.875 430.741 Td /F4 8.7 Tf [(28)] TJ ET 97.088 454.791 70.775 0.750 re f 97.088 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 102.338 443.121 Td /F1 9.8 Tf [(USA, 1997)] TJ ET 0.267 0.267 0.267 rg 167.113 454.791 37.684 0.750 re f 167.113 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 172.363 443.121 Td /F1 9.8 Tf [(5)] TJ ET 0.267 0.267 0.267 rg 204.047 454.791 45.971 0.750 re f 204.047 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 209.297 443.121 Td /F1 9.8 Tf [(5 )] TJ ET BT 209.297 433.221 Td /F1 9.8 Tf [(\(100%\))] TJ ET 0.267 0.267 0.267 rg 249.267 454.791 52.504 0.750 re f 249.267 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 254.517 443.121 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 301.021 454.791 62.191 0.750 re f 363.212 454.791 80.413 0.750 re f 301.021 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 306.271 443.121 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 442.874 454.791 45.971 0.750 re f 442.874 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 448.124 443.121 Td /F1 9.8 Tf [(5 )] TJ ET BT 448.124 433.221 Td /F1 9.8 Tf [(\(100%\))] TJ ET 0.267 0.267 0.267 rg 488.095 454.791 49.715 0.750 re f 488.095 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 493.345 443.121 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 537.060 454.791 68.444 0.750 re f 537.060 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 542.310 443.121 Td /F1 9.8 Tf [(All adults)] TJ ET 0.267 0.267 0.267 rg 604.754 454.791 52.678 0.750 re f 604.754 422.913 0.750 32.628 re f 656.683 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 610.004 443.121 Td /F1 9.8 Tf [(Not )] TJ ET BT 610.004 433.221 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 26.625 422.913 71.213 0.750 re f 26.625 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 411.243 Td /F1 9.8 Tf [(CDC, 2000)] TJ ET 0.267 0.267 0.267 rg BT 31.875 398.863 Td /F4 8.7 Tf [(21)] TJ ET 97.088 422.913 70.775 0.750 re f 97.088 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.338 411.243 Td /F1 9.8 Tf [(USA, 1998)] TJ ET 0.267 0.267 0.267 rg 167.113 422.913 37.684 0.750 re f 167.113 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 172.363 411.243 Td /F1 9.8 Tf [(31)] TJ ET 0.267 0.267 0.267 rg 204.047 422.913 45.971 0.750 re f 204.047 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.297 411.243 Td /F1 9.8 Tf [(29 )] TJ ET BT 209.297 401.343 Td /F1 9.8 Tf [(\(94%\))] TJ ET 0.267 0.267 0.267 rg 249.267 422.913 52.504 0.750 re f 249.267 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 254.517 411.243 Td /F1 9.8 Tf [(2 \(6%\))] TJ ET 0.267 0.267 0.267 rg 301.021 422.913 62.566 0.750 re f 301.021 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 306.271 411.243 Td /F1 9.8 Tf [(24 \(77%\))] TJ ET 0.267 0.267 0.267 rg 362.837 422.913 80.788 0.750 re f 362.837 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 368.087 411.243 Td /F1 9.8 Tf [(3 \(10%\) )] TJ ET BT 368.087 401.343 Td /F1 9.8 Tf [(trauma1 )] TJ ET BT 368.087 391.443 Td /F1 9.8 Tf [(\(3%\) )] TJ ET BT 368.087 381.543 Td /F1 9.8 Tf [(hypothermia1 )] TJ ET BT 368.087 371.643 Td /F1 9.8 Tf [(\(3%\) cardiac )] TJ ET BT 368.087 361.743 Td /F1 9.8 Tf [(arrest2 \(6%\) )] TJ ET BT 368.087 351.843 Td /F1 9.8 Tf [(other)] TJ ET 0.267 0.267 0.267 rg 442.874 422.913 45.971 0.750 re f 442.874 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 448.124 411.243 Td /F1 9.8 Tf [(20 )] TJ ET BT 448.124 401.343 Td /F1 9.8 Tf [(\(65%\))] TJ ET 0.267 0.267 0.267 rg 488.095 422.913 49.715 0.750 re f 488.095 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 493.345 411.243 Td /F1 9.8 Tf [(11 )] TJ ET BT 493.345 401.343 Td /F1 9.8 Tf [(\(35%\))] TJ ET 0.267 0.267 0.267 rg 537.060 422.913 68.444 0.750 re f 537.060 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 542.310 411.243 Td /F1 9.8 Tf [(Median )] TJ ET BT 542.310 401.343 Td /F1 9.8 Tf [(age = )] TJ ET BT 542.310 391.443 Td /F1 9.8 Tf [(38\(range 2-)] TJ ET BT 542.310 381.543 Td /F1 9.8 Tf [(83\))] TJ ET 0.267 0.267 0.267 rg 604.754 422.913 52.678 0.750 re f 604.754 345.363 0.750 78.300 re f 656.683 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 610.004 411.243 Td /F1 9.8 Tf [(22 )] TJ ET BT 610.004 401.343 Td /F1 9.8 Tf [(\(71%\))] TJ ET 0.267 0.267 0.267 rg 26.625 345.363 71.213 0.750 re f 26.625 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 333.693 Td /F1 9.8 Tf [(Rashid, )] TJ ET BT 31.875 320.731 Td /F1 9.8 Tf [(2000)] TJ ET 0.267 0.267 0.267 rg BT 56.679 321.313 Td /F4 8.7 Tf [(22)] TJ ET 97.088 345.363 70.775 0.750 re f 97.088 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 102.338 333.693 Td /F1 9.8 Tf [(Bangladesh, )] TJ ET BT 102.338 323.793 Td /F1 9.8 Tf [(1998)] TJ ET 0.267 0.267 0.267 rg 167.113 345.363 37.684 0.750 re f 167.113 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 172.363 333.693 Td /F1 9.8 Tf [(50*)] TJ ET 0.267 0.267 0.267 rg 204.047 345.363 45.596 0.750 re f 249.642 345.363 52.129 0.750 re f 204.047 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 209.297 333.693 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 301.021 345.363 62.566 0.750 re f 301.021 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 306.271 333.693 Td /F1 9.8 Tf [(24 \(48%\))] TJ ET 0.267 0.267 0.267 rg 362.837 345.363 80.788 0.750 re f 362.837 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 368.087 333.693 Td /F1 9.8 Tf [(21 \(42%\) )] TJ ET BT 368.087 323.793 Td /F1 9.8 Tf [(electrocution )] TJ ET BT 368.087 313.893 Td /F1 9.8 Tf [(5 \(10%\) )] TJ ET BT 368.087 303.993 Td /F1 9.8 Tf [(snake bites)] TJ ET 0.267 0.267 0.267 rg 442.874 345.363 45.596 0.750 re f 488.470 345.363 49.340 0.750 re f 442.874 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 448.124 333.693 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 537.060 345.363 68.444 0.750 re f 537.060 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 542.310 333.693 Td /F1 9.8 Tf [(Children )] TJ ET BT 542.310 323.793 Td /F1 9.8 Tf [(accounted )] TJ ET BT 542.310 313.893 Td /F1 9.8 Tf [(for 92% )] TJ ET BT 542.310 303.993 Td /F1 9.8 Tf [(\(22/24\) of )] TJ ET BT 542.310 294.093 Td /F1 9.8 Tf [(drownings)] TJ ET 0.267 0.267 0.267 rg 604.754 345.363 52.678 0.750 re f 604.754 287.613 0.750 58.500 re f 656.683 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 610.004 333.693 Td /F1 9.8 Tf [(Not )] TJ ET BT 610.004 323.793 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 26.625 287.613 71.213 0.750 re f 26.625 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 31.875 275.943 Td /F1 9.8 Tf [(Yale, 2003)] TJ ET 0.267 0.267 0.267 rg BT 31.875 263.563 Td /F4 8.7 Tf [(23)] TJ ET 97.088 287.613 70.775 0.750 re f 97.088 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 102.338 275.943 Td /F1 9.8 Tf [(USA, 1999)] TJ ET 0.267 0.267 0.267 rg 167.113 287.613 37.684 0.750 re f 167.113 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 172.363 275.943 Td /F1 9.8 Tf [(22)] TJ ET 0.267 0.267 0.267 rg 204.047 287.613 45.971 0.750 re f 204.047 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 209.297 275.943 Td /F1 9.8 Tf [(22 )] TJ ET BT 209.297 266.043 Td /F1 9.8 Tf [(\(100%\))] TJ ET 0.267 0.267 0.267 rg 249.267 287.613 52.504 0.750 re f 249.267 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 254.517 275.943 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 301.021 287.613 62.566 0.750 re f 301.021 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 306.271 275.943 Td /F1 9.8 Tf [(22 \(100%\))] TJ ET 0.267 0.267 0.267 rg 362.837 287.613 80.788 0.750 re f 362.837 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 368.087 275.943 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 442.874 287.613 45.971 0.750 re f 442.874 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 448.124 275.943 Td /F1 9.8 Tf [(17 )] TJ ET BT 448.124 266.043 Td /F1 9.8 Tf [(\(77%\))] TJ ET 0.267 0.267 0.267 rg 488.095 287.613 49.715 0.750 re f 488.095 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 493.345 275.943 Td /F1 9.8 Tf [(5 \(23%\))] TJ ET 0.267 0.267 0.267 rg 537.060 287.613 68.444 0.750 re f 537.060 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 542.310 275.943 Td /F1 9.8 Tf [(21 \(95%\) )] TJ ET BT 542.310 266.043 Td /F1 9.8 Tf [(adults)] TJ ET 0.267 0.267 0.267 rg 604.754 287.613 52.678 0.750 re f 604.754 255.735 0.750 32.628 re f 656.683 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 610.004 275.943 Td /F1 9.8 Tf [(22 )] TJ ET BT 610.004 266.043 Td /F1 9.8 Tf [(\(100%\))] TJ ET 0.267 0.267 0.267 rg 26.625 255.735 71.213 0.750 re f 26.625 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 244.065 Td /F1 9.8 Tf [(Pradhan, )] TJ ET BT 31.875 231.103 Td /F1 9.8 Tf [(2007)] TJ ET 0.267 0.267 0.267 rg BT 56.679 231.685 Td /F4 8.7 Tf [(24)] TJ ET 97.088 255.735 70.775 0.750 re f 97.088 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.338 244.065 Td /F1 9.8 Tf [(Nepal, 1992)] TJ ET 0.267 0.267 0.267 rg 167.113 255.735 37.684 0.750 re f 167.113 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 172.363 244.065 Td /F1 9.8 Tf [(302)] TJ ET 0.267 0.267 0.267 rg 204.047 255.735 45.596 0.750 re f 249.642 255.735 52.129 0.750 re f 204.047 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.297 244.065 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 301.021 255.735 62.191 0.750 re f 363.212 255.735 80.413 0.750 re f 301.021 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 306.271 244.065 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 442.874 255.735 45.971 0.750 re f 442.874 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 448.124 244.065 Td /F1 9.8 Tf [(126 )] TJ ET BT 448.124 234.165 Td /F1 9.8 Tf [(\(42%\))] TJ ET 0.267 0.267 0.267 rg 488.095 255.735 49.715 0.750 re f 488.095 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 493.345 244.065 Td /F1 9.8 Tf [(176 )] TJ ET BT 493.345 234.165 Td /F1 9.8 Tf [(\(58%\))] TJ ET 0.267 0.267 0.267 rg 537.060 255.735 68.444 0.750 re f 537.060 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 542.310 244.065 Td /F1 9.8 Tf [(164 \(54%\) )] TJ ET BT 542.310 234.165 Td /F1 9.8 Tf [(children138 )] TJ ET BT 542.310 224.265 Td /F1 9.8 Tf [(\(46%\) )] TJ ET BT 542.310 214.365 Td /F1 9.8 Tf [(adults)] TJ ET 0.267 0.267 0.267 rg 604.754 255.735 52.678 0.750 re f 604.754 207.885 0.750 48.600 re f 656.683 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 610.004 244.065 Td /F1 9.8 Tf [(Not )] TJ ET BT 610.004 234.165 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 26.625 207.885 71.213 0.750 re f 26.625 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 196.215 Td /F1 9.8 Tf [(Jonkman et )] TJ ET BT 31.875 183.253 Td /F1 9.8 Tf [(al., 2009)] TJ ET 0.267 0.267 0.267 rg BT 74.668 183.835 Td /F4 8.7 Tf [(29)] TJ ET 97.088 207.885 70.775 0.750 re f 97.088 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 102.338 196.215 Td /F1 9.8 Tf [(USA, 2005)] TJ ET 0.267 0.267 0.267 rg 167.113 207.885 37.684 0.750 re f 167.113 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 172.363 196.215 Td /F1 9.8 Tf [(853)] TJ ET 0.267 0.267 0.267 rg 204.047 207.885 45.596 0.750 re f 249.642 207.885 52.129 0.750 re f 204.047 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 209.297 196.215 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 301.021 207.885 62.191 0.750 re f 363.212 207.885 80.413 0.750 re f 301.021 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 306.271 196.215 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 442.874 207.885 45.971 0.750 re f 442.874 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 448.124 196.215 Td /F1 9.8 Tf [(432 )] TJ ET BT 448.124 186.315 Td /F1 9.8 Tf [(\(51%\))] TJ ET 0.267 0.267 0.267 rg 488.095 207.885 49.715 0.750 re f 488.095 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 493.345 196.215 Td /F1 9.8 Tf [(421 )] TJ ET BT 493.345 186.315 Td /F1 9.8 Tf [(\(49%\))] TJ ET 0.267 0.267 0.267 rg 537.060 207.885 68.444 0.750 re f 537.060 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 542.310 196.215 Td /F1 9.8 Tf [(705 \(85%\) )] TJ ET BT 542.310 186.315 Td /F1 9.8 Tf [(older than )] TJ ET BT 542.310 176.415 Td /F1 9.8 Tf [(51 yrs, )] TJ ET BT 542.310 166.515 Td /F1 9.8 Tf [(60% over )] TJ ET BT 542.310 156.615 Td /F1 9.8 Tf [(65 yrs)] TJ ET 0.267 0.267 0.267 rg 604.754 207.885 52.678 0.750 re f 604.754 150.135 0.750 58.500 re f 656.683 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 610.004 196.215 Td /F1 9.8 Tf [(Not )] TJ ET BT 610.004 186.315 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 26.625 150.135 71.213 0.750 re f 26.625 122.085 71.213 0.750 re f 26.625 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 138.465 Td /F4 9.8 Tf [(Totals)] TJ ET 0.267 0.267 0.267 rg 97.088 150.135 70.775 0.750 re f 97.088 122.085 70.775 0.750 re f 97.088 122.085 0.750 28.800 re f 167.113 150.135 37.684 0.750 re f 167.113 122.085 37.684 0.750 re f 167.113 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 172.363 138.465 Td /F4 9.8 Tf [(447)] TJ ET 0.267 0.267 0.267 rg 204.047 150.135 45.971 0.750 re f 204.047 122.085 45.971 0.750 re f 204.047 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 209.297 138.465 Td /F4 9.8 Tf [(135 )] TJ ET BT 209.297 128.565 Td /F4 9.8 Tf [(\(93%\))] TJ ET 0.267 0.267 0.267 rg 249.267 150.135 52.504 0.750 re f 249.267 122.085 52.504 0.750 re f 249.267 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 254.517 138.465 Td /F4 9.8 Tf [(10 )] TJ ET BT 254.517 128.565 Td /F4 9.8 Tf [(\(7%\))] TJ ET 0.267 0.267 0.267 rg 301.021 150.135 62.566 0.750 re f 301.021 122.085 62.566 0.750 re f 301.021 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 306.271 138.465 Td /F4 9.8 Tf [(125 )] TJ ET BT 306.271 128.565 Td /F4 9.8 Tf [(\(75%\))] TJ ET 0.267 0.267 0.267 rg 362.837 150.135 80.788 0.750 re f 362.837 122.085 80.788 0.750 re f 362.837 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 368.087 138.465 Td /F4 9.8 Tf [(42 \(25%\))] TJ ET 0.267 0.267 0.267 rg 442.874 150.135 45.971 0.750 re f 442.874 122.085 45.971 0.750 re f 442.874 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 448.124 138.465 Td /F4 9.8 Tf [(639 )] TJ ET BT 448.124 128.565 Td /F4 9.8 Tf [(\(50%\))] TJ ET 0.267 0.267 0.267 rg 488.095 150.135 49.715 0.750 re f 488.095 122.085 49.715 0.750 re f 488.095 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 493.345 138.465 Td /F4 9.8 Tf [(643 )] TJ ET BT 493.345 128.565 Td /F4 9.8 Tf [(\(50%\))] TJ ET 0.267 0.267 0.267 rg 537.060 150.135 68.444 0.750 re f 537.060 122.085 68.444 0.750 re f 537.060 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 542.310 138.465 Td /F4 9.8 Tf [( )] TJ ET 0.267 0.267 0.267 rg 604.754 150.135 52.678 0.750 re f 604.754 122.085 52.678 0.750 re f 604.754 122.085 0.750 28.800 re f 656.683 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 610.004 138.465 Td /F4 9.8 Tf [(97 )] TJ ET BT 610.004 128.565 Td /F4 9.8 Tf [(\(74%\))] TJ ET BT 26.250 71.855 Td /F1 9.8 Tf [(All studies in the United States examined mortality related to motor vehicles and found an increased risk of )] TJ ET BT 26.250 56.411 Td /F1 9.8 Tf [(mortality among individuals in motor vehicles during the event, of all deaths 74% were motor vehicle related )] TJ ET 0.267 0.267 0.267 rg BT 564.138 58.366 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 576.202 61.455 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 26.250 42.922 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 38.314 46.011 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 41.070 42.922 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 53.134 46.011 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 55.890 42.922 Td /F4 8.7 Tf [(20)] TJ ET 0.271 0.267 0.267 rg BT 67.954 40.967 Td /F1 9.8 Tf [( . This compares to a motor vehicle related death rate of 63% in a recent review of US flood fatalities )] TJ ET Q q 15.000 22.434 577.500 754.566 re W n q 26.250 759.180 555.000 17.820 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 6: Primary research articles describing flood related deaths and risk factors for flood mortality \(N=10\))] TJ ET Q 0.965 0.965 0.965 rg 26.250 713.670 555.000 38.010 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 751.680 m 581.250 751.680 l 580.500 750.930 l 27.000 750.930 l f 581.250 751.680 m 581.250 713.670 l 580.500 713.670 l 580.500 750.930 l f 26.250 751.680 m 26.250 713.670 l 27.000 713.670 l 27.000 750.930 l f 0.271 0.267 0.267 rg BT 33.000 735.426 Td /F1 9.0 Tf [(*excludes 1150 deaths from diarrhea and other possibly deaths reported during the 4 month period surrounding the )] TJ ET BT 33.000 723.546 Td /F1 9.0 Tf [(event)] TJ ET 1.000 1.000 1.000 rg 26.250 121.710 631.558 591.960 re f 0.965 0.965 0.965 rg 27.000 681.657 70.463 31.263 re f 0.267 0.267 0.267 rg 26.625 712.545 70.838 0.750 re f 26.625 681.282 0.750 32.013 re f 0.271 0.267 0.267 rg BT 31.500 700.565 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 97.463 681.657 70.025 31.263 re f 0.267 0.267 0.267 rg 97.463 712.545 70.025 0.750 re f 0.271 0.267 0.267 rg BT 101.963 700.565 Td /F4 9.8 Tf [(Country & )] TJ ET BT 101.963 685.121 Td /F4 9.8 Tf [(Year)] TJ ET 0.965 0.965 0.965 rg 167.488 681.657 133.908 31.263 re f 0.267 0.267 0.267 rg 167.488 712.545 36.934 0.750 re f 204.422 712.545 45.221 0.750 re f 249.642 712.545 51.754 0.750 re f 0.271 0.267 0.267 rg BT 171.988 700.565 Td /F4 9.8 Tf [(Flood Related Deaths)] TJ ET 0.965 0.965 0.965 rg 301.396 681.657 141.853 31.263 re f 0.267 0.267 0.267 rg 301.396 712.545 61.816 0.750 re f 363.212 712.545 80.038 0.750 re f 0.271 0.267 0.267 rg BT 305.896 700.565 Td /F4 9.8 Tf [(By Cause)] TJ ET 0.965 0.965 0.965 rg 443.249 681.657 94.186 31.263 re f 0.267 0.267 0.267 rg 443.249 712.545 45.221 0.750 re f 488.470 712.545 48.965 0.750 re f 0.271 0.267 0.267 rg BT 447.749 700.565 Td /F4 9.8 Tf [(By Sex)] TJ ET 0.965 0.965 0.965 rg 537.435 681.657 67.694 31.263 re f 0.267 0.267 0.267 rg 537.435 712.545 67.694 0.750 re f 0.271 0.267 0.267 rg BT 541.935 700.565 Td /F4 9.8 Tf [(By Age)] TJ ET 0.965 0.965 0.965 rg 605.129 681.657 51.928 31.263 re f 0.267 0.267 0.267 rg 605.129 712.545 52.303 0.750 re f 656.683 681.282 0.750 32.013 re f 0.271 0.267 0.267 rg BT 609.629 700.565 Td /F4 9.8 Tf [(Vehicle )] TJ ET BT 609.629 685.121 Td /F4 9.8 Tf [(Related)] TJ ET 0.965 0.965 0.965 rg 27.000 650.394 140.488 31.263 re f 0.267 0.267 0.267 rg 26.625 681.282 70.838 0.750 re f 97.463 681.282 70.025 0.750 re f 26.625 650.019 0.750 32.013 re f 0.965 0.965 0.965 rg 167.488 650.394 36.934 31.263 re f 0.267 0.267 0.267 rg 167.488 681.282 36.934 0.750 re f 0.271 0.267 0.267 rg BT 171.988 669.302 Td /F4 9.8 Tf [(Total)] TJ ET 0.965 0.965 0.965 rg 204.422 650.394 45.221 31.263 re f 0.267 0.267 0.267 rg 204.422 681.282 45.221 0.750 re f 0.271 0.267 0.267 rg BT 208.922 669.302 Td /F4 9.8 Tf [(Direct)] TJ ET 0.965 0.965 0.965 rg 249.642 650.394 51.754 31.263 re f 0.267 0.267 0.267 rg 249.642 681.282 51.754 0.750 re f 0.271 0.267 0.267 rg BT 254.142 669.302 Td /F4 9.8 Tf [(Indirect)] TJ ET 0.965 0.965 0.965 rg 301.396 650.394 61.816 31.263 re f 0.267 0.267 0.267 rg 301.396 681.282 61.816 0.750 re f 0.271 0.267 0.267 rg BT 305.896 669.302 Td /F4 9.8 Tf [(Drowning)] TJ ET 0.965 0.965 0.965 rg 363.212 650.394 80.038 31.263 re f 0.267 0.267 0.267 rg 363.212 681.282 80.038 0.750 re f 0.271 0.267 0.267 rg BT 367.712 669.302 Td /F4 9.8 Tf [(Other )] TJ ET BT 367.712 653.858 Td /F4 9.8 Tf [(Causes)] TJ ET 0.965 0.965 0.965 rg 443.249 650.394 45.221 31.263 re f 0.267 0.267 0.267 rg 443.249 681.282 45.221 0.750 re f 0.271 0.267 0.267 rg BT 447.749 669.302 Td /F4 9.8 Tf [(Males)] TJ ET 0.965 0.965 0.965 rg 488.470 650.394 48.965 31.263 re f 0.267 0.267 0.267 rg 488.470 681.282 48.965 0.750 re f 0.271 0.267 0.267 rg BT 492.970 669.302 Td /F4 9.8 Tf [(Female)] TJ ET 0.965 0.965 0.965 rg 537.435 650.394 67.694 31.263 re f 0.267 0.267 0.267 rg 537.435 681.282 67.694 0.750 re f 0.965 0.965 0.965 rg 605.129 650.394 51.928 31.263 re f 0.267 0.267 0.267 rg 605.129 681.282 52.303 0.750 re f 656.683 650.019 0.750 32.013 re f 26.625 650.019 71.213 0.750 re f 26.625 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 31.875 638.349 Td /F1 9.8 Tf [(Duclos,1991 )] TJ ET 0.267 0.267 0.267 rg BT 31.875 625.969 Td /F4 8.7 Tf [(16)] TJ ET 97.088 650.019 70.775 0.750 re f 97.088 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 102.338 638.349 Td /F1 9.8 Tf [(France, )] TJ ET BT 102.338 628.449 Td /F1 9.8 Tf [(1988)] TJ ET 0.267 0.267 0.267 rg 167.113 650.019 37.684 0.750 re f 167.113 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 172.363 638.349 Td /F1 9.8 Tf [(9)] TJ ET 0.267 0.267 0.267 rg 204.047 650.019 45.971 0.750 re f 204.047 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 209.297 638.349 Td /F1 9.8 Tf [(9 )] TJ ET BT 209.297 628.449 Td /F1 9.8 Tf [(\(100%\))] TJ ET 0.267 0.267 0.267 rg 249.267 650.019 52.504 0.750 re f 249.267 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 254.517 638.349 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 301.021 650.019 62.566 0.750 re f 301.021 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 306.271 638.349 Td /F1 9.8 Tf [(9 \(100%\))] TJ ET 0.267 0.267 0.267 rg 362.837 650.019 80.788 0.750 re f 362.837 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 368.087 638.349 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 442.874 650.019 45.596 0.750 re f 488.470 650.019 49.340 0.750 re f 442.874 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 448.124 638.349 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 537.060 650.019 68.444 0.750 re f 537.060 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 542.310 638.349 Td /F1 9.8 Tf [(Not )] TJ ET BT 542.310 628.449 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 604.754 650.019 52.678 0.750 re f 604.754 618.141 0.750 32.628 re f 656.683 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 610.004 638.349 Td /F1 9.8 Tf [(Not )] TJ ET BT 610.004 628.449 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 26.625 618.141 71.213 0.750 re f 26.625 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 606.471 Td /F1 9.8 Tf [(CDC, 1993)] TJ ET 0.267 0.267 0.267 rg BT 31.875 594.091 Td /F4 8.7 Tf [(18)] TJ ET 97.088 618.141 70.775 0.750 re f 97.088 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 102.338 606.471 Td /F1 9.8 Tf [(USA, 1993)] TJ ET 0.267 0.267 0.267 rg 167.113 618.141 37.684 0.750 re f 167.113 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 172.363 606.471 Td /F1 9.8 Tf [(27)] TJ ET 0.267 0.267 0.267 rg 204.047 618.141 45.971 0.750 re f 204.047 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 209.297 606.471 Td /F1 9.8 Tf [(21 )] TJ ET BT 209.297 596.571 Td /F1 9.8 Tf [(\(78%\))] TJ ET 0.267 0.267 0.267 rg 249.267 618.141 52.504 0.750 re f 249.267 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 254.517 606.471 Td /F1 9.8 Tf [(6 \(22%\))] TJ ET 0.267 0.267 0.267 rg 301.021 618.141 62.566 0.750 re f 301.021 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 306.271 606.471 Td /F1 9.8 Tf [(21 \(78%\))] TJ ET 0.267 0.267 0.267 rg 362.837 618.141 80.788 0.750 re f 362.837 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 368.087 606.471 Td /F1 9.8 Tf [(2 \(7%\) )] TJ ET BT 368.087 596.571 Td /F1 9.8 Tf [(electrocution2 )] TJ ET BT 368.087 586.671 Td /F1 9.8 Tf [(\(7%\) vehicle )] TJ ET BT 368.087 576.771 Td /F1 9.8 Tf [(accident 2 )] TJ ET BT 368.087 566.871 Td /F1 9.8 Tf [(\(7%\) cardiac )] TJ ET BT 368.087 556.971 Td /F1 9.8 Tf [(arrest)] TJ ET 0.267 0.267 0.267 rg 442.874 618.141 45.971 0.750 re f 442.874 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 448.124 606.471 Td /F1 9.8 Tf [(18 )] TJ ET BT 448.124 596.571 Td /F1 9.8 Tf [(\(67%\))] TJ ET 0.267 0.267 0.267 rg 488.095 618.141 49.715 0.750 re f 488.095 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 493.345 606.471 Td /F1 9.8 Tf [(9 \(33%\))] TJ ET 0.267 0.267 0.267 rg 537.060 618.141 68.444 0.750 re f 537.060 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 542.310 606.471 Td /F1 9.8 Tf [(Average )] TJ ET BT 542.310 596.571 Td /F1 9.8 Tf [(age = )] TJ ET BT 542.310 586.671 Td /F1 9.8 Tf [(38\(range 9-)] TJ ET BT 542.310 576.771 Td /F1 9.8 Tf [(88\))] TJ ET 0.267 0.267 0.267 rg 604.754 618.141 52.678 0.750 re f 604.754 550.491 0.750 68.400 re f 656.683 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 610.004 606.471 Td /F1 9.8 Tf [(13 )] TJ ET BT 610.004 596.571 Td /F1 9.8 Tf [(\(48%\))] TJ ET 0.267 0.267 0.267 rg 26.625 550.491 71.213 0.750 re f 26.625 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 538.821 Td /F1 9.8 Tf [(CDC,1994)] TJ ET 0.267 0.267 0.267 rg BT 31.875 526.441 Td /F4 8.7 Tf [(19)] TJ ET 97.088 550.491 70.775 0.750 re f 97.088 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.338 538.821 Td /F1 9.8 Tf [(USA, 1994)] TJ ET 0.267 0.267 0.267 rg 167.113 550.491 37.684 0.750 re f 167.113 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 172.363 538.821 Td /F1 9.8 Tf [(28)] TJ ET 0.267 0.267 0.267 rg 204.047 550.491 45.971 0.750 re f 204.047 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.297 538.821 Td /F1 9.8 Tf [(27 )] TJ ET BT 209.297 528.921 Td /F1 9.8 Tf [(\(96%\))] TJ ET 0.267 0.267 0.267 rg 249.267 550.491 52.504 0.750 re f 249.267 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 254.517 538.821 Td /F1 9.8 Tf [(1 \(4%\))] TJ ET 0.267 0.267 0.267 rg 301.021 550.491 62.566 0.750 re f 301.021 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 306.271 538.821 Td /F1 9.8 Tf [(27 \(96%\))] TJ ET 0.267 0.267 0.267 rg 362.837 550.491 80.788 0.750 re f 362.837 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 368.087 538.821 Td /F1 9.8 Tf [(1 \(4%\) other)] TJ ET 0.267 0.267 0.267 rg 442.874 550.491 45.971 0.750 re f 442.874 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 448.124 538.821 Td /F1 9.8 Tf [(20 )] TJ ET BT 448.124 528.921 Td /F1 9.8 Tf [(\(71%\))] TJ ET 0.267 0.267 0.267 rg 488.095 550.491 49.715 0.750 re f 488.095 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 493.345 538.821 Td /F1 9.8 Tf [(8 \(29%\))] TJ ET 0.267 0.267 0.267 rg 537.060 550.491 68.444 0.750 re f 537.060 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 542.310 538.821 Td /F1 9.8 Tf [(Average )] TJ ET BT 542.310 528.921 Td /F1 9.8 Tf [(age = )] TJ ET BT 542.310 519.021 Td /F1 9.8 Tf [(31\(range 2-)] TJ ET BT 542.310 509.121 Td /F1 9.8 Tf [(84\))] TJ ET 0.267 0.267 0.267 rg 604.754 550.491 52.678 0.750 re f 604.754 502.641 0.750 48.600 re f 656.683 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 610.004 538.821 Td /F1 9.8 Tf [(20 )] TJ ET BT 610.004 528.921 Td /F1 9.8 Tf [(\(71%\))] TJ ET 0.267 0.267 0.267 rg 26.625 502.641 71.213 0.750 re f 26.625 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 490.971 Td /F1 9.8 Tf [(Staes,1994)] TJ ET 0.267 0.267 0.267 rg BT 31.875 478.591 Td /F4 8.7 Tf [(20)] TJ ET 97.088 502.641 70.775 0.750 re f 97.088 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.338 490.971 Td /F1 9.8 Tf [(USA, 1992)] TJ ET 0.267 0.267 0.267 rg 167.113 502.641 37.684 0.750 re f 167.113 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 172.363 490.971 Td /F1 9.8 Tf [(23)] TJ ET 0.267 0.267 0.267 rg 204.047 502.641 45.971 0.750 re f 204.047 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.297 490.971 Td /F1 9.8 Tf [(22 )] TJ ET BT 209.297 481.071 Td /F1 9.8 Tf [(\(96%\))] TJ ET 0.267 0.267 0.267 rg 249.267 502.641 52.504 0.750 re f 249.267 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 254.517 490.971 Td /F1 9.8 Tf [(1 \(4%\))] TJ ET 0.267 0.267 0.267 rg 301.021 502.641 62.566 0.750 re f 301.021 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 306.271 490.971 Td /F1 9.8 Tf [(22 \(96%\))] TJ ET 0.267 0.267 0.267 rg 362.837 502.641 80.788 0.750 re f 362.837 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 368.087 490.971 Td /F1 9.8 Tf [(1 \(4%\) )] TJ ET BT 368.087 481.071 Td /F1 9.8 Tf [(carbon )] TJ ET BT 368.087 471.171 Td /F1 9.8 Tf [(monoxide )] TJ ET BT 368.087 461.271 Td /F1 9.8 Tf [(poisoning)] TJ ET 0.267 0.267 0.267 rg 442.874 502.641 45.971 0.750 re f 442.874 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 448.124 490.971 Td /F1 9.8 Tf [(10 )] TJ ET BT 448.124 481.071 Td /F1 9.8 Tf [(\(43%\))] TJ ET 0.267 0.267 0.267 rg 488.095 502.641 49.715 0.750 re f 488.095 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 493.345 490.971 Td /F1 9.8 Tf [(13 )] TJ ET BT 493.345 481.071 Td /F1 9.8 Tf [(\(57%\))] TJ ET 0.267 0.267 0.267 rg 537.060 502.641 68.444 0.750 re f 537.060 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 542.310 490.971 Td /F1 9.8 Tf [(16 \(70%\) )] TJ ET BT 542.310 481.071 Td /F1 9.8 Tf [("e 16 yrs)] TJ ET 0.267 0.267 0.267 rg 604.754 502.641 52.678 0.750 re f 604.754 454.791 0.750 48.600 re f 656.683 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 610.004 490.971 Td /F1 9.8 Tf [(20 )] TJ ET BT 610.004 481.071 Td /F1 9.8 Tf [(\(87%\))] TJ ET 0.267 0.267 0.267 rg 26.625 454.791 71.213 0.750 re f 26.625 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 31.875 443.121 Td /F1 9.8 Tf [(Grigg, 1999)] TJ ET 0.267 0.267 0.267 rg BT 31.875 430.741 Td /F4 8.7 Tf [(28)] TJ ET 97.088 454.791 70.775 0.750 re f 97.088 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 102.338 443.121 Td /F1 9.8 Tf [(USA, 1997)] TJ ET 0.267 0.267 0.267 rg 167.113 454.791 37.684 0.750 re f 167.113 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 172.363 443.121 Td /F1 9.8 Tf [(5)] TJ ET 0.267 0.267 0.267 rg 204.047 454.791 45.971 0.750 re f 204.047 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 209.297 443.121 Td /F1 9.8 Tf [(5 )] TJ ET BT 209.297 433.221 Td /F1 9.8 Tf [(\(100%\))] TJ ET 0.267 0.267 0.267 rg 249.267 454.791 52.504 0.750 re f 249.267 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 254.517 443.121 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 301.021 454.791 62.191 0.750 re f 363.212 454.791 80.413 0.750 re f 301.021 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 306.271 443.121 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 442.874 454.791 45.971 0.750 re f 442.874 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 448.124 443.121 Td /F1 9.8 Tf [(5 )] TJ ET BT 448.124 433.221 Td /F1 9.8 Tf [(\(100%\))] TJ ET 0.267 0.267 0.267 rg 488.095 454.791 49.715 0.750 re f 488.095 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 493.345 443.121 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 537.060 454.791 68.444 0.750 re f 537.060 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 542.310 443.121 Td /F1 9.8 Tf [(All adults)] TJ ET 0.267 0.267 0.267 rg 604.754 454.791 52.678 0.750 re f 604.754 422.913 0.750 32.628 re f 656.683 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 610.004 443.121 Td /F1 9.8 Tf [(Not )] TJ ET BT 610.004 433.221 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 26.625 422.913 71.213 0.750 re f 26.625 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 411.243 Td /F1 9.8 Tf [(CDC, 2000)] TJ ET 0.267 0.267 0.267 rg BT 31.875 398.863 Td /F4 8.7 Tf [(21)] TJ ET 97.088 422.913 70.775 0.750 re f 97.088 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.338 411.243 Td /F1 9.8 Tf [(USA, 1998)] TJ ET 0.267 0.267 0.267 rg 167.113 422.913 37.684 0.750 re f 167.113 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 172.363 411.243 Td /F1 9.8 Tf [(31)] TJ ET 0.267 0.267 0.267 rg 204.047 422.913 45.971 0.750 re f 204.047 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.297 411.243 Td /F1 9.8 Tf [(29 )] TJ ET BT 209.297 401.343 Td /F1 9.8 Tf [(\(94%\))] TJ ET 0.267 0.267 0.267 rg 249.267 422.913 52.504 0.750 re f 249.267 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 254.517 411.243 Td /F1 9.8 Tf [(2 \(6%\))] TJ ET 0.267 0.267 0.267 rg 301.021 422.913 62.566 0.750 re f 301.021 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 306.271 411.243 Td /F1 9.8 Tf [(24 \(77%\))] TJ ET 0.267 0.267 0.267 rg 362.837 422.913 80.788 0.750 re f 362.837 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 368.087 411.243 Td /F1 9.8 Tf [(3 \(10%\) )] TJ ET BT 368.087 401.343 Td /F1 9.8 Tf [(trauma1 )] TJ ET BT 368.087 391.443 Td /F1 9.8 Tf [(\(3%\) )] TJ ET BT 368.087 381.543 Td /F1 9.8 Tf [(hypothermia1 )] TJ ET BT 368.087 371.643 Td /F1 9.8 Tf [(\(3%\) cardiac )] TJ ET BT 368.087 361.743 Td /F1 9.8 Tf [(arrest2 \(6%\) )] TJ ET BT 368.087 351.843 Td /F1 9.8 Tf [(other)] TJ ET 0.267 0.267 0.267 rg 442.874 422.913 45.971 0.750 re f 442.874 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 448.124 411.243 Td /F1 9.8 Tf [(20 )] TJ ET BT 448.124 401.343 Td /F1 9.8 Tf [(\(65%\))] TJ ET 0.267 0.267 0.267 rg 488.095 422.913 49.715 0.750 re f 488.095 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 493.345 411.243 Td /F1 9.8 Tf [(11 )] TJ ET BT 493.345 401.343 Td /F1 9.8 Tf [(\(35%\))] TJ ET 0.267 0.267 0.267 rg 537.060 422.913 68.444 0.750 re f 537.060 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 542.310 411.243 Td /F1 9.8 Tf [(Median )] TJ ET BT 542.310 401.343 Td /F1 9.8 Tf [(age = )] TJ ET BT 542.310 391.443 Td /F1 9.8 Tf [(38\(range 2-)] TJ ET BT 542.310 381.543 Td /F1 9.8 Tf [(83\))] TJ ET 0.267 0.267 0.267 rg 604.754 422.913 52.678 0.750 re f 604.754 345.363 0.750 78.300 re f 656.683 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 610.004 411.243 Td /F1 9.8 Tf [(22 )] TJ ET BT 610.004 401.343 Td /F1 9.8 Tf [(\(71%\))] TJ ET 0.267 0.267 0.267 rg 26.625 345.363 71.213 0.750 re f 26.625 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 333.693 Td /F1 9.8 Tf [(Rashid, )] TJ ET BT 31.875 320.731 Td /F1 9.8 Tf [(2000)] TJ ET 0.267 0.267 0.267 rg BT 56.679 321.313 Td /F4 8.7 Tf [(22)] TJ ET 97.088 345.363 70.775 0.750 re f 97.088 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 102.338 333.693 Td /F1 9.8 Tf [(Bangladesh, )] TJ ET BT 102.338 323.793 Td /F1 9.8 Tf [(1998)] TJ ET 0.267 0.267 0.267 rg 167.113 345.363 37.684 0.750 re f 167.113 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 172.363 333.693 Td /F1 9.8 Tf [(50*)] TJ ET 0.267 0.267 0.267 rg 204.047 345.363 45.596 0.750 re f 249.642 345.363 52.129 0.750 re f 204.047 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 209.297 333.693 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 301.021 345.363 62.566 0.750 re f 301.021 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 306.271 333.693 Td /F1 9.8 Tf [(24 \(48%\))] TJ ET 0.267 0.267 0.267 rg 362.837 345.363 80.788 0.750 re f 362.837 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 368.087 333.693 Td /F1 9.8 Tf [(21 \(42%\) )] TJ ET BT 368.087 323.793 Td /F1 9.8 Tf [(electrocution )] TJ ET BT 368.087 313.893 Td /F1 9.8 Tf [(5 \(10%\) )] TJ ET BT 368.087 303.993 Td /F1 9.8 Tf [(snake bites)] TJ ET 0.267 0.267 0.267 rg 442.874 345.363 45.596 0.750 re f 488.470 345.363 49.340 0.750 re f 442.874 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 448.124 333.693 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 537.060 345.363 68.444 0.750 re f 537.060 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 542.310 333.693 Td /F1 9.8 Tf [(Children )] TJ ET BT 542.310 323.793 Td /F1 9.8 Tf [(accounted )] TJ ET BT 542.310 313.893 Td /F1 9.8 Tf [(for 92% )] TJ ET BT 542.310 303.993 Td /F1 9.8 Tf [(\(22/24\) of )] TJ ET BT 542.310 294.093 Td /F1 9.8 Tf [(drownings)] TJ ET 0.267 0.267 0.267 rg 604.754 345.363 52.678 0.750 re f 604.754 287.613 0.750 58.500 re f 656.683 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 610.004 333.693 Td /F1 9.8 Tf [(Not )] TJ ET BT 610.004 323.793 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 26.625 287.613 71.213 0.750 re f 26.625 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 31.875 275.943 Td /F1 9.8 Tf [(Yale, 2003)] TJ ET 0.267 0.267 0.267 rg BT 31.875 263.563 Td /F4 8.7 Tf [(23)] TJ ET 97.088 287.613 70.775 0.750 re f 97.088 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 102.338 275.943 Td /F1 9.8 Tf [(USA, 1999)] TJ ET 0.267 0.267 0.267 rg 167.113 287.613 37.684 0.750 re f 167.113 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 172.363 275.943 Td /F1 9.8 Tf [(22)] TJ ET 0.267 0.267 0.267 rg 204.047 287.613 45.971 0.750 re f 204.047 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 209.297 275.943 Td /F1 9.8 Tf [(22 )] TJ ET BT 209.297 266.043 Td /F1 9.8 Tf [(\(100%\))] TJ ET 0.267 0.267 0.267 rg 249.267 287.613 52.504 0.750 re f 249.267 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 254.517 275.943 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 301.021 287.613 62.566 0.750 re f 301.021 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 306.271 275.943 Td /F1 9.8 Tf [(22 \(100%\))] TJ ET 0.267 0.267 0.267 rg 362.837 287.613 80.788 0.750 re f 362.837 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 368.087 275.943 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 442.874 287.613 45.971 0.750 re f 442.874 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 448.124 275.943 Td /F1 9.8 Tf [(17 )] TJ ET BT 448.124 266.043 Td /F1 9.8 Tf [(\(77%\))] TJ ET 0.267 0.267 0.267 rg 488.095 287.613 49.715 0.750 re f 488.095 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 493.345 275.943 Td /F1 9.8 Tf [(5 \(23%\))] TJ ET 0.267 0.267 0.267 rg 537.060 287.613 68.444 0.750 re f 537.060 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 542.310 275.943 Td /F1 9.8 Tf [(21 \(95%\) )] TJ ET BT 542.310 266.043 Td /F1 9.8 Tf [(adults)] TJ ET 0.267 0.267 0.267 rg 604.754 287.613 52.678 0.750 re f 604.754 255.735 0.750 32.628 re f 656.683 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 610.004 275.943 Td /F1 9.8 Tf [(22 )] TJ ET BT 610.004 266.043 Td /F1 9.8 Tf [(\(100%\))] TJ ET 0.267 0.267 0.267 rg 26.625 255.735 71.213 0.750 re f 26.625 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 244.065 Td /F1 9.8 Tf [(Pradhan, )] TJ ET BT 31.875 231.103 Td /F1 9.8 Tf [(2007)] TJ ET 0.267 0.267 0.267 rg BT 56.679 231.685 Td /F4 8.7 Tf [(24)] TJ ET 97.088 255.735 70.775 0.750 re f 97.088 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.338 244.065 Td /F1 9.8 Tf [(Nepal, 1992)] TJ ET 0.267 0.267 0.267 rg 167.113 255.735 37.684 0.750 re f 167.113 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 172.363 244.065 Td /F1 9.8 Tf [(302)] TJ ET 0.267 0.267 0.267 rg 204.047 255.735 45.596 0.750 re f 249.642 255.735 52.129 0.750 re f 204.047 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.297 244.065 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 301.021 255.735 62.191 0.750 re f 363.212 255.735 80.413 0.750 re f 301.021 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 306.271 244.065 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 442.874 255.735 45.971 0.750 re f 442.874 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 448.124 244.065 Td /F1 9.8 Tf [(126 )] TJ ET BT 448.124 234.165 Td /F1 9.8 Tf [(\(42%\))] TJ ET 0.267 0.267 0.267 rg 488.095 255.735 49.715 0.750 re f 488.095 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 493.345 244.065 Td /F1 9.8 Tf [(176 )] TJ ET BT 493.345 234.165 Td /F1 9.8 Tf [(\(58%\))] TJ ET 0.267 0.267 0.267 rg 537.060 255.735 68.444 0.750 re f 537.060 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 542.310 244.065 Td /F1 9.8 Tf [(164 \(54%\) )] TJ ET BT 542.310 234.165 Td /F1 9.8 Tf [(children138 )] TJ ET BT 542.310 224.265 Td /F1 9.8 Tf [(\(46%\) )] TJ ET BT 542.310 214.365 Td /F1 9.8 Tf [(adults)] TJ ET 0.267 0.267 0.267 rg 604.754 255.735 52.678 0.750 re f 604.754 207.885 0.750 48.600 re f 656.683 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 610.004 244.065 Td /F1 9.8 Tf [(Not )] TJ ET BT 610.004 234.165 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 26.625 207.885 71.213 0.750 re f 26.625 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 196.215 Td /F1 9.8 Tf [(Jonkman et )] TJ ET BT 31.875 183.253 Td /F1 9.8 Tf [(al., 2009)] TJ ET 0.267 0.267 0.267 rg BT 74.668 183.835 Td /F4 8.7 Tf [(29)] TJ ET 97.088 207.885 70.775 0.750 re f 97.088 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 102.338 196.215 Td /F1 9.8 Tf [(USA, 2005)] TJ ET 0.267 0.267 0.267 rg 167.113 207.885 37.684 0.750 re f 167.113 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 172.363 196.215 Td /F1 9.8 Tf [(853)] TJ ET 0.267 0.267 0.267 rg 204.047 207.885 45.596 0.750 re f 249.642 207.885 52.129 0.750 re f 204.047 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 209.297 196.215 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 301.021 207.885 62.191 0.750 re f 363.212 207.885 80.413 0.750 re f 301.021 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 306.271 196.215 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 442.874 207.885 45.971 0.750 re f 442.874 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 448.124 196.215 Td /F1 9.8 Tf [(432 )] TJ ET BT 448.124 186.315 Td /F1 9.8 Tf [(\(51%\))] TJ ET 0.267 0.267 0.267 rg 488.095 207.885 49.715 0.750 re f 488.095 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 493.345 196.215 Td /F1 9.8 Tf [(421 )] TJ ET BT 493.345 186.315 Td /F1 9.8 Tf [(\(49%\))] TJ ET 0.267 0.267 0.267 rg 537.060 207.885 68.444 0.750 re f 537.060 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 542.310 196.215 Td /F1 9.8 Tf [(705 \(85%\) )] TJ ET BT 542.310 186.315 Td /F1 9.8 Tf [(older than )] TJ ET BT 542.310 176.415 Td /F1 9.8 Tf [(51 yrs, )] TJ ET BT 542.310 166.515 Td /F1 9.8 Tf [(60% over )] TJ ET BT 542.310 156.615 Td /F1 9.8 Tf [(65 yrs)] TJ ET 0.267 0.267 0.267 rg 604.754 207.885 52.678 0.750 re f 604.754 150.135 0.750 58.500 re f 656.683 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 610.004 196.215 Td /F1 9.8 Tf [(Not )] TJ ET BT 610.004 186.315 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 26.625 150.135 71.213 0.750 re f 26.625 122.085 71.213 0.750 re f 26.625 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 138.465 Td /F4 9.8 Tf [(Totals)] TJ ET 0.267 0.267 0.267 rg 97.088 150.135 70.775 0.750 re f 97.088 122.085 70.775 0.750 re f 97.088 122.085 0.750 28.800 re f 167.113 150.135 37.684 0.750 re f 167.113 122.085 37.684 0.750 re f 167.113 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 172.363 138.465 Td /F4 9.8 Tf [(447)] TJ ET 0.267 0.267 0.267 rg 204.047 150.135 45.971 0.750 re f 204.047 122.085 45.971 0.750 re f 204.047 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 209.297 138.465 Td /F4 9.8 Tf [(135 )] TJ ET BT 209.297 128.565 Td /F4 9.8 Tf [(\(93%\))] TJ ET 0.267 0.267 0.267 rg 249.267 150.135 52.504 0.750 re f 249.267 122.085 52.504 0.750 re f 249.267 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 254.517 138.465 Td /F4 9.8 Tf [(10 )] TJ ET BT 254.517 128.565 Td /F4 9.8 Tf [(\(7%\))] TJ ET 0.267 0.267 0.267 rg 301.021 150.135 62.566 0.750 re f 301.021 122.085 62.566 0.750 re f 301.021 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 306.271 138.465 Td /F4 9.8 Tf [(125 )] TJ ET BT 306.271 128.565 Td /F4 9.8 Tf [(\(75%\))] TJ ET 0.267 0.267 0.267 rg 362.837 150.135 80.788 0.750 re f 362.837 122.085 80.788 0.750 re f 362.837 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 368.087 138.465 Td /F4 9.8 Tf [(42 \(25%\))] TJ ET 0.267 0.267 0.267 rg 442.874 150.135 45.971 0.750 re f 442.874 122.085 45.971 0.750 re f 442.874 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 448.124 138.465 Td /F4 9.8 Tf [(639 )] TJ ET BT 448.124 128.565 Td /F4 9.8 Tf [(\(50%\))] TJ ET 0.267 0.267 0.267 rg 488.095 150.135 49.715 0.750 re f 488.095 122.085 49.715 0.750 re f 488.095 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 493.345 138.465 Td /F4 9.8 Tf [(643 )] TJ ET BT 493.345 128.565 Td /F4 9.8 Tf [(\(50%\))] TJ ET 0.267 0.267 0.267 rg 537.060 150.135 68.444 0.750 re f 537.060 122.085 68.444 0.750 re f 537.060 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 542.310 138.465 Td /F4 9.8 Tf [( )] TJ ET 0.267 0.267 0.267 rg 604.754 150.135 52.678 0.750 re f 604.754 122.085 52.678 0.750 re f 604.754 122.085 0.750 28.800 re f 656.683 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 610.004 138.465 Td /F4 9.8 Tf [(97 )] TJ ET BT 610.004 128.565 Td /F4 9.8 Tf [(\(74%\))] TJ ET BT 26.250 71.855 Td /F1 9.8 Tf [(All studies in the United States examined mortality related to motor vehicles and found an increased risk of )] TJ ET BT 26.250 56.411 Td /F1 9.8 Tf [(mortality among individuals in motor vehicles during the event, of all deaths 74% were motor vehicle related )] TJ ET 0.267 0.267 0.267 rg BT 564.138 58.366 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 576.202 61.455 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 26.250 42.922 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 38.314 46.011 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 41.070 42.922 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 53.134 46.011 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 55.890 42.922 Td /F4 8.7 Tf [(20)] TJ ET 0.271 0.267 0.267 rg BT 67.954 40.967 Td /F1 9.8 Tf [( . This compares to a motor vehicle related death rate of 63% in a recent review of US flood fatalities )] TJ ET Q q 15.000 22.434 577.500 754.566 re W n q 26.250 759.180 555.000 17.820 re W n 0.271 0.267 0.267 rg BT 26.250 762.744 Td /F1 9.8 Tf [(Table 6: Primary research articles describing flood related deaths and risk factors for flood mortality \(N=10\))] TJ ET Q 0.965 0.965 0.965 rg 26.250 713.670 555.000 38.010 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 751.680 m 581.250 751.680 l 580.500 750.930 l 27.000 750.930 l f 581.250 751.680 m 581.250 713.670 l 580.500 713.670 l 580.500 750.930 l f 26.250 751.680 m 26.250 713.670 l 27.000 713.670 l 27.000 750.930 l f 0.271 0.267 0.267 rg BT 33.000 735.426 Td /F1 9.0 Tf [(*excludes 1150 deaths from diarrhea and other possibly deaths reported during the 4 month period surrounding the )] TJ ET BT 33.000 723.546 Td /F1 9.0 Tf [(event)] TJ ET 1.000 1.000 1.000 rg 26.250 121.710 631.558 591.960 re f 0.965 0.965 0.965 rg 27.000 681.657 70.463 31.263 re f 0.267 0.267 0.267 rg 26.625 712.545 70.838 0.750 re f 26.625 681.282 0.750 32.013 re f 0.271 0.267 0.267 rg BT 31.500 700.565 Td /F4 9.8 Tf [(Article)] TJ ET 0.965 0.965 0.965 rg 97.463 681.657 70.025 31.263 re f 0.267 0.267 0.267 rg 97.463 712.545 70.025 0.750 re f 0.271 0.267 0.267 rg BT 101.963 700.565 Td /F4 9.8 Tf [(Country & )] TJ ET BT 101.963 685.121 Td /F4 9.8 Tf [(Year)] TJ ET 0.965 0.965 0.965 rg 167.488 681.657 133.908 31.263 re f 0.267 0.267 0.267 rg 167.488 712.545 36.934 0.750 re f 204.422 712.545 45.221 0.750 re f 249.642 712.545 51.754 0.750 re f 0.271 0.267 0.267 rg BT 171.988 700.565 Td /F4 9.8 Tf [(Flood Related Deaths)] TJ ET 0.965 0.965 0.965 rg 301.396 681.657 141.853 31.263 re f 0.267 0.267 0.267 rg 301.396 712.545 61.816 0.750 re f 363.212 712.545 80.038 0.750 re f 0.271 0.267 0.267 rg BT 305.896 700.565 Td /F4 9.8 Tf [(By Cause)] TJ ET 0.965 0.965 0.965 rg 443.249 681.657 94.186 31.263 re f 0.267 0.267 0.267 rg 443.249 712.545 45.221 0.750 re f 488.470 712.545 48.965 0.750 re f 0.271 0.267 0.267 rg BT 447.749 700.565 Td /F4 9.8 Tf [(By Sex)] TJ ET 0.965 0.965 0.965 rg 537.435 681.657 67.694 31.263 re f 0.267 0.267 0.267 rg 537.435 712.545 67.694 0.750 re f 0.271 0.267 0.267 rg BT 541.935 700.565 Td /F4 9.8 Tf [(By Age)] TJ ET 0.965 0.965 0.965 rg 605.129 681.657 51.928 31.263 re f 0.267 0.267 0.267 rg 605.129 712.545 52.303 0.750 re f 656.683 681.282 0.750 32.013 re f 0.271 0.267 0.267 rg BT 609.629 700.565 Td /F4 9.8 Tf [(Vehicle )] TJ ET BT 609.629 685.121 Td /F4 9.8 Tf [(Related)] TJ ET 0.965 0.965 0.965 rg 27.000 650.394 140.488 31.263 re f 0.267 0.267 0.267 rg 26.625 681.282 70.838 0.750 re f 97.463 681.282 70.025 0.750 re f 26.625 650.019 0.750 32.013 re f 0.965 0.965 0.965 rg 167.488 650.394 36.934 31.263 re f 0.267 0.267 0.267 rg 167.488 681.282 36.934 0.750 re f 0.271 0.267 0.267 rg BT 171.988 669.302 Td /F4 9.8 Tf [(Total)] TJ ET 0.965 0.965 0.965 rg 204.422 650.394 45.221 31.263 re f 0.267 0.267 0.267 rg 204.422 681.282 45.221 0.750 re f 0.271 0.267 0.267 rg BT 208.922 669.302 Td /F4 9.8 Tf [(Direct)] TJ ET 0.965 0.965 0.965 rg 249.642 650.394 51.754 31.263 re f 0.267 0.267 0.267 rg 249.642 681.282 51.754 0.750 re f 0.271 0.267 0.267 rg BT 254.142 669.302 Td /F4 9.8 Tf [(Indirect)] TJ ET 0.965 0.965 0.965 rg 301.396 650.394 61.816 31.263 re f 0.267 0.267 0.267 rg 301.396 681.282 61.816 0.750 re f 0.271 0.267 0.267 rg BT 305.896 669.302 Td /F4 9.8 Tf [(Drowning)] TJ ET 0.965 0.965 0.965 rg 363.212 650.394 80.038 31.263 re f 0.267 0.267 0.267 rg 363.212 681.282 80.038 0.750 re f 0.271 0.267 0.267 rg BT 367.712 669.302 Td /F4 9.8 Tf [(Other )] TJ ET BT 367.712 653.858 Td /F4 9.8 Tf [(Causes)] TJ ET 0.965 0.965 0.965 rg 443.249 650.394 45.221 31.263 re f 0.267 0.267 0.267 rg 443.249 681.282 45.221 0.750 re f 0.271 0.267 0.267 rg BT 447.749 669.302 Td /F4 9.8 Tf [(Males)] TJ ET 0.965 0.965 0.965 rg 488.470 650.394 48.965 31.263 re f 0.267 0.267 0.267 rg 488.470 681.282 48.965 0.750 re f 0.271 0.267 0.267 rg BT 492.970 669.302 Td /F4 9.8 Tf [(Female)] TJ ET 0.965 0.965 0.965 rg 537.435 650.394 67.694 31.263 re f 0.267 0.267 0.267 rg 537.435 681.282 67.694 0.750 re f 0.965 0.965 0.965 rg 605.129 650.394 51.928 31.263 re f 0.267 0.267 0.267 rg 605.129 681.282 52.303 0.750 re f 656.683 650.019 0.750 32.013 re f 26.625 650.019 71.213 0.750 re f 26.625 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 31.875 638.349 Td /F1 9.8 Tf [(Duclos,1991 )] TJ ET 0.267 0.267 0.267 rg BT 31.875 625.969 Td /F4 8.7 Tf [(16)] TJ ET 97.088 650.019 70.775 0.750 re f 97.088 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 102.338 638.349 Td /F1 9.8 Tf [(France, )] TJ ET BT 102.338 628.449 Td /F1 9.8 Tf [(1988)] TJ ET 0.267 0.267 0.267 rg 167.113 650.019 37.684 0.750 re f 167.113 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 172.363 638.349 Td /F1 9.8 Tf [(9)] TJ ET 0.267 0.267 0.267 rg 204.047 650.019 45.971 0.750 re f 204.047 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 209.297 638.349 Td /F1 9.8 Tf [(9 )] TJ ET BT 209.297 628.449 Td /F1 9.8 Tf [(\(100%\))] TJ ET 0.267 0.267 0.267 rg 249.267 650.019 52.504 0.750 re f 249.267 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 254.517 638.349 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 301.021 650.019 62.566 0.750 re f 301.021 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 306.271 638.349 Td /F1 9.8 Tf [(9 \(100%\))] TJ ET 0.267 0.267 0.267 rg 362.837 650.019 80.788 0.750 re f 362.837 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 368.087 638.349 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 442.874 650.019 45.596 0.750 re f 488.470 650.019 49.340 0.750 re f 442.874 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 448.124 638.349 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 537.060 650.019 68.444 0.750 re f 537.060 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 542.310 638.349 Td /F1 9.8 Tf [(Not )] TJ ET BT 542.310 628.449 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 604.754 650.019 52.678 0.750 re f 604.754 618.141 0.750 32.628 re f 656.683 618.141 0.750 32.628 re f 0.271 0.267 0.267 rg BT 610.004 638.349 Td /F1 9.8 Tf [(Not )] TJ ET BT 610.004 628.449 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 26.625 618.141 71.213 0.750 re f 26.625 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 31.875 606.471 Td /F1 9.8 Tf [(CDC, 1993)] TJ ET 0.267 0.267 0.267 rg BT 31.875 594.091 Td /F4 8.7 Tf [(18)] TJ ET 97.088 618.141 70.775 0.750 re f 97.088 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 102.338 606.471 Td /F1 9.8 Tf [(USA, 1993)] TJ ET 0.267 0.267 0.267 rg 167.113 618.141 37.684 0.750 re f 167.113 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 172.363 606.471 Td /F1 9.8 Tf [(27)] TJ ET 0.267 0.267 0.267 rg 204.047 618.141 45.971 0.750 re f 204.047 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 209.297 606.471 Td /F1 9.8 Tf [(21 )] TJ ET BT 209.297 596.571 Td /F1 9.8 Tf [(\(78%\))] TJ ET 0.267 0.267 0.267 rg 249.267 618.141 52.504 0.750 re f 249.267 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 254.517 606.471 Td /F1 9.8 Tf [(6 \(22%\))] TJ ET 0.267 0.267 0.267 rg 301.021 618.141 62.566 0.750 re f 301.021 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 306.271 606.471 Td /F1 9.8 Tf [(21 \(78%\))] TJ ET 0.267 0.267 0.267 rg 362.837 618.141 80.788 0.750 re f 362.837 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 368.087 606.471 Td /F1 9.8 Tf [(2 \(7%\) )] TJ ET BT 368.087 596.571 Td /F1 9.8 Tf [(electrocution2 )] TJ ET BT 368.087 586.671 Td /F1 9.8 Tf [(\(7%\) vehicle )] TJ ET BT 368.087 576.771 Td /F1 9.8 Tf [(accident 2 )] TJ ET BT 368.087 566.871 Td /F1 9.8 Tf [(\(7%\) cardiac )] TJ ET BT 368.087 556.971 Td /F1 9.8 Tf [(arrest)] TJ ET 0.267 0.267 0.267 rg 442.874 618.141 45.971 0.750 re f 442.874 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 448.124 606.471 Td /F1 9.8 Tf [(18 )] TJ ET BT 448.124 596.571 Td /F1 9.8 Tf [(\(67%\))] TJ ET 0.267 0.267 0.267 rg 488.095 618.141 49.715 0.750 re f 488.095 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 493.345 606.471 Td /F1 9.8 Tf [(9 \(33%\))] TJ ET 0.267 0.267 0.267 rg 537.060 618.141 68.444 0.750 re f 537.060 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 542.310 606.471 Td /F1 9.8 Tf [(Average )] TJ ET BT 542.310 596.571 Td /F1 9.8 Tf [(age = )] TJ ET BT 542.310 586.671 Td /F1 9.8 Tf [(38\(range 9-)] TJ ET BT 542.310 576.771 Td /F1 9.8 Tf [(88\))] TJ ET 0.267 0.267 0.267 rg 604.754 618.141 52.678 0.750 re f 604.754 550.491 0.750 68.400 re f 656.683 550.491 0.750 68.400 re f 0.271 0.267 0.267 rg BT 610.004 606.471 Td /F1 9.8 Tf [(13 )] TJ ET BT 610.004 596.571 Td /F1 9.8 Tf [(\(48%\))] TJ ET 0.267 0.267 0.267 rg 26.625 550.491 71.213 0.750 re f 26.625 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 538.821 Td /F1 9.8 Tf [(CDC,1994)] TJ ET 0.267 0.267 0.267 rg BT 31.875 526.441 Td /F4 8.7 Tf [(19)] TJ ET 97.088 550.491 70.775 0.750 re f 97.088 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.338 538.821 Td /F1 9.8 Tf [(USA, 1994)] TJ ET 0.267 0.267 0.267 rg 167.113 550.491 37.684 0.750 re f 167.113 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 172.363 538.821 Td /F1 9.8 Tf [(28)] TJ ET 0.267 0.267 0.267 rg 204.047 550.491 45.971 0.750 re f 204.047 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.297 538.821 Td /F1 9.8 Tf [(27 )] TJ ET BT 209.297 528.921 Td /F1 9.8 Tf [(\(96%\))] TJ ET 0.267 0.267 0.267 rg 249.267 550.491 52.504 0.750 re f 249.267 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 254.517 538.821 Td /F1 9.8 Tf [(1 \(4%\))] TJ ET 0.267 0.267 0.267 rg 301.021 550.491 62.566 0.750 re f 301.021 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 306.271 538.821 Td /F1 9.8 Tf [(27 \(96%\))] TJ ET 0.267 0.267 0.267 rg 362.837 550.491 80.788 0.750 re f 362.837 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 368.087 538.821 Td /F1 9.8 Tf [(1 \(4%\) other)] TJ ET 0.267 0.267 0.267 rg 442.874 550.491 45.971 0.750 re f 442.874 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 448.124 538.821 Td /F1 9.8 Tf [(20 )] TJ ET BT 448.124 528.921 Td /F1 9.8 Tf [(\(71%\))] TJ ET 0.267 0.267 0.267 rg 488.095 550.491 49.715 0.750 re f 488.095 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 493.345 538.821 Td /F1 9.8 Tf [(8 \(29%\))] TJ ET 0.267 0.267 0.267 rg 537.060 550.491 68.444 0.750 re f 537.060 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 542.310 538.821 Td /F1 9.8 Tf [(Average )] TJ ET BT 542.310 528.921 Td /F1 9.8 Tf [(age = )] TJ ET BT 542.310 519.021 Td /F1 9.8 Tf [(31\(range 2-)] TJ ET BT 542.310 509.121 Td /F1 9.8 Tf [(84\))] TJ ET 0.267 0.267 0.267 rg 604.754 550.491 52.678 0.750 re f 604.754 502.641 0.750 48.600 re f 656.683 502.641 0.750 48.600 re f 0.271 0.267 0.267 rg BT 610.004 538.821 Td /F1 9.8 Tf [(20 )] TJ ET BT 610.004 528.921 Td /F1 9.8 Tf [(\(71%\))] TJ ET 0.267 0.267 0.267 rg 26.625 502.641 71.213 0.750 re f 26.625 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 490.971 Td /F1 9.8 Tf [(Staes,1994)] TJ ET 0.267 0.267 0.267 rg BT 31.875 478.591 Td /F4 8.7 Tf [(20)] TJ ET 97.088 502.641 70.775 0.750 re f 97.088 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.338 490.971 Td /F1 9.8 Tf [(USA, 1992)] TJ ET 0.267 0.267 0.267 rg 167.113 502.641 37.684 0.750 re f 167.113 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 172.363 490.971 Td /F1 9.8 Tf [(23)] TJ ET 0.267 0.267 0.267 rg 204.047 502.641 45.971 0.750 re f 204.047 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.297 490.971 Td /F1 9.8 Tf [(22 )] TJ ET BT 209.297 481.071 Td /F1 9.8 Tf [(\(96%\))] TJ ET 0.267 0.267 0.267 rg 249.267 502.641 52.504 0.750 re f 249.267 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 254.517 490.971 Td /F1 9.8 Tf [(1 \(4%\))] TJ ET 0.267 0.267 0.267 rg 301.021 502.641 62.566 0.750 re f 301.021 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 306.271 490.971 Td /F1 9.8 Tf [(22 \(96%\))] TJ ET 0.267 0.267 0.267 rg 362.837 502.641 80.788 0.750 re f 362.837 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 368.087 490.971 Td /F1 9.8 Tf [(1 \(4%\) )] TJ ET BT 368.087 481.071 Td /F1 9.8 Tf [(carbon )] TJ ET BT 368.087 471.171 Td /F1 9.8 Tf [(monoxide )] TJ ET BT 368.087 461.271 Td /F1 9.8 Tf [(poisoning)] TJ ET 0.267 0.267 0.267 rg 442.874 502.641 45.971 0.750 re f 442.874 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 448.124 490.971 Td /F1 9.8 Tf [(10 )] TJ ET BT 448.124 481.071 Td /F1 9.8 Tf [(\(43%\))] TJ ET 0.267 0.267 0.267 rg 488.095 502.641 49.715 0.750 re f 488.095 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 493.345 490.971 Td /F1 9.8 Tf [(13 )] TJ ET BT 493.345 481.071 Td /F1 9.8 Tf [(\(57%\))] TJ ET 0.267 0.267 0.267 rg 537.060 502.641 68.444 0.750 re f 537.060 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 542.310 490.971 Td /F1 9.8 Tf [(16 \(70%\) )] TJ ET BT 542.310 481.071 Td /F1 9.8 Tf [("e 16 yrs)] TJ ET 0.267 0.267 0.267 rg 604.754 502.641 52.678 0.750 re f 604.754 454.791 0.750 48.600 re f 656.683 454.791 0.750 48.600 re f 0.271 0.267 0.267 rg BT 610.004 490.971 Td /F1 9.8 Tf [(20 )] TJ ET BT 610.004 481.071 Td /F1 9.8 Tf [(\(87%\))] TJ ET 0.267 0.267 0.267 rg 26.625 454.791 71.213 0.750 re f 26.625 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 31.875 443.121 Td /F1 9.8 Tf [(Grigg, 1999)] TJ ET 0.267 0.267 0.267 rg BT 31.875 430.741 Td /F4 8.7 Tf [(28)] TJ ET 97.088 454.791 70.775 0.750 re f 97.088 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 102.338 443.121 Td /F1 9.8 Tf [(USA, 1997)] TJ ET 0.267 0.267 0.267 rg 167.113 454.791 37.684 0.750 re f 167.113 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 172.363 443.121 Td /F1 9.8 Tf [(5)] TJ ET 0.267 0.267 0.267 rg 204.047 454.791 45.971 0.750 re f 204.047 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 209.297 443.121 Td /F1 9.8 Tf [(5 )] TJ ET BT 209.297 433.221 Td /F1 9.8 Tf [(\(100%\))] TJ ET 0.267 0.267 0.267 rg 249.267 454.791 52.504 0.750 re f 249.267 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 254.517 443.121 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 301.021 454.791 62.191 0.750 re f 363.212 454.791 80.413 0.750 re f 301.021 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 306.271 443.121 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 442.874 454.791 45.971 0.750 re f 442.874 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 448.124 443.121 Td /F1 9.8 Tf [(5 )] TJ ET BT 448.124 433.221 Td /F1 9.8 Tf [(\(100%\))] TJ ET 0.267 0.267 0.267 rg 488.095 454.791 49.715 0.750 re f 488.095 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 493.345 443.121 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 537.060 454.791 68.444 0.750 re f 537.060 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 542.310 443.121 Td /F1 9.8 Tf [(All adults)] TJ ET 0.267 0.267 0.267 rg 604.754 454.791 52.678 0.750 re f 604.754 422.913 0.750 32.628 re f 656.683 422.913 0.750 32.628 re f 0.271 0.267 0.267 rg BT 610.004 443.121 Td /F1 9.8 Tf [(Not )] TJ ET BT 610.004 433.221 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 26.625 422.913 71.213 0.750 re f 26.625 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 31.875 411.243 Td /F1 9.8 Tf [(CDC, 2000)] TJ ET 0.267 0.267 0.267 rg BT 31.875 398.863 Td /F4 8.7 Tf [(21)] TJ ET 97.088 422.913 70.775 0.750 re f 97.088 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 102.338 411.243 Td /F1 9.8 Tf [(USA, 1998)] TJ ET 0.267 0.267 0.267 rg 167.113 422.913 37.684 0.750 re f 167.113 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 172.363 411.243 Td /F1 9.8 Tf [(31)] TJ ET 0.267 0.267 0.267 rg 204.047 422.913 45.971 0.750 re f 204.047 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 209.297 411.243 Td /F1 9.8 Tf [(29 )] TJ ET BT 209.297 401.343 Td /F1 9.8 Tf [(\(94%\))] TJ ET 0.267 0.267 0.267 rg 249.267 422.913 52.504 0.750 re f 249.267 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 254.517 411.243 Td /F1 9.8 Tf [(2 \(6%\))] TJ ET 0.267 0.267 0.267 rg 301.021 422.913 62.566 0.750 re f 301.021 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 306.271 411.243 Td /F1 9.8 Tf [(24 \(77%\))] TJ ET 0.267 0.267 0.267 rg 362.837 422.913 80.788 0.750 re f 362.837 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 368.087 411.243 Td /F1 9.8 Tf [(3 \(10%\) )] TJ ET BT 368.087 401.343 Td /F1 9.8 Tf [(trauma1 )] TJ ET BT 368.087 391.443 Td /F1 9.8 Tf [(\(3%\) )] TJ ET BT 368.087 381.543 Td /F1 9.8 Tf [(hypothermia1 )] TJ ET BT 368.087 371.643 Td /F1 9.8 Tf [(\(3%\) cardiac )] TJ ET BT 368.087 361.743 Td /F1 9.8 Tf [(arrest2 \(6%\) )] TJ ET BT 368.087 351.843 Td /F1 9.8 Tf [(other)] TJ ET 0.267 0.267 0.267 rg 442.874 422.913 45.971 0.750 re f 442.874 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 448.124 411.243 Td /F1 9.8 Tf [(20 )] TJ ET BT 448.124 401.343 Td /F1 9.8 Tf [(\(65%\))] TJ ET 0.267 0.267 0.267 rg 488.095 422.913 49.715 0.750 re f 488.095 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 493.345 411.243 Td /F1 9.8 Tf [(11 )] TJ ET BT 493.345 401.343 Td /F1 9.8 Tf [(\(35%\))] TJ ET 0.267 0.267 0.267 rg 537.060 422.913 68.444 0.750 re f 537.060 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 542.310 411.243 Td /F1 9.8 Tf [(Median )] TJ ET BT 542.310 401.343 Td /F1 9.8 Tf [(age = )] TJ ET BT 542.310 391.443 Td /F1 9.8 Tf [(38\(range 2-)] TJ ET BT 542.310 381.543 Td /F1 9.8 Tf [(83\))] TJ ET 0.267 0.267 0.267 rg 604.754 422.913 52.678 0.750 re f 604.754 345.363 0.750 78.300 re f 656.683 345.363 0.750 78.300 re f 0.271 0.267 0.267 rg BT 610.004 411.243 Td /F1 9.8 Tf [(22 )] TJ ET BT 610.004 401.343 Td /F1 9.8 Tf [(\(71%\))] TJ ET 0.267 0.267 0.267 rg 26.625 345.363 71.213 0.750 re f 26.625 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 333.693 Td /F1 9.8 Tf [(Rashid, )] TJ ET BT 31.875 320.731 Td /F1 9.8 Tf [(2000)] TJ ET 0.267 0.267 0.267 rg BT 56.679 321.313 Td /F4 8.7 Tf [(22)] TJ ET 97.088 345.363 70.775 0.750 re f 97.088 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 102.338 333.693 Td /F1 9.8 Tf [(Bangladesh, )] TJ ET BT 102.338 323.793 Td /F1 9.8 Tf [(1998)] TJ ET 0.267 0.267 0.267 rg 167.113 345.363 37.684 0.750 re f 167.113 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 172.363 333.693 Td /F1 9.8 Tf [(50*)] TJ ET 0.267 0.267 0.267 rg 204.047 345.363 45.596 0.750 re f 249.642 345.363 52.129 0.750 re f 204.047 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 209.297 333.693 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 301.021 345.363 62.566 0.750 re f 301.021 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 306.271 333.693 Td /F1 9.8 Tf [(24 \(48%\))] TJ ET 0.267 0.267 0.267 rg 362.837 345.363 80.788 0.750 re f 362.837 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 368.087 333.693 Td /F1 9.8 Tf [(21 \(42%\) )] TJ ET BT 368.087 323.793 Td /F1 9.8 Tf [(electrocution )] TJ ET BT 368.087 313.893 Td /F1 9.8 Tf [(5 \(10%\) )] TJ ET BT 368.087 303.993 Td /F1 9.8 Tf [(snake bites)] TJ ET 0.267 0.267 0.267 rg 442.874 345.363 45.596 0.750 re f 488.470 345.363 49.340 0.750 re f 442.874 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 448.124 333.693 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 537.060 345.363 68.444 0.750 re f 537.060 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 542.310 333.693 Td /F1 9.8 Tf [(Children )] TJ ET BT 542.310 323.793 Td /F1 9.8 Tf [(accounted )] TJ ET BT 542.310 313.893 Td /F1 9.8 Tf [(for 92% )] TJ ET BT 542.310 303.993 Td /F1 9.8 Tf [(\(22/24\) of )] TJ ET BT 542.310 294.093 Td /F1 9.8 Tf [(drownings)] TJ ET 0.267 0.267 0.267 rg 604.754 345.363 52.678 0.750 re f 604.754 287.613 0.750 58.500 re f 656.683 287.613 0.750 58.500 re f 0.271 0.267 0.267 rg BT 610.004 333.693 Td /F1 9.8 Tf [(Not )] TJ ET BT 610.004 323.793 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 26.625 287.613 71.213 0.750 re f 26.625 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 31.875 275.943 Td /F1 9.8 Tf [(Yale, 2003)] TJ ET 0.267 0.267 0.267 rg BT 31.875 263.563 Td /F4 8.7 Tf [(23)] TJ ET 97.088 287.613 70.775 0.750 re f 97.088 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 102.338 275.943 Td /F1 9.8 Tf [(USA, 1999)] TJ ET 0.267 0.267 0.267 rg 167.113 287.613 37.684 0.750 re f 167.113 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 172.363 275.943 Td /F1 9.8 Tf [(22)] TJ ET 0.267 0.267 0.267 rg 204.047 287.613 45.971 0.750 re f 204.047 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 209.297 275.943 Td /F1 9.8 Tf [(22 )] TJ ET BT 209.297 266.043 Td /F1 9.8 Tf [(\(100%\))] TJ ET 0.267 0.267 0.267 rg 249.267 287.613 52.504 0.750 re f 249.267 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 254.517 275.943 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 301.021 287.613 62.566 0.750 re f 301.021 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 306.271 275.943 Td /F1 9.8 Tf [(22 \(100%\))] TJ ET 0.267 0.267 0.267 rg 362.837 287.613 80.788 0.750 re f 362.837 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 368.087 275.943 Td /F1 9.8 Tf [(0 \(0%\))] TJ ET 0.267 0.267 0.267 rg 442.874 287.613 45.971 0.750 re f 442.874 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 448.124 275.943 Td /F1 9.8 Tf [(17 )] TJ ET BT 448.124 266.043 Td /F1 9.8 Tf [(\(77%\))] TJ ET 0.267 0.267 0.267 rg 488.095 287.613 49.715 0.750 re f 488.095 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 493.345 275.943 Td /F1 9.8 Tf [(5 \(23%\))] TJ ET 0.267 0.267 0.267 rg 537.060 287.613 68.444 0.750 re f 537.060 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 542.310 275.943 Td /F1 9.8 Tf [(21 \(95%\) )] TJ ET BT 542.310 266.043 Td /F1 9.8 Tf [(adults)] TJ ET 0.267 0.267 0.267 rg 604.754 287.613 52.678 0.750 re f 604.754 255.735 0.750 32.628 re f 656.683 255.735 0.750 32.628 re f 0.271 0.267 0.267 rg BT 610.004 275.943 Td /F1 9.8 Tf [(22 )] TJ ET BT 610.004 266.043 Td /F1 9.8 Tf [(\(100%\))] TJ ET 0.267 0.267 0.267 rg 26.625 255.735 71.213 0.750 re f 26.625 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 31.875 244.065 Td /F1 9.8 Tf [(Pradhan, )] TJ ET BT 31.875 231.103 Td /F1 9.8 Tf [(2007)] TJ ET 0.267 0.267 0.267 rg BT 56.679 231.685 Td /F4 8.7 Tf [(24)] TJ ET 97.088 255.735 70.775 0.750 re f 97.088 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 102.338 244.065 Td /F1 9.8 Tf [(Nepal, 1992)] TJ ET 0.267 0.267 0.267 rg 167.113 255.735 37.684 0.750 re f 167.113 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 172.363 244.065 Td /F1 9.8 Tf [(302)] TJ ET 0.267 0.267 0.267 rg 204.047 255.735 45.596 0.750 re f 249.642 255.735 52.129 0.750 re f 204.047 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 209.297 244.065 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 301.021 255.735 62.191 0.750 re f 363.212 255.735 80.413 0.750 re f 301.021 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 306.271 244.065 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 442.874 255.735 45.971 0.750 re f 442.874 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 448.124 244.065 Td /F1 9.8 Tf [(126 )] TJ ET BT 448.124 234.165 Td /F1 9.8 Tf [(\(42%\))] TJ ET 0.267 0.267 0.267 rg 488.095 255.735 49.715 0.750 re f 488.095 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 493.345 244.065 Td /F1 9.8 Tf [(176 )] TJ ET BT 493.345 234.165 Td /F1 9.8 Tf [(\(58%\))] TJ ET 0.267 0.267 0.267 rg 537.060 255.735 68.444 0.750 re f 537.060 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 542.310 244.065 Td /F1 9.8 Tf [(164 \(54%\) )] TJ ET BT 542.310 234.165 Td /F1 9.8 Tf [(children138 )] TJ ET BT 542.310 224.265 Td /F1 9.8 Tf [(\(46%\) )] TJ ET BT 542.310 214.365 Td /F1 9.8 Tf [(adults)] TJ ET 0.267 0.267 0.267 rg 604.754 255.735 52.678 0.750 re f 604.754 207.885 0.750 48.600 re f 656.683 207.885 0.750 48.600 re f 0.271 0.267 0.267 rg BT 610.004 244.065 Td /F1 9.8 Tf [(Not )] TJ ET BT 610.004 234.165 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 26.625 207.885 71.213 0.750 re f 26.625 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 31.875 196.215 Td /F1 9.8 Tf [(Jonkman et )] TJ ET BT 31.875 183.253 Td /F1 9.8 Tf [(al., 2009)] TJ ET 0.267 0.267 0.267 rg BT 74.668 183.835 Td /F4 8.7 Tf [(29)] TJ ET 97.088 207.885 70.775 0.750 re f 97.088 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 102.338 196.215 Td /F1 9.8 Tf [(USA, 2005)] TJ ET 0.267 0.267 0.267 rg 167.113 207.885 37.684 0.750 re f 167.113 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 172.363 196.215 Td /F1 9.8 Tf [(853)] TJ ET 0.267 0.267 0.267 rg 204.047 207.885 45.596 0.750 re f 249.642 207.885 52.129 0.750 re f 204.047 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 209.297 196.215 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 301.021 207.885 62.191 0.750 re f 363.212 207.885 80.413 0.750 re f 301.021 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 306.271 196.215 Td /F1 9.8 Tf [(Not reported)] TJ ET 0.267 0.267 0.267 rg 442.874 207.885 45.971 0.750 re f 442.874 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 448.124 196.215 Td /F1 9.8 Tf [(432 )] TJ ET BT 448.124 186.315 Td /F1 9.8 Tf [(\(51%\))] TJ ET 0.267 0.267 0.267 rg 488.095 207.885 49.715 0.750 re f 488.095 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 493.345 196.215 Td /F1 9.8 Tf [(421 )] TJ ET BT 493.345 186.315 Td /F1 9.8 Tf [(\(49%\))] TJ ET 0.267 0.267 0.267 rg 537.060 207.885 68.444 0.750 re f 537.060 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 542.310 196.215 Td /F1 9.8 Tf [(705 \(85%\) )] TJ ET BT 542.310 186.315 Td /F1 9.8 Tf [(older than )] TJ ET BT 542.310 176.415 Td /F1 9.8 Tf [(51 yrs, )] TJ ET BT 542.310 166.515 Td /F1 9.8 Tf [(60% over )] TJ ET BT 542.310 156.615 Td /F1 9.8 Tf [(65 yrs)] TJ ET 0.267 0.267 0.267 rg 604.754 207.885 52.678 0.750 re f 604.754 150.135 0.750 58.500 re f 656.683 150.135 0.750 58.500 re f 0.271 0.267 0.267 rg BT 610.004 196.215 Td /F1 9.8 Tf [(Not )] TJ ET BT 610.004 186.315 Td /F1 9.8 Tf [(reported)] TJ ET 0.267 0.267 0.267 rg 26.625 150.135 71.213 0.750 re f 26.625 122.085 71.213 0.750 re f 26.625 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 31.875 138.465 Td /F4 9.8 Tf [(Totals)] TJ ET 0.267 0.267 0.267 rg 97.088 150.135 70.775 0.750 re f 97.088 122.085 70.775 0.750 re f 97.088 122.085 0.750 28.800 re f 167.113 150.135 37.684 0.750 re f 167.113 122.085 37.684 0.750 re f 167.113 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 172.363 138.465 Td /F4 9.8 Tf [(447)] TJ ET 0.267 0.267 0.267 rg 204.047 150.135 45.971 0.750 re f 204.047 122.085 45.971 0.750 re f 204.047 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 209.297 138.465 Td /F4 9.8 Tf [(135 )] TJ ET BT 209.297 128.565 Td /F4 9.8 Tf [(\(93%\))] TJ ET 0.267 0.267 0.267 rg 249.267 150.135 52.504 0.750 re f 249.267 122.085 52.504 0.750 re f 249.267 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 254.517 138.465 Td /F4 9.8 Tf [(10 )] TJ ET BT 254.517 128.565 Td /F4 9.8 Tf [(\(7%\))] TJ ET 0.267 0.267 0.267 rg 301.021 150.135 62.566 0.750 re f 301.021 122.085 62.566 0.750 re f 301.021 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 306.271 138.465 Td /F4 9.8 Tf [(125 )] TJ ET BT 306.271 128.565 Td /F4 9.8 Tf [(\(75%\))] TJ ET 0.267 0.267 0.267 rg 362.837 150.135 80.788 0.750 re f 362.837 122.085 80.788 0.750 re f 362.837 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 368.087 138.465 Td /F4 9.8 Tf [(42 \(25%\))] TJ ET 0.267 0.267 0.267 rg 442.874 150.135 45.971 0.750 re f 442.874 122.085 45.971 0.750 re f 442.874 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 448.124 138.465 Td /F4 9.8 Tf [(639 )] TJ ET BT 448.124 128.565 Td /F4 9.8 Tf [(\(50%\))] TJ ET 0.267 0.267 0.267 rg 488.095 150.135 49.715 0.750 re f 488.095 122.085 49.715 0.750 re f 488.095 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 493.345 138.465 Td /F4 9.8 Tf [(643 )] TJ ET BT 493.345 128.565 Td /F4 9.8 Tf [(\(50%\))] TJ ET 0.267 0.267 0.267 rg 537.060 150.135 68.444 0.750 re f 537.060 122.085 68.444 0.750 re f 537.060 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 542.310 138.465 Td /F4 9.8 Tf [( )] TJ ET 0.267 0.267 0.267 rg 604.754 150.135 52.678 0.750 re f 604.754 122.085 52.678 0.750 re f 604.754 122.085 0.750 28.800 re f 656.683 122.085 0.750 28.800 re f 0.271 0.267 0.267 rg BT 610.004 138.465 Td /F4 9.8 Tf [(97 )] TJ ET BT 610.004 128.565 Td /F4 9.8 Tf [(\(74%\))] TJ ET BT 26.250 71.855 Td /F1 9.8 Tf [(All studies in the United States examined mortality related to motor vehicles and found an increased risk of )] TJ ET BT 26.250 56.411 Td /F1 9.8 Tf [(mortality among individuals in motor vehicles during the event, of all deaths 74% were motor vehicle related )] TJ ET 0.267 0.267 0.267 rg BT 564.138 58.366 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 576.202 61.455 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 26.250 42.922 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 38.314 46.011 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 41.070 42.922 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 53.134 46.011 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 55.890 42.922 Td /F4 8.7 Tf [(20)] TJ ET 0.271 0.267 0.267 rg BT 67.954 40.967 Td /F1 9.8 Tf [( . This compares to a motor vehicle related death rate of 63% in a recent review of US flood fatalities )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(20)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 654 0 obj << /Type /Annot /Subtype /Link /A 655 0 R /Border [0 0 0] /H /I /Rect [ 31.8750 624.9290 43.9390 636.3690 ] >> endobj 655 0 obj << /Type /Action >> endobj 656 0 obj << /Type /Annot /Subtype /Link /A 657 0 R /Border [0 0 0] /H /I /Rect [ 31.8750 593.0510 43.9390 604.4910 ] >> endobj 657 0 obj << /Type /Action >> endobj 658 0 obj << /Type /Annot /Subtype /Link /A 659 0 R /Border [0 0 0] /H /I /Rect [ 31.8750 525.4010 43.9390 536.8410 ] >> endobj 659 0 obj << /Type /Action >> endobj 660 0 obj << /Type /Annot /Subtype /Link /A 661 0 R /Border [0 0 0] /H /I /Rect [ 31.8750 477.5510 43.9390 488.9910 ] >> endobj 661 0 obj << /Type /Action >> endobj 662 0 obj << /Type /Annot /Subtype /Link /A 663 0 R /Border [0 0 0] /H /I 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Higher proportions of deaths among males \(64%\) were consistently observed in the )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(United States, except for Puerto Rico where 57% \(13/23\) of flood related fatalities were female and hurricane )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(Katrina where deaths evenly divided between the sexes \(51% male, 49% female\) )] TJ ET 0.267 0.267 0.267 rg BT 428.028 735.712 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 440.092 738.801 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 442.848 735.712 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 454.912 738.801 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 457.668 735.712 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 469.732 738.801 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 472.488 735.712 Td /F4 8.7 Tf [(20)] TJ ET 0.271 0.267 0.267 rg BT 484.552 738.801 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 487.308 735.712 Td /F4 8.7 Tf [(28)] TJ ET 0.271 0.267 0.267 rg BT 499.372 733.757 Td /F1 9.8 Tf [( . In contrast, )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(the one article describing flood mortality in the less developed country of Nepal found that females of all age )] TJ ET BT 26.250 702.869 Td /F1 9.8 Tf [(groups faced increased mortality risk and 58% of all deaths were women )] TJ ET 0.267 0.267 0.267 rg BT 386.912 704.824 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 398.976 702.869 Td /F1 9.8 Tf [( Other factors found to be )] TJ ET BT 26.250 687.425 Td /F1 9.8 Tf [(associated with flood-related mortality included storm course/time storm hit landfall )] TJ ET 0.267 0.267 0.267 rg BT 441.659 689.380 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 453.723 692.469 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 456.479 689.380 Td /F4 8.7 Tf [(22)] TJ ET 0.271 0.267 0.267 rg BT 468.543 687.425 Td /F1 9.8 Tf [( summer months )] TJ ET 0.267 0.267 0.267 rg BT 554.830 689.380 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 566.894 692.469 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 26.250 673.936 Td /F4 8.7 Tf [(30)] TJ ET 0.271 0.267 0.267 rg BT 38.314 671.981 Td /F1 9.8 Tf [(, low socioeconomic status )] TJ ET 0.267 0.267 0.267 rg BT 172.562 673.936 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 184.626 671.981 Td /F1 9.8 Tf [(, poor housing construction )] TJ ET 0.267 0.267 0.267 rg BT 321.399 673.936 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 333.463 677.025 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 336.219 673.936 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 348.283 677.025 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 351.039 673.936 Td /F4 8.7 Tf [(24)] TJ ET 0.271 0.267 0.267 rg BT 363.103 677.025 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 365.859 673.936 Td /F4 8.7 Tf [(31)] TJ ET 0.271 0.267 0.267 rg BT 377.923 671.981 Td /F1 9.8 Tf [( and timing of warning messages )] TJ ET 0.267 0.267 0.267 rg BT 543.507 673.936 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 555.571 677.025 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 558.327 673.936 Td /F4 8.7 Tf [(22)] TJ ET 0.271 0.267 0.267 rg BT 570.391 671.981 Td /F1 9.8 Tf [(.)] TJ ET BT 26.250 649.037 Td /F1 9.8 Tf [(Injury and Displacement. Injury or morbidity data were reported in ten of the 18 included articles, of which nine )] TJ ET BT 26.250 633.593 Td /F1 9.8 Tf [(provided information on injury type and/or risk factors )] TJ ET 0.267 0.267 0.267 rg BT 294.726 635.548 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 306.790 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 309.546 635.548 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 321.610 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 324.366 635.548 Td /F4 8.7 Tf [(24)] TJ ET 0.271 0.267 0.267 rg BT 336.430 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 339.186 635.548 Td /F4 8.7 Tf [(32)] TJ ET 0.271 0.267 0.267 rg BT 351.250 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 354.006 635.548 Td /F4 8.7 Tf [(33)] TJ ET 0.271 0.267 0.267 rg BT 366.070 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 368.826 635.548 Td /F4 8.7 Tf [(34)] TJ ET 0.271 0.267 0.267 rg BT 380.890 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 383.646 635.548 Td /F4 8.7 Tf [(35)] TJ ET 0.271 0.267 0.267 rg BT 395.710 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 398.466 635.548 Td /F4 8.7 Tf [(36)] TJ ET 0.271 0.267 0.267 rg BT 410.530 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 413.286 635.548 Td /F4 8.7 Tf [(54)] TJ ET 0.271 0.267 0.267 rg BT 425.350 633.593 Td /F1 9.8 Tf [( . The majority of flood-related )] TJ ET BT 26.250 618.149 Td /F1 9.8 Tf [(injuries are minor. The two studies that captured a large number of injuries, both in the United States, found )] TJ ET BT 26.250 602.705 Td /F1 9.8 Tf [(that musculoskeletal injuries were most common \(46% and 34%\), followed by lacerations \(21% and 24%\). Other )] TJ ET BT 26.250 587.261 Td /F1 9.8 Tf [(flood-related injuries included abrasions and contusions, motor vehicle related injuries, and falls )] TJ ET 0.267 0.267 0.267 rg BT 499.827 589.216 Td /F4 8.7 Tf [(33)] TJ ET 0.271 0.267 0.267 rg BT 511.891 592.305 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 514.647 589.216 Td /F4 8.7 Tf [(34)] TJ ET 0.271 0.267 0.267 rg BT 526.711 592.305 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 529.467 589.216 Td /F4 8.7 Tf [(54)] TJ ET 0.271 0.267 0.267 rg BT 541.531 587.261 Td /F1 9.8 Tf [(. In )] TJ ET BT 26.250 571.817 Td /F1 9.8 Tf [(less developed settings, increased incidence of snake bites and fires were also cited as causes of injury or death )] TJ ET 0.267 0.267 0.267 rg BT 26.250 558.328 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 32.282 561.417 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 35.038 558.328 Td /F4 8.7 Tf [(36)] TJ ET 0.271 0.267 0.267 rg BT 47.102 556.373 Td /F1 9.8 Tf [(. Among care seekers in flood-affected areas of Bangladesh 5.1% of wounds were infected. Another review )] TJ ET BT 26.250 540.929 Td /F1 9.8 Tf [(suggested that the proportion of survivors requiring medical attention is less than 2% )] TJ ET 0.267 0.267 0.267 rg BT 449.459 542.884 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 455.491 540.929 Td /F1 9.8 Tf [(. A distribution of )] TJ ET BT 26.250 525.485 Td /F1 9.8 Tf [(injuries across population subgroups was reported by only one study in India which found that injuries were )] TJ ET BT 26.250 510.041 Td /F1 9.8 Tf [(more common in males \(67% vs. 33%\), that the 11-40 year age group comprised 68% of the injured, and that )] TJ ET BT 26.250 494.597 Td /F1 9.8 Tf [(those age 50 and above accounted for 18% of flood deaths )] TJ ET 0.267 0.267 0.267 rg BT 319.247 496.552 Td /F4 8.7 Tf [(34)] TJ ET 0.271 0.267 0.267 rg BT 331.311 494.597 Td /F1 9.8 Tf [(. Seven articles reported displacement or )] TJ ET BT 26.250 479.153 Td /F1 9.8 Tf [(evacuation figures however none described risk factors associated with flood-related displacement )] TJ ET 0.267 0.267 0.267 rg BT 513.994 481.108 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 526.058 484.197 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 528.814 481.108 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 540.878 484.197 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 543.634 481.108 Td /F4 8.7 Tf [(21)] TJ ET 0.271 0.267 0.267 rg BT 555.698 484.197 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 558.454 481.108 Td /F4 8.7 Tf [(24)] TJ ET 0.271 0.267 0.267 rg BT 570.518 484.197 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 26.250 465.664 Td /F4 8.7 Tf [(25)] TJ ET 0.271 0.267 0.267 rg BT 38.314 468.753 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 41.070 465.664 Td /F4 8.7 Tf [(35)] TJ ET 0.271 0.267 0.267 rg BT 53.134 468.753 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 55.890 465.664 Td /F4 8.7 Tf [(37)] TJ ET 0.271 0.267 0.267 rg BT 67.954 463.709 Td /F1 9.8 Tf [( .)] TJ ET BT 26.250 422.914 Td /F4 12.0 Tf [(Discussion)] TJ ET BT 26.250 399.257 Td /F4 9.8 Tf [(Main findings)] TJ ET BT 26.250 376.313 Td /F1 9.8 Tf [(In the past 30 years approximately 2.8 billion people have been affected by floods with 4.5 million left )] TJ ET BT 26.250 360.869 Td /F1 9.8 Tf [(homeless, at approximately 540,000 deaths and 360,000 injuries, excluding an estimated 38,000 to 2.7 million )] TJ ET BT 26.250 345.425 Td /F1 9.8 Tf [(injuries that went unrecorded. While the mortality estimate presented in this study is consistent with the range )] TJ ET BT 26.250 329.981 Td /F1 9.8 Tf [(of estimates presented in other studies )] TJ ET 0.267 0.267 0.267 rg BT 221.620 331.936 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 227.653 335.025 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 230.409 331.936 Td /F4 8.7 Tf [(38)] TJ ET 0.271 0.267 0.267 rg BT 242.473 329.981 Td /F1 9.8 Tf [(, approximations of numbers injured and displaced are likely gross )] TJ ET BT 26.250 314.537 Td /F1 9.8 Tf [(underestimates of the true values given the infrequency with which figures are reported. Floods events with )] TJ ET BT 26.250 299.093 Td /F1 9.8 Tf [(high levels of mortality are relatively rare: despite their increasing frequency, there were only four events with )] TJ ET BT 26.250 283.649 Td /F1 9.8 Tf [(>10,000 deaths and 58 events with >1000 deaths between 1977 and 2009. A slight decrease in the average )] TJ ET BT 26.250 268.205 Td /F1 9.8 Tf [(number of fatalities per event was observed which is in keeping with broader natural disaster trends that show )] TJ ET BT 26.250 252.761 Td /F1 9.8 Tf [(an increase in the size of the affected population and a decrease in the average number of deaths per event )] TJ ET 0.267 0.267 0.267 rg BT 561.437 254.716 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 567.469 252.761 Td /F1 9.8 Tf [(. )] TJ ET BT 26.250 237.317 Td /F1 9.8 Tf [(Higher numbers of fatalities were reported in flash floods than river floods, however, river floods affected larger )] TJ ET BT 26.250 221.873 Td /F1 9.8 Tf [(populations and land areas )] TJ ET 0.267 0.267 0.267 rg BT 162.077 223.828 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 168.109 226.917 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 170.865 223.828 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 176.897 221.873 Td /F1 9.8 Tf [(. Lower mortality rates in river floods can mostly be attributed to their slower )] TJ ET BT 26.250 206.429 Td /F1 9.8 Tf [(onset allowing for longer time for warning and evacuation )] TJ ET 0.267 0.267 0.267 rg BT 313.036 208.384 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 319.069 211.473 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 321.825 208.384 Td /F4 8.7 Tf [(39)] TJ ET 0.271 0.267 0.267 rg BT 333.889 206.429 Td /F1 9.8 Tf [(. The widespread use of effective early warning )] TJ ET BT 26.250 190.985 Td /F1 9.8 Tf [(methods for hydrological events has likely contributed declining flood mortality.)] TJ ET BT 26.250 168.041 Td /F1 9.8 Tf [(Findings from the historical event review are consistent with previous observations that flood mortality varies )] TJ ET BT 26.250 152.597 Td /F1 9.8 Tf [(by region, economic development level, and the severity of the event )] TJ ET 0.267 0.267 0.267 rg BT 370.796 154.552 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 382.860 157.641 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 385.616 154.552 Td /F4 8.7 Tf [(40)] TJ ET 0.271 0.267 0.267 rg BT 397.680 152.597 Td /F1 9.8 Tf [(. The majority of flood-related )] TJ ET BT 26.250 137.153 Td /F1 9.8 Tf [(deaths are concentrated in less developed and heavily populated countries, with Southeast Asia and the )] TJ ET BT 26.250 121.709 Td /F1 9.8 Tf [(Western Pacific region experiencing the highest risk of flood-related deaths. Flood mortality rates are relatively )] TJ ET BT 26.250 106.265 Td /F1 9.8 Tf [(similar across continents, but Asian floods kill and affect more people because they affect substantially larger )] TJ ET BT 26.250 90.821 Td /F1 9.8 Tf [(areas with larger populations )] TJ ET 0.267 0.267 0.267 rg BT 172.246 92.776 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 178.279 90.821 Td /F1 9.8 Tf [(. At the country level, lower GDP per capita was linked to higher mortality, which )] TJ ET BT 26.250 75.377 Td /F1 9.8 Tf [(is in keeping with the established relationship between poverty and increased disaster risk )] TJ ET 0.267 0.267 0.267 rg BT 474.155 77.332 Td /F4 8.7 Tf [(41)] TJ ET 0.271 0.267 0.267 rg BT 486.219 75.377 Td /F1 9.8 Tf [(. Human and )] TJ ET BT 26.250 59.933 Td /F1 9.8 Tf [(social vulnerabilities and inequalities, urbanization, population density, terrain and geo-physical characteristics )] TJ ET BT 26.250 44.489 Td /F1 9.8 Tf [(and variation in the frequency and precipitating causes of floods by region are also factors that contribute flood )] TJ ET Q q 15.000 25.956 577.500 751.044 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(between 1959 and 2005 )] TJ ET 0.267 0.267 0.267 rg BT 148.769 766.600 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 154.801 764.645 Td /F1 9.8 Tf [(. Higher proportions of deaths among males \(64%\) were consistently observed in the )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(United States, except for Puerto Rico where 57% \(13/23\) of flood related fatalities were female and hurricane )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(Katrina where deaths evenly divided between the sexes \(51% male, 49% female\) )] TJ ET 0.267 0.267 0.267 rg BT 428.028 735.712 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 440.092 738.801 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 442.848 735.712 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 454.912 738.801 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 457.668 735.712 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 469.732 738.801 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 472.488 735.712 Td /F4 8.7 Tf [(20)] TJ ET 0.271 0.267 0.267 rg BT 484.552 738.801 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 487.308 735.712 Td /F4 8.7 Tf [(28)] TJ ET 0.271 0.267 0.267 rg BT 499.372 733.757 Td /F1 9.8 Tf [( . In contrast, )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(the one article describing flood mortality in the less developed country of Nepal found that females of all age )] TJ ET BT 26.250 702.869 Td /F1 9.8 Tf [(groups faced increased mortality risk and 58% of all deaths were women )] TJ ET 0.267 0.267 0.267 rg BT 386.912 704.824 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 398.976 702.869 Td /F1 9.8 Tf [( Other factors found to be )] TJ ET BT 26.250 687.425 Td /F1 9.8 Tf [(associated with flood-related mortality included storm course/time storm hit landfall )] TJ ET 0.267 0.267 0.267 rg BT 441.659 689.380 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 453.723 692.469 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 456.479 689.380 Td /F4 8.7 Tf [(22)] TJ ET 0.271 0.267 0.267 rg BT 468.543 687.425 Td /F1 9.8 Tf [( summer months )] TJ ET 0.267 0.267 0.267 rg BT 554.830 689.380 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 566.894 692.469 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 26.250 673.936 Td /F4 8.7 Tf [(30)] TJ ET 0.271 0.267 0.267 rg BT 38.314 671.981 Td /F1 9.8 Tf [(, low socioeconomic status )] TJ ET 0.267 0.267 0.267 rg BT 172.562 673.936 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 184.626 671.981 Td /F1 9.8 Tf [(, poor housing construction )] TJ ET 0.267 0.267 0.267 rg BT 321.399 673.936 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 333.463 677.025 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 336.219 673.936 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 348.283 677.025 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 351.039 673.936 Td /F4 8.7 Tf [(24)] TJ ET 0.271 0.267 0.267 rg BT 363.103 677.025 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 365.859 673.936 Td /F4 8.7 Tf [(31)] TJ ET 0.271 0.267 0.267 rg BT 377.923 671.981 Td /F1 9.8 Tf [( and timing of warning messages )] TJ ET 0.267 0.267 0.267 rg BT 543.507 673.936 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 555.571 677.025 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 558.327 673.936 Td /F4 8.7 Tf [(22)] TJ ET 0.271 0.267 0.267 rg BT 570.391 671.981 Td /F1 9.8 Tf [(.)] TJ ET BT 26.250 649.037 Td /F1 9.8 Tf [(Injury and Displacement. Injury or morbidity data were reported in ten of the 18 included articles, of which nine )] TJ ET BT 26.250 633.593 Td /F1 9.8 Tf [(provided information on injury type and/or risk factors )] TJ ET 0.267 0.267 0.267 rg BT 294.726 635.548 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 306.790 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 309.546 635.548 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 321.610 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 324.366 635.548 Td /F4 8.7 Tf [(24)] TJ ET 0.271 0.267 0.267 rg BT 336.430 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 339.186 635.548 Td /F4 8.7 Tf [(32)] TJ ET 0.271 0.267 0.267 rg BT 351.250 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 354.006 635.548 Td /F4 8.7 Tf [(33)] TJ ET 0.271 0.267 0.267 rg BT 366.070 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 368.826 635.548 Td /F4 8.7 Tf [(34)] TJ ET 0.271 0.267 0.267 rg BT 380.890 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 383.646 635.548 Td /F4 8.7 Tf [(35)] TJ ET 0.271 0.267 0.267 rg BT 395.710 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 398.466 635.548 Td /F4 8.7 Tf [(36)] TJ ET 0.271 0.267 0.267 rg BT 410.530 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 413.286 635.548 Td /F4 8.7 Tf [(54)] TJ ET 0.271 0.267 0.267 rg BT 425.350 633.593 Td /F1 9.8 Tf [( . The majority of flood-related )] TJ ET BT 26.250 618.149 Td /F1 9.8 Tf [(injuries are minor. The two studies that captured a large number of injuries, both in the United States, found )] TJ ET BT 26.250 602.705 Td /F1 9.8 Tf [(that musculoskeletal injuries were most common \(46% and 34%\), followed by lacerations \(21% and 24%\). Other )] TJ ET BT 26.250 587.261 Td /F1 9.8 Tf [(flood-related injuries included abrasions and contusions, motor vehicle related injuries, and falls )] TJ ET 0.267 0.267 0.267 rg BT 499.827 589.216 Td /F4 8.7 Tf [(33)] TJ ET 0.271 0.267 0.267 rg BT 511.891 592.305 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 514.647 589.216 Td /F4 8.7 Tf [(34)] TJ ET 0.271 0.267 0.267 rg BT 526.711 592.305 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 529.467 589.216 Td /F4 8.7 Tf [(54)] TJ ET 0.271 0.267 0.267 rg BT 541.531 587.261 Td /F1 9.8 Tf [(. In )] TJ ET BT 26.250 571.817 Td /F1 9.8 Tf [(less developed settings, increased incidence of snake bites and fires were also cited as causes of injury or death )] TJ ET 0.267 0.267 0.267 rg BT 26.250 558.328 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 32.282 561.417 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 35.038 558.328 Td /F4 8.7 Tf [(36)] TJ ET 0.271 0.267 0.267 rg BT 47.102 556.373 Td /F1 9.8 Tf [(. Among care seekers in flood-affected areas of Bangladesh 5.1% of wounds were infected. Another review )] TJ ET BT 26.250 540.929 Td /F1 9.8 Tf [(suggested that the proportion of survivors requiring medical attention is less than 2% )] TJ ET 0.267 0.267 0.267 rg BT 449.459 542.884 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 455.491 540.929 Td /F1 9.8 Tf [(. A distribution of )] TJ ET BT 26.250 525.485 Td /F1 9.8 Tf [(injuries across population subgroups was reported by only one study in India which found that injuries were )] TJ ET BT 26.250 510.041 Td /F1 9.8 Tf [(more common in males \(67% vs. 33%\), that the 11-40 year age group comprised 68% of the injured, and that )] TJ ET BT 26.250 494.597 Td /F1 9.8 Tf [(those age 50 and above accounted for 18% of flood deaths )] TJ ET 0.267 0.267 0.267 rg BT 319.247 496.552 Td /F4 8.7 Tf [(34)] TJ ET 0.271 0.267 0.267 rg BT 331.311 494.597 Td /F1 9.8 Tf [(. Seven articles reported displacement or )] TJ ET BT 26.250 479.153 Td /F1 9.8 Tf [(evacuation figures however none described risk factors associated with flood-related displacement )] TJ ET 0.267 0.267 0.267 rg BT 513.994 481.108 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 526.058 484.197 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 528.814 481.108 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 540.878 484.197 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 543.634 481.108 Td /F4 8.7 Tf [(21)] TJ ET 0.271 0.267 0.267 rg BT 555.698 484.197 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 558.454 481.108 Td /F4 8.7 Tf [(24)] TJ ET 0.271 0.267 0.267 rg BT 570.518 484.197 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 26.250 465.664 Td /F4 8.7 Tf [(25)] TJ ET 0.271 0.267 0.267 rg BT 38.314 468.753 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 41.070 465.664 Td /F4 8.7 Tf [(35)] TJ ET 0.271 0.267 0.267 rg BT 53.134 468.753 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 55.890 465.664 Td /F4 8.7 Tf [(37)] TJ ET 0.271 0.267 0.267 rg BT 67.954 463.709 Td /F1 9.8 Tf [( .)] TJ ET BT 26.250 422.914 Td /F4 12.0 Tf [(Discussion)] TJ ET BT 26.250 399.257 Td /F4 9.8 Tf [(Main findings)] TJ ET BT 26.250 376.313 Td /F1 9.8 Tf [(In the past 30 years approximately 2.8 billion people have been affected by floods with 4.5 million left )] TJ ET BT 26.250 360.869 Td /F1 9.8 Tf [(homeless, at approximately 540,000 deaths and 360,000 injuries, excluding an estimated 38,000 to 2.7 million )] TJ ET BT 26.250 345.425 Td /F1 9.8 Tf [(injuries that went unrecorded. While the mortality estimate presented in this study is consistent with the range )] TJ ET BT 26.250 329.981 Td /F1 9.8 Tf [(of estimates presented in other studies )] TJ ET 0.267 0.267 0.267 rg BT 221.620 331.936 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 227.653 335.025 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 230.409 331.936 Td /F4 8.7 Tf [(38)] TJ ET 0.271 0.267 0.267 rg BT 242.473 329.981 Td /F1 9.8 Tf [(, approximations of numbers injured and displaced are likely gross )] TJ ET BT 26.250 314.537 Td /F1 9.8 Tf [(underestimates of the true values given the infrequency with which figures are reported. Floods events with )] TJ ET BT 26.250 299.093 Td /F1 9.8 Tf [(high levels of mortality are relatively rare: despite their increasing frequency, there were only four events with )] TJ ET BT 26.250 283.649 Td /F1 9.8 Tf [(>10,000 deaths and 58 events with >1000 deaths between 1977 and 2009. A slight decrease in the average )] TJ ET BT 26.250 268.205 Td /F1 9.8 Tf [(number of fatalities per event was observed which is in keeping with broader natural disaster trends that show )] TJ ET BT 26.250 252.761 Td /F1 9.8 Tf [(an increase in the size of the affected population and a decrease in the average number of deaths per event )] TJ ET 0.267 0.267 0.267 rg BT 561.437 254.716 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 567.469 252.761 Td /F1 9.8 Tf [(. )] TJ ET BT 26.250 237.317 Td /F1 9.8 Tf [(Higher numbers of fatalities were reported in flash floods than river floods, however, river floods affected larger )] TJ ET BT 26.250 221.873 Td /F1 9.8 Tf [(populations and land areas )] TJ ET 0.267 0.267 0.267 rg BT 162.077 223.828 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 168.109 226.917 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 170.865 223.828 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 176.897 221.873 Td /F1 9.8 Tf [(. Lower mortality rates in river floods can mostly be attributed to their slower )] TJ ET BT 26.250 206.429 Td /F1 9.8 Tf [(onset allowing for longer time for warning and evacuation )] TJ ET 0.267 0.267 0.267 rg BT 313.036 208.384 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 319.069 211.473 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 321.825 208.384 Td /F4 8.7 Tf [(39)] TJ ET 0.271 0.267 0.267 rg BT 333.889 206.429 Td /F1 9.8 Tf [(. The widespread use of effective early warning )] TJ ET BT 26.250 190.985 Td /F1 9.8 Tf [(methods for hydrological events has likely contributed declining flood mortality.)] TJ ET BT 26.250 168.041 Td /F1 9.8 Tf [(Findings from the historical event review are consistent with previous observations that flood mortality varies )] TJ ET BT 26.250 152.597 Td /F1 9.8 Tf [(by region, economic development level, and the severity of the event )] TJ ET 0.267 0.267 0.267 rg BT 370.796 154.552 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 382.860 157.641 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 385.616 154.552 Td /F4 8.7 Tf [(40)] TJ ET 0.271 0.267 0.267 rg BT 397.680 152.597 Td /F1 9.8 Tf [(. The majority of flood-related )] TJ ET BT 26.250 137.153 Td /F1 9.8 Tf [(deaths are concentrated in less developed and heavily populated countries, with Southeast Asia and the )] TJ ET BT 26.250 121.709 Td /F1 9.8 Tf [(Western Pacific region experiencing the highest risk of flood-related deaths. Flood mortality rates are relatively )] TJ ET BT 26.250 106.265 Td /F1 9.8 Tf [(similar across continents, but Asian floods kill and affect more people because they affect substantially larger )] TJ ET BT 26.250 90.821 Td /F1 9.8 Tf [(areas with larger populations )] TJ ET 0.267 0.267 0.267 rg BT 172.246 92.776 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 178.279 90.821 Td /F1 9.8 Tf [(. At the country level, lower GDP per capita was linked to higher mortality, which )] TJ ET BT 26.250 75.377 Td /F1 9.8 Tf [(is in keeping with the established relationship between poverty and increased disaster risk )] TJ ET 0.267 0.267 0.267 rg BT 474.155 77.332 Td /F4 8.7 Tf [(41)] TJ ET 0.271 0.267 0.267 rg BT 486.219 75.377 Td /F1 9.8 Tf [(. Human and )] TJ ET BT 26.250 59.933 Td /F1 9.8 Tf [(social vulnerabilities and inequalities, urbanization, population density, terrain and geo-physical characteristics )] TJ ET BT 26.250 44.489 Td /F1 9.8 Tf [(and variation in the frequency and precipitating causes of floods by region are also factors that contribute flood )] TJ ET Q q 15.000 25.956 577.500 751.044 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(between 1959 and 2005 )] TJ ET 0.267 0.267 0.267 rg BT 148.769 766.600 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 154.801 764.645 Td /F1 9.8 Tf [(. Higher proportions of deaths among males \(64%\) were consistently observed in the )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(United States, except for Puerto Rico where 57% \(13/23\) of flood related fatalities were female and hurricane )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(Katrina where deaths evenly divided between the sexes \(51% male, 49% female\) )] TJ ET 0.267 0.267 0.267 rg BT 428.028 735.712 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 440.092 738.801 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 442.848 735.712 Td /F4 8.7 Tf [(18)] TJ ET 0.271 0.267 0.267 rg BT 454.912 738.801 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 457.668 735.712 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 469.732 738.801 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 472.488 735.712 Td /F4 8.7 Tf [(20)] TJ ET 0.271 0.267 0.267 rg BT 484.552 738.801 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 487.308 735.712 Td /F4 8.7 Tf [(28)] TJ ET 0.271 0.267 0.267 rg BT 499.372 733.757 Td /F1 9.8 Tf [( . In contrast, )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(the one article describing flood mortality in the less developed country of Nepal found that females of all age )] TJ ET BT 26.250 702.869 Td /F1 9.8 Tf [(groups faced increased mortality risk and 58% of all deaths were women )] TJ ET 0.267 0.267 0.267 rg BT 386.912 704.824 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 398.976 702.869 Td /F1 9.8 Tf [( Other factors found to be )] TJ ET BT 26.250 687.425 Td /F1 9.8 Tf [(associated with flood-related mortality included storm course/time storm hit landfall )] TJ ET 0.267 0.267 0.267 rg BT 441.659 689.380 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 453.723 692.469 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 456.479 689.380 Td /F4 8.7 Tf [(22)] TJ ET 0.271 0.267 0.267 rg BT 468.543 687.425 Td /F1 9.8 Tf [( summer months )] TJ ET 0.267 0.267 0.267 rg BT 554.830 689.380 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 566.894 692.469 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 26.250 673.936 Td /F4 8.7 Tf [(30)] TJ ET 0.271 0.267 0.267 rg BT 38.314 671.981 Td /F1 9.8 Tf [(, low socioeconomic status )] TJ ET 0.267 0.267 0.267 rg BT 172.562 673.936 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 184.626 671.981 Td /F1 9.8 Tf [(, poor housing construction )] TJ ET 0.267 0.267 0.267 rg BT 321.399 673.936 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 333.463 677.025 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 336.219 673.936 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 348.283 677.025 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 351.039 673.936 Td /F4 8.7 Tf [(24)] TJ ET 0.271 0.267 0.267 rg BT 363.103 677.025 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 365.859 673.936 Td /F4 8.7 Tf [(31)] TJ ET 0.271 0.267 0.267 rg BT 377.923 671.981 Td /F1 9.8 Tf [( and timing of warning messages )] TJ ET 0.267 0.267 0.267 rg BT 543.507 673.936 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 555.571 677.025 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 558.327 673.936 Td /F4 8.7 Tf [(22)] TJ ET 0.271 0.267 0.267 rg BT 570.391 671.981 Td /F1 9.8 Tf [(.)] TJ ET BT 26.250 649.037 Td /F1 9.8 Tf [(Injury and Displacement. Injury or morbidity data were reported in ten of the 18 included articles, of which nine )] TJ ET BT 26.250 633.593 Td /F1 9.8 Tf [(provided information on injury type and/or risk factors )] TJ ET 0.267 0.267 0.267 rg BT 294.726 635.548 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 306.790 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 309.546 635.548 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 321.610 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 324.366 635.548 Td /F4 8.7 Tf [(24)] TJ ET 0.271 0.267 0.267 rg BT 336.430 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 339.186 635.548 Td /F4 8.7 Tf [(32)] TJ ET 0.271 0.267 0.267 rg BT 351.250 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 354.006 635.548 Td /F4 8.7 Tf [(33)] TJ ET 0.271 0.267 0.267 rg BT 366.070 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 368.826 635.548 Td /F4 8.7 Tf [(34)] TJ ET 0.271 0.267 0.267 rg BT 380.890 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 383.646 635.548 Td /F4 8.7 Tf [(35)] TJ ET 0.271 0.267 0.267 rg BT 395.710 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 398.466 635.548 Td /F4 8.7 Tf [(36)] TJ ET 0.271 0.267 0.267 rg BT 410.530 638.637 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 413.286 635.548 Td /F4 8.7 Tf [(54)] TJ ET 0.271 0.267 0.267 rg BT 425.350 633.593 Td /F1 9.8 Tf [( . The majority of flood-related )] TJ ET BT 26.250 618.149 Td /F1 9.8 Tf [(injuries are minor. The two studies that captured a large number of injuries, both in the United States, found )] TJ ET BT 26.250 602.705 Td /F1 9.8 Tf [(that musculoskeletal injuries were most common \(46% and 34%\), followed by lacerations \(21% and 24%\). Other )] TJ ET BT 26.250 587.261 Td /F1 9.8 Tf [(flood-related injuries included abrasions and contusions, motor vehicle related injuries, and falls )] TJ ET 0.267 0.267 0.267 rg BT 499.827 589.216 Td /F4 8.7 Tf [(33)] TJ ET 0.271 0.267 0.267 rg BT 511.891 592.305 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 514.647 589.216 Td /F4 8.7 Tf [(34)] TJ ET 0.271 0.267 0.267 rg BT 526.711 592.305 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 529.467 589.216 Td /F4 8.7 Tf [(54)] TJ ET 0.271 0.267 0.267 rg BT 541.531 587.261 Td /F1 9.8 Tf [(. In )] TJ ET BT 26.250 571.817 Td /F1 9.8 Tf [(less developed settings, increased incidence of snake bites and fires were also cited as causes of injury or death )] TJ ET 0.267 0.267 0.267 rg BT 26.250 558.328 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 32.282 561.417 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 35.038 558.328 Td /F4 8.7 Tf [(36)] TJ ET 0.271 0.267 0.267 rg BT 47.102 556.373 Td /F1 9.8 Tf [(. Among care seekers in flood-affected areas of Bangladesh 5.1% of wounds were infected. Another review )] TJ ET BT 26.250 540.929 Td /F1 9.8 Tf [(suggested that the proportion of survivors requiring medical attention is less than 2% )] TJ ET 0.267 0.267 0.267 rg BT 449.459 542.884 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 455.491 540.929 Td /F1 9.8 Tf [(. A distribution of )] TJ ET BT 26.250 525.485 Td /F1 9.8 Tf [(injuries across population subgroups was reported by only one study in India which found that injuries were )] TJ ET BT 26.250 510.041 Td /F1 9.8 Tf [(more common in males \(67% vs. 33%\), that the 11-40 year age group comprised 68% of the injured, and that )] TJ ET BT 26.250 494.597 Td /F1 9.8 Tf [(those age 50 and above accounted for 18% of flood deaths )] TJ ET 0.267 0.267 0.267 rg BT 319.247 496.552 Td /F4 8.7 Tf [(34)] TJ ET 0.271 0.267 0.267 rg BT 331.311 494.597 Td /F1 9.8 Tf [(. Seven articles reported displacement or )] TJ ET BT 26.250 479.153 Td /F1 9.8 Tf [(evacuation figures however none described risk factors associated with flood-related displacement )] TJ ET 0.267 0.267 0.267 rg BT 513.994 481.108 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 526.058 484.197 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 528.814 481.108 Td /F4 8.7 Tf [(17)] TJ ET 0.271 0.267 0.267 rg BT 540.878 484.197 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 543.634 481.108 Td /F4 8.7 Tf [(21)] TJ ET 0.271 0.267 0.267 rg BT 555.698 484.197 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 558.454 481.108 Td /F4 8.7 Tf [(24)] TJ ET 0.271 0.267 0.267 rg BT 570.518 484.197 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 26.250 465.664 Td /F4 8.7 Tf [(25)] TJ ET 0.271 0.267 0.267 rg BT 38.314 468.753 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 41.070 465.664 Td /F4 8.7 Tf [(35)] TJ ET 0.271 0.267 0.267 rg BT 53.134 468.753 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 55.890 465.664 Td /F4 8.7 Tf [(37)] TJ ET 0.271 0.267 0.267 rg BT 67.954 463.709 Td /F1 9.8 Tf [( .)] TJ ET BT 26.250 422.914 Td /F4 12.0 Tf [(Discussion)] TJ ET BT 26.250 399.257 Td /F4 9.8 Tf [(Main findings)] TJ ET BT 26.250 376.313 Td /F1 9.8 Tf [(In the past 30 years approximately 2.8 billion people have been affected by floods with 4.5 million left )] TJ ET BT 26.250 360.869 Td /F1 9.8 Tf [(homeless, at approximately 540,000 deaths and 360,000 injuries, excluding an estimated 38,000 to 2.7 million )] TJ ET BT 26.250 345.425 Td /F1 9.8 Tf [(injuries that went unrecorded. While the mortality estimate presented in this study is consistent with the range )] TJ ET BT 26.250 329.981 Td /F1 9.8 Tf [(of estimates presented in other studies )] TJ ET 0.267 0.267 0.267 rg BT 221.620 331.936 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 227.653 335.025 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 230.409 331.936 Td /F4 8.7 Tf [(38)] TJ ET 0.271 0.267 0.267 rg BT 242.473 329.981 Td /F1 9.8 Tf [(, approximations of numbers injured and displaced are likely gross )] TJ ET BT 26.250 314.537 Td /F1 9.8 Tf [(underestimates of the true values given the infrequency with which figures are reported. Floods events with )] TJ ET BT 26.250 299.093 Td /F1 9.8 Tf [(high levels of mortality are relatively rare: despite their increasing frequency, there were only four events with )] TJ ET BT 26.250 283.649 Td /F1 9.8 Tf [(>10,000 deaths and 58 events with >1000 deaths between 1977 and 2009. A slight decrease in the average )] TJ ET BT 26.250 268.205 Td /F1 9.8 Tf [(number of fatalities per event was observed which is in keeping with broader natural disaster trends that show )] TJ ET BT 26.250 252.761 Td /F1 9.8 Tf [(an increase in the size of the affected population and a decrease in the average number of deaths per event )] TJ ET 0.267 0.267 0.267 rg BT 561.437 254.716 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 567.469 252.761 Td /F1 9.8 Tf [(. )] TJ ET BT 26.250 237.317 Td /F1 9.8 Tf [(Higher numbers of fatalities were reported in flash floods than river floods, however, river floods affected larger )] TJ ET BT 26.250 221.873 Td /F1 9.8 Tf [(populations and land areas )] TJ ET 0.267 0.267 0.267 rg BT 162.077 223.828 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 168.109 226.917 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 170.865 223.828 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 176.897 221.873 Td /F1 9.8 Tf [(. Lower mortality rates in river floods can mostly be attributed to their slower )] TJ ET BT 26.250 206.429 Td /F1 9.8 Tf [(onset allowing for longer time for warning and evacuation )] TJ ET 0.267 0.267 0.267 rg BT 313.036 208.384 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 319.069 211.473 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 321.825 208.384 Td /F4 8.7 Tf [(39)] TJ ET 0.271 0.267 0.267 rg BT 333.889 206.429 Td /F1 9.8 Tf [(. The widespread use of effective early warning )] TJ ET BT 26.250 190.985 Td /F1 9.8 Tf [(methods for hydrological events has likely contributed declining flood mortality.)] TJ ET BT 26.250 168.041 Td /F1 9.8 Tf [(Findings from the historical event review are consistent with previous observations that flood mortality varies )] TJ ET BT 26.250 152.597 Td /F1 9.8 Tf [(by region, economic development level, and the severity of the event )] TJ ET 0.267 0.267 0.267 rg BT 370.796 154.552 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 382.860 157.641 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 385.616 154.552 Td /F4 8.7 Tf [(40)] TJ ET 0.271 0.267 0.267 rg BT 397.680 152.597 Td /F1 9.8 Tf [(. The majority of flood-related )] TJ ET BT 26.250 137.153 Td /F1 9.8 Tf [(deaths are concentrated in less developed and heavily populated countries, with Southeast Asia and the )] TJ ET BT 26.250 121.709 Td /F1 9.8 Tf [(Western Pacific region experiencing the highest risk of flood-related deaths. Flood mortality rates are relatively )] TJ ET BT 26.250 106.265 Td /F1 9.8 Tf [(similar across continents, but Asian floods kill and affect more people because they affect substantially larger )] TJ ET BT 26.250 90.821 Td /F1 9.8 Tf [(areas with larger populations )] TJ ET 0.267 0.267 0.267 rg BT 172.246 92.776 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 178.279 90.821 Td /F1 9.8 Tf [(. At the country level, lower GDP per capita was linked to higher mortality, which )] TJ ET BT 26.250 75.377 Td /F1 9.8 Tf [(is in keeping with the established relationship between poverty and increased disaster risk )] TJ ET 0.267 0.267 0.267 rg BT 474.155 77.332 Td /F4 8.7 Tf [(41)] TJ ET 0.271 0.267 0.267 rg BT 486.219 75.377 Td /F1 9.8 Tf [(. Human and )] TJ ET BT 26.250 59.933 Td /F1 9.8 Tf [(social vulnerabilities and inequalities, urbanization, population density, terrain and geo-physical characteristics )] TJ ET BT 26.250 44.489 Td /F1 9.8 Tf [(and variation in the frequency and precipitating causes of floods by region are also factors that contribute flood )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(21)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 740 0 obj << /Type /Annot /Subtype /Link /A 741 0 R /Border [0 0 0] /H /I /Rect [ 148.7685 765.5600 154.8005 777.0000 ] >> endobj 741 0 obj << /Type /Action >> endobj 742 0 obj << /Type /Annot /Subtype /Link /A 743 0 R /Border [0 0 0] /H /I /Rect [ 428.0280 734.6720 440.0920 746.1120 ] >> endobj 743 0 obj << /Type /Action >> endobj 744 0 obj << /Type /Annot /Subtype /Link /A 745 0 R /Border [0 0 0] /H /I /Rect [ 442.8480 734.6720 454.9120 746.1120 ] >> endobj 745 0 obj << /Type /Action >> endobj 746 0 obj 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766.600 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 107.799 769.689 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 110.555 766.600 Td /F4 8.7 Tf [(42)] TJ ET 0.271 0.267 0.267 rg BT 122.619 764.645 Td /F1 9.8 Tf [( . Temporal changes and development trends have also contributed to changing influences )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(of some of these factors over time )] TJ ET 0.267 0.267 0.267 rg BT 197.782 751.156 Td /F4 8.7 Tf [(42)] TJ ET 0.271 0.267 0.267 rg BT 209.846 749.201 Td /F1 9.8 Tf [(. Economic development increases the risk of disaster-related economic )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(losses however improved emergency preparedness, response, and coping capacity may reduce disaster )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(vulnerability )] TJ ET 0.267 0.267 0.267 rg BT 90.093 720.268 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 96.125 718.313 Td /F1 9.8 Tf [(. That countries with greater resources are able to better predict and respond to impending flood )] TJ ET BT 26.250 702.869 Td /F1 9.8 Tf [(events suggests that building systems and capacity to detect and respond to floods in less developed countries )] TJ ET BT 26.250 687.425 Td /F1 9.8 Tf [(should be a priority )] TJ ET 0.267 0.267 0.267 rg BT 124.316 689.380 Td /F4 8.7 Tf [(40)] TJ ET 0.271 0.267 0.267 rg BT 136.380 687.425 Td /F1 9.8 Tf [(.)] TJ ET BT 26.250 664.481 Td /F1 9.8 Tf [(Causes of and risks for flood-related mortality and injury identified in the systematic literature review are )] TJ ET BT 26.250 649.037 Td /F1 9.8 Tf [(consistent with previous reviews on the human impact of flooding )] TJ ET 0.267 0.267 0.267 rg BT 352.066 650.992 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 358.098 654.081 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 360.854 650.992 Td /F4 8.7 Tf [(29)] TJ ET 0.271 0.267 0.267 rg BT 372.918 654.081 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 375.674 650.992 Td /F4 8.7 Tf [(43)] TJ ET 0.271 0.267 0.267 rg BT 387.738 654.081 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 390.494 650.992 Td /F4 8.7 Tf [(44)] TJ ET 0.271 0.267 0.267 rg BT 402.558 649.037 Td /F1 9.8 Tf [( . In comparison, a recent review of )] TJ ET BT 26.250 633.593 Td /F1 9.8 Tf [(13 flood events in Europe and the United States found that 68% of deaths were due to drowning, 12% trauma, )] TJ ET BT 26.250 618.149 Td /F1 9.8 Tf [(6% heart attack, 4% fire, 3% electrocution, 1% carbon monoxide poisoning, and 7% other/unknown )] TJ ET 0.267 0.267 0.267 rg BT 517.270 620.104 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 523.302 618.149 Td /F1 9.8 Tf [(. Studies )] TJ ET BT 26.250 602.705 Td /F1 9.8 Tf [(reporting the gender breakdown for flood-related deaths, most of which are accounts of flood events in the )] TJ ET BT 26.250 587.261 Td /F1 9.8 Tf [(United States, consistently show a greater proportion of males as compared with female deaths. These )] TJ ET BT 26.250 571.817 Td /F1 9.8 Tf [(observations are aligned with previous studies, including a review of flood events in Europe and the US which )] TJ ET BT 26.250 556.373 Td /F1 9.8 Tf [(estimated that males account for 70% of flood related deaths )] TJ ET 0.267 0.267 0.267 rg BT 330.947 558.328 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 336.979 561.417 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 339.735 558.328 Td /F4 8.7 Tf [(44)] TJ ET 0.271 0.267 0.267 rg BT 351.799 561.417 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 354.555 558.328 Td /F4 8.7 Tf [(45)] TJ ET 0.271 0.267 0.267 rg BT 366.619 561.417 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 369.375 558.328 Td /F4 8.7 Tf [(46)] TJ ET 0.271 0.267 0.267 rg BT 381.439 556.373 Td /F1 9.8 Tf [( . While limited to only a few countries, )] TJ ET BT 26.250 540.929 Td /F1 9.8 Tf [(these findings suggest there may be increased mortality risk for males in more developed settings and for )] TJ ET BT 26.250 525.485 Td /F1 9.8 Tf [(females in less developed countries )] TJ ET 0.267 0.267 0.267 rg BT 204.519 527.440 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 216.583 530.529 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 219.339 527.440 Td /F4 8.7 Tf [(47)] TJ ET 0.271 0.267 0.267 rg BT 231.403 525.485 Td /F1 9.8 Tf [( . An increased risk of death in younger and older populations was )] TJ ET BT 26.250 510.041 Td /F1 9.8 Tf [(also observed which is consistent with broader natural disaster mortality trends )] TJ ET 0.267 0.267 0.267 rg BT 420.004 511.996 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 426.036 515.085 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 428.792 511.996 Td /F4 8.7 Tf [(45)] TJ ET 0.271 0.267 0.267 rg BT 440.856 515.085 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 443.612 511.996 Td /F4 8.7 Tf [(46)] TJ ET 0.271 0.267 0.267 rg BT 455.676 515.085 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 458.432 511.996 Td /F4 8.7 Tf [(48)] TJ ET 0.271 0.267 0.267 rg BT 470.496 515.085 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 473.252 511.996 Td /F4 8.7 Tf [(49)] TJ ET 0.271 0.267 0.267 rg BT 485.316 510.041 Td /F1 9.8 Tf [( . In Nepal, )] TJ ET BT 26.250 494.597 Td /F1 9.8 Tf [(children had the highest crude mortality rates of all age groups and were nearly twice as likely to die in the )] TJ ET BT 26.250 479.153 Td /F1 9.8 Tf [(flood as their same-sex parent )] TJ ET 0.267 0.267 0.267 rg BT 178.886 481.108 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 190.950 479.153 Td /F1 9.8 Tf [(. However, recent reviews of age-specific risk for flood mortality have been )] TJ ET BT 26.250 463.709 Td /F1 9.8 Tf [(inconclusive because attempts to aggregate data were hampered by high proportions of deaths where age is )] TJ ET BT 26.250 448.265 Td /F1 9.8 Tf [(unreported )] TJ ET 0.267 0.267 0.267 rg BT 83.892 450.220 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 89.924 448.265 Td /F1 9.8 Tf [(. While the prevailing notion is that women and children are more vulnerable in disasters )] TJ ET 0.267 0.267 0.267 rg BT 528.957 450.220 Td /F4 8.7 Tf [(50)] TJ ET 0.271 0.267 0.267 rg BT 541.021 448.265 Td /F1 9.8 Tf [(, there )] TJ ET BT 26.250 432.821 Td /F1 9.8 Tf [(is a paucity of research in less developed countries where the majority of flood deaths occur. Future research on )] TJ ET BT 26.250 417.377 Td /F1 9.8 Tf [(the human impacts of floods should focus on these less developed settings, most notably Asia where flood )] TJ ET BT 26.250 401.933 Td /F1 9.8 Tf [(deaths are concentrated, with the aim of identifying the most at-risk and vulnerable population sub-groups to )] TJ ET BT 26.250 386.489 Td /F1 9.8 Tf [(better target early warning and preparedness efforts.)] TJ ET BT 26.250 363.545 Td /F1 9.8 Tf [(The ecological nature of the study of event characteristics did not allow for an examination of specific factors )] TJ ET BT 26.250 348.101 Td /F1 9.8 Tf [(within a country or region that may be associated with increased mortality following a flood event. Population )] TJ ET BT 26.250 332.657 Td /F1 9.8 Tf [(density in coastal regions, which are particularly vulnerable to flooding, is twice of the world s average )] TJ ET BT 26.250 317.213 Td /F1 9.8 Tf [(population density and many of the world s coasts are becoming increasingly urbanized )] TJ ET 0.267 0.267 0.267 rg BT 460.115 319.168 Td /F4 8.7 Tf [(51)] TJ ET 0.271 0.267 0.267 rg BT 472.179 317.213 Td /F1 9.8 Tf [(. Currently, 50.6% of )] TJ ET BT 26.250 301.769 Td /F1 9.8 Tf [(the world s population lives in urban settings; by 2050 this figure is projected to increase to 70% with the )] TJ ET BT 26.250 286.325 Td /F1 9.8 Tf [(majority of urbanization occurring in less developed regions of Asia and Africa )] TJ ET 0.267 0.267 0.267 rg BT 411.560 288.280 Td /F4 8.7 Tf [(52)] TJ ET 0.271 0.267 0.267 rg BT 423.624 286.325 Td /F1 9.8 Tf [(. Unabated urbanization and )] TJ ET BT 26.250 270.881 Td /F1 9.8 Tf [(land use changes, high concentrations of poor and marginalized populations, and a lack of regulations and )] TJ ET BT 26.250 255.437 Td /F1 9.8 Tf [(preparedness efforts are factors that will likely contribute to an increasing impact of floods in the future )] TJ ET 0.267 0.267 0.267 rg BT 538.076 257.392 Td /F4 8.7 Tf [(38)] TJ ET 0.271 0.267 0.267 rg BT 550.140 255.437 Td /F1 9.8 Tf [(. )] TJ ET BT 26.250 239.993 Td /F1 9.8 Tf [(From the natural hazard perspective, climate change is also likely to contribute to future increases in flooding. )] TJ ET BT 26.250 224.549 Td /F1 9.8 Tf [(Increased frequency of intense rainfall, as a result of higher temperatures and intensified convection will likely )] TJ ET BT 26.250 209.105 Td /F1 9.8 Tf [(lead to a rise in extreme rainfall events, more flash floods and urban flooding due to excessive storm water. )] TJ ET BT 26.250 193.661 Td /F1 9.8 Tf [(Additionally, sea level rise and increasing storm frequency will lead to additional storm surges in coastal areas )] TJ ET BT 26.250 178.217 Td /F1 9.8 Tf [(while seasonal changes, notably warmer winters, will contribute more broadly to increased precipitation and )] TJ ET BT 26.250 162.773 Td /F1 9.8 Tf [(flood risk )] TJ ET 0.267 0.267 0.267 rg BT 74.161 164.728 Td /F4 8.7 Tf [(38)] TJ ET 0.271 0.267 0.267 rg BT 86.226 162.773 Td /F1 9.8 Tf [(. Together, changes in socioeconomic, demographic, physical terrain features and climatologic )] TJ ET BT 26.250 147.329 Td /F1 9.8 Tf [(factors suggests that floods will become more frequent and have greater effects on human populations in the )] TJ ET BT 26.250 131.885 Td /F1 9.8 Tf [(coming decades.)] TJ ET BT 26.250 108.941 Td /F1 9.8 Tf [(Given that flood losses are likely to increase in future years, increased attention to flood prevention and )] TJ ET BT 26.250 93.497 Td /F1 9.8 Tf [(mitigation strategies is necessary. To date, early warning systems have been an effective mechanism for )] TJ ET BT 26.250 78.053 Td /F1 9.8 Tf [(reducing the impact of floods )] TJ ET 0.267 0.267 0.267 rg BT 172.880 80.008 Td /F4 8.7 Tf [(38)] TJ ET 0.271 0.267 0.267 rg BT 184.944 78.053 Td /F1 9.8 Tf [(, however, they are not ubiquitous and should be prioritized in less developed )] TJ ET BT 26.250 62.609 Td /F1 9.8 Tf [(countries with large at-risk populations and high frequencies of flooding. It is important that messaging and )] TJ ET BT 26.250 47.165 Td /F1 9.8 Tf [(targeted communication strategies accompany early warnings so that the population understands the )] TJ ET Q q 15.000 28.632 577.500 748.368 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(risk levels )] TJ ET 0.267 0.267 0.267 rg BT 78.159 766.600 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 84.191 769.689 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 86.947 766.600 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 92.979 769.689 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 95.735 766.600 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 107.799 769.689 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 110.555 766.600 Td /F4 8.7 Tf [(42)] TJ ET 0.271 0.267 0.267 rg BT 122.619 764.645 Td /F1 9.8 Tf [( . Temporal changes and development trends have also contributed to changing influences )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(of some of these factors over time )] TJ ET 0.267 0.267 0.267 rg BT 197.782 751.156 Td /F4 8.7 Tf [(42)] TJ ET 0.271 0.267 0.267 rg BT 209.846 749.201 Td /F1 9.8 Tf [(. Economic development increases the risk of disaster-related economic )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(losses however improved emergency preparedness, response, and coping capacity may reduce disaster )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(vulnerability )] TJ ET 0.267 0.267 0.267 rg BT 90.093 720.268 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 96.125 718.313 Td /F1 9.8 Tf [(. That countries with greater resources are able to better predict and respond to impending flood )] TJ ET BT 26.250 702.869 Td /F1 9.8 Tf [(events suggests that building systems and capacity to detect and respond to floods in less developed countries )] TJ ET BT 26.250 687.425 Td /F1 9.8 Tf [(should be a priority )] TJ ET 0.267 0.267 0.267 rg BT 124.316 689.380 Td /F4 8.7 Tf [(40)] TJ ET 0.271 0.267 0.267 rg BT 136.380 687.425 Td /F1 9.8 Tf [(.)] TJ ET BT 26.250 664.481 Td /F1 9.8 Tf [(Causes of and risks for flood-related mortality and injury identified in the systematic literature review are )] TJ ET BT 26.250 649.037 Td /F1 9.8 Tf [(consistent with previous reviews on the human impact of flooding )] TJ ET 0.267 0.267 0.267 rg BT 352.066 650.992 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 358.098 654.081 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 360.854 650.992 Td /F4 8.7 Tf [(29)] TJ ET 0.271 0.267 0.267 rg BT 372.918 654.081 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 375.674 650.992 Td /F4 8.7 Tf [(43)] TJ ET 0.271 0.267 0.267 rg BT 387.738 654.081 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 390.494 650.992 Td /F4 8.7 Tf [(44)] TJ ET 0.271 0.267 0.267 rg BT 402.558 649.037 Td /F1 9.8 Tf [( . In comparison, a recent review of )] TJ ET BT 26.250 633.593 Td /F1 9.8 Tf [(13 flood events in Europe and the United States found that 68% of deaths were due to drowning, 12% trauma, )] TJ ET BT 26.250 618.149 Td /F1 9.8 Tf [(6% heart attack, 4% fire, 3% electrocution, 1% carbon monoxide poisoning, and 7% other/unknown )] TJ ET 0.267 0.267 0.267 rg BT 517.270 620.104 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 523.302 618.149 Td /F1 9.8 Tf [(. Studies )] TJ ET BT 26.250 602.705 Td /F1 9.8 Tf [(reporting the gender breakdown for flood-related deaths, most of which are accounts of flood events in the )] TJ ET BT 26.250 587.261 Td /F1 9.8 Tf [(United States, consistently show a greater proportion of males as compared with female deaths. These )] TJ ET BT 26.250 571.817 Td /F1 9.8 Tf [(observations are aligned with previous studies, including a review of flood events in Europe and the US which )] TJ ET BT 26.250 556.373 Td /F1 9.8 Tf [(estimated that males account for 70% of flood related deaths )] TJ ET 0.267 0.267 0.267 rg BT 330.947 558.328 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 336.979 561.417 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 339.735 558.328 Td /F4 8.7 Tf [(44)] TJ ET 0.271 0.267 0.267 rg BT 351.799 561.417 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 354.555 558.328 Td /F4 8.7 Tf [(45)] TJ ET 0.271 0.267 0.267 rg BT 366.619 561.417 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 369.375 558.328 Td /F4 8.7 Tf [(46)] TJ ET 0.271 0.267 0.267 rg BT 381.439 556.373 Td /F1 9.8 Tf [( . While limited to only a few countries, )] TJ ET BT 26.250 540.929 Td /F1 9.8 Tf [(these findings suggest there may be increased mortality risk for males in more developed settings and for )] TJ ET BT 26.250 525.485 Td /F1 9.8 Tf [(females in less developed countries )] TJ ET 0.267 0.267 0.267 rg BT 204.519 527.440 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 216.583 530.529 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 219.339 527.440 Td /F4 8.7 Tf [(47)] TJ ET 0.271 0.267 0.267 rg BT 231.403 525.485 Td /F1 9.8 Tf [( . An increased risk of death in younger and older populations was )] TJ ET BT 26.250 510.041 Td /F1 9.8 Tf [(also observed which is consistent with broader natural disaster mortality trends )] TJ ET 0.267 0.267 0.267 rg BT 420.004 511.996 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 426.036 515.085 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 428.792 511.996 Td /F4 8.7 Tf [(45)] TJ ET 0.271 0.267 0.267 rg BT 440.856 515.085 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 443.612 511.996 Td /F4 8.7 Tf [(46)] TJ ET 0.271 0.267 0.267 rg BT 455.676 515.085 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 458.432 511.996 Td /F4 8.7 Tf [(48)] TJ ET 0.271 0.267 0.267 rg BT 470.496 515.085 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 473.252 511.996 Td /F4 8.7 Tf [(49)] TJ ET 0.271 0.267 0.267 rg BT 485.316 510.041 Td /F1 9.8 Tf [( . In Nepal, )] TJ ET BT 26.250 494.597 Td /F1 9.8 Tf [(children had the highest crude mortality rates of all age groups and were nearly twice as likely to die in the )] TJ ET BT 26.250 479.153 Td /F1 9.8 Tf [(flood as their same-sex parent )] TJ ET 0.267 0.267 0.267 rg BT 178.886 481.108 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 190.950 479.153 Td /F1 9.8 Tf [(. However, recent reviews of age-specific risk for flood mortality have been )] TJ ET BT 26.250 463.709 Td /F1 9.8 Tf [(inconclusive because attempts to aggregate data were hampered by high proportions of deaths where age is )] TJ ET BT 26.250 448.265 Td /F1 9.8 Tf [(unreported )] TJ ET 0.267 0.267 0.267 rg BT 83.892 450.220 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 89.924 448.265 Td /F1 9.8 Tf [(. While the prevailing notion is that women and children are more vulnerable in disasters )] TJ ET 0.267 0.267 0.267 rg BT 528.957 450.220 Td /F4 8.7 Tf [(50)] TJ ET 0.271 0.267 0.267 rg BT 541.021 448.265 Td /F1 9.8 Tf [(, there )] TJ ET BT 26.250 432.821 Td /F1 9.8 Tf [(is a paucity of research in less developed countries where the majority of flood deaths occur. Future research on )] TJ ET BT 26.250 417.377 Td /F1 9.8 Tf [(the human impacts of floods should focus on these less developed settings, most notably Asia where flood )] TJ ET BT 26.250 401.933 Td /F1 9.8 Tf [(deaths are concentrated, with the aim of identifying the most at-risk and vulnerable population sub-groups to )] TJ ET BT 26.250 386.489 Td /F1 9.8 Tf [(better target early warning and preparedness efforts.)] TJ ET BT 26.250 363.545 Td /F1 9.8 Tf [(The ecological nature of the study of event characteristics did not allow for an examination of specific factors )] TJ ET BT 26.250 348.101 Td /F1 9.8 Tf [(within a country or region that may be associated with increased mortality following a flood event. Population )] TJ ET BT 26.250 332.657 Td /F1 9.8 Tf [(density in coastal regions, which are particularly vulnerable to flooding, is twice of the world s average )] TJ ET BT 26.250 317.213 Td /F1 9.8 Tf [(population density and many of the world s coasts are becoming increasingly urbanized )] TJ ET 0.267 0.267 0.267 rg BT 460.115 319.168 Td /F4 8.7 Tf [(51)] TJ ET 0.271 0.267 0.267 rg BT 472.179 317.213 Td /F1 9.8 Tf [(. Currently, 50.6% of )] TJ ET BT 26.250 301.769 Td /F1 9.8 Tf [(the world s population lives in urban settings; by 2050 this figure is projected to increase to 70% with the )] TJ ET BT 26.250 286.325 Td /F1 9.8 Tf [(majority of urbanization occurring in less developed regions of Asia and Africa )] TJ ET 0.267 0.267 0.267 rg BT 411.560 288.280 Td /F4 8.7 Tf [(52)] TJ ET 0.271 0.267 0.267 rg BT 423.624 286.325 Td /F1 9.8 Tf [(. Unabated urbanization and )] TJ ET BT 26.250 270.881 Td /F1 9.8 Tf [(land use changes, high concentrations of poor and marginalized populations, and a lack of regulations and )] TJ ET BT 26.250 255.437 Td /F1 9.8 Tf [(preparedness efforts are factors that will likely contribute to an increasing impact of floods in the future )] TJ ET 0.267 0.267 0.267 rg BT 538.076 257.392 Td /F4 8.7 Tf [(38)] TJ ET 0.271 0.267 0.267 rg BT 550.140 255.437 Td /F1 9.8 Tf [(. )] TJ ET BT 26.250 239.993 Td /F1 9.8 Tf [(From the natural hazard perspective, climate change is also likely to contribute to future increases in flooding. )] TJ ET BT 26.250 224.549 Td /F1 9.8 Tf [(Increased frequency of intense rainfall, as a result of higher temperatures and intensified convection will likely )] TJ ET BT 26.250 209.105 Td /F1 9.8 Tf [(lead to a rise in extreme rainfall events, more flash floods and urban flooding due to excessive storm water. )] TJ ET BT 26.250 193.661 Td /F1 9.8 Tf [(Additionally, sea level rise and increasing storm frequency will lead to additional storm surges in coastal areas )] TJ ET BT 26.250 178.217 Td /F1 9.8 Tf [(while seasonal changes, notably warmer winters, will contribute more broadly to increased precipitation and )] TJ ET BT 26.250 162.773 Td /F1 9.8 Tf [(flood risk )] TJ ET 0.267 0.267 0.267 rg BT 74.161 164.728 Td /F4 8.7 Tf [(38)] TJ ET 0.271 0.267 0.267 rg BT 86.226 162.773 Td /F1 9.8 Tf [(. Together, changes in socioeconomic, demographic, physical terrain features and climatologic )] TJ ET BT 26.250 147.329 Td /F1 9.8 Tf [(factors suggests that floods will become more frequent and have greater effects on human populations in the )] TJ ET BT 26.250 131.885 Td /F1 9.8 Tf [(coming decades.)] TJ ET BT 26.250 108.941 Td /F1 9.8 Tf [(Given that flood losses are likely to increase in future years, increased attention to flood prevention and )] TJ ET BT 26.250 93.497 Td /F1 9.8 Tf [(mitigation strategies is necessary. To date, early warning systems have been an effective mechanism for )] TJ ET BT 26.250 78.053 Td /F1 9.8 Tf [(reducing the impact of floods )] TJ ET 0.267 0.267 0.267 rg BT 172.880 80.008 Td /F4 8.7 Tf [(38)] TJ ET 0.271 0.267 0.267 rg BT 184.944 78.053 Td /F1 9.8 Tf [(, however, they are not ubiquitous and should be prioritized in less developed )] TJ ET BT 26.250 62.609 Td /F1 9.8 Tf [(countries with large at-risk populations and high frequencies of flooding. It is important that messaging and )] TJ ET BT 26.250 47.165 Td /F1 9.8 Tf [(targeted communication strategies accompany early warnings so that the population understands the )] TJ ET Q q 15.000 28.632 577.500 748.368 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(risk levels )] TJ ET 0.267 0.267 0.267 rg BT 78.159 766.600 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 84.191 769.689 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 86.947 766.600 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 92.979 769.689 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 95.735 766.600 Td /F4 8.7 Tf [(12)] TJ ET 0.271 0.267 0.267 rg BT 107.799 769.689 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 110.555 766.600 Td /F4 8.7 Tf [(42)] TJ ET 0.271 0.267 0.267 rg BT 122.619 764.645 Td /F1 9.8 Tf [( . Temporal changes and development trends have also contributed to changing influences )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(of some of these factors over time )] TJ ET 0.267 0.267 0.267 rg BT 197.782 751.156 Td /F4 8.7 Tf [(42)] TJ ET 0.271 0.267 0.267 rg BT 209.846 749.201 Td /F1 9.8 Tf [(. Economic development increases the risk of disaster-related economic )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(losses however improved emergency preparedness, response, and coping capacity may reduce disaster )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(vulnerability )] TJ ET 0.267 0.267 0.267 rg BT 90.093 720.268 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 96.125 718.313 Td /F1 9.8 Tf [(. That countries with greater resources are able to better predict and respond to impending flood )] TJ ET BT 26.250 702.869 Td /F1 9.8 Tf [(events suggests that building systems and capacity to detect and respond to floods in less developed countries )] TJ ET BT 26.250 687.425 Td /F1 9.8 Tf [(should be a priority )] TJ ET 0.267 0.267 0.267 rg BT 124.316 689.380 Td /F4 8.7 Tf [(40)] TJ ET 0.271 0.267 0.267 rg BT 136.380 687.425 Td /F1 9.8 Tf [(.)] TJ ET BT 26.250 664.481 Td /F1 9.8 Tf [(Causes of and risks for flood-related mortality and injury identified in the systematic literature review are )] TJ ET BT 26.250 649.037 Td /F1 9.8 Tf [(consistent with previous reviews on the human impact of flooding )] TJ ET 0.267 0.267 0.267 rg BT 352.066 650.992 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 358.098 654.081 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 360.854 650.992 Td /F4 8.7 Tf [(29)] TJ ET 0.271 0.267 0.267 rg BT 372.918 654.081 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 375.674 650.992 Td /F4 8.7 Tf [(43)] TJ ET 0.271 0.267 0.267 rg BT 387.738 654.081 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 390.494 650.992 Td /F4 8.7 Tf [(44)] TJ ET 0.271 0.267 0.267 rg BT 402.558 649.037 Td /F1 9.8 Tf [( . In comparison, a recent review of )] TJ ET BT 26.250 633.593 Td /F1 9.8 Tf [(13 flood events in Europe and the United States found that 68% of deaths were due to drowning, 12% trauma, )] TJ ET BT 26.250 618.149 Td /F1 9.8 Tf [(6% heart attack, 4% fire, 3% electrocution, 1% carbon monoxide poisoning, and 7% other/unknown )] TJ ET 0.267 0.267 0.267 rg BT 517.270 620.104 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 523.302 618.149 Td /F1 9.8 Tf [(. Studies )] TJ ET BT 26.250 602.705 Td /F1 9.8 Tf [(reporting the gender breakdown for flood-related deaths, most of which are accounts of flood events in the )] TJ ET BT 26.250 587.261 Td /F1 9.8 Tf [(United States, consistently show a greater proportion of males as compared with female deaths. These )] TJ ET BT 26.250 571.817 Td /F1 9.8 Tf [(observations are aligned with previous studies, including a review of flood events in Europe and the US which )] TJ ET BT 26.250 556.373 Td /F1 9.8 Tf [(estimated that males account for 70% of flood related deaths )] TJ ET 0.267 0.267 0.267 rg BT 330.947 558.328 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 336.979 561.417 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 339.735 558.328 Td /F4 8.7 Tf [(44)] TJ ET 0.271 0.267 0.267 rg BT 351.799 561.417 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 354.555 558.328 Td /F4 8.7 Tf [(45)] TJ ET 0.271 0.267 0.267 rg BT 366.619 561.417 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 369.375 558.328 Td /F4 8.7 Tf [(46)] TJ ET 0.271 0.267 0.267 rg BT 381.439 556.373 Td /F1 9.8 Tf [( . While limited to only a few countries, )] TJ ET BT 26.250 540.929 Td /F1 9.8 Tf [(these findings suggest there may be increased mortality risk for males in more developed settings and for )] TJ ET BT 26.250 525.485 Td /F1 9.8 Tf [(females in less developed countries )] TJ ET 0.267 0.267 0.267 rg BT 204.519 527.440 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 216.583 530.529 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 219.339 527.440 Td /F4 8.7 Tf [(47)] TJ ET 0.271 0.267 0.267 rg BT 231.403 525.485 Td /F1 9.8 Tf [( . An increased risk of death in younger and older populations was )] TJ ET BT 26.250 510.041 Td /F1 9.8 Tf [(also observed which is consistent with broader natural disaster mortality trends )] TJ ET 0.267 0.267 0.267 rg BT 420.004 511.996 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 426.036 515.085 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 428.792 511.996 Td /F4 8.7 Tf [(45)] TJ ET 0.271 0.267 0.267 rg BT 440.856 515.085 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 443.612 511.996 Td /F4 8.7 Tf [(46)] TJ ET 0.271 0.267 0.267 rg BT 455.676 515.085 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 458.432 511.996 Td /F4 8.7 Tf [(48)] TJ ET 0.271 0.267 0.267 rg BT 470.496 515.085 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 473.252 511.996 Td /F4 8.7 Tf [(49)] TJ ET 0.271 0.267 0.267 rg BT 485.316 510.041 Td /F1 9.8 Tf [( . In Nepal, )] TJ ET BT 26.250 494.597 Td /F1 9.8 Tf [(children had the highest crude mortality rates of all age groups and were nearly twice as likely to die in the )] TJ ET BT 26.250 479.153 Td /F1 9.8 Tf [(flood as their same-sex parent )] TJ ET 0.267 0.267 0.267 rg BT 178.886 481.108 Td /F4 8.7 Tf [(23)] TJ ET 0.271 0.267 0.267 rg BT 190.950 479.153 Td /F1 9.8 Tf [(. However, recent reviews of age-specific risk for flood mortality have been )] TJ ET BT 26.250 463.709 Td /F1 9.8 Tf [(inconclusive because attempts to aggregate data were hampered by high proportions of deaths where age is )] TJ ET BT 26.250 448.265 Td /F1 9.8 Tf [(unreported )] TJ ET 0.267 0.267 0.267 rg BT 83.892 450.220 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 89.924 448.265 Td /F1 9.8 Tf [(. While the prevailing notion is that women and children are more vulnerable in disasters )] TJ ET 0.267 0.267 0.267 rg BT 528.957 450.220 Td /F4 8.7 Tf [(50)] TJ ET 0.271 0.267 0.267 rg BT 541.021 448.265 Td /F1 9.8 Tf [(, there )] TJ ET BT 26.250 432.821 Td /F1 9.8 Tf [(is a paucity of research in less developed countries where the majority of flood deaths occur. Future research on )] TJ ET BT 26.250 417.377 Td /F1 9.8 Tf [(the human impacts of floods should focus on these less developed settings, most notably Asia where flood )] TJ ET BT 26.250 401.933 Td /F1 9.8 Tf [(deaths are concentrated, with the aim of identifying the most at-risk and vulnerable population sub-groups to )] TJ ET BT 26.250 386.489 Td /F1 9.8 Tf [(better target early warning and preparedness efforts.)] TJ ET BT 26.250 363.545 Td /F1 9.8 Tf [(The ecological nature of the study of event characteristics did not allow for an examination of specific factors )] TJ ET BT 26.250 348.101 Td /F1 9.8 Tf [(within a country or region that may be associated with increased mortality following a flood event. Population )] TJ ET BT 26.250 332.657 Td /F1 9.8 Tf [(density in coastal regions, which are particularly vulnerable to flooding, is twice of the world s average )] TJ ET BT 26.250 317.213 Td /F1 9.8 Tf [(population density and many of the world s coasts are becoming increasingly urbanized )] TJ ET 0.267 0.267 0.267 rg BT 460.115 319.168 Td /F4 8.7 Tf [(51)] TJ ET 0.271 0.267 0.267 rg BT 472.179 317.213 Td /F1 9.8 Tf [(. Currently, 50.6% of )] TJ ET BT 26.250 301.769 Td /F1 9.8 Tf [(the world s population lives in urban settings; by 2050 this figure is projected to increase to 70% with the )] TJ ET BT 26.250 286.325 Td /F1 9.8 Tf [(majority of urbanization occurring in less developed regions of Asia and Africa )] TJ ET 0.267 0.267 0.267 rg BT 411.560 288.280 Td /F4 8.7 Tf [(52)] TJ ET 0.271 0.267 0.267 rg BT 423.624 286.325 Td /F1 9.8 Tf [(. Unabated urbanization and )] TJ ET BT 26.250 270.881 Td /F1 9.8 Tf [(land use changes, high concentrations of poor and marginalized populations, and a lack of regulations and )] TJ ET BT 26.250 255.437 Td /F1 9.8 Tf [(preparedness efforts are factors that will likely contribute to an increasing impact of floods in the future )] TJ ET 0.267 0.267 0.267 rg BT 538.076 257.392 Td /F4 8.7 Tf [(38)] TJ ET 0.271 0.267 0.267 rg BT 550.140 255.437 Td /F1 9.8 Tf [(. )] TJ ET BT 26.250 239.993 Td /F1 9.8 Tf [(From the natural hazard perspective, climate change is also likely to contribute to future increases in flooding. )] TJ ET BT 26.250 224.549 Td /F1 9.8 Tf [(Increased frequency of intense rainfall, as a result of higher temperatures and intensified convection will likely )] TJ ET BT 26.250 209.105 Td /F1 9.8 Tf [(lead to a rise in extreme rainfall events, more flash floods and urban flooding due to excessive storm water. )] TJ ET BT 26.250 193.661 Td /F1 9.8 Tf [(Additionally, sea level rise and increasing storm frequency will lead to additional storm surges in coastal areas )] TJ ET BT 26.250 178.217 Td /F1 9.8 Tf [(while seasonal changes, notably warmer winters, will contribute more broadly to increased precipitation and )] TJ ET BT 26.250 162.773 Td /F1 9.8 Tf [(flood risk )] TJ ET 0.267 0.267 0.267 rg BT 74.161 164.728 Td /F4 8.7 Tf [(38)] TJ ET 0.271 0.267 0.267 rg BT 86.226 162.773 Td /F1 9.8 Tf [(. Together, changes in socioeconomic, demographic, physical terrain features and climatologic )] TJ ET BT 26.250 147.329 Td /F1 9.8 Tf [(factors suggests that floods will become more frequent and have greater effects on human populations in the )] TJ ET BT 26.250 131.885 Td /F1 9.8 Tf [(coming decades.)] TJ ET BT 26.250 108.941 Td /F1 9.8 Tf [(Given that flood losses are likely to increase in future years, increased attention to flood prevention and )] TJ ET BT 26.250 93.497 Td /F1 9.8 Tf [(mitigation strategies is necessary. To date, early warning systems have been an effective mechanism for )] TJ ET BT 26.250 78.053 Td /F1 9.8 Tf [(reducing the impact of floods )] TJ ET 0.267 0.267 0.267 rg BT 172.880 80.008 Td /F4 8.7 Tf [(38)] TJ ET 0.271 0.267 0.267 rg BT 184.944 78.053 Td /F1 9.8 Tf [(, however, they are not ubiquitous and should be prioritized in less developed )] TJ ET BT 26.250 62.609 Td /F1 9.8 Tf [(countries with large at-risk populations and high frequencies of flooding. 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/Subtype /Link /A 1239 0 R /Border [0 0 0] /H /I /Rect [ 172.8802 78.9680 184.9443 90.4080 ] >> endobj 1239 0 obj << /Type /Action >> endobj 1240 0 obj << /Type /Page /Parent 3 0 R /Annots [ 1242 0 R 1244 0 R 1246 0 R ] /Contents 1241 0 R >> endobj 1241 0 obj << /Length 33159 >> stream 0.271 0.267 0.267 rg q 15.000 25.956 577.500 751.044 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(impending risk and can respond appropriately. Many flood fatalities are associated with risk-taking behaviors, )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(thus messages to avoid entering flood waters and to curtail risky activities in all stages of the event may be )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(successful in reducing flood fatalities )] TJ ET 0.267 0.267 0.267 rg BT 210.437 735.712 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 216.469 733.757 Td /F1 9.8 Tf [(. Additional, improved land use planning and regulation of development )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(can mitigate flood impacts. Studies on the relationships between flood losses, natural hazard characteristics, )] TJ ET BT 26.250 702.869 Td /F1 9.8 Tf [(and societal and demographic vulnerability factors can aid in informing and prioritizing flood prevention and )] TJ ET BT 26.250 687.425 Td /F1 9.8 Tf [(mitigation strategies. Finally, comparisons of the effectiveness of different policies and mitigation strategies can )] TJ ET BT 26.250 671.981 Td /F1 9.8 Tf [(inform future strategy and policy actions and ensure they are appropriate in specific contexts.)] TJ ET BT 26.250 649.037 Td /F4 9.8 Tf [(Limitations)] TJ ET BT 26.250 626.093 Td /F1 9.8 Tf [(The effects of flood events are the subject of gross approximations and aggregations that have a great deal of )] TJ ET BT 26.250 610.649 Td /F1 9.8 Tf [(imprecision. The availability and quality of data has likely increased and improved over time and the use )] TJ ET BT 26.250 595.205 Td /F1 9.8 Tf [(multiple data sources increased reporting. However, in many events deaths are unknown or unrecorded; for )] TJ ET BT 26.250 579.761 Td /F1 9.8 Tf [(other outcomes such as injured and affected, reporting frequency is even lower which likely contributes to a )] TJ ET BT 26.250 564.317 Td /F1 9.8 Tf [(substantial underestimation of the impacts of flood events on human populations. While available data is )] TJ ET BT 26.250 548.873 Td /F1 9.8 Tf [(sufficient for a cursory analysis of global flood impacts and trends, improved reporting of flood outcomes, )] TJ ET BT 26.250 533.429 Td /F1 9.8 Tf [(including the development of national systems capable of more accurately reporting mortality and injury would )] TJ ET BT 26.250 517.985 Td /F1 9.8 Tf [(be beneficial. Regarding the measures used in this study, our multivariable model included a broad )] TJ ET BT 26.250 502.541 Td /F1 9.8 Tf [(classification of income level according to the World Bank, as opposed to GDP. While we believe GDP to be a )] TJ ET BT 26.250 487.097 Td /F1 9.8 Tf [(more precise measure of wealth, it was nonetheless excluded in the analysis because we did not obtain GDP )] TJ ET BT 26.250 471.653 Td /F1 9.8 Tf [(estimates that were time specific to each event. Inconsistencies and errors were common in data files from )] TJ ET BT 26.250 456.209 Td /F1 9.8 Tf [(different sources, and in some cases inclusion criteria were not ideal for the purposes of this review, which )] TJ ET BT 26.250 440.765 Td /F1 9.8 Tf [(created a challenge in reconciling event lists. For example, the 2004 Asian tsunami was classified as a flood by )] TJ ET BT 26.250 425.321 Td /F1 9.8 Tf [(Dartmouth but not by EM-DAT; this event was ultimately removed from the data set, however, it represented )] TJ ET BT 26.250 409.877 Td /F1 9.8 Tf [(the highest mortality event in the study period, which has potentially important implications for analysis. )] TJ ET BT 26.250 394.433 Td /F1 9.8 Tf [(Consistent definitions and categorization of events across sources such as that initiated by EM-DAT in 2007 )] TJ ET BT 26.250 378.989 Td /F1 9.8 Tf [(would be useful for streamlining future analysis and comparing the impacts of different types of flood events. )] TJ ET BT 26.250 363.545 Td /F1 9.8 Tf [(Other principal limitations of the literature review are 1\) that an in-depth quality analysis of all reviewed articles )] TJ ET BT 26.250 348.101 Td /F1 9.8 Tf [(was not undertaken, and 2\) the fact that only English language publications were included which likely )] TJ ET BT 26.250 332.657 Td /F1 9.8 Tf [(contributed to incomplete coverage of studies published in other languages originating from low and middle )] TJ ET BT 26.250 317.213 Td /F1 9.8 Tf [(income countries.)] TJ ET BT 26.250 276.418 Td /F4 12.0 Tf [(Conclusions)] TJ ET BT 26.250 252.761 Td /F1 9.8 Tf [(Interpretation of flood fatality data is challenging given the occurrence of occasional extreme events, temporal )] TJ ET BT 26.250 237.317 Td /F1 9.8 Tf [(trends and the completeness and accuracy of available data. The continuing evolution of socio-demographic )] TJ ET BT 26.250 221.873 Td /F1 9.8 Tf [(factors such as population growth, urbanization, land use change, and disaster warning systems and response )] TJ ET BT 26.250 206.429 Td /F1 9.8 Tf [(capacities also influences trends. Between 1980 and 2009 there were an estimated 539,811 deaths \(range )] TJ ET BT 26.250 190.985 Td /F1 9.8 Tf [(510,941 -568,584\) and 361,974 injuries attributed to floods; a total of nearly 2.8 billion people were affected by )] TJ ET BT 26.250 175.541 Td /F1 9.8 Tf [(floods during this timeframe. The primary cause of flood-related mortality was drowning. In developed countries )] TJ ET BT 26.250 160.097 Td /F1 9.8 Tf [(being in a motor-vehicle at the time of a flood event and male gender were associated with increased mortality )] TJ ET BT 26.250 144.653 Td /F1 9.8 Tf [(risk. Female gender may be linked to higher mortality risk in low-income countries. Both older and younger )] TJ ET BT 26.250 129.209 Td /F1 9.8 Tf [(population sub-groups also face an increased mortality risk. The impact of floods on humans in terms of )] TJ ET BT 26.250 113.765 Td /F1 9.8 Tf [(mortality, injury, and affected populations, presented here is a minimum estimate because information for )] TJ ET BT 26.250 98.321 Td /F1 9.8 Tf [(many flood events is either unknown or unreported.)] TJ ET BT 26.250 75.377 Td /F1 9.8 Tf [(Data from the past quarter of a century suggest that floods have exacted a significant toll on the human )] TJ ET BT 26.250 59.933 Td /F1 9.8 Tf [(population when compared to other natural disasters, particularly in terms of the size of affected populations. )] TJ ET BT 26.250 44.489 Td /F1 9.8 Tf [(However, human vulnerability to floods is increasing, in large part due to population growth, urbanization, land )] TJ ET Q q 15.000 25.956 577.500 751.044 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(impending risk and can respond appropriately. Many flood fatalities are associated with risk-taking behaviors, )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(thus messages to avoid entering flood waters and to curtail risky activities in all stages of the event may be )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(successful in reducing flood fatalities )] TJ ET 0.267 0.267 0.267 rg BT 210.437 735.712 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 216.469 733.757 Td /F1 9.8 Tf [(. Additional, improved land use planning and regulation of development )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(can mitigate flood impacts. Studies on the relationships between flood losses, natural hazard characteristics, )] TJ ET BT 26.250 702.869 Td /F1 9.8 Tf [(and societal and demographic vulnerability factors can aid in informing and prioritizing flood prevention and )] TJ ET BT 26.250 687.425 Td /F1 9.8 Tf [(mitigation strategies. Finally, comparisons of the effectiveness of different policies and mitigation strategies can )] TJ ET BT 26.250 671.981 Td /F1 9.8 Tf [(inform future strategy and policy actions and ensure they are appropriate in specific contexts.)] TJ ET BT 26.250 649.037 Td /F4 9.8 Tf [(Limitations)] TJ ET BT 26.250 626.093 Td /F1 9.8 Tf [(The effects of flood events are the subject of gross approximations and aggregations that have a great deal of )] TJ ET BT 26.250 610.649 Td /F1 9.8 Tf [(imprecision. The availability and quality of data has likely increased and improved over time and the use )] TJ ET BT 26.250 595.205 Td /F1 9.8 Tf [(multiple data sources increased reporting. However, in many events deaths are unknown or unrecorded; for )] TJ ET BT 26.250 579.761 Td /F1 9.8 Tf [(other outcomes such as injured and affected, reporting frequency is even lower which likely contributes to a )] TJ ET BT 26.250 564.317 Td /F1 9.8 Tf [(substantial underestimation of the impacts of flood events on human populations. While available data is )] TJ ET BT 26.250 548.873 Td /F1 9.8 Tf [(sufficient for a cursory analysis of global flood impacts and trends, improved reporting of flood outcomes, )] TJ ET BT 26.250 533.429 Td /F1 9.8 Tf [(including the development of national systems capable of more accurately reporting mortality and injury would )] TJ ET BT 26.250 517.985 Td /F1 9.8 Tf [(be beneficial. Regarding the measures used in this study, our multivariable model included a broad )] TJ ET BT 26.250 502.541 Td /F1 9.8 Tf [(classification of income level according to the World Bank, as opposed to GDP. While we believe GDP to be a )] TJ ET BT 26.250 487.097 Td /F1 9.8 Tf [(more precise measure of wealth, it was nonetheless excluded in the analysis because we did not obtain GDP )] TJ ET BT 26.250 471.653 Td /F1 9.8 Tf [(estimates that were time specific to each event. Inconsistencies and errors were common in data files from )] TJ ET BT 26.250 456.209 Td /F1 9.8 Tf [(different sources, and in some cases inclusion criteria were not ideal for the purposes of this review, which )] TJ ET BT 26.250 440.765 Td /F1 9.8 Tf [(created a challenge in reconciling event lists. For example, the 2004 Asian tsunami was classified as a flood by )] TJ ET BT 26.250 425.321 Td /F1 9.8 Tf [(Dartmouth but not by EM-DAT; this event was ultimately removed from the data set, however, it represented )] TJ ET BT 26.250 409.877 Td /F1 9.8 Tf [(the highest mortality event in the study period, which has potentially important implications for analysis. )] TJ ET BT 26.250 394.433 Td /F1 9.8 Tf [(Consistent definitions and categorization of events across sources such as that initiated by EM-DAT in 2007 )] TJ ET BT 26.250 378.989 Td /F1 9.8 Tf [(would be useful for streamlining future analysis and comparing the impacts of different types of flood events. )] TJ ET BT 26.250 363.545 Td /F1 9.8 Tf [(Other principal limitations of the literature review are 1\) that an in-depth quality analysis of all reviewed articles )] TJ ET BT 26.250 348.101 Td /F1 9.8 Tf [(was not undertaken, and 2\) the fact that only English language publications were included which likely )] TJ ET BT 26.250 332.657 Td /F1 9.8 Tf [(contributed to incomplete coverage of studies published in other languages originating from low and middle )] TJ ET BT 26.250 317.213 Td /F1 9.8 Tf [(income countries.)] TJ ET BT 26.250 276.418 Td /F4 12.0 Tf [(Conclusions)] TJ ET BT 26.250 252.761 Td /F1 9.8 Tf [(Interpretation of flood fatality data is challenging given the occurrence of occasional extreme events, temporal )] TJ ET BT 26.250 237.317 Td /F1 9.8 Tf [(trends and the completeness and accuracy of available data. The continuing evolution of socio-demographic )] TJ ET BT 26.250 221.873 Td /F1 9.8 Tf [(factors such as population growth, urbanization, land use change, and disaster warning systems and response )] TJ ET BT 26.250 206.429 Td /F1 9.8 Tf [(capacities also influences trends. Between 1980 and 2009 there were an estimated 539,811 deaths \(range )] TJ ET BT 26.250 190.985 Td /F1 9.8 Tf [(510,941 -568,584\) and 361,974 injuries attributed to floods; a total of nearly 2.8 billion people were affected by )] TJ ET BT 26.250 175.541 Td /F1 9.8 Tf [(floods during this timeframe. The primary cause of flood-related mortality was drowning. In developed countries )] TJ ET BT 26.250 160.097 Td /F1 9.8 Tf [(being in a motor-vehicle at the time of a flood event and male gender were associated with increased mortality )] TJ ET BT 26.250 144.653 Td /F1 9.8 Tf [(risk. Female gender may be linked to higher mortality risk in low-income countries. Both older and younger )] TJ ET BT 26.250 129.209 Td /F1 9.8 Tf [(population sub-groups also face an increased mortality risk. The impact of floods on humans in terms of )] TJ ET BT 26.250 113.765 Td /F1 9.8 Tf [(mortality, injury, and affected populations, presented here is a minimum estimate because information for )] TJ ET BT 26.250 98.321 Td /F1 9.8 Tf [(many flood events is either unknown or unreported.)] TJ ET BT 26.250 75.377 Td /F1 9.8 Tf [(Data from the past quarter of a century suggest that floods have exacted a significant toll on the human )] TJ ET BT 26.250 59.933 Td /F1 9.8 Tf [(population when compared to other natural disasters, particularly in terms of the size of affected populations. )] TJ ET BT 26.250 44.489 Td /F1 9.8 Tf [(However, human vulnerability to floods is increasing, in large part due to population growth, urbanization, land )] TJ ET Q q 15.000 25.956 577.500 751.044 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(impending risk and can respond appropriately. Many flood fatalities are associated with risk-taking behaviors, )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(thus messages to avoid entering flood waters and to curtail risky activities in all stages of the event may be )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(successful in reducing flood fatalities )] TJ ET 0.267 0.267 0.267 rg BT 210.437 735.712 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 216.469 733.757 Td /F1 9.8 Tf [(. Additional, improved land use planning and regulation of development )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(can mitigate flood impacts. Studies on the relationships between flood losses, natural hazard characteristics, )] TJ ET BT 26.250 702.869 Td /F1 9.8 Tf [(and societal and demographic vulnerability factors can aid in informing and prioritizing flood prevention and )] TJ ET BT 26.250 687.425 Td /F1 9.8 Tf [(mitigation strategies. Finally, comparisons of the effectiveness of different policies and mitigation strategies can )] TJ ET BT 26.250 671.981 Td /F1 9.8 Tf [(inform future strategy and policy actions and ensure they are appropriate in specific contexts.)] TJ ET BT 26.250 649.037 Td /F4 9.8 Tf [(Limitations)] TJ ET BT 26.250 626.093 Td /F1 9.8 Tf [(The effects of flood events are the subject of gross approximations and aggregations that have a great deal of )] TJ ET BT 26.250 610.649 Td /F1 9.8 Tf [(imprecision. The availability and quality of data has likely increased and improved over time and the use )] TJ ET BT 26.250 595.205 Td /F1 9.8 Tf [(multiple data sources increased reporting. However, in many events deaths are unknown or unrecorded; for )] TJ ET BT 26.250 579.761 Td /F1 9.8 Tf [(other outcomes such as injured and affected, reporting frequency is even lower which likely contributes to a )] TJ ET BT 26.250 564.317 Td /F1 9.8 Tf [(substantial underestimation of the impacts of flood events on human populations. While available data is )] TJ ET BT 26.250 548.873 Td /F1 9.8 Tf [(sufficient for a cursory analysis of global flood impacts and trends, improved reporting of flood outcomes, )] TJ ET BT 26.250 533.429 Td /F1 9.8 Tf [(including the development of national systems capable of more accurately reporting mortality and injury would )] TJ ET BT 26.250 517.985 Td /F1 9.8 Tf [(be beneficial. Regarding the measures used in this study, our multivariable model included a broad )] TJ ET BT 26.250 502.541 Td /F1 9.8 Tf [(classification of income level according to the World Bank, as opposed to GDP. While we believe GDP to be a )] TJ ET BT 26.250 487.097 Td /F1 9.8 Tf [(more precise measure of wealth, it was nonetheless excluded in the analysis because we did not obtain GDP )] TJ ET BT 26.250 471.653 Td /F1 9.8 Tf [(estimates that were time specific to each event. Inconsistencies and errors were common in data files from )] TJ ET BT 26.250 456.209 Td /F1 9.8 Tf [(different sources, and in some cases inclusion criteria were not ideal for the purposes of this review, which )] TJ ET BT 26.250 440.765 Td /F1 9.8 Tf [(created a challenge in reconciling event lists. For example, the 2004 Asian tsunami was classified as a flood by )] TJ ET BT 26.250 425.321 Td /F1 9.8 Tf [(Dartmouth but not by EM-DAT; this event was ultimately removed from the data set, however, it represented )] TJ ET BT 26.250 409.877 Td /F1 9.8 Tf [(the highest mortality event in the study period, which has potentially important implications for analysis. )] TJ ET BT 26.250 394.433 Td /F1 9.8 Tf [(Consistent definitions and categorization of events across sources such as that initiated by EM-DAT in 2007 )] TJ ET BT 26.250 378.989 Td /F1 9.8 Tf [(would be useful for streamlining future analysis and comparing the impacts of different types of flood events. )] TJ ET BT 26.250 363.545 Td /F1 9.8 Tf [(Other principal limitations of the literature review are 1\) that an in-depth quality analysis of all reviewed articles )] TJ ET BT 26.250 348.101 Td /F1 9.8 Tf [(was not undertaken, and 2\) the fact that only English language publications were included which likely )] TJ ET BT 26.250 332.657 Td /F1 9.8 Tf [(contributed to incomplete coverage of studies published in other languages originating from low and middle )] TJ ET BT 26.250 317.213 Td /F1 9.8 Tf [(income countries.)] TJ ET BT 26.250 276.418 Td /F4 12.0 Tf [(Conclusions)] TJ ET BT 26.250 252.761 Td /F1 9.8 Tf [(Interpretation of flood fatality data is challenging given the occurrence of occasional extreme events, temporal )] TJ ET BT 26.250 237.317 Td /F1 9.8 Tf [(trends and the completeness and accuracy of available data. The continuing evolution of socio-demographic )] TJ ET BT 26.250 221.873 Td /F1 9.8 Tf [(factors such as population growth, urbanization, land use change, and disaster warning systems and response )] TJ ET BT 26.250 206.429 Td /F1 9.8 Tf [(capacities also influences trends. Between 1980 and 2009 there were an estimated 539,811 deaths \(range )] TJ ET BT 26.250 190.985 Td /F1 9.8 Tf [(510,941 -568,584\) and 361,974 injuries attributed to floods; a total of nearly 2.8 billion people were affected by )] TJ ET BT 26.250 175.541 Td /F1 9.8 Tf [(floods during this timeframe. The primary cause of flood-related mortality was drowning. In developed countries )] TJ ET BT 26.250 160.097 Td /F1 9.8 Tf [(being in a motor-vehicle at the time of a flood event and male gender were associated with increased mortality )] TJ ET BT 26.250 144.653 Td /F1 9.8 Tf [(risk. Female gender may be linked to higher mortality risk in low-income countries. Both older and younger )] TJ ET BT 26.250 129.209 Td /F1 9.8 Tf [(population sub-groups also face an increased mortality risk. The impact of floods on humans in terms of )] TJ ET BT 26.250 113.765 Td /F1 9.8 Tf [(mortality, injury, and affected populations, presented here is a minimum estimate because information for )] TJ ET BT 26.250 98.321 Td /F1 9.8 Tf [(many flood events is either unknown or unreported.)] TJ ET BT 26.250 75.377 Td /F1 9.8 Tf [(Data from the past quarter of a century suggest that floods have exacted a significant toll on the human )] TJ ET BT 26.250 59.933 Td /F1 9.8 Tf [(population when compared to other natural disasters, particularly in terms of the size of affected populations. )] TJ ET BT 26.250 44.489 Td /F1 9.8 Tf [(However, human vulnerability to floods is increasing, in large part due to population growth, urbanization, land )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(23)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 1242 0 obj << /Type /Annot /Subtype /Link /A 1243 0 R /Border [0 0 0] /H /I /Rect [ 210.4373 734.6720 216.4693 746.1120 ] >> endobj 1243 0 obj << /Type /Action >> endobj 1244 0 obj << /Type /Annot /Subtype /Link /A 1245 0 R /Border [0 0 0] /H /I /Rect [ 210.4373 734.6720 216.4693 746.1120 ] >> endobj 1245 0 obj << /Type /Action >> endobj 1246 0 obj << /Type /Annot /Subtype /Link /A 1247 0 R /Border [0 0 0] /H /I /Rect [ 210.4373 734.6720 216.4693 746.1120 ] >> endobj 1247 0 obj << /Type /Action >> endobj 1248 0 obj << /Type /Page /Parent 3 0 R /Annots [ 1250 0 R 1252 0 R 1254 0 R ] /Contents 1249 0 R >> endobj 1249 0 obj << /Length 20100 >> stream 0.271 0.267 0.267 rg q 15.000 28.464 577.500 748.536 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(use change, and climatological factors associated with an increase in extreme rainfall events. In the future, the )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(frequency and impact of floods on human populations can be expected to increase. Additional attention to )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(preparedness and mitigation strategies, particularly in less developed countries, where the majority of floods )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(occur, and in Asia, a region disproportionately affected by floods, can lessen the impact of future flood events.)] TJ ET BT 26.250 677.518 Td /F4 12.0 Tf [(Competing Interest)] TJ ET BT 26.250 653.861 Td /F1 9.8 Tf [(The authors have declared that no competing interests exist.)] TJ ET BT 26.250 613.066 Td /F4 12.0 Tf [(Correspondence)] TJ ET BT 26.250 589.409 Td /F1 9.8 Tf [(Shannon Doocy, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St, Suite E8132, Baltimore, MD )] TJ ET BT 26.250 573.965 Td /F1 9.8 Tf [(21230. Tel: 410-502-2628. Fax: 410-614-1419. Email: sdoocy@jhsph.edu.)] TJ ET BT 26.250 533.170 Td /F4 12.0 Tf [(Acknowledgements)] TJ ET BT 26.250 509.513 Td /F1 9.8 Tf [(We are grateful to Sarah Bernot, Dennis Brophy, Georgina Calderon, Erica Chapin, Joy Crook, Anna Dick, )] TJ ET BT 539.578 509.513 Td /F1 9.8 Tf [(Shayna )] TJ ET BT 26.250 494.069 Td /F1 9.8 Tf [(Dooling, Anjali Dotson, Charlotte Dolenz, Rachel Favero, Annie Fehrenbacher, Janka Flaska, Homaira Hanif, )] TJ ET BT 26.250 478.625 Td /F1 9.8 Tf [(Sarah Henley-Shepard, Marissa Hildebrandt, Esther Johnston, Gifty Kwakye, Lindsay Mathieson, Siri Michel, )] TJ ET BT 26.250 463.181 Td /F1 9.8 Tf [(Karen Milch, Sarah Murray, Catherine Packer, Evan Russell, Elena Semenova, Fatima Sharif, and Michelle )] TJ ET BT 26.250 447.737 Td /F1 9.8 Tf [(Vanstone for their involvement in the systematic literature review and historical event review compilation. We )] TJ ET BT 26.250 432.293 Td /F1 9.8 Tf [(would also like to thank John McGready for biostatistical support, Claire Twose assistance in designing and )] TJ ET BT 26.250 416.849 Td /F1 9.8 Tf [(implementing the systematic literature review, and Hannah Tappis and Bhakti Hansoti for their support in the )] TJ ET BT 26.250 401.405 Td /F1 9.8 Tf [(revision process.)] TJ ET BT 26.250 368.110 Td /F4 12.0 Tf [(APPENDIX 1)] TJ ET BT 26.250 326.602 Td /F4 12.0 Tf [(PRISMA Checklist)] TJ ET 0.267 0.267 0.267 rg BT 26.250 302.945 Td /F1 9.8 Tf [(Download PDF)] TJ ET 0.271 0.267 0.267 rg BT 26.250 262.150 Td /F4 12.0 Tf [(References)] TJ ET BT 26.250 230.993 Td /F1 9.8 Tf [(1.)] TJ ET BT 39.302 230.993 Td /F1 9.8 Tf [(Jonkman SN & Kelman I. An analysis of the causes and circumstances of flood disaster deaths. Disasters. )] TJ ET BT 26.250 215.549 Td /F1 9.8 Tf [(2005; 29\(1\):75-97.)] TJ ET BT 26.250 192.605 Td /F1 9.8 Tf [(2.)] TJ ET BT 39.302 192.605 Td /F1 9.8 Tf [(Noji E. Public Health Issues in Disasters. Critical Care Medicine. 2000; 33\(1\):S29-S33.)] TJ ET BT 26.250 169.661 Td /F1 9.8 Tf [(3.)] TJ ET BT 39.302 169.661 Td /F1 9.8 Tf [(Jonkman, SN. Global perspectives on loss of human life caused by floods. Natural Hazards. 2005; 34\(2\): 151-)] TJ ET BT 26.250 154.217 Td /F1 9.8 Tf [(175.)] TJ ET BT 26.250 131.273 Td /F1 9.8 Tf [(4.)] TJ ET BT 39.302 131.273 Td /F1 9.8 Tf [(EM-DAT the International Disaster Database. \(2009\). Retrieved Jan 12, 2009, from www.emdat.be/)] TJ ET BT 26.250 108.329 Td /F1 9.8 Tf [(5.)] TJ ET BT 39.302 108.329 Td /F1 9.8 Tf [(Hunt, JC. Inland and coastal flooding: Developments in prediction and prevention. Philosophical transactions. )] TJ ET BT 26.250 92.885 Td /F1 9.8 Tf [(Series A, Mathematical, Physical, and Engineering Sciences. 2005; 363\(1831\): 1475-1491.)] TJ ET BT 26.250 69.941 Td /F1 9.8 Tf [(6.)] TJ ET BT 39.302 69.941 Td /F1 9.8 Tf [(Tobin GA and Montz, BE \(Eds.\). Natural hazards: Explanations and integration. New York: Guilford Press, 1997.)] TJ ET BT 26.250 46.997 Td /F1 9.8 Tf [(7.)] TJ ET BT 39.302 46.997 Td /F1 9.8 Tf [(Ashley ST and Ashley WA . Flood Fatalities in the United States. Journal of Applied Meteorology and )] TJ ET Q q 15.000 28.464 577.500 748.536 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(use change, and climatological factors associated with an increase in extreme rainfall events. In the future, the )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(frequency and impact of floods on human populations can be expected to increase. Additional attention to )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(preparedness and mitigation strategies, particularly in less developed countries, where the majority of floods )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(occur, and in Asia, a region disproportionately affected by floods, can lessen the impact of future flood events.)] TJ ET BT 26.250 677.518 Td /F4 12.0 Tf [(Competing Interest)] TJ ET BT 26.250 653.861 Td /F1 9.8 Tf [(The authors have declared that no competing interests exist.)] TJ ET BT 26.250 613.066 Td /F4 12.0 Tf [(Correspondence)] TJ ET BT 26.250 589.409 Td /F1 9.8 Tf [(Shannon Doocy, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St, Suite E8132, Baltimore, MD )] TJ ET BT 26.250 573.965 Td /F1 9.8 Tf [(21230. Tel: 410-502-2628. Fax: 410-614-1419. Email: sdoocy@jhsph.edu.)] TJ ET BT 26.250 533.170 Td /F4 12.0 Tf [(Acknowledgements)] TJ ET BT 26.250 509.513 Td /F1 9.8 Tf [(We are grateful to Sarah Bernot, Dennis Brophy, Georgina Calderon, Erica Chapin, Joy Crook, Anna Dick, )] TJ ET BT 539.578 509.513 Td /F1 9.8 Tf [(Shayna )] TJ ET BT 26.250 494.069 Td /F1 9.8 Tf [(Dooling, Anjali Dotson, Charlotte Dolenz, Rachel Favero, Annie Fehrenbacher, Janka Flaska, Homaira Hanif, )] TJ ET BT 26.250 478.625 Td /F1 9.8 Tf [(Sarah Henley-Shepard, Marissa Hildebrandt, Esther Johnston, Gifty Kwakye, Lindsay Mathieson, Siri Michel, )] TJ ET BT 26.250 463.181 Td /F1 9.8 Tf [(Karen Milch, Sarah Murray, Catherine Packer, Evan Russell, Elena Semenova, Fatima Sharif, and Michelle )] TJ ET BT 26.250 447.737 Td /F1 9.8 Tf [(Vanstone for their involvement in the systematic literature review and historical event review compilation. We )] TJ ET BT 26.250 432.293 Td /F1 9.8 Tf [(would also like to thank John McGready for biostatistical support, Claire Twose assistance in designing and )] TJ ET BT 26.250 416.849 Td /F1 9.8 Tf [(implementing the systematic literature review, and Hannah Tappis and Bhakti Hansoti for their support in the )] TJ ET BT 26.250 401.405 Td /F1 9.8 Tf [(revision process.)] TJ ET BT 26.250 368.110 Td /F4 12.0 Tf [(APPENDIX 1)] TJ ET BT 26.250 326.602 Td /F4 12.0 Tf [(PRISMA Checklist)] TJ ET 0.267 0.267 0.267 rg BT 26.250 302.945 Td /F1 9.8 Tf [(Download PDF)] TJ ET 0.271 0.267 0.267 rg BT 26.250 262.150 Td /F4 12.0 Tf [(References)] TJ ET BT 26.250 230.993 Td /F1 9.8 Tf [(1.)] TJ ET BT 39.302 230.993 Td /F1 9.8 Tf [(Jonkman SN & Kelman I. An analysis of the causes and circumstances of flood disaster deaths. Disasters. )] TJ ET BT 26.250 215.549 Td /F1 9.8 Tf [(2005; 29\(1\):75-97.)] TJ ET BT 26.250 192.605 Td /F1 9.8 Tf [(2.)] TJ ET BT 39.302 192.605 Td /F1 9.8 Tf [(Noji E. Public Health Issues in Disasters. Critical Care Medicine. 2000; 33\(1\):S29-S33.)] TJ ET BT 26.250 169.661 Td /F1 9.8 Tf [(3.)] TJ ET BT 39.302 169.661 Td /F1 9.8 Tf [(Jonkman, SN. Global perspectives on loss of human life caused by floods. Natural Hazards. 2005; 34\(2\): 151-)] TJ ET BT 26.250 154.217 Td /F1 9.8 Tf [(175.)] TJ ET BT 26.250 131.273 Td /F1 9.8 Tf [(4.)] TJ ET BT 39.302 131.273 Td /F1 9.8 Tf [(EM-DAT the International Disaster Database. \(2009\). Retrieved Jan 12, 2009, from www.emdat.be/)] TJ ET BT 26.250 108.329 Td /F1 9.8 Tf [(5.)] TJ ET BT 39.302 108.329 Td /F1 9.8 Tf [(Hunt, JC. Inland and coastal flooding: Developments in prediction and prevention. Philosophical transactions. )] TJ ET BT 26.250 92.885 Td /F1 9.8 Tf [(Series A, Mathematical, Physical, and Engineering Sciences. 2005; 363\(1831\): 1475-1491.)] TJ ET BT 26.250 69.941 Td /F1 9.8 Tf [(6.)] TJ ET BT 39.302 69.941 Td /F1 9.8 Tf [(Tobin GA and Montz, BE \(Eds.\). Natural hazards: Explanations and integration. New York: Guilford Press, 1997.)] TJ ET BT 26.250 46.997 Td /F1 9.8 Tf [(7.)] TJ ET BT 39.302 46.997 Td /F1 9.8 Tf [(Ashley ST and Ashley WA . Flood Fatalities in the United States. Journal of Applied Meteorology and )] TJ ET Q q 15.000 28.464 577.500 748.536 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(use change, and climatological factors associated with an increase in extreme rainfall events. In the future, the )] TJ ET BT 26.250 749.201 Td /F1 9.8 Tf [(frequency and impact of floods on human populations can be expected to increase. Additional attention to )] TJ ET BT 26.250 733.757 Td /F1 9.8 Tf [(preparedness and mitigation strategies, particularly in less developed countries, where the majority of floods )] TJ ET BT 26.250 718.313 Td /F1 9.8 Tf [(occur, and in Asia, a region disproportionately affected by floods, can lessen the impact of future flood events.)] TJ ET BT 26.250 677.518 Td /F4 12.0 Tf [(Competing Interest)] TJ ET BT 26.250 653.861 Td /F1 9.8 Tf [(The authors have declared that no competing interests exist.)] TJ ET BT 26.250 613.066 Td /F4 12.0 Tf [(Correspondence)] TJ ET BT 26.250 589.409 Td /F1 9.8 Tf [(Shannon Doocy, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St, Suite E8132, Baltimore, MD )] TJ ET BT 26.250 573.965 Td /F1 9.8 Tf [(21230. Tel: 410-502-2628. Fax: 410-614-1419. Email: sdoocy@jhsph.edu.)] TJ ET BT 26.250 533.170 Td /F4 12.0 Tf [(Acknowledgements)] TJ ET BT 26.250 509.513 Td /F1 9.8 Tf [(We are grateful to Sarah Bernot, Dennis Brophy, Georgina Calderon, Erica Chapin, Joy Crook, Anna Dick, )] TJ ET BT 539.578 509.513 Td /F1 9.8 Tf [(Shayna )] TJ ET BT 26.250 494.069 Td /F1 9.8 Tf [(Dooling, Anjali Dotson, Charlotte Dolenz, Rachel Favero, Annie Fehrenbacher, Janka Flaska, Homaira Hanif, )] TJ ET BT 26.250 478.625 Td /F1 9.8 Tf [(Sarah Henley-Shepard, Marissa Hildebrandt, Esther Johnston, Gifty Kwakye, Lindsay Mathieson, Siri Michel, )] TJ ET BT 26.250 463.181 Td /F1 9.8 Tf [(Karen Milch, Sarah Murray, Catherine Packer, Evan Russell, Elena Semenova, Fatima Sharif, and Michelle )] TJ ET BT 26.250 447.737 Td /F1 9.8 Tf [(Vanstone for their involvement in the systematic literature review and historical event review compilation. We )] TJ ET BT 26.250 432.293 Td /F1 9.8 Tf [(would also like to thank John McGready for biostatistical support, Claire Twose assistance in designing and )] TJ ET BT 26.250 416.849 Td /F1 9.8 Tf [(implementing the systematic literature review, and Hannah Tappis and Bhakti Hansoti for their support in the )] TJ ET BT 26.250 401.405 Td /F1 9.8 Tf [(revision process.)] TJ ET BT 26.250 368.110 Td /F4 12.0 Tf [(APPENDIX 1)] TJ ET BT 26.250 326.602 Td /F4 12.0 Tf [(PRISMA Checklist)] TJ ET 0.267 0.267 0.267 rg BT 26.250 302.945 Td /F1 9.8 Tf [(Download PDF)] TJ ET 0.271 0.267 0.267 rg BT 26.250 262.150 Td /F4 12.0 Tf [(References)] TJ ET BT 26.250 230.993 Td /F1 9.8 Tf [(1.)] TJ ET BT 39.302 230.993 Td /F1 9.8 Tf [(Jonkman SN & Kelman I. An analysis of the causes and circumstances of flood disaster deaths. Disasters. )] TJ ET BT 26.250 215.549 Td /F1 9.8 Tf [(2005; 29\(1\):75-97.)] TJ ET BT 26.250 192.605 Td /F1 9.8 Tf [(2.)] TJ ET BT 39.302 192.605 Td /F1 9.8 Tf [(Noji E. Public Health Issues in Disasters. Critical Care Medicine. 2000; 33\(1\):S29-S33.)] TJ ET BT 26.250 169.661 Td /F1 9.8 Tf [(3.)] TJ ET BT 39.302 169.661 Td /F1 9.8 Tf [(Jonkman, SN. Global perspectives on loss of human life caused by floods. Natural Hazards. 2005; 34\(2\): 151-)] TJ ET BT 26.250 154.217 Td /F1 9.8 Tf [(175.)] TJ ET BT 26.250 131.273 Td /F1 9.8 Tf [(4.)] TJ ET BT 39.302 131.273 Td /F1 9.8 Tf [(EM-DAT the International Disaster Database. \(2009\). Retrieved Jan 12, 2009, from www.emdat.be/)] TJ ET BT 26.250 108.329 Td /F1 9.8 Tf [(5.)] TJ ET BT 39.302 108.329 Td /F1 9.8 Tf [(Hunt, JC. Inland and coastal flooding: Developments in prediction and prevention. Philosophical transactions. )] TJ ET BT 26.250 92.885 Td /F1 9.8 Tf [(Series A, Mathematical, Physical, and Engineering Sciences. 2005; 363\(1831\): 1475-1491.)] TJ ET BT 26.250 69.941 Td /F1 9.8 Tf [(6.)] TJ ET BT 39.302 69.941 Td /F1 9.8 Tf [(Tobin GA and Montz, BE \(Eds.\). Natural hazards: Explanations and integration. New York: Guilford Press, 1997.)] TJ ET BT 26.250 46.997 Td /F1 9.8 Tf [(7.)] TJ ET BT 39.302 46.997 Td /F1 9.8 Tf [(Ashley ST and Ashley WA . Flood Fatalities in the United States. Journal of Applied Meteorology and )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(24)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 1250 0 obj << /Type /Annot /Subtype /Link /A 1251 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 301.7748 96.8205 314.6448 ] >> endobj 1251 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/files/2013/04/PRISMA-Checklist-Disasters-Review.pdf) >> endobj 1252 0 obj << /Type /Annot /Subtype /Link /A 1253 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 301.7748 96.8205 314.6448 ] >> endobj 1253 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/files/2013/04/PRISMA-Checklist-Disasters-Review.pdf) >> endobj 1254 0 obj << /Type /Annot /Subtype /Link /A 1255 0 R /Border [0 0 0] /H /I /Rect [ 26.2500 301.7748 96.8205 314.6448 ] >> endobj 1255 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/files/2013/04/PRISMA-Checklist-Disasters-Review.pdf) >> endobj 1256 0 obj << /Type /Page /Parent 3 0 R /Contents 1257 0 R >> endobj 1257 0 obj << /Length 25965 >> stream 0.271 0.267 0.267 rg q 15.000 55.572 577.500 721.428 re W n 0.271 0.267 0.267 rg BT 26.250 764.645 Td /F1 9.8 Tf [(Climatology. 2008; 47:805-818)] TJ ET BT 26.250 741.701 Td /F1 9.8 Tf [(8.)] TJ ET BT 39.302 741.701 Td /F1 9.8 Tf [(Beinin L. Medical Consequences of Natural Disasters. Berlin: Springer-Verlag. 1985.)] TJ ET BT 26.250 718.757 Td /F1 9.8 Tf [(9.)] TJ ET BT 39.302 718.757 Td /F1 9.8 Tf [(Alajo SO, Nakavuma J, Erume J. Cholera in endemic districts of Uganda during El Nino rains: 2002-2003. )] TJ ET BT 26.250 703.313 Td /F1 9.8 Tf [(African Health Sciences. 2006; 6\(2\):93- 97.)] TJ ET BT 26.250 680.369 Td /F1 9.8 Tf [(10.)] TJ ET BT 45.502 680.369 Td /F1 9.8 Tf [(Li, SQ, Tan HZ, Li, XL, et al. A study on the health status of residents affected by flood disaster. Chinese )] TJ ET BT 26.250 664.925 Td /F1 9.8 Tf [(Journal of Epidemiology. 2004; 25:36-39.)] TJ ET BT 26.250 641.981 Td /F1 9.8 Tf [(11.)] TJ ET BT 45.502 641.981 Td /F1 9.8 Tf [(French JG, Ing R, Von Allmen S, et al. Mortality from flash flood: A review of National Weather Service )] TJ ET BT 26.250 626.537 Td /F1 9.8 Tf [(Reports. Public Health Reports. 1983; 98:584-588.)] TJ ET BT 26.250 603.593 Td /F1 9.8 Tf [(12.)] TJ ET BT 45.502 603.593 Td /F1 9.8 Tf [(Kahn M. The death toll from natural disasters: the role of income, geography, and institutions. The Review of )] TJ ET BT 26.250 588.149 Td /F1 9.8 Tf [(Economics and Statistics. 2005; 87\(2\):271-284.)] TJ ET BT 26.250 565.205 Td /F1 9.8 Tf [(13.)] TJ ET BT 45.502 565.205 Td /F1 9.8 Tf [(Dartmouth Flood Observatory: Global Active Archive of Large Flood Events. Available at )] TJ ET BT 26.250 549.761 Td /F1 9.8 Tf [(http:///www.dartmouth.edu/~floods/Archives/index.html. Accessed July 2007 and August 2009.)] TJ ET BT 26.250 526.817 Td /F1 9.8 Tf [(14.)] TJ ET BT 45.502 526.817 Td /F1 9.8 Tf [(StataCorp. Chicago, IL. Stata Statistical Software: Release 11.0.)] TJ ET BT 26.250 503.873 Td /F1 9.8 Tf [(15.)] TJ ET BT 45.502 503.873 Td /F1 9.8 Tf [(Duclos P, Vidonne O, Beuf P, et al. \(1991\). Flash flood disaster--Nimes, France, 1988. 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MMWR. 1994; )] TJ ET BT 26.250 373.265 Td /F1 9.8 Tf [(43\(29\):526-530)] TJ ET BT 26.250 350.321 Td /F1 9.8 Tf [(19.)] TJ ET BT 45.502 350.321 Td /F1 9.8 Tf [(Staes C, Orengo JC, Malilay J, et al. Deaths due to flash floods in Puerto Rico, January 1992: Implications for )] TJ ET BT 26.250 334.877 Td /F1 9.8 Tf [(prevention. International Journal of Epidemiology. 1994; 23\(5\): 968-975.)] TJ ET BT 26.250 311.933 Td /F1 9.8 Tf [(20.)] TJ ET BT 45.502 311.933 Td /F1 9.8 Tf [(Centers for Disease Control and Prevention \(CDC\). Storm-related mortality--central Texas, October 17-31, )] TJ ET BT 26.250 296.489 Td /F1 9.8 Tf [(1998. MMWR. Morbidity and Mortality Weekly Report. 2000; 49\(7\): 133-135.)] TJ ET BT 26.250 273.545 Td /F1 9.8 Tf [(21.)] TJ ET BT 45.502 273.545 Td /F1 9.8 Tf [(Rashid SF. The urban poor in Dhaka city: Their struggles and coping strategies during the floods of 1998. )] TJ ET BT 26.250 258.101 Td /F1 9.8 Tf [(Disasters. 2000; 24\(3\); 240-253.)] TJ ET BT 26.250 235.157 Td /F1 9.8 Tf [(22.)] TJ ET BT 45.502 235.157 Td /F1 9.8 Tf [(Yale JD. Cole TB, Garrison HG, et al. Motor vehicle-related drowning deaths associated with inland flooding )] TJ ET BT 26.250 219.713 Td /F1 9.8 Tf [(after Hurricane Floyd: A field investigation. Traffic Injury Prevention. 2003; 4\(4\):279-284.)] TJ ET BT 26.250 196.769 Td /F1 9.8 Tf [(23.)] TJ ET BT 45.502 196.769 Td /F1 9.8 Tf [(Pradhan EK, West KP, Katz J, et al. Risk of flood-related mortality in Nepal. Disasters. 2007; 31\(1\):57-70.)] TJ ET BT 26.250 173.825 Td /F1 9.8 Tf [(24.)] TJ ET BT 45.502 173.825 Td /F1 9.8 Tf [(Baxter PJ. 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Chinese )] TJ ET BT 26.250 664.925 Td /F1 9.8 Tf [(Journal of Epidemiology. 2004; 25:36-39.)] TJ ET BT 26.250 641.981 Td /F1 9.8 Tf [(11.)] TJ ET BT 45.502 641.981 Td /F1 9.8 Tf [(French JG, Ing R, Von Allmen S, et al. Mortality from flash flood: A review of National Weather Service )] TJ ET BT 26.250 626.537 Td /F1 9.8 Tf [(Reports. Public Health Reports. 1983; 98:584-588.)] TJ ET BT 26.250 603.593 Td /F1 9.8 Tf [(12.)] TJ ET BT 45.502 603.593 Td /F1 9.8 Tf [(Kahn M. The death toll from natural disasters: the role of income, geography, and institutions. The Review of )] TJ ET BT 26.250 588.149 Td /F1 9.8 Tf [(Economics and Statistics. 2005; 87\(2\):271-284.)] TJ ET BT 26.250 565.205 Td /F1 9.8 Tf [(13.)] TJ ET BT 45.502 565.205 Td /F1 9.8 Tf [(Dartmouth Flood Observatory: Global Active Archive of Large Flood Events. Available at )] TJ ET BT 26.250 549.761 Td /F1 9.8 Tf [(http:///www.dartmouth.edu/~floods/Archives/index.html. Accessed July 2007 and August 2009.)] TJ ET BT 26.250 526.817 Td /F1 9.8 Tf [(14.)] TJ ET BT 45.502 526.817 Td /F1 9.8 Tf [(StataCorp. Chicago, IL. Stata Statistical Software: Release 11.0.)] TJ ET BT 26.250 503.873 Td /F1 9.8 Tf [(15.)] TJ ET BT 45.502 503.873 Td /F1 9.8 Tf [(Duclos P, Vidonne O, Beuf P, et al. \(1991\). Flash flood disaster--Nimes, France, 1988. European Journal of )] TJ ET BT 26.250 488.429 Td /F1 9.8 Tf [(Epidemiology, 7\(4\), 365-371.)] TJ ET BT 26.250 465.485 Td /F1 9.8 Tf [(16.)] TJ ET BT 45.502 465.485 Td /F1 9.8 Tf [(Siddique AK. Baqui AH. Eusof A, et al. 1988 floods in Bangladesh - pattern of illness and causes of death. )] TJ ET BT 26.250 450.041 Td /F1 9.8 Tf [(Journal of Diarrhoeal Diseases Research. 1991; 9\(4\):310-314.)] TJ ET BT 26.250 427.097 Td /F1 9.8 Tf [(17.)] TJ ET BT 45.502 427.097 Td /F1 9.8 Tf [(Centers for Disease Control and Prevention \(CDC\). Morbidity surveillance following the Midwest flood--)] TJ ET BT 26.250 411.653 Td /F1 9.8 Tf [(Missouri, 1993. MMWR. Morbidity and Mortality Weekly Report. 1993; 42\(41\):797-798.)] TJ ET BT 26.250 388.709 Td /F1 9.8 Tf [(18.)] TJ ET BT 45.502 388.709 Td /F1 9.8 Tf [(Duke C, Bon E, Reeves J, et al. \(1994\). Flood-related mortality - Georgia, July 4-14, 1994. MMWR. 1994; )] TJ ET BT 26.250 373.265 Td /F1 9.8 Tf [(43\(29\):526-530)] TJ ET BT 26.250 350.321 Td /F1 9.8 Tf [(19.)] TJ ET BT 45.502 350.321 Td /F1 9.8 Tf [(Staes C, Orengo JC, Malilay J, et al. Deaths due to flash floods in Puerto Rico, January 1992: Implications for )] TJ ET BT 26.250 334.877 Td /F1 9.8 Tf [(prevention. International Journal of Epidemiology. 1994; 23\(5\): 968-975.)] TJ ET BT 26.250 311.933 Td /F1 9.8 Tf [(20.)] TJ ET BT 45.502 311.933 Td /F1 9.8 Tf [(Centers for Disease Control and Prevention \(CDC\). Storm-related mortality--central Texas, October 17-31, )] TJ ET BT 26.250 296.489 Td /F1 9.8 Tf [(1998. 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Chinese )] TJ ET BT 26.250 664.925 Td /F1 9.8 Tf [(Journal of Epidemiology. 2004; 25:36-39.)] TJ ET BT 26.250 641.981 Td /F1 9.8 Tf [(11.)] TJ ET BT 45.502 641.981 Td /F1 9.8 Tf [(French JG, Ing R, Von Allmen S, et al. Mortality from flash flood: A review of National Weather Service )] TJ ET BT 26.250 626.537 Td /F1 9.8 Tf [(Reports. Public Health Reports. 1983; 98:584-588.)] TJ ET BT 26.250 603.593 Td /F1 9.8 Tf [(12.)] TJ ET BT 45.502 603.593 Td /F1 9.8 Tf [(Kahn M. The death toll from natural disasters: the role of income, geography, and institutions. The Review of )] TJ ET BT 26.250 588.149 Td /F1 9.8 Tf [(Economics and Statistics. 2005; 87\(2\):271-284.)] TJ ET BT 26.250 565.205 Td /F1 9.8 Tf [(13.)] TJ ET BT 45.502 565.205 Td /F1 9.8 Tf [(Dartmouth Flood Observatory: Global Active Archive of Large Flood Events. Available at )] TJ ET BT 26.250 549.761 Td /F1 9.8 Tf [(http:///www.dartmouth.edu/~floods/Archives/index.html. Accessed July 2007 and August 2009.)] TJ ET BT 26.250 526.817 Td /F1 9.8 Tf [(14.)] TJ ET BT 45.502 526.817 Td /F1 9.8 Tf [(StataCorp. Chicago, IL. Stata Statistical Software: Release 11.0.)] TJ ET BT 26.250 503.873 Td /F1 9.8 Tf [(15.)] TJ ET BT 45.502 503.873 Td /F1 9.8 Tf [(Duclos P, Vidonne O, Beuf P, et al. \(1991\). Flash flood disaster--Nimes, France, 1988. European Journal of )] TJ ET BT 26.250 488.429 Td /F1 9.8 Tf [(Epidemiology, 7\(4\), 365-371.)] TJ ET BT 26.250 465.485 Td /F1 9.8 Tf [(16.)] TJ ET BT 45.502 465.485 Td /F1 9.8 Tf [(Siddique AK. Baqui AH. Eusof A, et al. 1988 floods in Bangladesh - pattern of illness and causes of death. )] TJ ET BT 26.250 450.041 Td /F1 9.8 Tf [(Journal of Diarrhoeal Diseases Research. 1991; 9\(4\):310-314.)] TJ ET BT 26.250 427.097 Td /F1 9.8 Tf [(17.)] TJ ET BT 45.502 427.097 Td /F1 9.8 Tf [(Centers for Disease Control and Prevention \(CDC\). Morbidity surveillance following the Midwest flood--)] TJ ET BT 26.250 411.653 Td /F1 9.8 Tf [(Missouri, 1993. MMWR. Morbidity and Mortality Weekly Report. 1993; 42\(41\):797-798.)] TJ ET BT 26.250 388.709 Td /F1 9.8 Tf [(18.)] TJ ET BT 45.502 388.709 Td /F1 9.8 Tf [(Duke C, Bon E, Reeves J, et al. \(1994\). Flood-related mortality - Georgia, July 4-14, 1994. MMWR. 1994; )] TJ ET BT 26.250 373.265 Td /F1 9.8 Tf [(43\(29\):526-530)] TJ ET BT 26.250 350.321 Td /F1 9.8 Tf [(19.)] TJ ET BT 45.502 350.321 Td /F1 9.8 Tf [(Staes C, Orengo JC, Malilay J, et al. Deaths due to flash floods in Puerto Rico, January 1992: Implications for )] TJ ET BT 26.250 334.877 Td /F1 9.8 Tf [(prevention. International Journal of Epidemiology. 1994; 23\(5\): 968-975.)] TJ ET BT 26.250 311.933 Td /F1 9.8 Tf [(20.)] TJ ET BT 45.502 311.933 Td /F1 9.8 Tf [(Centers for Disease Control and Prevention \(CDC\). Storm-related mortality--central Texas, October 17-31, )] TJ ET BT 26.250 296.489 Td /F1 9.8 Tf [(1998. MMWR. Morbidity and Mortality Weekly Report. 2000; 49\(7\): 133-135.)] TJ ET BT 26.250 273.545 Td /F1 9.8 Tf [(21.)] TJ ET BT 45.502 273.545 Td /F1 9.8 Tf [(Rashid SF. The urban poor in Dhaka city: Their struggles and coping strategies during the floods of 1998. )] TJ ET BT 26.250 258.101 Td /F1 9.8 Tf [(Disasters. 2000; 24\(3\); 240-253.)] TJ ET BT 26.250 235.157 Td /F1 9.8 Tf [(22.)] TJ ET BT 45.502 235.157 Td /F1 9.8 Tf [(Yale JD. Cole TB, Garrison HG, et al. Motor vehicle-related drowning deaths associated with inland flooding )] TJ ET BT 26.250 219.713 Td /F1 9.8 Tf [(after Hurricane Floyd: A field investigation. Traffic Injury Prevention. 2003; 4\(4\):279-284.)] TJ ET BT 26.250 196.769 Td /F1 9.8 Tf [(23.)] TJ ET BT 45.502 196.769 Td /F1 9.8 Tf [(Pradhan EK, West KP, Katz J, et al. Risk of flood-related mortality in Nepal. Disasters. 2007; 31\(1\):57-70.)] TJ ET BT 26.250 173.825 Td /F1 9.8 Tf [(24.)] TJ ET BT 45.502 173.825 Td /F1 9.8 Tf [(Baxter PJ. The east coast big flood, 31 January-1 February 1953: A summary of the human disaster. )] TJ ET BT 26.250 158.381 Td /F1 9.8 Tf [(Philosophical Transactions: Mathematical, Physical and Engineering Sciences \(Series A\). 2005; 363\(1831\): 1293-)] TJ ET BT 26.250 142.937 Td /F1 9.8 Tf [(1312.)] TJ ET BT 26.250 119.993 Td /F1 9.8 Tf [(25.)] TJ ET BT 45.502 119.993 Td /F1 9.8 Tf [(Gerritsen H. What happened in 1953? The big flood in the Netherlands in retrospect. Philosophical )] TJ ET BT 26.250 104.549 Td /F1 9.8 Tf [(Transactions: Mathematical, Physical and Engineering Sciences \(Series A\), 2005; 363\(1831\):1271-1291.)] TJ ET BT 26.250 81.605 Td /F1 9.8 Tf [(26.)] TJ ET BT 45.502 81.605 Td /F1 9.8 Tf [(Spencer J and Myer R. A population and economic overview of Cambria County, Pennsylvania following the )] TJ ET BT 26.250 66.161 Td /F1 9.8 Tf [(1977 Johnstown flood. Disaster Prevention and Management. 2007; 16\(2\):259-264.)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(25)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 1258 0 obj << /Type /Page /Parent 3 0 R /Contents 1259 0 R >> endobj 1259 0 obj << /Length 26067 >> stream 0.271 0.267 0.267 rg q 15.000 55.572 577.500 721.428 re W n 0.271 0.267 0.267 rg BT 26.250 757.145 Td /F1 9.8 Tf [(27.)] TJ ET BT 45.502 757.145 Td /F1 9.8 Tf [(Grigg NS, Doesken NJ, Frick DM, et al. Fort Collins flood 1997: Comprehensive view of an extreme event. )] TJ ET BT 26.250 741.701 Td /F1 9.8 Tf [(Journal of Water Resources Planning and Management. 1999; 125\(5\):255-262.)] TJ ET BT 26.250 718.757 Td /F1 9.8 Tf [(28.)] TJ ET BT 45.502 718.757 Td /F1 9.8 Tf [(Jonkman SN, Maaskant B, Boyd E, et al. Loss of life caused by the flooding of New Orleans after Hurrican )] TJ ET BT 26.250 703.313 Td /F1 9.8 Tf [(Katrina: Analysis of the relationship between flood characteristics and mortality. Risk Analysis. 2009; 29\(5\):676-)] TJ ET BT 26.250 687.869 Td /F1 9.8 Tf [(698.)] TJ ET BT 26.250 664.925 Td /F1 9.8 Tf [(29.)] TJ ET BT 45.502 664.925 Td /F1 9.8 Tf [(Ahern M, Kovats RS, Wilkinson P, et al. Global health impact of floods: epidemiological evidence. )] TJ ET BT 26.250 649.481 Td /F1 9.8 Tf [(Epidemiologic Reviews; 2005 27\(1\):36-46.)] TJ ET BT 26.250 626.537 Td /F1 9.8 Tf [(30.)] TJ ET BT 45.502 626.537 Td /F1 9.8 Tf [(Beyhun N, Altintas KH and Noji, E. Analysis of registered floods in Turkey. International Journal of Disaster )] TJ ET BT 26.250 611.093 Td /F1 9.8 Tf [(Medicine. 2005; 3\(1-4\): 50-54.)] TJ ET BT 26.250 588.149 Td /F1 9.8 Tf [(31.)] TJ ET BT 45.502 588.149 Td /F1 9.8 Tf [(Tarhule A. Damaging rainfall and flooding: The other Sahel hazards. Climatic Change. 2005; 72\(3\), 355-377.)] TJ ET BT 26.250 565.205 Td /F1 9.8 Tf [(32.)] TJ ET BT 45.502 565.205 Td /F1 9.8 Tf [(Ogden CL, Gibbs-Scharf LI, Kohn MA et al. \(2001\). Emergency health surveillance after severe flooding in )] TJ ET BT 26.250 549.761 Td /F1 9.8 Tf [(Louisiana, Prehospital and Disaster Medicine. 1995; 16\(3\):138-144.)] TJ ET BT 26.250 526.817 Td /F1 9.8 Tf [(33.)] TJ ET BT 45.502 526.817 Td /F1 9.8 Tf [(Centers for Disease Control and Prevention \(CDC\). Morbidity surveillance following the Midwest flood--)] TJ ET BT 26.250 511.373 Td /F1 9.8 Tf [(Missouri, 1993. MMWR. 1993; 42\(41\):97-798.)] TJ ET BT 26.250 488.429 Td /F1 9.8 Tf [(34.)] TJ ET BT 45.502 488.429 Td /F1 9.8 Tf [(Cariappa MP and Khanduri P. Health emergencies in large populations: The Orissa experience. Medical )] TJ ET BT 26.250 472.985 Td /F1 9.8 Tf [(Journal of the Armed Forces of India. 2003; 59\(4\):286-289.)] TJ ET BT 26.250 450.041 Td /F1 9.8 Tf [(35.)] TJ ET BT 45.502 450.041 Td /F1 9.8 Tf [(Schnitzler J, Benzler J, Altmann D, et al. Survey on the population's needs and the public health response )] TJ ET BT 26.250 434.597 Td /F1 9.8 Tf [(during floods in Germany 2002. Public Health Management and Practice. 2007; 13\(5\):461-464.)] TJ ET BT 26.250 411.653 Td /F1 9.8 Tf [(36.)] TJ ET BT 45.502 411.653 Td /F1 9.8 Tf [(Biswas A, Rahman A, Mashreky S, et al. Unintentional injuries and parental violence against children during )] TJ ET BT 26.250 396.209 Td /F1 9.8 Tf [(flood: a study in rural Bangladesh. Rural and Remote Health. 2010; 10:1199.)] TJ ET BT 26.250 373.265 Td /F1 9.8 Tf [(37.)] TJ ET BT 45.502 373.265 Td /F1 9.8 Tf [(Sanchez-Crispin A an d Propin-Frejomil E. Social and economic dimensions of the 1998 extreme floods in )] TJ ET BT 26.250 357.821 Td /F1 9.8 Tf [(coastal Chiapas, Mexico. IAHS-AISH Publication. 2002;\(271\):385-390.)] TJ ET BT 26.250 334.877 Td /F1 9.8 Tf [(38.)] TJ ET BT 45.502 334.877 Td /F1 9.8 Tf [(Berz, G. Flood disasters: Lessons from the past - worries for the future. Proceedings of the Institution of Civil )] TJ ET BT 26.250 319.433 Td /F1 9.8 Tf [(Engineers: Water, Maritime and Energy. 2000;142\(1\):3-8.)] TJ ET BT 26.250 296.489 Td /F1 9.8 Tf [(39.)] TJ ET BT 45.502 296.489 Td /F1 9.8 Tf [(Graham W. A procedure for estimating loss of life caused by dam failure. Dam Safety Office Report 99-06. )] TJ ET BT 26.250 281.045 Td /F1 9.8 Tf [(USBR: Denver CO, 1999.)] TJ ET BT 26.250 258.101 Td /F1 9.8 Tf [(40.)] TJ ET BT 45.502 258.101 Td /F1 9.8 Tf [(Stromberg, D. Natural Disasters, Economic Development, and Humanitarian Aid. The Journal of Economic )] TJ ET BT 26.250 242.657 Td /F1 9.8 Tf [(Perspectives. 2007; 21\(3\):199-222.)] TJ ET BT 26.250 219.713 Td /F1 9.8 Tf [(41.)] TJ ET BT 45.502 219.713 Td /F1 9.8 Tf [(UNISDR. Linking disaster risk reduction and poverty reduction: good practices and lessons learned. Geneva: )] TJ ET BT 26.250 204.269 Td /F1 9.8 Tf [(UNISDR, 2008.)] TJ ET BT 26.250 181.325 Td /F1 9.8 Tf [(42.)] TJ ET BT 45.502 181.325 Td /F1 9.8 Tf [(Haque C. Perspectives of natural disasters in East and South Asia and the Pacific Island States: )] TJ ET BT 26.250 165.881 Td /F1 9.8 Tf [(socioeconomic correlates and needs assessment. Natural Hazards. 2003; 29:465-483.)] TJ ET BT 26.250 142.937 Td /F1 9.8 Tf [(43.)] TJ ET BT 45.502 142.937 Td /F1 9.8 Tf [(Lllewellyn M. Floods and Tsunamis. Surgical clinics of North America. 2006; 86:557-578.)] TJ ET BT 26.250 119.993 Td /F1 9.8 Tf [(44.)] TJ ET BT 45.502 119.993 Td /F1 9.8 Tf [(French J, Ing R, Von Allmen S, et al. Mortality from flash floods: A review of national weather service reports, )] TJ ET BT 26.250 104.549 Td /F1 9.8 Tf [(1969-81. Public Health Reports. 1983; 98\(6\):584-588.)] TJ ET BT 26.250 81.605 Td /F1 9.8 Tf [(45.)] TJ ET BT 45.502 81.605 Td /F1 9.8 Tf [(Mooney LE. Applications and implications of fatality statistics to the flash flood problem. The American )] TJ ET BT 26.250 66.161 Td /F1 9.8 Tf [(Meteorological Society Fifth Conference on Hydrometeorology, 1983. Preprints, p127 129.)] TJ ET Q q 15.000 55.572 577.500 721.428 re W n 0.271 0.267 0.267 rg BT 26.250 757.145 Td /F1 9.8 Tf [(27.)] TJ ET BT 45.502 757.145 Td /F1 9.8 Tf [(Grigg NS, Doesken NJ, Frick DM, et al. Fort Collins flood 1997: Comprehensive view of an extreme event. )] TJ ET BT 26.250 741.701 Td /F1 9.8 Tf [(Journal of Water Resources Planning and Management. 1999; 125\(5\):255-262.)] TJ ET BT 26.250 718.757 Td /F1 9.8 Tf [(28.)] TJ ET BT 45.502 718.757 Td /F1 9.8 Tf [(Jonkman SN, Maaskant B, Boyd E, et al. Loss of life caused by the flooding of New Orleans after Hurrican )] TJ ET BT 26.250 703.313 Td /F1 9.8 Tf [(Katrina: Analysis of the relationship between flood characteristics and mortality. Risk Analysis. 2009; 29\(5\):676-)] TJ ET BT 26.250 687.869 Td /F1 9.8 Tf [(698.)] TJ ET BT 26.250 664.925 Td /F1 9.8 Tf [(29.)] TJ ET BT 45.502 664.925 Td /F1 9.8 Tf [(Ahern M, Kovats RS, Wilkinson P, et al. Global health impact of floods: epidemiological evidence. )] TJ ET BT 26.250 649.481 Td /F1 9.8 Tf [(Epidemiologic Reviews; 2005 27\(1\):36-46.)] TJ ET BT 26.250 626.537 Td /F1 9.8 Tf [(30.)] TJ ET BT 45.502 626.537 Td /F1 9.8 Tf [(Beyhun N, Altintas KH and Noji, E. Analysis of registered floods in Turkey. International Journal of Disaster )] TJ ET BT 26.250 611.093 Td /F1 9.8 Tf [(Medicine. 2005; 3\(1-4\): 50-54.)] TJ ET BT 26.250 588.149 Td /F1 9.8 Tf [(31.)] TJ ET BT 45.502 588.149 Td /F1 9.8 Tf [(Tarhule A. Damaging rainfall and flooding: The other Sahel hazards. Climatic Change. 2005; 72\(3\), 355-377.)] TJ ET BT 26.250 565.205 Td /F1 9.8 Tf [(32.)] TJ ET BT 45.502 565.205 Td /F1 9.8 Tf [(Ogden CL, Gibbs-Scharf LI, Kohn MA et al. \(2001\). Emergency health surveillance after severe flooding in )] TJ ET BT 26.250 549.761 Td /F1 9.8 Tf [(Louisiana, Prehospital and Disaster Medicine. 1995; 16\(3\):138-144.)] TJ ET BT 26.250 526.817 Td /F1 9.8 Tf [(33.)] TJ ET BT 45.502 526.817 Td /F1 9.8 Tf [(Centers for Disease Control and Prevention \(CDC\). Morbidity surveillance following the Midwest flood--)] TJ ET BT 26.250 511.373 Td /F1 9.8 Tf [(Missouri, 1993. MMWR. 1993; 42\(41\):97-798.)] TJ ET BT 26.250 488.429 Td /F1 9.8 Tf [(34.)] TJ ET BT 45.502 488.429 Td /F1 9.8 Tf [(Cariappa MP and Khanduri P. Health emergencies in large populations: The Orissa experience. Medical )] TJ ET BT 26.250 472.985 Td /F1 9.8 Tf [(Journal of the Armed Forces of India. 2003; 59\(4\):286-289.)] TJ ET BT 26.250 450.041 Td /F1 9.8 Tf [(35.)] TJ ET BT 45.502 450.041 Td /F1 9.8 Tf [(Schnitzler J, Benzler J, Altmann D, et al. Survey on the population's needs and the public health response )] TJ ET BT 26.250 434.597 Td /F1 9.8 Tf [(during floods in Germany 2002. Public Health Management and Practice. 2007; 13\(5\):461-464.)] TJ ET BT 26.250 411.653 Td /F1 9.8 Tf [(36.)] TJ ET BT 45.502 411.653 Td /F1 9.8 Tf [(Biswas A, Rahman A, Mashreky S, et al. Unintentional injuries and parental violence against children during )] TJ ET BT 26.250 396.209 Td /F1 9.8 Tf [(flood: a study in rural Bangladesh. Rural and Remote Health. 2010; 10:1199.)] TJ ET BT 26.250 373.265 Td /F1 9.8 Tf [(37.)] TJ ET BT 45.502 373.265 Td /F1 9.8 Tf [(Sanchez-Crispin A an d Propin-Frejomil E. Social and economic dimensions of the 1998 extreme floods in )] TJ ET BT 26.250 357.821 Td /F1 9.8 Tf [(coastal Chiapas, Mexico. IAHS-AISH Publication. 2002;\(271\):385-390.)] TJ ET BT 26.250 334.877 Td /F1 9.8 Tf [(38.)] TJ ET BT 45.502 334.877 Td /F1 9.8 Tf [(Berz, G. Flood disasters: Lessons from the past - worries for the future. Proceedings of the Institution of Civil )] TJ ET BT 26.250 319.433 Td /F1 9.8 Tf [(Engineers: Water, Maritime and Energy. 2000;142\(1\):3-8.)] TJ ET BT 26.250 296.489 Td /F1 9.8 Tf [(39.)] TJ ET BT 45.502 296.489 Td /F1 9.8 Tf [(Graham W. A procedure for estimating loss of life caused by dam failure. Dam Safety Office Report 99-06. )] TJ ET BT 26.250 281.045 Td /F1 9.8 Tf [(USBR: Denver CO, 1999.)] TJ ET BT 26.250 258.101 Td /F1 9.8 Tf [(40.)] TJ ET BT 45.502 258.101 Td /F1 9.8 Tf [(Stromberg, D. Natural Disasters, Economic Development, and Humanitarian Aid. The Journal of Economic )] TJ ET BT 26.250 242.657 Td /F1 9.8 Tf [(Perspectives. 2007; 21\(3\):199-222.)] TJ ET BT 26.250 219.713 Td /F1 9.8 Tf [(41.)] TJ ET BT 45.502 219.713 Td /F1 9.8 Tf [(UNISDR. Linking disaster risk reduction and poverty reduction: good practices and lessons learned. Geneva: )] TJ ET BT 26.250 204.269 Td /F1 9.8 Tf [(UNISDR, 2008.)] TJ ET BT 26.250 181.325 Td /F1 9.8 Tf [(42.)] TJ ET BT 45.502 181.325 Td /F1 9.8 Tf [(Haque C. Perspectives of natural disasters in East and South Asia and the Pacific Island States: )] TJ ET BT 26.250 165.881 Td /F1 9.8 Tf [(socioeconomic correlates and needs assessment. Natural Hazards. 2003; 29:465-483.)] TJ ET BT 26.250 142.937 Td /F1 9.8 Tf [(43.)] TJ ET BT 45.502 142.937 Td /F1 9.8 Tf [(Lllewellyn M. Floods and Tsunamis. Surgical clinics of North America. 2006; 86:557-578.)] TJ ET BT 26.250 119.993 Td /F1 9.8 Tf [(44.)] TJ ET BT 45.502 119.993 Td /F1 9.8 Tf [(French J, Ing R, Von Allmen S, et al. Mortality from flash floods: A review of national weather service reports, )] TJ ET BT 26.250 104.549 Td /F1 9.8 Tf [(1969-81. Public Health Reports. 1983; 98\(6\):584-588.)] TJ ET BT 26.250 81.605 Td /F1 9.8 Tf [(45.)] TJ ET BT 45.502 81.605 Td /F1 9.8 Tf [(Mooney LE. Applications and implications of fatality statistics to the flash flood problem. The American )] TJ ET BT 26.250 66.161 Td /F1 9.8 Tf [(Meteorological Society Fifth Conference on Hydrometeorology, 1983. Preprints, p127 129.)] TJ ET Q q 15.000 55.572 577.500 721.428 re W n 0.271 0.267 0.267 rg BT 26.250 757.145 Td /F1 9.8 Tf [(27.)] TJ ET BT 45.502 757.145 Td /F1 9.8 Tf [(Grigg NS, Doesken NJ, Frick DM, et al. Fort Collins flood 1997: Comprehensive view of an extreme event. )] TJ ET BT 26.250 741.701 Td /F1 9.8 Tf [(Journal of Water Resources Planning and Management. 1999; 125\(5\):255-262.)] TJ ET BT 26.250 718.757 Td /F1 9.8 Tf [(28.)] TJ ET BT 45.502 718.757 Td /F1 9.8 Tf [(Jonkman SN, Maaskant B, Boyd E, et al. Loss of life caused by the flooding of New Orleans after Hurrican )] TJ ET BT 26.250 703.313 Td /F1 9.8 Tf [(Katrina: Analysis of the relationship between flood characteristics and mortality. Risk Analysis. 2009; 29\(5\):676-)] TJ ET BT 26.250 687.869 Td /F1 9.8 Tf [(698.)] TJ ET BT 26.250 664.925 Td /F1 9.8 Tf [(29.)] TJ ET BT 45.502 664.925 Td /F1 9.8 Tf [(Ahern M, Kovats RS, Wilkinson P, et al. Global health impact of floods: epidemiological evidence. )] TJ ET BT 26.250 649.481 Td /F1 9.8 Tf [(Epidemiologic Reviews; 2005 27\(1\):36-46.)] TJ ET BT 26.250 626.537 Td /F1 9.8 Tf [(30.)] TJ ET BT 45.502 626.537 Td /F1 9.8 Tf [(Beyhun N, Altintas KH and Noji, E. Analysis of registered floods in Turkey. International Journal of Disaster )] TJ ET BT 26.250 611.093 Td /F1 9.8 Tf [(Medicine. 2005; 3\(1-4\): 50-54.)] TJ ET BT 26.250 588.149 Td /F1 9.8 Tf [(31.)] TJ ET BT 45.502 588.149 Td /F1 9.8 Tf [(Tarhule A. Damaging rainfall and flooding: The other Sahel hazards. Climatic Change. 2005; 72\(3\), 355-377.)] TJ ET BT 26.250 565.205 Td /F1 9.8 Tf [(32.)] TJ ET BT 45.502 565.205 Td /F1 9.8 Tf [(Ogden CL, Gibbs-Scharf LI, Kohn MA et al. \(2001\). Emergency health surveillance after severe flooding in )] TJ ET BT 26.250 549.761 Td /F1 9.8 Tf [(Louisiana, Prehospital and Disaster Medicine. 1995; 16\(3\):138-144.)] TJ ET BT 26.250 526.817 Td /F1 9.8 Tf [(33.)] TJ ET BT 45.502 526.817 Td /F1 9.8 Tf [(Centers for Disease Control and Prevention \(CDC\). Morbidity surveillance following the Midwest flood--)] TJ ET BT 26.250 511.373 Td /F1 9.8 Tf [(Missouri, 1993. MMWR. 1993; 42\(41\):97-798.)] TJ ET BT 26.250 488.429 Td /F1 9.8 Tf [(34.)] TJ ET BT 45.502 488.429 Td /F1 9.8 Tf [(Cariappa MP and Khanduri P. Health emergencies in large populations: The Orissa experience. Medical )] TJ ET BT 26.250 472.985 Td /F1 9.8 Tf [(Journal of the Armed Forces of India. 2003; 59\(4\):286-289.)] TJ ET BT 26.250 450.041 Td /F1 9.8 Tf [(35.)] TJ ET BT 45.502 450.041 Td /F1 9.8 Tf [(Schnitzler J, Benzler J, Altmann D, et al. Survey on the population's needs and the public health response )] TJ ET BT 26.250 434.597 Td /F1 9.8 Tf [(during floods in Germany 2002. Public Health Management and Practice. 2007; 13\(5\):461-464.)] TJ ET BT 26.250 411.653 Td /F1 9.8 Tf [(36.)] TJ ET BT 45.502 411.653 Td /F1 9.8 Tf [(Biswas A, Rahman A, Mashreky S, et al. Unintentional injuries and parental violence against children during )] TJ ET BT 26.250 396.209 Td /F1 9.8 Tf [(flood: a study in rural Bangladesh. Rural and Remote Health. 2010; 10:1199.)] TJ ET BT 26.250 373.265 Td /F1 9.8 Tf [(37.)] TJ ET BT 45.502 373.265 Td /F1 9.8 Tf [(Sanchez-Crispin A an d Propin-Frejomil E. Social and economic dimensions of the 1998 extreme floods in )] TJ ET BT 26.250 357.821 Td /F1 9.8 Tf [(coastal Chiapas, Mexico. IAHS-AISH Publication. 2002;\(271\):385-390.)] TJ ET BT 26.250 334.877 Td /F1 9.8 Tf [(38.)] TJ ET BT 45.502 334.877 Td /F1 9.8 Tf [(Berz, G. Flood disasters: Lessons from the past - worries for the future. Proceedings of the Institution of Civil )] TJ ET BT 26.250 319.433 Td /F1 9.8 Tf [(Engineers: Water, Maritime and Energy. 2000;142\(1\):3-8.)] TJ ET BT 26.250 296.489 Td /F1 9.8 Tf [(39.)] TJ ET BT 45.502 296.489 Td /F1 9.8 Tf [(Graham W. A procedure for estimating loss of life caused by dam failure. Dam Safety Office Report 99-06. )] TJ ET BT 26.250 281.045 Td /F1 9.8 Tf [(USBR: Denver CO, 1999.)] TJ ET BT 26.250 258.101 Td /F1 9.8 Tf [(40.)] TJ ET BT 45.502 258.101 Td /F1 9.8 Tf [(Stromberg, D. Natural Disasters, Economic Development, and Humanitarian Aid. The Journal of Economic )] TJ ET BT 26.250 242.657 Td /F1 9.8 Tf [(Perspectives. 2007; 21\(3\):199-222.)] TJ ET BT 26.250 219.713 Td /F1 9.8 Tf [(41.)] TJ ET BT 45.502 219.713 Td /F1 9.8 Tf [(UNISDR. Linking disaster risk reduction and poverty reduction: good practices and lessons learned. Geneva: )] TJ ET BT 26.250 204.269 Td /F1 9.8 Tf [(UNISDR, 2008.)] TJ ET BT 26.250 181.325 Td /F1 9.8 Tf [(42.)] TJ ET BT 45.502 181.325 Td /F1 9.8 Tf [(Haque C. Perspectives of natural disasters in East and South Asia and the Pacific Island States: )] TJ ET BT 26.250 165.881 Td /F1 9.8 Tf [(socioeconomic correlates and needs assessment. Natural Hazards. 2003; 29:465-483.)] TJ ET BT 26.250 142.937 Td /F1 9.8 Tf [(43.)] TJ ET BT 45.502 142.937 Td /F1 9.8 Tf [(Lllewellyn M. Floods and Tsunamis. Surgical clinics of North America. 2006; 86:557-578.)] TJ ET BT 26.250 119.993 Td /F1 9.8 Tf [(44.)] TJ ET BT 45.502 119.993 Td /F1 9.8 Tf [(French J, Ing R, Von Allmen S, et al. Mortality from flash floods: A review of national weather service reports, )] TJ ET BT 26.250 104.549 Td /F1 9.8 Tf [(1969-81. Public Health Reports. 1983; 98\(6\):584-588.)] TJ ET BT 26.250 81.605 Td /F1 9.8 Tf [(45.)] TJ ET BT 45.502 81.605 Td /F1 9.8 Tf [(Mooney LE. Applications and implications of fatality statistics to the flash flood problem. The American )] TJ ET BT 26.250 66.161 Td /F1 9.8 Tf [(Meteorological Society Fifth Conference on Hydrometeorology, 1983. Preprints, p127 129.)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 18.032 Td /F5 11.0 Tf [(26)] TJ ET BT 25.000 18.032 Td /F5 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 1260 0 obj << /Type /Page /Parent 3 0 R /Contents 1261 0 R >> endobj 1261 0 obj << /Length 17985 >> stream 0.271 0.267 0.267 rg q 15.000 255.456 577.500 521.544 re W n 0.271 0.267 0.267 rg BT 26.250 757.145 Td /F1 9.8 Tf [(46.)] TJ ET BT 45.502 757.145 Td /F1 9.8 Tf [(Coates L. Flood fatalities in Australia, 1788 1996. Australian Geographer. 1999; 30:391 408.)] TJ ET BT 26.250 734.201 Td /F1 9.8 Tf [(47.)] TJ ET BT 45.502 734.201 Td /F1 9.8 Tf [(Chowdhury AR, Mushtaque AU, Bhuyia AY, et al. The Bangladesh Cyclone of 1991: Why So Many People )] TJ ET BT 26.250 718.757 Td /F1 9.8 Tf [(Died. Disasters. 1993; 17\(4\):291 304.)] TJ ET BT 26.250 695.813 Td /F1 9.8 Tf [(48.)] TJ ET BT 45.502 695.813 Td /F1 9.8 Tf [(Jonkman SN and Vrijling JK. Loss of life due to floods. Journal of Flood Risk Management. 2008; 1: 43-56.)] TJ ET BT 26.250 672.869 Td /F1 9.8 Tf [(49.)] TJ ET BT 45.502 672.869 Td /F1 9.8 Tf [(FitzGerald G, Du W, Jamal A, et al. Flood fatalities in contemporary Australia \(1997-2008\). Emergency )] TJ ET BT 26.250 657.425 Td /F1 9.8 Tf [(Medicine Australasia. 2010; 22:80-186.)] TJ ET BT 26.250 634.481 Td /F1 9.8 Tf [(50.)] TJ ET BT 45.502 634.481 Td /F1 9.8 Tf [(Guha-Sapir, D. Natural and man-made disasters: the vulnerability of women-headed households and )] TJ ET BT 26.250 619.037 Td /F1 9.8 Tf [(children without families. World Health Statistics Quarterly. 1993; 46:227-233.)] TJ ET BT 26.250 596.093 Td /F1 9.8 Tf [(51.)] TJ ET BT 45.502 596.093 Td /F1 9.8 Tf [(Creel L. Ripple effects: Population and coastal regions. Population Reference Bureau. 2003. URL: )] TJ ET BT 26.250 580.649 Td /F1 9.8 Tf [(http://www.prb.org/Publications/PolicyBriefs/RippleEffectsPopulationandCoastalRegions.aspx.)] TJ ET BT 26.250 557.705 Td /F1 9.8 Tf [(52.)] TJ ET BT 45.502 557.705 Td /F1 9.8 Tf [(UN Habitat. State of the World s Cities 2010/2011: Bridging the Urban Divide. March 18, 2010. UN Human )] TJ ET BT 26.250 542.261 Td /F1 9.8 Tf [(Settlements Programme: Nairobi, Kenya.)] TJ ET BT 26.250 519.317 Td /F1 9.8 Tf [(53.)] TJ ET BT 45.502 519.317 Td /F1 9.8 Tf [(Janerich D T, Stark AD, Greenwald P, et al. Increased leukemia, lymphoma, and spontaneous abortion in )] TJ ET BT 26.250 503.873 Td /F1 9.8 Tf [(Western New York following a flood disaster. Public Health Reports. 1981; 96\(4\):350-356.)] TJ ET BT 26.250 480.929 Td /F1 9.8 Tf [(54.)] TJ ET BT 45.502 480.929 Td /F1 9.8 Tf [(Bich TH, Quang LN, Ha LTT, Hanh TTD, Guha-Sapir D. Impacts of flood on health: epidemiologic evidence )] TJ ET BT 26.250 465.485 Td /F1 9.8 Tf [(from Hanoi, Vietnam. Global Healh Action. 2011; 4:6356.)] TJ ET BT 26.250 442.541 Td /F1 9.8 Tf [(55.)] TJ ET BT 45.502 442.541 Td /F1 9.8 Tf [(Mortality from tornadoes, hurricanes, and floods. Statistical Bulletin of the Metropolitan Life Insurance )] TJ ET BT 26.250 427.097 Td /F1 9.8 Tf [(Company. 1974; 55:4-7.)] TJ ET BT 26.250 404.153 Td /F1 9.8 Tf [(56.)] TJ ET BT 45.502 404.153 Td /F1 9.8 Tf [(Avakyan AB and Istomina MN. Floods in the world late in the XX century. Water Resources. 2000; 27\(5\): 469-)] TJ ET BT 26.250 388.709 Td /F1 9.8 Tf [(475.)] TJ ET BT 26.250 365.765 Td /F1 9.8 Tf [(57.)] TJ ET BT 45.502 365.765 Td /F1 9.8 Tf [(Guzzetti F, Stark CP, Salvati P. Evaluation of flood and landslide risk to the population of Italy. Environmental )] TJ ET BT 26.250 350.321 Td /F1 9.8 Tf [(Management. 2005; 36\(1\):15-36.)] TJ ET BT 26.250 327.377 Td /F1 9.8 Tf [(58.)] TJ ET BT 45.502 327.377 Td /F1 9.8 Tf [(Lastoria B, Simonetti MR, Casaioli M, et al. Socio-economic impacts of major floods in Italy from 1951 to )] TJ ET BT 26.250 311.933 Td /F1 9.8 Tf [(2003. Advances in Geosciences. 2006; 7:223-229.)] TJ ET BT 26.250 288.989 Td /F1 9.8 Tf [(59.)] TJ ET BT 45.502 288.989 Td /F1 9.8 Tf [(United Nations Development Program. Human Development Reports. \(2009\). Available at: )] TJ ET BT 26.250 273.545 Td /F1 9.8 Tf [(http://hdrstats.undp.org/en/indicators/#G. Accessed May 18, 2010.)] TJ ET Q q 15.000 255.456 577.500 521.544 re W n 0.271 0.267 0.267 rg BT 26.250 757.145 Td /F1 9.8 Tf [(46.)] TJ ET BT 45.502 757.145 Td /F1 9.8 Tf [(Coates L. Flood fatalities in Australia, 1788 1996. Australian Geographer. 1999; 30:391 408.)] TJ ET BT 26.250 734.201 Td /F1 9.8 Tf [(47.)] TJ ET BT 45.502 734.201 Td /F1 9.8 Tf [(Chowdhury AR, Mushtaque AU, Bhuyia AY, et al. The Bangladesh Cyclone of 1991: Why So Many People )] TJ ET BT 26.250 718.757 Td /F1 9.8 Tf [(Died. Disasters. 1993; 17\(4\):291 304.)] TJ ET BT 26.250 695.813 Td /F1 9.8 Tf [(48.)] TJ ET BT 45.502 695.813 Td /F1 9.8 Tf [(Jonkman SN and Vrijling JK. Loss of life due to floods. Journal of Flood Risk Management. 2008; 1: 43-56.)] TJ ET BT 26.250 672.869 Td /F1 9.8 Tf [(49.)] TJ ET BT 45.502 672.869 Td /F1 9.8 Tf [(FitzGerald G, Du W, Jamal A, et al. Flood fatalities in contemporary Australia \(1997-2008\). Emergency )] TJ ET BT 26.250 657.425 Td /F1 9.8 Tf [(Medicine Australasia. 2010; 22:80-186.)] TJ ET BT 26.250 634.481 Td /F1 9.8 Tf [(50.)] TJ ET BT 45.502 634.481 Td /F1 9.8 Tf [(Guha-Sapir, D. Natural and man-made disasters: the vulnerability of women-headed households and )] TJ ET BT 26.250 619.037 Td /F1 9.8 Tf [(children without families. World Health Statistics Quarterly. 1993; 46:227-233.)] TJ ET BT 26.250 596.093 Td /F1 9.8 Tf [(51.)] TJ ET BT 45.502 596.093 Td /F1 9.8 Tf [(Creel L. Ripple effects: Population and coastal regions. Population Reference Bureau. 2003. URL: )] TJ ET BT 26.250 580.649 Td /F1 9.8 Tf [(http://www.prb.org/Publications/PolicyBriefs/RippleEffectsPopulationandCoastalRegions.aspx.)] TJ ET BT 26.250 557.705 Td /F1 9.8 Tf [(52.)] TJ ET BT 45.502 557.705 Td /F1 9.8 Tf [(UN Habitat. State of the World s Cities 2010/2011: Bridging the Urban Divide. March 18, 2010. UN Human )] TJ ET BT 26.250 542.261 Td /F1 9.8 Tf [(Settlements Programme: Nairobi, Kenya.)] TJ ET BT 26.250 519.317 Td /F1 9.8 Tf [(53.)] TJ ET BT 45.502 519.317 Td /F1 9.8 Tf [(Janerich D T, Stark AD, Greenwald P, et al. Increased leukemia, lymphoma, and spontaneous abortion in )] TJ ET BT 26.250 503.873 Td /F1 9.8 Tf [(Western New York following a flood disaster. Public Health Reports. 1981; 96\(4\):350-356.)] TJ ET BT 26.250 480.929 Td /F1 9.8 Tf [(54.)] TJ ET BT 45.502 480.929 Td /F1 9.8 Tf [(Bich TH, Quang LN, Ha LTT, Hanh TTD, Guha-Sapir D. Impacts of flood on health: epidemiologic evidence )] TJ ET BT 26.250 465.485 Td /F1 9.8 Tf [(from Hanoi, Vietnam. Global Healh Action. 2011; 4:6356.)] TJ ET BT 26.250 442.541 Td /F1 9.8 Tf [(55.)] TJ ET BT 45.502 442.541 Td /F1 9.8 Tf [(Mortality from tornadoes, hurricanes, and floods. Statistical Bulletin of the Metropolitan Life Insurance )] TJ ET BT 26.250 427.097 Td /F1 9.8 Tf [(Company. 1974; 55:4-7.)] TJ ET BT 26.250 404.153 Td /F1 9.8 Tf [(56.)] TJ ET BT 45.502 404.153 Td /F1 9.8 Tf [(Avakyan AB and Istomina MN. Floods in the world late in the XX century. Water Resources. 2000; 27\(5\): 469-)] TJ ET BT 26.250 388.709 Td /F1 9.8 Tf [(475.)] TJ ET BT 26.250 365.765 Td /F1 9.8 Tf [(57.)] TJ ET BT 45.502 365.765 Td /F1 9.8 Tf [(Guzzetti F, Stark CP, Salvati P. Evaluation of flood and landslide risk to the population of Italy. Environmental )] TJ ET BT 26.250 350.321 Td /F1 9.8 Tf [(Management. 2005; 36\(1\):15-36.)] TJ ET BT 26.250 327.377 Td /F1 9.8 Tf [(58.)] TJ ET BT 45.502 327.377 Td /F1 9.8 Tf [(Lastoria B, Simonetti MR, Casaioli M, et al. Socio-economic impacts of major floods in Italy from 1951 to )] TJ ET BT 26.250 311.933 Td /F1 9.8 Tf [(2003. Advances in Geosciences. 2006; 7:223-229.)] TJ ET BT 26.250 288.989 Td /F1 9.8 Tf [(59.)] TJ ET BT 45.502 288.989 Td /F1 9.8 Tf [(United Nations Development Program. Human Development Reports. \(2009\). Available at: )] TJ ET BT 26.250 273.545 Td /F1 9.8 Tf [(http://hdrstats.undp.org/en/indicators/#G. Accessed May 18, 2010.)] TJ ET Q q 15.000 255.456 577.500 521.544 re W n 0.271 0.267 0.267 rg BT 26.250 757.145 Td /F1 9.8 Tf [(46.)] TJ ET BT 45.502 757.145 Td /F1 9.8 Tf [(Coates L. Flood fatalities in Australia, 1788 1996. Australian Geographer. 1999; 30:391 408.)] TJ ET BT 26.250 734.201 Td /F1 9.8 Tf [(47.)] TJ ET BT 45.502 734.201 Td /F1 9.8 Tf [(Chowdhury AR, Mushtaque AU, Bhuyia AY, et al. The Bangladesh Cyclone of 1991: Why So Many People )] TJ ET BT 26.250 718.757 Td /F1 9.8 Tf [(Died. Disasters. 1993; 17\(4\):291 304.)] TJ ET BT 26.250 695.813 Td /F1 9.8 Tf [(48.)] TJ ET BT 45.502 695.813 Td /F1 9.8 Tf [(Jonkman SN and Vrijling JK. Loss of life due to floods. Journal of Flood Risk Management. 2008; 1: 43-56.)] TJ ET BT 26.250 672.869 Td /F1 9.8 Tf [(49.)] TJ ET BT 45.502 672.869 Td /F1 9.8 Tf [(FitzGerald G, Du W, Jamal A, et al. Flood fatalities in contemporary Australia \(1997-2008\). Emergency )] TJ ET BT 26.250 657.425 Td /F1 9.8 Tf [(Medicine Australasia. 2010; 22:80-186.)] TJ ET BT 26.250 634.481 Td /F1 9.8 Tf [(50.)] TJ ET BT 45.502 634.481 Td /F1 9.8 Tf [(Guha-Sapir, D. Natural and man-made disasters: the vulnerability of women-headed households and )] TJ ET BT 26.250 619.037 Td /F1 9.8 Tf [(children without families. World Health Statistics Quarterly. 1993; 46:227-233.)] TJ ET BT 26.250 596.093 Td /F1 9.8 Tf [(51.)] TJ ET BT 45.502 596.093 Td /F1 9.8 Tf [(Creel L. Ripple effects: Population and coastal regions. Population Reference Bureau. 2003. URL: )] TJ ET BT 26.250 580.649 Td /F1 9.8 Tf [(http://www.prb.org/Publications/PolicyBriefs/RippleEffectsPopulationandCoastalRegions.aspx.)] TJ ET BT 26.250 557.705 Td /F1 9.8 Tf [(52.)] TJ ET BT 45.502 557.705 Td /F1 9.8 Tf [(UN Habitat. State of the World s Cities 2010/2011: Bridging the Urban Divide. March 18, 2010. UN Human )] TJ ET BT 26.250 542.261 Td /F1 9.8 Tf [(Settlements Programme: Nairobi, Kenya.)] TJ ET BT 26.250 519.317 Td /F1 9.8 Tf [(53.)] TJ ET BT 45.502 519.317 Td /F1 9.8 Tf [(Janerich D T, Stark AD, Greenwald P, et al. Increased leukemia, lymphoma, and spontaneous abortion in )] TJ ET BT 26.250 503.873 Td /F1 9.8 Tf [(Western New York following a flood disaster. Public Health Reports. 1981; 96\(4\):350-356.)] TJ ET BT 26.250 480.929 Td /F1 9.8 Tf [(54.)] TJ ET BT 45.502 480.929 Td /F1 9.8 Tf [(Bich TH, Quang LN, Ha LTT, Hanh TTD, Guha-Sapir D. Impacts of flood on health: epidemiologic evidence )] TJ ET BT 26.250 465.485 Td /F1 9.8 Tf [(from Hanoi, Vietnam. Global Healh Action. 2011; 4:6356.)] TJ ET BT 26.250 442.541 Td /F1 9.8 Tf [(55.)] TJ ET BT 45.502 442.541 Td /F1 9.8 Tf [(Mortality from tornadoes, hurricanes, and floods. Statistical Bulletin of the Metropolitan Life Insurance )] TJ ET BT 26.250 427.097 Td /F1 9.8 Tf [(Company. 1974; 55:4-7.)] TJ ET BT 26.250 404.153 Td /F1 9.8 Tf [(56.)] TJ ET BT 45.502 404.153 Td /F1 9.8 Tf [(Avakyan AB and Istomina MN. Floods in the world late in the XX century. Water Resources. 2000; 27\(5\): 469-)] TJ ET BT 26.250 388.709 Td /F1 9.8 Tf [(475.)] TJ ET BT 26.250 365.765 Td /F1 9.8 Tf [(57.)] TJ ET BT 45.502 365.765 Td /F1 9.8 Tf [(Guzzetti F, Stark CP, Salvati P. Evaluation of flood and landslide risk to the population of Italy. Environmental )] TJ ET BT 26.250 350.321 Td /F1 9.8 Tf [(Management. 2005; 36\(1\):15-36.)] TJ ET BT 26.250 327.377 Td /F1 9.8 Tf [(58.)] TJ ET BT 45.502 327.377 Td /F1 9.8 Tf [(Lastoria B, Simonetti MR, Casaioli M, et al. Socio-economic impacts of major floods in Italy from 1951 to )] TJ ET BT 26.250 311.933 Td /F1 9.8 Tf [(2003. Advances in Geosciences. 2006; 7:223-229.)] TJ ET BT 26.250 288.989 Td /F1 9.8 Tf [(59.)] TJ ET BT 45.502 288.989 Td /F1 9.8 Tf [(United Nations Development Program. Human Development Reports. \(2009\). Available at: )] TJ ET BT 26.250 273.545 Td /F1 9.8 Tf [(http://hdrstats.undp.org/en/indicators/#G. 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