This is what it looks like when researchers push beyond band-aid solutions and design better answers to pressing medical and mental-health issues.

The Patapsco Valley might not bring to mind the disruption of the technology industry the way Silicon Valley has defined itself, but UMBC student and faculty researchers are aggressively tackling disparities related to health care and changing the way people around the world access health technologies.

As a public university, UMBC’s scientific community is actively researching ways to alleviate public-health problems. In some labs this means changing the focus of research to address a more pressing medical issue, like Ph.D. student Mustafa Al-Adhami did when he veered away from studying water purification to address sepsis, a life-threatening condition that strikes over a million Americans each year.

Another example is UMBC faculty member Govind Rao, who feels a sense of urgency in addressing critical challenges that are impacting people’s quality of life. Rao, a professor of chemical, biochemical, and environmental engineering, and director of UMBC’s Center for Advanced Sensor Technology (CAST), sees UMBC students and professors using their skills and interests to make health technologies more equitable, more affordable, and more sustainable. A central focus of Rao’s collaborative work is creating health-care solutions that are not restrained by cost or geography, like an award-winning cardboard incubator his lab produced, accessible for communities with limited resources.

Rao refers to his research and the technologies he’s developed as “disruptive innovations,” and he’s not the only UMBC researcher who is working to help people change how they approach and access medical care. These developments offer novel solutions to challenges facing the world, and faculty and staff at UMBC are changing the way people receive medical care and support from medical providers.

“If I can empower students to think and come up with solutions that have a green footprint and are lower cost and sustainable, I think we can bend the curve,” explains Rao.

Treating sepsis with more accuracy

Mustafa Al-Adhami, M.S ’15, Ph.D. ’19, mechanical engineering, credits a conversation with his wife Stephanie Al-Adhami, a nurse, in changing the focus of his research. At the time Al-Adhami was working to develop a device to determine whether water was safe to consume, but after discovering devices on the market that could already filter most water to make it potable, he shifted his work to address another prevalent challenge that people around the world are facing. “We just pivoted from water to actual blood with this specific application,” he says.

Sepsis is a serious blood infection that, if not treated properly and promptly, can lead to serious complications and even death in mere days. Those at highest risk are the most vulnerable: infants, children, the elderly, and those already facing severe medical problems. According to the Centers for Disease Control and Prevention, more than one million people fight sepsis each year and about a quarter of these cases are fatal. Discouragingly, the number of sepsis cases each year is also on the rise. Al-Adhami and others are working to reverse the trend.

The challenge for physicians isn’t determining whether a person has sepsis, explains Al-Adhami, but rather identifying which antibiotics to administer to the patient. “With every one hour without proper treatment, there is a 7% less chance of survival,” he says.

Working with faculty and student researchers in CAST, Al-Adhami developed a rapid bacterial-detection test that can determine whether a patient has an infection within an hour and helps physicians determine which specific antibiotics should be administered to help fight the infection. Al-Adhami’s device, ASTEK, costs a fraction of the price of the current antibiotic susceptibility test, can reduce the duration of hospital stays, and can prevent antibiotic resistance by avoiding unnecessary antibiotic use.

In addition to its cost effectiveness, ASTEK only requires one milliliter of blood to be run. This is a breakthrough in detecting sepsis in young children. “For [traditional] blood cultures, they take four bottles of blood. Each one is eight milliliters,” explains Al-Adhami. “Because we don’t need this much blood, it could be used for newborns…the concentration of bacteria is much higher in infants.”

The device has successfully been tested in mice, and Al-Adhami hopes that it will be ready for human testing in the next couple of years. If the device is approved for human use, it has the potential to save thousands of patients each year by speeding up the process of diagnosing and administering the correct antibiotics.

Understanding behavior through social media analytics

According to the U.S. Department of Health and Human Services, more than 130 people die from opioid-related overdoses each day, and there are over 14,000 substance abuse facilities across the U.S. that treat people facing these addictions. The opioid epidemic affects every region of the country, and those watching loved ones go through the cycle of substance abuse are seeking any new ways to halt this disease in its tracks.

Shimei Pan, assistant professor of information systems, is studying human behavior in the context of monitoring, preventing, and treating substance-abuse by analyzing how people with substance use disorders behave on social media. “On social media, there is a lot of information about each individual. Some are related to substance use, like drinking, smoking, and illicit drug use,” she says.

Pan and her collaborator Warren Bickel, a well-known behavior scientist at the Virginia Tech Addiction Treatment Center, are employing large-scale social media analytics to better understand addiction and help medical professionals provide personalized treatment to people facing addiction and substance abuse.

The clues Pan and Bickel are looking for in social media data are subtle, but have the potential to alter the way substance abuse is identified and subsequently treated. “Sometimes, people explicitly mention substance use in their social media posts,” she shares. “These are useful signals. But there are other signals in social media, sometimes even stronger than explicit mentions of substances. Substance abuse is frequently linked to mental disorders such as depression, anxiety and impulsivity. As a result, social media behavior signals related to depression, anxiety and impulsivity can also be very useful in helping us detect and understand substance abuse”

Since substance abuse could be explained by both genetic and environmental factors, with large-scale social media analytics it is possible to identify distinct patterns in its manifestation on social media, says Pan. “We want to see whether we can find those behavioral markers of addiction on social media. By identifying these markers, we can understand substance abuse a little bit better.”

Pan and her collaborators plan to continue conducting basic research, and hope to help develop new screening, diagnostic, and intervention tools in the future—another way of building a bridge to proper health care access for all.

Studying stigma and pain

Another UMBC faculty member studying human behavior is Shawn Bediako, associate professor of psychology, who focuses on the psychosocial impact of sickle cell disease. Bediako is using new technologies to assess sickle cell patients’ pain and experiences.

Previously, Bediako and his collaborators collected data using paper surveys that were sent to patients and required that patients mail them back each week. “We didn’t know when they filled [the surveys] out,” he says. “All we knew is that they would send us a packet back.”

The development of a new app-based tool, however, lessened the lag in survey responses. This new approach gives researchers a more accurate picture by providing data with integrity. Bediako explains that the app allows patients to submit their experiences directly and enables researchers like him to pose bold, new questions to patients. Each night at 7 p.m., the patients automatically receive a survey to fill out by midnight. The rapid turnaround and ease of completing the survey also “cut down on data contamination,” he says.

“Now that data analytics has expanded the range of online behaviors that we can examine, researchers like me can think about the links between health care and health outcomes in a different way,” Bediako explains.

Bediako, who is also the facilitator for UMBC’s Collaborative for the Interdisciplinary Promotion of Health Equity Research (CIPHER), hopes that his work bridges the gap between people who are doing research on sickle cell disease and people who are studying how innovative technologies can be utilized to help people with the disease. “I’m currently integrating information from history, policy, sociology, psychology, and medicine to better understand the genetics of sickle cell pain,” he says, adding this requires some “out-of-the-box type thinking.”

Like Pan, Bediako is interested in how people’s social media use differs depending on whether they are in pain versus not in pain. “Now that data analytics has expanded the range of online behaviors that we can examine, researchers like me can think about the links between health care and health outcomes in a different way,” he explains.

Supporting first responders

In a broad collaboration to understand how the stressful situations first responders encounter in their jobs can lead to anxiety and other mental health issues, UMBC faculty in emergency health services (EHS) and information systems are using existing technologies to tackle the task. Principal investigator Andrea Kleinsmith, assistant professor of information systems, is collaborating with J. Lee Jenkins, associate professor and chair of emergency health services; Helena Mentis, associate professor of information systems and associate dean in the College of Engineering and Information Technology; and Gary Williams, acting paramedic director in emergency health services.

Trainees and first responders on the job may experience an array of physiological responses when they are in a situation that is tense or challenging. UMBC students in their third and fourth years of the emergency health services program move through a series of often intense scenarios in the simulation lab in Sherman Hall to prepare them for a range of situations they may encounter on the job. Involuntary bodily reactions such as increased heart rates or perspiration are tracked by wearable devices, and allow the instructors and trainees the opportunity to assess and manage stress and improve the preparedness for future emergency scenarios. 

Working with student researchers, the faculty members design, develop, and evaluate the system to assess how discussions and intentional in-class reflections on stressful situations can help trainees implement stress management strategies during their work. The team is studying how a Team Stress Reflection system can be used by paramedic trainees to “understand the events that trigger stress increases and their ability to mitigate that stress,” according to the grant proposal. This technology allows the students to identify and better understand the correlations between stressful situations and their physiological responses.

Stress, explains Kleinsmith, can lead to errors during care and long-term health concerns for medical personnel, including emergency health professionals. Williams says that it’s important for students to debrief and reflect on the simulation to make sure that they can address any stressors or points that caused them to have strong physiological responses.

“The ability to monitor and manage stress in medical personnel has the potential to improve medical care provided in stressful situations,” explains Kleinsmith.

Understanding the physiological responses during training exercises is important for trainees, explains Williams, because it allows them to improve how they cope with stress in situations that they may encounter on the job. This research is being funded by a three-year grant from the National Science Foundation, which supports the faculty in collecting data from the EHS students and developing the interface to help the students come to their own conclusions about the correlation between physiological measurements and stress to understand their stress triggers. The interface also helps facilitate the team’s discussion about stress.

Motion sensors to inform treatment

Helena Mentis is also using activity trackers and other motion sensors to assess movement and inform treatment for patients with Parkinson’s disease. In collaboration with faculty at the University of Maryland Parkinson Disease and Movement Disorders Center, Mentis designed and developed a sensor using Leap Motion devices to track and assess the movement of patients with Parkinson’s disease during deep brain stimulation.

One observation that Mentis and her collaborators made was that the presentation of data collected from the sensors impacted how the data was interpreted and used to develop customized treatment plans for patients. In 2017, Mentis presented a paper at the Association for Computing Machinery Special Interest Group on Computer-Human Interaction Conference. The paper explains that the data collected by the patients’ activity trackers led to more informed conversations between the patient with Parkinson’s and their physician.

In a well-researched disease like Parkinson’s, there’s still always room for improvements in care and access to care. Researchers have been studying Parkinson’s disease and treatment options for people with Parkinson’s since the 1960s, but there is still work to be done. Every advancement leads to better outcomes and an increased quality of life for Parkinson’s patients. Mentis and her collaborators are now using self-tracking technologies to help physicians customize treatment plans and advocate for patients.

“Determining how sensor data can be incorporated in shared decision-making is fundamental to effective patient-centered care,” explains Mentis. “Even more so for low-resource and marginalized communities, where sensor data could easily be used by medical caregivers to argue for diagnoses or treatments that are based on assumptions and biases. The sensor data in itself does not embody truth and instead should be taken into account alongside a holistic understanding of the patient and their circumstances.”

Doing good through “disruptive innovations”

Through his work, Rao focuses on addressing critical challenges by answering the fundamental question: “How can we help them?”

“These are real lives, real people who are living in desperate conditions,” Rao says, noting that he aims to empower his students to think about how they can make positive changes through their work. Rao explains that his multidisciplinary approach to research has allowed him and his colleagues and students to make tremendous impacts related to health technology. CAST allows him to work with faculty and students from a range of disciplines, and he believes it is important for engineers, scientists, sociologists and psychologists, and policymakers to have a seat at the table, because each perspective is so valuable.

“Disruptive innovation” refers to technologies and other developments that offer novel solutions to challenges facing the world. Like Bediako and other colleagues at UMBC, Rao challenges his students to consider new approaches to addressing challenges and needs in the health technologies space.

While Rao leads this research, he is quick to point out that the collaborative nature of the work and the contributions of his students are crucial to its success. “It’s not about me,” he says. “I’m just privileged enough to have such an amazing team across several disciplines and backgrounds. It’s just a blast.”

With funding and support from federal agencies, including the Defense Advanced Research Projects Agency, Rao has developed a bioreactor or “biomod” that fits inside a suitcase and allows pharmaceuticals to be produced on demand and with limited resources and time. The device was developed with soldiers in conflict zones in mind because it allows them to quickly create customized medicines to save lives based on the needs of the patient.

Additionally, Rao and his colleagues have developed low-cost incubators to support premature babies in communities with limited resources and in areas that do not have access to robust medical facilities. His research team was presented with the 2019 Global Health Research Award at the Pediatric Academic Societies Meeting in Baltimore.

The question “What have you done for others?” is the driving force behind Rao’s lab. He says that many of the health technologies that are currently available are only affordable to a small group of people, and are only helping the people who can afford them. “Just spending five to 10 minutes a day thinking about what they [students] can do with their skill set to improve the lives of others, that’s all it takes to change the world,” Rao says.

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All illustrations by Brucie Rosch.

In the aftermath of two “1000-year” floods in three years, can experts, officials, and residents agree on a way to prevent the next big one while preserving this historic town?

By Sarah Hansen M.S. ’15

Ellicott City, Maryland, rests in a steep, narrow valley at the confluence of the Tiber River, its smaller unnamed tributaries, and the much larger Patapsco River. All that water power made it the perfect place to build a mill town—as brothers Jonathan and George Ellicott did beginning in 1772.

The mill town flourished in the 1800s and was the first stop on the Baltimore and Ohio Main Line railroad (the first railroad in the United States) beginning in 1831. Housing and shops quickly sprang up along the winding street to service residents and visitors.

Today, Wilkins Rogers Mills still processes flours and cornmeal on the old site, and the B&O rail station at Ellicott City is the oldest surviving rail station in the United States. It was designated a National Historical Landmark in 1968, and the Main Street area, which retains over 200 historic buildings, was listed on the National Register of Historic Places in 1978.

But while much has stayed the same, much has also changed since Ellicott Mills’ 19th-century heyday. Rather than workaday folk gathering sundries on Main Street, droves of tourists and preservation enthusiasts now stroll the charming byway to patronize boutique shops and cafés.

Or, they used to.

In 2016, and then, extraordinarily, again in the spring of 2018, Historic Ellicott City was ravaged by flash floods that trapped diners in restaurants’ upper stories, saw empty cars and trucks careening down Main Street, destroyed homes and businesses, left debris for miles downstream, and, in total, took three lives.

The events, both dubbed “1000-year floods” in the media, have left residents and business owners with the tough decision to stay or go. The Howard County government is faced with a dilemma, too: Ellicott City is a popular attraction and has been an economic powerhouse in the county for decades. But when storms come, as they inevitably do, it becomes very dangerous, very quickly.

The floods are changing

“Ellicott City was put there for a reason, to take advantage of water power,” says Andrew Miller, professor of geography and environmental systems. “Therefore, nobody should be surprised that water power is a potential hazard.”

Faculty in UMBC’s geography and environmental systems (GES) department have been studying the local watershed for years. Miller has a particular interest in the role floods play in shaping stream channels and the local ecosystem. Matthew Baker studies watershed ecology and has been deeply involved with the removal of a dam just downstream from Ellicott City. Jeffrey Halverson is a regular contributor to The Washington Post, where he explains the mechanics of regional storm systems for the general public.

Miller says the dam project and flooding studies provide unique opportunities to study aspects of stream ecology, such as sediment movement, from interesting angles. “It’s very rare to have a research project that falls into your lap that’s two miles from your office,” he says, “and to have multiple research projects within two miles of your office intersect with each other is even more unusual.”

Flooding in Ellicott City is nothing new. One of the worst floods was in 1972, when Hurricane Agnes caused the Patapsco River to overflow its banks by 14.5 feet and fill the lower end of Ellicott City’s Main Street. This was a flood “from the bottom up,” explains Halverson. Most of the town’s previous flooding events have happened in a similar fashion—a massive rainfall event deluges the entire region, and the river slowly rises until it can no longer contain the water. Crucially, residents have plenty of time to evacuate in these storms.

But the 2016 and 2018 floods were different. Rather than heavy rain everywhere over an extended period, forecasters predicted potentially devastating, shorter-term rainfall at a hyper-local level in both storms. “But there was never any attempt to localize the storm down to the county or sub-county level,” wrote Halverson for Weatherwise. Why? “Our ability to do so is practically non-existent.”

As a result, when the deluges hit Ellicott City in 2016 and 2018, “people barely had time to get to the second floor of the restaurant,” Miller says.

[rara_call_to_action title=”” button_text=”Read More” button_url=”https://umbc.edu/a-timeline-of-resilience-in-flood-prone-town/” target=”_blank” button_align=”center”]A Brief History of Major Ellicott City Floods[/rara_call_to_action]

“It’s not just the rain that makes a flash flood, it’s also the terrain and the nature of the landscape,” Halverson wrote. Considering this, other changes since the 19th century come into play. Ellicott City has become a highly desirable place to live, and suburban development now sprawls in all directions from Main Street.

Development means more impervious surfaces—roads, rooftops, driveways, patios—and impervious surfaces make it harder for a landscape to absorb rainfall. So, in the 2018 flood, when the center of the storm was a bit upstream from Ellicott City, Halverson wrote, “the torrent of stormwater runoff cascaded downslope into the topographic bowl of the town, flooding it from the top down.”

The floods are “an example of effectively a small tributary watershed ‘wagging the dog,’ making the entire Patapsco River flood before the rest of the drainage area contributed,” says Baker.

In both floods, “upslope development undoubtedly made things worse,” Miller says, but isn’t fully to blame. These events “would have exceeded any kind of storm water management that you could have put in,” he says.

Because of the way heavy rainfall on a small section of the watershed can cause severe flash flood events, Baker says, “the Patapsco River is now behaving much more like an urban river…than its general land use would suggest.” Why is less clear. It could be increasing development, or it could be changes in rainfall patterns influenced by climate change. More likely, it’s a combination of both as well as other factors.

What to do?

The local government is grappling with what to do with this beloved—and sometimes deadly—section of town. They commissioned the McCormick Taylor Report to provide a menu of options that could keep the town safe in future events similar to 2016 and 2018 while keeping the town as-is. The recommendations included $35 million in immediate improvements, plus $60 to $85 million more for longer-term projects. It’s hard to imagine anyone being willing to spend that much to protect such a small parcel of property. The plans included everything from “pipe farms” underground to store storm water until it could be released more slowly, to tunneling through bedrock to create a pathway for water through town that wouldn’t disturb the street above.

In September 2018, the county government announced a plan that would involve removing up to 10 of the historic buildings to take people out of harm’s way and improve water flow for the next major flood. The public outcry was swift and powerful, and no demolition has occurred.

[rara_call_to_action title=”” button_text=”Read More” button_url=”https://umbc.edu/an-ounce-of-prevention/” target=”_blank” button_align=”center”]UMBC Experts Discuss Preventing Future Floods[/rara_call_to_action]

Most UMBC scientists prefer not to engage in local politics, but based on their work, they can inform conversations on what the county should consider as they’re making decisions. In the days immediately following both storms, Miller and Halverson were in high demand with the news media. One question that kept coming up was whether another storm of this strength could happen again, and when.

Miller is currently working on a paper using evidence to make the case that “it’s an extraordinary event, but it’s not as extraordinary as we think it is. There’s some evidence, although right now it’s not completely conclusive, that we are seeing greater frequency of large floods,” says Miller. “So you cannot assume something like this just won’t happen again.”

In its current state, “There’s not enough room for Main Street and the river—that’s why the river flows underneath,” explains Miller. “It’s a pipe dream that you can just make this problem go away.” In fact, dealing with the danger of water is a challenge that will only get worse as climate change leads to more strong storms and rising seas. “This is a microcosm of the much bigger problem that we face on a massive scale in this century,” Miller says.

As a local and a hydrologist, Baker sees both sides of the argument. “I appreciate the historic nature of the community, and I think something would be lost if they tore all those buildings down. At the same time, I can understand why any administrator would want to minimize the risk of loss of life, so that’s totally reasonable as well,” Baker says. “I don’t think there’s a real clear solution here, it’s just a value judgment that people have to decide what is most important in this situation.”

And so, the debate rages on. In the meantime, visitors continue to stroll, shop, and snack at the bright and cheery storefronts along Main Street, albeit in reduced numbers. Some establishments, however, remain shuttered, and storm damage is still visible through dirty windows. The contrast reinforces the fragility of this charming historic oasis, reminding tourists, scientists, and public administrators alike what happened here, and what could happen again.

How the community chooses to proceed is still uncertain, but one hopes the expertise of elected officials, scientists, and the public will all be brought to bear in a way that keeps people safe and allows Ellicott City—in whatever form it eventually takes—to thrive for years to come.

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Header photo by Mark Baxter @SkySightVIP

Recovery from the flooding in Ellicott City has been long and difficult, and communities have often been left with more questions than answers. UMBC Magazine sat down with experts in public policy and emergency health services for some insight into policy issues and options for flood hazard management. Included are Susan Sterett, director of the School of Public Policy, on the role of public policy in natural disasters; John Rennie Short, public policy, researcher of urban infrastructure; Ryan Miller’99, emergency health services (EHS), former director of emergency management director and deputy chief of fire and rescue for Howard County; and Matt Levy‘00, M.S. ‘08, emergency health services, medical director for EHS, and medical director of Howard County Fire and Rescue Services.

By Catalina Sofia Dansberger Duque

Could you tell us about your emergency response to the Ellicott City floods?

Levy:  Our 911 operators and dispatchers are some of the biggest heroes of the Ellicott City Floods that most people won’t know about. They were the ones managing the phone lines and keeping people calm, giving them direction about what to do and not do as flood waters were rising and people were rightfully panicking and scared.

Once our responders received notification, they went into immediate response mode, which is to rescue and to get people out of harm’s way. We train for this. Our responders will risk their lives to try to affect rescues if it is technically feasible and capable. That is not just us but firefighters, police officers, sheriff deputies, and anyone who is responsible for getting people out of harm’s way. Rescuers from the lay public also help – neighbors helping neighbors.

We have the right equipment and use a variety of strategies and tactics to affect as many rescues as possible. Our responders have flotation devices on their apparatus to safely make entry into that environment as well as boats, rigging to remove people, and aerial ladders on trucks to reach people.There are also specially trained swift water rescue teams. The immediate response is to rescue everyone with as many strategies as possible. Once the immediate rescues are done, there is an ongoing process to try to determine that everyone is accounted for.

Eventually we shift to recovery. Once those rescues are made there is a methodical process of assessing the damage to structures after water has rescinded. We look for any potential survivors or casualties and provide a degree of stabilization of those structures to minimize the chance of secondary collapse while our personnel are in them until they can be safely turned over to private contractors who take over that work. Responder work is not as iconic as the media makes it to seem but the work is very important. We continuously train for this and are always looking for improvement to prepare for whatever may come.

What was your role in rescue operations? And how do you work with local government to create policy changes?

Miller:  I have been part of three Ellicott City floods. The first one was in 2012. It was associated with Tropical Storm Lee. That is when I personally saw the hazards associated with Ellicott City and flash flooding. It was a relatively minor storm now that we have 2016 and 2018 in perspective. Tropical Storm Lee causes roadway flooding and set off a lot of planning and mitigation planning within the county. It was the predecessor to the 2016 and 2018 which were severe.

Our role in both storms was to set up the emergency operation center in Ellicott City and bring together all the county agencies toward a common response goal and lead the recovery. We also work with the State of Maryland and the Maryland Emergency Management Agency to pull in resources from outside of the region and outside the state and interact with the Federal Emergency Management Agency (FEMA) and all federal agencies that are brought in resources to assist us. After the initial response, we chart the recovery plan, which can be anywhere between six months to a year. Howard County is unique in that we had a similar disaster twice in a short period of time. Alot of our plans and systems that we created in 2016 helped in 2018.

During emergencies, the directors work side by side with the county executive who creates policy. The director then has delegated authority or direct authority to coalesce those county resources toward a response. We are appointed by the governor, so should there be a catastrophic event, the governor can then work through the 26 directors to affect statewide responses and recovery.

What is the impact of floods on local governments? And are there policies that can be implemented to help prevent flooding?

Sterett:  It is a challenge for local governments to restrict development in flood-prone zones. Even if there is a potential for risk at the national level, local governments have reasons to want people to rebuild in flood-prone zones because they depend on property taxes. It is also an issue in areas that are fire risks like in California or Arizona where people build in areas where they don’t have access to the water that they need.

We need to be aware of changes in extreme weather events and rethink the National Flood Insurance program. The insurance models need to be reevaluated so that insurance can be priced accordingly.

Building codes would make a difference, but we need to evaluate overbuilding in areas that are at tremendous risk. Local governments need to work with developers to build communities that reduce risks. However, this is not simple. Implementing accurate government maps of flood levels would decrease property values drastically and local government taxes. There is no easy answer.

We also must think of renters and how they are affected by extreme weather. Owners have a range of choices in a devastating situation, but renters are not in control of whether their home will be rebuilt. It is also important to take into account how disasters can deepen existing racial and economic inequalities.

So much of this is about land-use planning. We don’t have a big national plan, and we are not getting rid of flood insurance. Local governments can help by developing adaptation plans as climate changes and more extreme weather occurs.

Is there a model in the U.S. to look towards?

Sterett:  Many local governments have adaptation plans developed with the help of different city departments. The Rockefeller 100 Resilient Cities, a non-profit organization, brings people together to think systematically about environmental problems. They fund a resilience officer who provides support and guidance as cities recover from a disaster.

Norfolk, Virginia can also be an example even though it has a military base. The city has a committed local government that has a multipronged plan. It tries to take advantage of every opportunity to engage the community in its adaptation plan. They hold fun community celebrations like “Retain Your Rain,” to encourage rain barrel use, and bring the public into decisions on how they repave, where public housing is built, and how traffic is guided.  

It is important to approach public problems with awareness of what the problems are, a bit of hope, and a commitment to try to work on various parts. There is no quick fix. Addressing flooding across different communities is a complicated issue that depends on collaboration between governments, residents, business owners, developers, and environmentalists.

Is there a connection between flooding and global climate change?

Short:  It is impossible to discuss flooding without talking about global climate change. When you have two, one-in-a-thousand-year flood, 22 months apart, it creates a new normal. Higher frequency of extreme events like larger hurricanes, longer lasting storm seasons, and more snow make cities more vulnerable to flooding.

What is the relationship between development and long-term environmental impact?

Short:  Suburban tracks are everywhere. Acres upon acres of roads, sidewalks, strip malls, housing, and parking lots, all create an impermeable surface leaving water nowhere to go. When you have a green field and it rains two to three inches, you can get some flooding, but it can get absorbed. Cement does not absorb large amounts of water— it just runs off.

This happens because developers push the envelope, local authorities want the revenue, and politicians want the notion of growth. There is so much growth without any sense of the long-term environmental impact. Research has shown that when more impermeable surfaces are built, there is a higher risk of flooding.

Ellicott City is very vulnerable because of its location. It originally was placed there because it was needed for hydraulic power for the mill. Over time, it became more vulnerable because of increased development in the watershed and ignored infrastructural deficits, which, when paired with larger, more frequent storms, created catastrophic events.

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Read more: Learning from Ellicott City 

Read more: A Timeline of Resilience 

Header image: EHS workers respond to the scene in Ellicott City. Permission from Baltimore Sun Media. All rights reserved.

1772 ⬗ Since its founding in 1772, Ellicott City “has come in for an inordinate amount of disasters from floods, fires and railroad wrecks,” wrote Fred Rasmussen in The Baltimore Sun in 2012.

1868 ⬗ Known as the Great Flood, in 1868 the Patapsco rose more than 20 feet and 43 people were killed. “The sufferers by the flood are very numerous,” The Sun reported on July 27, 1868. Floods would come again in 1901, 1917, 1923, 1942, and 1952.

1972 ⬗ The next most memorable event was Hurricane Agnes in 1972. The Patapsco river flowed 14.5 feet above its banks. It took out a concrete bridge and destroyed the Jonathan Ellicott home and the 1910 Victor Blode water filtration plant. Eloise (1975), Hugo (1989), and Lee (2011) were other vicious storms of note.

1984 ⬗ From an editorial in The Sun from 1984 about Ellicott’s City’s resilience: “The town’s special charm lies in wear-and-tear, in improvisation over the decades, in workaday flavor more comparable to what might be found in a none too prosperous Old World community.”

2016 ⬗ Water again rushed down Main Street on July 30, 2016. The flash flood coursed through many historic buildings, washing away the town’s iconic clock, and ultimately killing two.

2017 ⬗ Originally donated in 2000 by the Ellicott City Kiwanis Club, the restored clock was put back in place in 2017.

2018 ⬗ Less than two years later, on May 27, 2018, disaster struck again, days before the town’s new flood emergency alert system was to become operational. Homes and businesses were again destroyed, the newly erected clock disappeared, and a National Guardsman lost his life trying to rescue others.

In June and July 2018, the post and the face of the clock were found again, damaged in the Patapsco.

On July 20, 2018, Main Street was opened to cars and pedestrians and some shops reopened, although most continue to deal with the flood fallout.

Howard County Executive Calvin Ball revealed the second phase of the Ellicott City Safe and Sound plan in December 2018.

2019 ⬗ After considering community feedback, Ball announced his decision on May 13, 2019, to move forward with “3G.7.0,” a five-year, $140 million option to tear down four buildings—Phoenix Emporium, Discoveries, Bean Hollow, and Great Panes Art Glass Studio—and build a tunnel to carry future flood waters away.  

2020 ⬗ The 2020 state capital budget includes $3.4 million in funds for Ellicott City’s Safe and Sound plan and a minimum of $8 million investment is planned over the next three years.

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Read More:  Learning from Ellicott City

Read More:  An Ounce of Prevention

Header image by Sun photographer Frank A. Miller.