A flood does not end when the water recedes. The next days and weeks are when many of the most serious health impacts show up, from carbon monoxide mistakes and injuries during cleanup to mold exposure, contaminated water contact, and real mental strain. This guide breaks down what to watch for, what to do first, and how to reduce risk without panic.
The most common harm after flooding comes from a handful of predictable pathways: dirty water contact, mold and indoor air, injuries during cleanup, carbon monoxide from generators, and stress that lingers.
| Health impact category | What causes it after floods |
|---|---|
| Injuries and wound infections | Sharp debris, nails, unstable structures, and dirty water exposure to cuts. |
| Carbon monoxide poisoning | Generator use in or too close to homes, garages, or open windows and vents. |
| Respiratory irritation and asthma flares | Mold growth, damp building materials, disturbed dust, and contaminated cleanup debris. |
| Stomach and intestinal illness | Contaminated water, poor hand hygiene during cleanup, unsafe food after power loss. |
| Skin rashes and eye irritation | Dirty water contact, cleaning chemicals, and prolonged wet clothing or boots. |
| Vector and pest issues | Standing water can increase mosquitoes, and displaced rodents can increase exposure to urine-contaminated areas. |
| Mental health strain | Displacement, loss, insomnia, paperwork overload, and ongoing uncertainty. |
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Carbon monoxide after outages
One of the fastest ways flooding events turn deadly is generator misuse.
- Headache, dizziness, weakness, nausea, confusion.
- Multiple people feeling sick at the same time in the same house.
- Symptoms improve when you go outside.
- Never run generators in homes, garages, basements, or near open windows, doors, or vents.
- Place portable generators outside and away from the home. Use carbon monoxide alarms if you have them.
- If anyone has symptoms, get fresh air immediately and seek medical help.
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Cleanup injuries, cuts, and wound infections
Most post-flood injuries happen during hauling, tearing out wet materials, and navigating debris.
- Water-laden materials are heavier than they look.
- Nails, broken glass, and unstable flooring.
- Electrical hazards around wet outlets and appliances.
- Wear gloves, sturdy boots, and eye protection for debris and cleaning splash.
- If you have an open wound, avoid floodwater contact when possible. Clean wounds with soap and clean water.
- Seek care if a wound shows increasing redness, swelling, warmth, pus, or fever.
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Dirty water exposure and stomach illness
Even mild exposure can matter if you touch your face or eat without cleaning up first.
- Floodwater can mix with sewage, chemicals, and animal waste.
- Contaminated surfaces in kitchens and bathrooms after water recedes.
- Unsafe drinking water or well contamination.
- Wash hands with soap and clean water after cleanup and before eating.
- Keep kids and pets out of contaminated areas until cleaned.
- Follow local boil-water advisories and well-disinfection guidance if applicable.
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Leptospirosis and other flood-associated infections
Risk can rise after floods when people wade through contaminated water or mud.
- Leptospirosis spreads via urine from infected animals and can contaminate water and soil.
- Risk increases when people wade through floodwater, especially with cuts or abrasions.
- Use waterproof boots and gloves when possible.
- Cover cuts, clean skin after exposure, and change out of wet clothes quickly.
- Seek medical advice if you develop fever, severe headache, muscle aches, yellowing of eyes or skin, or worsening symptoms after exposure.
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Mold and indoor air problems
Musty odor and hidden dampness can turn into respiratory symptoms and prolonged remediation costs.
- Mold can grow when materials stay wet. The longer it stays wet, the more likely growth becomes.
- People with asthma, COPD, or immune suppression are more likely to have problems.
- Wear at least an N95 respirator, eye protection, and gloves when removing moldy materials.
- Scrub mold off hard surfaces with detergent and water, then dry completely.
- Porous materials (like carpet or ceiling tiles) may need removal if they cannot be cleaned and dried fully.
- Large areas of mold, strong persistent odors, or when vulnerable people live in the home.
- When moisture is trapped behind walls, under floors, or in insulation.
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Chemical and irritant exposures during cleanup
The combination of flood residue and strong cleaners can irritate lungs, skin, and eyes.
- Cleaning products used in enclosed spaces with poor ventilation.
- Flood residue from garages, workshops, stored chemicals, or fuel containers.
- Dust from tearing out drywall and insulation.
- Ventilate as much as possible and take breaks outside.
- Never mix cleaners unless the label explicitly says it is safe.
- Wear eye protection and gloves when using disinfectants.
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Mosquitoes, rodents, and pests after flooding
Standing water and displaced animals change exposure patterns.
- Drain standing water where possible and clear clogged gutters and containers.
- Use repellant and protective clothing if mosquitoes surge.
- Clean and disinfect areas with rodent droppings using safe methods and protective gear.
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Mental health impacts: stress, sleep, and trauma reactions
Flood recovery is a long task list with emotional weight. It is normal to feel overwhelmed.
- Insomnia, irritability, trouble concentrating, or feeling numb.
- Increased alcohol use or “short fuse” conflicts that feel out of character.
- Kids regressing, clinginess, stomach aches, or behavior changes.
- Create a daily recovery rhythm: one paperwork block, one cleanup block, one rest block.
- Limit doom-scrolling. Get updates once or twice a day, then stop.
- If distress feels unmanageable, crisis support is available 24/7 in the U.S. via the Disaster Distress Helpline.
| If you notice | Do this next |
|---|---|
| Headache, dizziness, nausea during an outage | Get outside for fresh air immediately. Consider carbon monoxide risk, especially if a generator is running. Seek medical evaluation if symptoms persist or are severe. |
| Wound redness, swelling, warmth, pus, fever | Clean with soap and clean water, cover, and seek medical care. Wound infections can worsen quickly after dirty-water exposure. |
| Persistent cough, wheeze, chest tightness | Reduce exposure to dust and mold. Use protective gear during cleanup. Contact a clinician, especially if asthma or COPD is present. |
| Vomiting or diarrhea after cleanup | Hydrate and avoid dehydration. Consider contaminated exposure and contact a clinician if severe, bloody, or persistent. |
| Severe fatigue, fever, muscle aches after wading | Seek medical advice and mention floodwater exposure. Some infections can rise after floods and need early treatment. |
| Sleep collapse, panic, “can’t function” feeling | Reach out for support. Crisis counseling is available 24/7 in the U.S. via SAMHSA DDH, and 988 is available for immediate crisis support. |
- N95 respirators, gloves, eye protection
- Soap, clean water access, hand sanitizer for times you cannot wash
- Waterproof bandages, basic first aid, and a way to document wounds and symptoms
- Headlamp or flashlight for safe movement, plus extra batteries
- Trash bags and heavy-duty contractor bags for wet porous materials
- A plan for ventilation and dry-out (fans, dehumidification strategy, breaks outside)
Flood recovery is a health project as much as a repair project. The safest approach is to reduce exposure routes early, especially carbon monoxide risks during outages, contaminated water contact, and mold and dust during cleanup, while also taking the mental strain seriously and using support resources when needed.

