Impacts of Recent Federal and State Actions on Natural Disaster Preparedness and Response on Health – KFF

Impacts of Recent Federal and State Actions on Natural Disaster Preparedness and Response on Health – KFF

 

Report on the Impacts of Natural Disasters and Policy Actions on Sustainable Development Goals

Introduction: The Escalating Climate Crisis and its Threat to Sustainable Development

The increasing frequency and intensity of extreme weather events, driven by climate change, present a significant threat to the achievement of the Sustainable Development Goals (SDGs). This trend directly contravenes the objectives of SDG 13 (Climate Action). Recent catastrophic events, including hurricanes, wildfires, tornadoes, and flash floods, have resulted in substantial loss of life and economic damage, causing setbacks for SDG 3 (Good Health and Well-being), SDG 1 (No Poverty), and SDG 11 (Sustainable Cities and Communities). The economic impact is projected to reach $14.5 trillion in the U.S. over the next 50 years if unaddressed, severely undermining progress toward SDG 8 (Decent Work and Economic Growth).

Disproportionate Impacts and the Setback to SDG 10 (Reduced Inequalities)

Vulnerable Populations at Increased Risk

Structural inequities exacerbate the impacts of natural disasters, disproportionately affecting low-income communities, people of color, and other historically underserved groups, thereby undermining SDG 10 (Reduced Inequalities). These communities face heightened risks and diminished capacity to prepare and recover due to several factors:

  • Historical Residential Segregation: Policies such as redlining have concentrated people of color in neighborhoods with inferior infrastructure, increasing their vulnerability and hampering their ability to shelter safely.
  • Economic Barriers: Low-income families face significant financial challenges in evacuating, with costs often running into thousands of dollars.
  • Access and Language Barriers: Immigrant communities may not receive timely warnings or recovery assistance due to language barriers and immigration-related fears.
  • Rural Community Challenges: Rural areas contend with physical isolation, high poverty rates, and limited access to healthcare and financial resources, complicating disaster response.

Inequitable Recovery and Institutional Failures

Federal disaster management and recovery efforts exhibit significant gaps, often failing to distribute aid equitably. This systemic issue contravenes the principles of SDG 16 (Peace, Justice and Strong Institutions). Research indicates that wealthier and White communities are more likely to benefit from recovery efforts than communities of color. For instance, during the 2025 Los Angeles County wildfires, fewer fire trucks were deployed to West Altadena, a historically Black neighborhood that suffered the greatest loss of life.

Health and Infrastructure Under Siege: Challenges to SDG 3, SDG 9, and SDG 11

Immediate and Long-Term Health Consequences (SDG 3)

Natural disasters have severe and lasting impacts on public health, directly challenging the targets of SDG 3 (Good Health and Well-being).

  • Direct Health Impacts: Immediate consequences include loss of life and physical injuries.
  • Disruption of Essential Services: Damage to infrastructure compromises emergency response, limits access to basic needs like clean water and food, and disrupts access to healthcare and essential medications. This is particularly critical for individuals with chronic conditions requiring continuous treatment.
  • Environmental Health Risks: The impacts extend beyond the immediate disaster zone. Smoke from wildfires, for example, worsens air quality for millions, leading to increased emergency room visits for asthma and contributing to chronic health risks, undermining SDG 3.9 (reduce deaths from pollution).
  • Mental Health and Long-Term Stress: The psychological trauma of disasters persists for years. A decade after Hurricane Katrina, residents still reported lingering stress and mental health problems.

Infrastructure Vulnerability and Community Resilience (SDG 9 & SDG 11)

The resilience of communities and infrastructure is a core component of SDG 9 (Industry, Innovation and Infrastructure) and SDG 11 (Sustainable Cities and Communities). Natural disasters expose critical vulnerabilities, as seen with the 170 U.S. hospitals at risk of severe flooding, which jeopardizes care delivery during crises. The failure to rebuild equitably and create resilient systems prevents the realization of sustainable and safe communities for all.

Federal Policy Landscape and Implications for the SDGs

Previous Administrative Efforts Aligned with SDG Principles

Prior administrations implemented policies that strengthened the nation’s capacity for disaster preparedness, aligning with SDG principles. These efforts focused on building robust institutions (SDG 16) and fostering resilience (SDG 11 and SDG 13). Key initiatives included the Post-Katrina Emergency Management Reform Act, the Infrastructure Investment and Jobs Act, the Inflation Reduction Act, and programs like Building Resilience Infrastructure and Communities (BRIC) and Hazard Mitigation Assistance (HMA), which directed funds toward pre-disaster mitigation, especially in underserved communities.

Recent Policy Reversals and Their Negative Impact on Sustainable Development

The current Trump administration has initiated policy shifts that reverse progress and actively undermine multiple SDGs.

  • Funding and Program Cuts: The cancellation of $1.7 billion in grants for extreme weather preparedness and the suspension of the BRIC and HMA programs directly impede climate adaptation efforts central to SDG 13 and infrastructure resilience under SDG 9 and SDG 11.
  • Weakened Institutional Capacity: Significant staff and budget cuts at FEMA and the National Oceanic and Atmospheric Administration (NOAA) diminish the government’s ability to coordinate response, provide severe weather forecasting, and maintain early warning systems, weakening institutions (SDG 16) and hindering progress on SDG 13.3 (improve education and awareness on climate change mitigation).
  • Erosion of Data and Science: The cessation of updates to the Billion-Dollar Weather and Climate Disasters database removes a critical tool for evidence-based policymaking, contrary to the data-driven approach of SDG 17.18. The elimination of the U.S. Global Change Research Program further erodes the scientific foundation for climate action.
  • Deregulation and Environmental Justice Rollbacks: Cutbacks at the Environmental Protection Agency (EPA), including the proposal to rescind the 2009 Endangerment Finding, threaten to dismantle regulations that limit greenhouse gas emissions. The elimination of federal environmental justice initiatives directly harms efforts to achieve SDG 10 by addressing disproportionate environmental burdens.

State-Level Responses and Localized Efforts to Achieve the SDGs

Proactive State Legislation for Climate Resilience

In response to increasing climate threats and shifting federal priorities, several states have enacted legislation to advance disaster preparedness and resilience, demonstrating localized commitment to SDG 11 and SDG 13. States such as New Jersey, South Carolina, and Colorado have implemented policies requiring climate vulnerability assessments in land-use planning and have established dedicated offices, like Colorado’s Office of Climate Preparedness, to coordinate statewide resilience strategies, thereby strengthening local institutions as per SDG 16.

Integrating Equity into State Disaster Policy (SDG 10)

Some states are embedding equity into their climate policies to protect marginalized populations, a key objective of SDG 10.

  1. Washington: The state’s Greenhouse Gas Emissions-Cap and Invest Program uses an environmental justice assessment to ensure funds benefit overburdened communities.
  2. Colorado: The state has directed funds to improve language access in its emergency warning systems to better serve non-English speaking communities.
  3. Hawaii: A recovery fund was established for Native Hawaiians impacted by natural disasters.

Persistent Challenges in Equitable Implementation

Despite these positive state-level actions, significant challenges remain in ensuring equitable recovery. The aftermath of the 2023 Lahaina fire in Hawaii highlights these difficulties. Even with a dedicated fund, Native Hawaiian survivors have faced immense hurdles in accessing aid, rebuilding homes, and remaining on their ancestral lands due to rising costs and changes in federal assistance. This underscores the persistent difficulty in fully achieving SDG 1.5 (build the resilience of the poor and those in vulnerable situations) and ensuring that no one is left behind.

Analysis of Sustainable Development Goals in the Article

1. Which SDGs are addressed or connected to the issues highlighted in the article?

  • SDG 1: No Poverty

    The article connects to SDG 1 by highlighting how natural disasters disproportionately affect low-income communities. It mentions that these communities are often on the front lines, face financial challenges that make it harder to evacuate, and that recovery efforts are not always distributed equitably. The text states, “financial challenges make it harder for low income families to evacuate,” directly linking poverty to increased vulnerability.

  • SDG 3: Good Health and Well-being

    This is a central theme. The article details the immediate and long-term health impacts of natural disasters, including “loss of life and injury,” disruption of access to healthcare and medications, and negative effects on mental health. It provides specific examples, such as an increase in emergency room visits for asthma due to wildfire smoke and persistent excess mortality years after hurricanes.

  • SDG 10: Reduced Inequalities

    The article extensively discusses how disaster impacts are exacerbated by “underlying structural inequities.” It repeatedly points out that “low-income communities, people of color, and other historically underserved groups are at increased risk.” It cites historical residential segregation (redlining) and language barriers for immigrants as factors that deepen disparities in preparedness, impact, and recovery, such as when “fewer fire trucks were deployed to west Altadena, a historically Black neighborhood” during the L.A. wildfires.

  • SDG 11: Sustainable Cities and Communities

    SDG 11 is addressed through the discussion of infrastructure, housing, and community resilience. The article mentions the displacement of over one million people by Hurricane Katrina, damage to infrastructure that compromises emergency response, and the risk of flooding to 170 hospitals. It also covers actions to build resilience, such as states requiring “resiliency clauses or climate change-related hazard vulnerability assessments” in land-use agreements and programs for “rebuilding homes, businesses, and infrastructure after disasters.”

  • SDG 13: Climate Action

    The entire article is framed around the consequences of climate change, stating that “extreme weather events have increased in both intensity and frequency due to climate change.” It discusses federal and state actions aimed at climate adaptation and mitigation, such as the “National Climate Resilience Framework,” investments in resilient infrastructure, and the establishment of greenhouse gas emission standards. The reversal of these policies, like rescinding the 2009 Endangerment Finding, is presented as a direct setback to climate action.

  • SDG 16: Peace, Justice and Strong Institutions

    The role of institutions is a key focus. The article analyzes the actions of federal agencies like FEMA, EPA, and NOAA, and how changes in administration policy affect their capacity for disaster preparedness and response. It mentions the overhaul of FEMA after Hurricane Katrina to make it more effective and the subsequent weakening of these agencies through budget cuts and policy reversals. The mention of “more than two dozen local jurisdictions sued the federal government” also points to issues of governance and institutional accountability.

2. What specific targets under those SDGs can be identified based on the article’s content?

  1. Target 1.5: By 2030, build the resilience of the poor and those in vulnerable situations and reduce their exposure and vulnerability to climate-related extreme events and other economic, social and environmental shocks and disasters.

    The article directly addresses this by focusing on how “low income communities and communities of color are often on the front lines of natural disasters” and face greater challenges in evacuation and recovery. State-level actions, such as Hawaii’s recovery fund for Native Hawaiians and Washington’s environmental justice assessments, are examples of efforts to build resilience for vulnerable populations.

  2. Target 3.d: Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks.

    This target is relevant through the discussion of health risks from disasters and the systems designed to manage them. The article highlights the importance of early warning systems by noting that budget cuts to NOAA “are expected to hinder severe weather forecasting and early warning systems.” It also discusses the disruption of healthcare services and compromised emergency response efforts, which are central to managing health risks during disasters.

  3. Target 10.2: By 2030, empower and promote the social, economic and political inclusion of all, irrespective of age, sex, disability, race, ethnicity, origin, religion or economic or other status.

    The article identifies the exclusion of marginalized groups in disaster response. It notes that recovery efforts are “not always distributed equitably, with research finding wealthier and White communities more likely to benefit.” State policies that use an “environmental justice assessment to ensure that funds and programs provide benefits to and reduce disparities faced by overburdened communities” are direct attempts to address this target.

  4. Target 11.5: By 2030, significantly reduce the number of deaths and the number of people affected and substantially decrease the direct economic losses…caused by disasters…with a focus on protecting the poor and people in vulnerable situations.

    The article provides concrete data related to this target, citing the death tolls from Hurricane Katrina (nearly 2,000), L.A. wildfires (over 30), and Texas floods (over 100). It also quantifies economic losses, stating that climate-related disasters could cost the U.S. economy “$14.5 trillion over the next fifty years.”

  5. Target 11.b: By 2020, substantially increase the number of cities and human settlements adopting and implementing integrated policies and plans towards inclusion, resource efficiency, mitigation and adaptation to climate change, disaster risk reduction…

    This is demonstrated by the mention of specific state-level policies. For example, Colorado’s establishment of the “Office of Climate Preparedness to coordinate disaster recovery and develop a statewide climate roadmap” and New Jersey and South Carolina enacting bills that require land-use agreements to include resiliency clauses are clear examples of implementing integrated plans for disaster risk reduction.

  6. Target 13.1: Strengthen resilience and adaptive capacity to climate-related hazards and natural disasters in all countries.

    This is a core theme. The article discusses federal programs like BRIC and HMA, which “funded flood control, wildfire mitigation, and infrastructure resilience projects.” The Biden administration’s “National Climate Resilience Framework” and investments in resilient energy grids are also direct efforts to strengthen adaptive capacity.

  7. Target 16.6: Develop effective, accountable and transparent institutions at all levels.

    The article’s analysis of FEMA’s evolution, from its post-Katrina overhaul to recent staff reductions and program suspensions, directly relates to institutional effectiveness. The discussion of lawsuits filed against the federal government over the withholding of disaster funds also speaks to the need for accountable and transparent governance in disaster management.

3. Are there any indicators mentioned or implied in the article that can be used to measure progress towards the identified targets?

Yes, the article mentions or implies several indicators:

  • Indicator 1.5.1 / 11.5.1 / 13.1.1 (Number of deaths, missing persons and directly affected persons attributed to disasters): The article provides specific numbers that align with this indicator.
    • Deaths: “nearly 2,000 people” from Hurricane Katrina; “over 30 people” from Los Angeles County wildfires; “at least 25 people” from tornadoes in Kentucky, Missouri, and Virginia; “over 100 people” from Texas floods.
    • Affected persons: “displacement of over one million” from Hurricane Katrina; “more than 60 million people in the U.S.” affected by smoke from Canadian wildfires.
  • Indicator 11.5.2 (Direct economic loss attributed to disasters): The article explicitly quantifies economic impacts.
    • It estimates that “climate change related natural disasters could cost the U.S. economy approximately $14.5 trillion over the next fifty years.”
    • It mentions the “Billion-Dollar Weather and Climate Disasters database,” a tool specifically designed to track this indicator, and notes that the Trump administration stopped updating it.
  • Indicator 13.1.2 (Number of countries that have national and local disaster risk reduction strategies): The article describes such strategies at both federal and state levels.
    • National Strategies: It mentions the “National Climate Resilience Framework” and the “Post-Katrina Emergency Management Reform Act of 2006.”
    • Local/State Strategies: It details how states like Colorado (“Office of Climate Preparedness”), New Jersey, and South Carolina have passed legislation and created programs focused on disaster preparedness and resilience.
  • Indicator 3.d.1 (International Health Regulations (IHR) capacity and health emergency preparedness): While not mentioning the IHR directly, the article implies this indicator by discussing the nation’s capacity to handle health emergencies.
    • It points to weaknesses in preparedness, noting that “170 hospitals in the U.S. are at risk of severe flooding, potentially jeopardizing access to care.”
    • It discusses the importance of early warning systems (NOAA) and emergency response efforts, the disruption of which indicates a change in capacity.

4. Table of SDGs, Targets, and Indicators

SDGs Targets Indicators
SDG 1: No Poverty 1.5: Build the resilience of the poor and reduce their vulnerability to climate-related extreme events. 1.5.1: Number of deaths and directly affected persons attributed to disasters (The article notes disproportionate impacts on low-income communities).
SDG 3: Good Health and Well-being 3.d: Strengthen capacity for early warning, risk reduction, and management of health risks. 3.d.1: Health emergency preparedness capacity (Implied by discussion of hospital vulnerability to flooding, disrupted healthcare access, and cuts to early warning systems).
SDG 10: Reduced Inequalities 10.2: Empower and promote the social, economic, and political inclusion of all. (Implied) Existence of policies promoting inclusion, such as Washington’s use of an “environmental justice assessment” and Colorado’s efforts to improve language access in warning systems.
SDG 11: Sustainable Cities and Communities 11.5: Significantly reduce deaths, number of people affected, and economic losses from disasters. 11.5.1: Number of deaths and affected persons (e.g., “nearly 2,000” deaths in Katrina, “over one million” displaced).
11.5.2: Direct economic loss (e.g., “$14.5 trillion” potential cost over 50 years; mention of the “Billion-Dollar Weather and Climate Disasters database”).
11.b: Increase the number of cities implementing integrated policies for climate change adaptation and disaster risk reduction. (Implied) Number of local governments with disaster risk reduction strategies (e.g., Colorado, New Jersey, South Carolina enacting relevant legislation).
SDG 13: Climate Action 13.1: Strengthen resilience and adaptive capacity to climate-related hazards. 13.1.1: Number of deaths and affected persons attributed to disasters.
13.1.2: Number of countries with national and local disaster risk reduction strategies (e.g., “National Climate Resilience Framework”).
13.3: Improve education, awareness-raising and human and institutional capacity on climate change. (Implied) The article discusses the elimination of the “U.S. Global Change Research Program” and the firing of scientists from the “National Climate Assessment,” indicating a reduction in institutional capacity and data for awareness.
SDG 16: Peace, Justice and Strong Institutions 16.6: Develop effective, accountable and transparent institutions at all levels. (Implied) The article discusses the effectiveness of institutions like FEMA, EPA, and NOAA, and challenges to their accountability through lawsuits and policy reversals.

Source: kff.org