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Abstract Untreated sewage discharges leading to environmental contamination are increasingly common in communities across the globe. The cause of these discharges ranges from sewer lines in disrepair, blockages, and in the era of more extreme wet weather events, the infiltration of stormwater into the system during heavy downpours. Regardless of the driver of these events, the aftermath results in raw sewage spilling into local waterways, city streets, and commercial and residential structures. Historical research in public health has thoroughly documented the connection between exposure to untreated sewage and waterborne disease. Recent research has detected antibiotic-resistant bacteria at wastewater treatment facilities at a time when deaths by antibiotic-resistant infections are on the rise. However, no research has explored the exposure pathways of antibiotic-resistant bacteria during sanitary sewer overflows and household-level sewage backups. In this commentary, we aim to introduce this new frontier of environmental health risks and disasters. To do this, we describe the history of modern sanitation and sewer infrastructure with a particular focus on wastewater infrastructure in the U.S. We also explore emerging risks and current methods for identifying antibiotic-resistant bacteria in the environment. We end with future directions for interdisciplinary scholarship at the nexus of urban planning, engineering, and public health by introducing the Water Emergency Team (WET) Project. WET is a community-based multi-method effort to identify environmental risks in the aftermath of household backups through (1) residential surveys, (2) indoor visual inspections, (3) environmental sampling, and (4) laboratory processing and reporting. Our hope is that by introducing this comprehensive approach to environmental risks analysis, other scholars will join us in this effort and ultimately towards addressing this grand challenge of our time. 

Abstract This study explores the outcomes and impacts of sanitary sewer overflows (SSOs) and basement backups in underserved communities in Baltimore, Maryland. The larger effort is an environmental and community-driven mixed-methods project, however, the research in this manuscript focuses on the household survey portion with residents who have experienced SSOs or sewage backups. Based on the snowball sampling method applied, the resulting residents engaged are predominantly African-American individuals, females, homeowners, and residents between the ages of 50 and 69. Strikingly, 70% of respondents reported that their frequency of SSOs is between moderate to frequent. The findings reveal that SSOs are a pervasive issue affecting residents’ physical and mental health and overall quality of life. Despite residents’ perceptions that their household infrastructure is in good condition, the recurring nature of SSOs highlights systemic problems within the city’s aging sewer systems, urging a deeper understanding of the social and structural vulnerabilities involved. This research calls attention to the importance of comprehensive interventions, including effective risk communication strategies and substantial investment in infrastructure rehabilitation, to mitigate the risks posed by SSOs and promote long-term resilience in urban environments. Additionally, it emphasizes the importance of community-driven research in addressing engineering, urban planning, and public health challenges with particular support for the most affected populations. 

Urban stormwater management is increasingly a challenge due to land use change, aging infrastructure, and climate‐driven precipitation variability. Likewise, maintaining regulatory compliance for stormwater permits is becoming more difficult. This study develops and deploys stormwater sensors using an Internet of Things‐based monitoring framework on the University of Maryland campus, a spatially compact but land use diverse testbed, designed to support both compliance and adaptive planning. Across three campus outfalls for stormwater quantity and quality data collection, the study investigates how hyperlocal precipitation and catchment characteristics affect stormwater flow and identifies key patterns in stormwater flow and quality through continuous monitoring. Findings reveal correlations between runoff behaviors and catchment characteristics (i.e., imperviousness) and highlight site‐specific associations between runoff flow and water quality indicators (pH, turbidity, conductivity, and dissolved oxygen). These associations can be leveraged as indicators of flood and pollution risk for management and planning purposes. This study also explores the role of campus stakeholders in guiding a “smart” system design, deployment, and big data use and outlines adaptive and preventive strategies for mitigating field deployment challenges and optimizing system performance that is a practical, compliance‐oriented model for smart stormwater monitoring in complex urban settings at various scales. 

Abstract Rapid urbanization and escalating climate change impacts have heightened stormwater-related concerns (e.g., pluvial flooding) in cities. Understanding catchment dynamics and characteristics, including precise catchment mapping, is essential to accurate surface water monitoring and management. Traditionally, topography is the primary data set used to model surface water flow dynamics in undisturbed natural landscapes. However, urban systems also contain stormwater drainage infrastructure, which can alter catchment boundaries and runoff behavior. Acknowledging both natural and built environmental influences, this study introduces three GIS-based approaches to enhance urban catchment mapping: (1) Modifying DEM elevations at inlet locations; (2) Adjusting DEM elevations along pipeline paths; (3) Applying the QGRASS plug-in to systematically incorporate infrastructure data. Our evaluation using the geographical Friedman test (p > 0.05) and Dice Similarity Coefficient (DSC = 0.80) confirms the statistical and spatial consistency among the studying methods. Coupled with onsite flow direction validation, these results support the feasibility and reliability of integrating elements of nature and built infrastructure in urban catchment mapping. The refined mapping approaches explored in this study offer improved and more accurate and efficient urban drainage catchment zoning, beyond using elevation and topographic data alone. Likewise, these methods bolster predictive stormwater management at catchment scales, ultimately strengthening urban stormwater and flooding resilience. 

In 2021, Environmental Science & Technology convened an ACS Global Webinara on green stormwater infrastructure (GSI) as a tool for environmental justice. Since then, we researchers have continued to discuss advancing GSI science, practice, and priorities. The U.S. Environmental Protection Agency (1) describes green infrastructure as “the range of measures that use plant or soil systems, permeable pavement or other permeable surfaces or substrates, stormwater harvest and reuse, or landscaping to store, infiltrate, or evapotranspirate stormwater and reduce flows to sewer systems or to surface waters.” GSI systems use a variety of names both within the United States and worldwide (e.g., low-impact development, sponge cities, water sensitive cities) and encompasses concepts from physical stormwater design/management practices to sustainable urban planning and urban ecology. (2,3) GSI and, more broadly, other nature-based solutions offer possibilities for improving urban hydrologic function and water quality while providing multiple co-benefits; (4) however, we contend the most important benefit is as a tool to advance environmental justice (EJ). Indeed, if these benefits lack intentionality in process and placement to repair past harms, we miss the greatest opportunity of all. Here we present summarized thoughts concerning strengths, weaknesses and threats, and opportunities for GSI (Figure 1).