The 19th century experiences of Yellow Fever epidemics in New Orleans and Norfolk present historical parallels for how those cities, and others, are experiencing existential threats from climate change and sea level rise in the 21st century. In particular, the 19th century "Sanitary Reform" movement can be interpreted as a model for challenges facing 21st century "Climate Resilience" initiatives, including denialism and political obfuscation of scientific debates as well as tensions between

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... t-term profit and the cost of long-term infrastructure investments and between individualism and communitarianism. The history of Sanitary Reform suggests that, at least in the U.S., Climate Resilience initiatives will advance largely on a regional basis through extended local debates around these and other challenges until resilient infrastructure and practices are taken for granted much as sanitary waterworks and sewers are today.