As a family physician in Soldiers Grove, Wisconsin, Joel Charles, medical director at the Kickapoo Valley Medical Clinic, has seen more than his share of flooding – and the toll it takes on his patients’ mental and physical health.

In Eau Claire, Pam Guthman, a Wisconsin farm girl now assistant professor of Nursing and Health Sciences at the University of Wisconsin-Eau Claire, has watched patients and family struggle with asthma and air hunger in the face of pollution. She sees how flooding, heat and “rain bombs” affect farming and leave farmers in crisis.