Areas impacted by last month’s “bomb cyclone” may be in for even more snowfall and flooding this week. The substantial snowfall is expected to sweep through the Plains States and Upper Midwest starting Wednesday. Some forecasters predict the storm system could add up to more than 30 inches of snow, with runoff potentially causing more flooding.

Nebraska, South Dakota, Minnesota, Wisconsin and other states could see prolonged snowfall, and the broader region still has substantial flood damage from earlier this year, when rivers crested in multiple states.

“This is shaping up to be a potentially unprecedented flood season, with more than 200 million people at risk for flooding in their communities,” said Ed Clark, director of NOAA’s National Water Center, in a statement last month.

The organization stated that almost two-thirds of the the Lower 48 states face an elevated risk for flooding through May, with the potential for major or moderate flooding in 25 states.

Direct Relief has been working with health facilities impacted by the flooding across the Midwest, including the Good Neighbor Community Health Center, based in Columbus, Nebraska, which also operates a site in Fremont, which was badly impacted by flooding.

Direct Relief is in communication with healthcare facilities that may be impacted by further flooding, including in Missouri, and is ready to to provide assistance if requested.