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Most studies in the disasters literature have relied on convenience sampling and ‘after only’ designs to assess impacts, which are limitations this paper addresses. Focused on Hurricane Harvey and leveraging a pre-/post-event sample of Greater Houston households (n=71), this paper establishes baselines for disaster preparedness and home structure flood hazard mitigation; reports on household-level impacts; and examines how preparedness and mitigation relate to post-Harvey health effects, event exposures, and recovery. 70-80% of households took preparedness measures. Mitigation actions varied with 6% having interior drainage systems and 83% having elevated indoor heating/cooling components. 60% reported home damage. Half reported allergies and two-thirds indicated some level of post-traumatic stress. Three-quarters worried about family members/friends. Results from generalized linear models revealed that greater pre-event mitigation was associated with fewer physical health problems and adverse experiences, lower post-traumatic stress, and faster recovery. The pre-/post-design allowed us to discern broad benefits of home structure flood hazard mitigation on post-Harvey experiences.