. . . Personally I would think that situations that lead to people peeing in public are public health issues that need to be reported to the proper authorities in the Maryland state department of health . . .
Granted, that poor woman must have been mortified, but she was in an extraordinary (and embarrassing) situation that's not as much about public health as it is about another US operational breakdown.
Ride a subway or walk the streets in any big American city and there's tons of folks pissing all over the place. If they do so in front of the mayor's house then it becomes a public health issue. Otherwise, it's just another day in America.
Barry