Health Impact of Hurricanes Irma and Maria on St Thomas and St John, US Virgin Islands, 2017–2018.
Objectives. To assess the health impact of Hurricane Irma and Hurricane Maria on St Thomas, US Virgin Islands. Methods. We collected data from interviews conducted 6 and 9 months after the hurricanes, a review of 597 randomly selected emergency department (ED) encounters, and administrative records...
| Publicado en: | American Journal of Public Health Vol. 109; no. 12; pp. 1725 - 1733 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
American Public Health Association
Dec2019
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=139529079&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 139529079 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Dec2019 vid: 109 iid: 12 pid: 44 pub: American Public Health Association artinfo: ui: 139529079 10.2105/AJPH.2019.305310 ppf: 1725 ppct: 8 formats: tig: atl: Health Impact of Hurricanes Irma and Maria on St Thomas and St John, US Virgin Islands, 2017–2018. aug: au: Chowdhury, Muhammad Abdul Baker Fiore, Andrew J. Cohen, Scott A. Wheatley, Clayton Wheatley, Barnard Balakrishnan, Meenakshi Puthucode Chami, Michael Scieszka, Laura Drabin, Matthew Roberts, Kelsey A. Toben, Alexandra C. Tyndall, J. Adrian Grattan, Lynn M. Morris, J. Glenn su: Saint Thomas (United States Virgin Islands) Saint John (United States Virgin Islands) Atlantic Ocean Region Public health Hurricanes Emergency medical services Hurricane Irma, 2017 Hurricane Maria, 2017 Hospital patients sug: subj: Public health Hurricanes Emergency medical services Saint Thomas (United States Virgin Islands) Saint John (United States Virgin Islands) Atlantic Ocean Region Emergency and Other Relief Services Municipal police services Health and Welfare Funds Hurricane Irma, 2017 Hurricane Maria, 2017 Hospital patients ab: Objectives. To assess the health impact of Hurricane Irma and Hurricane Maria on St Thomas, US Virgin Islands. Methods. We collected data from interviews conducted 6 and 9 months after the hurricanes, a review of 597 randomly selected emergency department (ED) encounters, and administrative records from 10 716 ED visits 3 months before, between, and 3 months after the hurricanes. Results. Informants described damaged hospital infrastructure, including flooding, structural damage, and lost staff. The greatest public health impact was on the elderly and persons with chronic diseases. In the setting of loss of the electronic medical record system, ED chart reviews were limited by problems with missing data. ED administrative data demonstrated that posthurricane patients, compared with prehurricane patients, were older and had less severe complaints. There was a significant increase in patients being seen for diabetes-related and respiratory complaints, especially asthma. Suboptimal recordkeeping for medical evacuees limited the ability to assess outcomes for patients with severe illnesses. Conclusions. Hurricanes Irma and Maria caused major disruptions to health care on St Thomas. Emphasis should be given to building a resilient health care system that will optimally respond to future hurricanes. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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