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Climate Change and Human Health Literature Portal Chronic disease and related conditions at emergency treatment facilities in the New Orleans area after Hurricane Katrina

Climate Change and Human Health Literature Portal

Sharma AJ, Weiss EC, Young SL, Stephens K, Ratard R, Straif-Bourgeois S, Sokol TM, Vranken P, Rubin CH
2008
Disaster Medicine and Public Health Preparedness. 2 (1): 27-32

BACKGROUND: Disaster preparations usually focus on preventing injury and infectious disease. However, people with chronic disease and related conditions (CDRCs), including obstetric/gynecological conditions, may be vulnerable to disruptions caused by disasters. METHODS: We used surveillance data collected after Hurricane Katrina to characterize the burden of visits for CDRCs at emergency treatment facilities (eg, hospitals, disaster medical assistance teams, military aid stations). In 6 parishes in and around New Orleans, health care providers at 29 emergency treatment facilities completed a standardized questionnaire for injury and illness surveillance from September 8 through October 22, 2005. RESULTS: Of 21,673 health care visits, 58.0% were for illness (24.3% CDRCs, 75.7% non-CDRCs), 29.1% for injury, 7.2% for medication refills, and 5.7% for routine or follow-up care. The proportion of visits for CDRCs increased with age. Among men presenting with CDRCs, the most common illnesses were cardiovascular disease (36.8%), chronic lower-respiratory disease (12.3%), and diabetes/glucose abnormalities (7.7%). Among women presenting with CDRCs, the most common were cardiovascular disease (29.2%), obstetric/gynecological conditions (18.2%), and chronic lower-respiratory disease (12.0%). Subsequent hospitalization occurred among 28.7% of people presenting with CDRCs versus 10.9% of those with non-CDRCs and 3.8% of those with injury. CONCLUSIONS: Our data illustrate the importance of including CDRCs as a part of emergency response planning.

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Resource Description

    Extreme Weather-Related Event or Disaster, Food Security, Temperature, Water Security
    • Extreme Weather-Related Event or Disaster, Food Security, Temperature, Water Security: Flood, Hurricane
    • Extreme Weather-Related Event or Disaster, Food Security, Temperature, Water Security: Availability/Distribution
    • Extreme Weather-Related Event or Disaster, Food Security, Temperature, Water Security: Cold, Heat
    Ocean/Coastal, Urban
    United States
    Cardiovascular Impact, Diabetes/Obesity/Overweight, Infectious Disease, Injury, Mental Health and Well-Being, Respiratory Impact
    • Cardiovascular Impact, Diabetes/Obesity/Overweight, Infectious Disease, Injury, Mental Health and Well-Being, Respiratory Impact: General Infectious Disease
    • Cardiovascular Impact, Diabetes/Obesity/Overweight, Infectious Disease, Injury, Mental Health and Well-Being, Respiratory Impact: Other Mental Disorder, Specify
    • Cardiovascular Impact, Diabetes/Obesity/Overweight, Infectious Disease, Injury, Mental Health and Well-Being, Respiratory Impact: Chronic Obstructive Pulmonary Disease
    Research Article
    Adaptation, Health Sector Influence, Vulnerable Population
    • Adaptation, Health Sector Influence, Vulnerable Population: Adaptation Co-Benefit/Co-Harm, Resilience
    • Adaptation, Health Sector Influence, Vulnerable Population: Elderly
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