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Data from this pilot program suggest that the immersive, virtual teaching method is well suited to team-based, reflective practice and learning of disaster management skills.

The BP Deepwater Horizon oil spill (DHOS) created widespread concern about threats to health among residents of the Louisiana Gulf Coast. This study uses data from the Resilient Children, Youth, and Communities study-a longitudinal cohort survey of households with children in DHOS-affected areas of South Louisiana-to consider the effect of DHOS exposure on health trajectories of children, an especially vulnerable population subgroup. Results from latent linear growth curve models show that family DHOS exposure via physical contact and job/income loss both negatively influenced initial child health. However, the effects of physical exposure dissipated over time while the effects of job/income loss persisted. This pattern holds for both general child health and the number of recent physical health problems children had experienced. These findings help to bridge the literature on disaster impacts and resilience/vulnerability, with the literature on socioeconomic status as a fundamental cause of health outcomes over the life course. Keywords BP Deepwater Horizon . Child health . Disaster . Oil spill The Deepwater Horizon oil spill (DHOS) ranks as the largest accidental marine oil spill in history by volume 1 and length of shoreline oiled (Nixon et al. 2016). The disaster was set in motion on April 20, 2010, when the BP-leased Deepwater Horizon oil rig

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This paper examines the physical and mental health of children following the Deepwater Horizon oil spill (DHOS). A multi-stage sampling design was used to select households for inclusion in the study. Data were obtained from parental interviews (n = 720) in the harder-hit areas of Louisiana in the US Gulf Coast. Three out of five parents reported that their child had experienced physical health symptoms and nearly one third reported that their child had mental health issues since the oil spill. Both direct physical exposure and indirect economic exposure were found to be predictors of physical and mental health issues among the children. Our findings contribute to bridge the research gap on the impacts of the direct and indirect exposures of the DHOS on the health of children. The study underscores the importance of understanding the health and recovery trajectories of children and youth exposed to disasters. Knowledge gained from this study together with the emerging literature on the effect of the oil spill disaster on children can contribute towards more evidence-based public health policies and enhance the recovery of children and their families in the aftermath of disasters.

The study outlines the critical importance of health and socioeconomic factors in long-term disaster recovery and highlights the need for increased consideration of those factors in post-disaster interventions and recovery monitoring. More research is needed to assess the effectiveness of state and federal assistance programs, particularly among disadvantaged populations. (Disaster Med Public Health Preparedness. 2018;12:172-175).

This paper examines the geographic accessibility of tertiary health services for the rural population of Idaho. Utilizing the two most commonly used rurality definitions, we determined the spatial distribution of the rural and urban residents in Idaho. The distance to each of the tertiary healthcare facility was calculated using Geographic Information Systems (GIS). Our analysis showed a large disparity between rural and urban geographic access to tertiary healthcare and revealed that there are significant variations in the disparity depending on the rural definition used. Thus there is a need to deploy strategies to enhance rural access and to construct rurality measures that capture the local heterogeneity, given that rurality designations impact the interpretation of access problems, and the funding eligibility for healthcare programs

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