Initial Public Health Laboratory Response After Hurricane Maria — Puerto Rico, 2017

Concepción-Acevedo, Jeniffer; Patel, Anita; Luna-Pinto, Carolina; Peña, Rafael González; Arbolay, Héctor Rivera; Toro, Mayra; Deseda, Carmen; Jesús, Víctor R. De; Ribot, Efrain M.; Gonzalez, Jennifer-Quiñones; Rao, Gouthami; Salazar, Alfonsina De Leon; Ansbro, Marisela; White, Brunilís B.; Hardy, Margaret H.; Georgi, Joaudimir Castro; Stinnett, Rita Czakó; Mercante, Alexandra; Lowe, David; Martin, Haley; Starks, Angela M.; Metchock, Beverly; Johnston, Stephanie; Dalton, Tracy; Joglar, Olga; Stafford, Cortney; Youngblood, Monica; Klein, Katherine J.; Lindstrom, Stephen; Berman, LaShondra; Galloway, Renee L.; Schafer, Ilana J.; Walke, Henry; Stoddard, Robyn; Connelly, Robin K.; McCaffery, Elaine; Rowlinson, Michael; Soroka, Stephen; Tranquillo, Darin T.; Gaynor, Anne; Mangal, Chris; Wroblewski, Kelly; Muehlenbachs, Atis; Salerno, Reynolds M.; Lozier, Matthew; Sunshine, Brittany; Shapiro, Craig N.; Rose, Dale A.; Funk, Renée; Pillai, Satish K.; O’Neill, Eduardo

doi:10.15585/mmwr.mm6711a5

Cited by 13 publications

(10 citation statements)

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“…While inappropriate management of human excreta may support rodent densities and thereby be a contributing factor, human infections are often associated with exposures to natural bodies of water (wet farming). Outbreaks tend to occur during rainy seasons and it has been associated with flooding (Della Rossa et al, 2016;Ganoza et al, 2006;Trevejo et al, 1998;Concepcion-Acevedo et al, 2018;Reardon, 2017). The disease has a broad geographical distribution due to the large spectrum of hosts, including domestic and wild mammals, including rats and mice, which harbor the bacterium in their kidneys and release it through their urine (Carmona Gasca et al, 2013;Dietrich et al, 2015;Ko et al, 2009).…”

Section: Global Distributionmentioning

confidence: 99%

Leptospira and Leptospirosis

Goarant¹,

Trueba²,

Bierque³

et al. 2019

Water and Sanitation for the 21st Century: Health and Microbiological Aspects of Excreta and Wastewater Management (Global Wate

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The designations employed and the presentation of material throughout this publication do not imply the expression of any opinion whatsoever on the part of UNESCO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. The ideas and opinions expressed in this publication are those of the authors; they are not necessarily those of UNESCO and do not commit the Organization.

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Section: Global Distributionmentioning

confidence: 99%

Leptospira and Leptospirosis

Goarant¹,

Trueba²,

Bierque³

et al. 2019

Water and Sanitation for the 21st Century: Health and Microbiological Aspects of Excreta and Wastewater Management (Global Wate

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“…7 The interviewees identified the primary advantage to the regional consortia approach as building relationships that led to longterm and enhanced collaboration among organizations and peers, including when public health emergencies arise. The experience of Hurricane Katrina, which largely affected Louisiana and Mississippi, and the devastation in Puerto Rico during Hurricane Maria 21 illustrated the need for localities to prepare for, and respond to, public health threats.…”

Section: Discussionmentioning

confidence: 99%

Regional Consortia: A Framework for Public Health Laboratory Collaboration and Service Sharing

et al. 2021

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Public health laboratories (PHLs) provide specialized testing services for programs focused on the prevention and control of communicable diseases, early detection of congenital disorders, testing for antimicrobial resistance, and identification of environmental contaminants, among other responsibilities. Although national public health programs and partners provide some funding support, training, and technical resources to PHLs, no dedicated funding is provided from federal programs to fully support comprehensive PHL services across the United States or the underlying infrastructure needed for PHLs to provide and ensure their core functions and capabilities. Public health laboratories have begun to rely on a “community of practice” approach to addressing various service needs by creating and formalizing regional consortia, which are organized groups of geographically clustered PHLs that share expertise, capacities, and capabilities to enhance PHL services. The number of states participating in these networks increased from 13 to 48 from 2015 to 2020, including participation by multiple local PHLs and a territorial PHL. These consortia have enabled strengthening of partnerships and collaboration among PHLs to address regional priorities and challenges. We explore the background and evolution of regional consortia, outline some of their practices and activities, review lessons learned from these successful collaborations, and discuss the positive effect they have on the national public health system.

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“…There were concerns about meeting health needs related to the loss of medication and unreliable power given the major infrastructural and electrical grid damage that Puerto Rico sustained. 7 Additionally, NYC wanted to assess any increase in mental health related visits because traumatic events are known to cause a range of psychological consequences. 8 Following landfall of Hurricane Maria, there was an increase in ED visits related to Puerto Rico in NYC.…”

Section: Discussionmentioning

confidence: 99%

Monitoring Emergency Department Visits From Puerto Rico in the Aftermath of Hurricane Maria Using Syndromic Surveillance – New York City, 2017

Wong

Parton

2019

Disaster med. public health prep.

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Objective:Syndromic surveillance has been useful for routine surveillance on a variety of health outcomes and for informing situational awareness during public health emergencies. Following the landfall of Hurricane Maria in 2017, the New York City (NYC) Department of Health and Mental Hygiene (DOHMH) implemented an enhanced syndromic surveillance system to characterize related emergency department (ED) visits.Methods:ED visits with any mention of specific key words (“Puerto,” “Rico,” “hurricane,” “Maria”) in the ED chief complaint or Puerto Rico patient home Zip Code were identified from the DOHMH syndromic surveillance system in the 8-week window leading up to and following landfall. Visit volume comparisons pre- and post-Hurricane Maria were performed using Fisher’s exact test.Results:Analyses identified an overall increase in NYC ED utilization relating to Puerto Rico following Hurricane Maria landfall. In particular, there was a small but significant increase in visits involving a medication refill or essential medical equipment. Visits for other outcomes, such as mental illness, also increased, but the differences were not statistically significant.Conclusions:Gaining this situational awareness of medical service use was informative following Hurricane Maria, and, following any natural disaster, the same surveillance methods could be easily established to aid an effective emergency response.

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Initial Public Health Laboratory Response After Hurricane Maria — Puerto Rico, 2017

Cited by 13 publications

References 0 publications

Leptospira and Leptospirosis

Leptospira and Leptospirosis

Regional Consortia: A Framework for Public Health Laboratory Collaboration and Service Sharing

Monitoring Emergency Department Visits From Puerto Rico in the Aftermath of Hurricane Maria Using Syndromic Surveillance – New York City, 2017

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