Dallas MegaShelter Medical Operations Response to Hurricane Harvey

Liu, E. Liang; Morshedi, Brandon; Miller, Bruno; Miller, Ronna; Isaacs, S. Marshal; Fowler, Raymond L.; Chung, Wendy; Blum, Ruby; Ward, Breanne; Carlo, John; Hennes, Halim; Webster, Frank; Perl, Trish M.; Noah, Chris; Monaghan, Rob; Tran, Andrew; F, Benítez; Graves, Julie; Kibbey, Caitlin; Klein, Kelly R.; Swienton, Raymond E.

doi:10.1017/dmp.2017.123

Cited by 7 publications

(5 citation statements)

References 2 publications

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“…Thousands of Houston residents evacuated, many to the DFW metroplex. 10,11 Harvey ultimately caused 88 deaths and an estimated US $125 billion of damage, making it the second-costliest tropical cyclone in US history, following Hurricane Katrina. 12 During disasters of Hurricane Harvey's scale, hospitals are among the first institutions impacted, and, as such, they are often faced with a surge in demand for medical services that can overwhelm their resources.…”

Section: Introductionmentioning

confidence: 99%

Social Vulnerability and Access of Local Medical Care During Hurricane Harvey: A Spatial Analysis

Rickless

Wilt

Sharpe

et al. 2021

Disaster med. public health prep.

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Objectives: When Hurricane Harvey struck the coastline of Texas in 2017, it caused 88 fatalities and over US $125 billion in damage, along with increased emergency department visits in Houston and in cities receiving hurricane evacuees, such as the Dallas-Fort Worth metroplex (DFW). This study explored demographic indicators of vulnerability for patients from the Hurricane Harvey impact area who sought medical care in Houston and in DFW. The objectives were to characterize the vulnerability of affected populations presenting locally, as well as those presenting away from home, and to determine whether more vulnerable communities were more likely to seek medical care locally or elsewhere. Methods: We used syndromic surveillance data alongside the Centers for Disease Control and Prevention Social Vulnerability Index to calculate the percentage of patients seeking care locally by zip code tabulation area. We used this variable to fit a spatial lag regression model, controlling for population density and flood extent. Results: Communities with more patients presenting for medical care locally were significantly clustered and tended to have greater socioeconomic vulnerability, lower household composition vulnerability, and more extensive flooding. Conclusions: These findings suggest that populations remaining in place during a natural disaster event may have needs related to income, education, and employment, while evacuees may have more needs related to age, disability, and single-parent household status.

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Section: Introductionmentioning

confidence: 99%

Social Vulnerability and Access of Local Medical Care During Hurricane Harvey: A Spatial Analysis

Rickless

Wilt

Sharpe

et al. 2021

Disaster med. public health prep.

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“…19 Those patients may have sought care in more accessible facilities such as smaller, freestanding EDs or UCCs, or clinics that were operating within or near shelters. 11,20,21 This possible explanation is supported by a study from the closest major metropolitan area that reported an 11% increase in ED visits in the Dallas-Fort Worth area in the month following Hurricane Harvey, with an associated increase in patients who reported residing in the metro Houston area and presented with chief complaints that included the words "hurricane," "Harvey," "evacuee," or "evacuate." 22 A similar decrease in total ED patient visits at a large county hospital in the metro Houston area in the four weeks following Hurricane Harvey was noted.…”

Section: Discussionmentioning

confidence: 92%

Pediatric Emergency Departments and Urgent Care Visits in Houston after Hurricane Harvey

Fanny¹,

Kaziny²,

Cruz³

et al. 2021

WJEM

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Introduction Natural disasters are increasingly common and devastating. It is essential to understand children’s health needs during disasters as they are a particularly vulnerable population. The objective of this study was to evaluate pediatric disease burden after Hurricane Harvey compared to the preceding month and the same period in the previous year to inform pediatric disaster preparedness. Methods This was a retrospective cross-sectional study of patients seen at pediatric emergency departments (ED) and urgent care centers (UCC) 30 days before (late summer) and after (early fall) the hurricane and from the same time period in 2016. We collected demographic information and the first five discharge diagnoses from a network of EDs and UCCs affiliated with a quaternary care children’s hospital in Houston, Texas. We calculated the odds of disease outcomes during various timeframes using binary logistic regression modeling. Results There were 20,571 (median age: 3.5 years, 48.1% female) and 18,943 (median age: 3.5 years, 47.3% female) patients in 2016 and 2017, respectively. Inpatient admission rates from the ED a month after Harvey were 20.5%, compared to 25.3% in the same period in 2016 (P<0.001). In both years, asthma and other respiratory illnesses increased from late summer to early fall. After controlling for these seasonal trends, the following diseases were more commonly seen after the hurricane: toxicological emergencies (adjusted odds ratio [aOR]: 2.61, 95% [confidence interval] CI, 1.35–5.05); trauma (aOR: 1.42, 95% CI, 1.32–1.53); and dermatological complaints (aOR: 1.34, 95% CI, 1.23–1.46). Conclusion We observed increases in rashes, trauma, and toxicological diagnoses in children after a major flood. These findings highlight the need for more medication resources and public health and education measures focused on pediatric disaster preparedness and management.

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“…Planning facilities for JP in advance before FSH construction FSH has the task of undertaking large-scale natural disaster rescue and mass infectious disease treatment. It played a critical role in disaster relief after several natural disasters and early stage of resistance to COVID-19 [17]. However, the Omicron wave in Shanghai infected tens of thousands of people, and there were a large number of people in the FSH.…”

Section: Discussionmentioning

confidence: 99%

Psychological experience of Juvenile patients’ parents in Fangcang shelter hospital during the Omicron wave of COVID-19 pandemic in Shanghai, China: a qualitative study

Liao

Yang

et al. 2022

BMC Public Health

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Objective To explore the psychological experience of Juvenile patient’s parents in Fangcang shelter hospital during the Omicron wave of COVID-19 pandemic. Methods A qualitative study was conducted by using a phenomenological research method. Sixteen parents of juvenile patients with COVID-19 were recruited from National Exhibition and Convention Center (Shanghai, China) Fangcang shelter hospital (FSH) using purposive sampling. Data were collected by face-to-face in-depth interviews over 27 days, from April 9 to May 6, 2022. The interview data were analyzed using Colaizzi seven-step analysis method. Results The psychological experiences of the parents of juvenile patients in the Fangcang shelter hospital were summarized into three themes: "perception regarding the FSH", "worried about the unmet needs of juvenile patients ", and "the psychological burden after discharge". These themes were classified into 9 sub-themes, including the acceptance of FSH, adaptability to FSH, concerns about cross-infection in the FSH, special needs of infants and young children, psychological needs of preschool children, the learning demands of school-age children, concern about re-positive, fear of sequelae, worry about social acceptance. Conclusion Juvenile patients and their parents in the Fangcang shelter hospitals have both positive and negative experiences. It is suggested that facilities for minors should be planned in advance. Humanistic care for adolescent patients and health education for the public are also critical.

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Dallas MegaShelter Medical Operations Response to Hurricane Harvey

Cited by 7 publications

References 2 publications

Social Vulnerability and Access of Local Medical Care During Hurricane Harvey: A Spatial Analysis

Social Vulnerability and Access of Local Medical Care During Hurricane Harvey: A Spatial Analysis

Pediatric Emergency Departments and Urgent Care Visits in Houston after Hurricane Harvey

Psychological experience of Juvenile patients’ parents in Fangcang shelter hospital during the Omicron wave of COVID-19 pandemic in Shanghai, China: a qualitative study

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