Deaths Related to Hurricane Irma — Florida, Georgia, and North Carolina, September 4–October 10, 2017

Issa, Anindita; Ramadugu, Kirtana; Mulay, Prakash; Hamilton, Janet; Siegel, Vivi; Harrison, C. C.; Campbell, Christine; Blackmore, Carina; Bayleyegn, Tesfaye; Boehmer, Tegan K.

doi:10.15585/mmwr.mm6730a5

Cited by 49 publications

(29 citation statements)

References 3 publications

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“…A large proportion of deaths during Irma was related to exacerbation of pre-existing medical conditions or power-outage related death (n=46, 36%) and fell into the two sub-categories of a heat-related or oxygen-dependent death. 56 More research is needed to systematically examine and categorize hurricane-associated deaths into standardized sub-categories to assess specific circumstances surrounding disaster mortality and design more responsive public health interventions and mass media campaigns.…”

Section: Resultsmentioning

confidence: 99%

“…In summary, both the NIEHS and the NCEH have developed robust tools and templates applicable to the setting of weather-related disasters, including both research and practice-based tools(52, 56, 64, 89–96). 52,56,64,100–107 More information can be found within their on-line resources. There is a need for greater outreach within the public health community to increase awareness of the existing disaster epidemiology tools which are available for applications within disaster preparedness planning exercises at the local levels.…”

Section: Discussionmentioning

confidence: 99%

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Population Health Adaptation Approaches to the Increasing Severity and Frequency of Weather-Related Disasters Resulting From our Changing Climate: A Literature Review and Application to Charleston, South Carolina

Runkle

Svendsen

Hamann

et al. 2018

Curr Envir Health Rpt

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Recent changes in our planetary climate have and will continue to challenge historical knowledge and risk assumptions for weather-related disasters. While the public health community is rapidly working to develop epidemiological approaches and tools to mitigate and adapt to these weather-related disasters, recent high-profile events have exposed gaps in knowledge and response efforts. Limited work has been done to assess the climate readiness of the local public health and health-care community as it pertains to local response planning and adaptation measures in the event of a weather-related disaster. The purpose of this paper is to review the existing literature related to climate change, weather-related disasters, and population health approaches to adapt to climate-related changes in weather-related disasters at the local level. We highlight a brief case-study to illustrate an example of a local approach to adaptation planning in a coastal community. There is a general lack of understanding within the public health community about the epidemiological tools which are available to assist local communities in their preparation for, response to, and recovery from weather-related disasters. Cities around the nation are already working to assess their vulnerability and resilience to weather-related disasters by including climate change in emergency preparedness plans and developing adaptation strategies, as well as equipping local hospitals, health departments and other critical public health systems with climate information. But more work is needed and public health funding is lagging to support local and state-level efforts in preparing for and adapting to weather-related disasters in the context of a changing climate. Our population health disaster preparedness programs need to be adapted to address the increasing risks to local public health resulting from our changing climate.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Population Health Adaptation Approaches to the Increasing Severity and Frequency of Weather-Related Disasters Resulting From our Changing Climate: A Literature Review and Application to Charleston, South Carolina

Runkle

Svendsen

Hamann

et al. 2018

Curr Envir Health Rpt

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“…The number of 30-day postexposure deaths of nursing home residents is noteworthy because it is 139 higher than the 123 deaths reported by the Centers for Disease Control and Prevention (CDC) for the entire population of Florida. 15 The methods used by the CDC to examine vital statistics death data from the electronic death registration system evaluates direct and indirect deaths attributed to the hurricane. The CDC total does include deaths resulting from the exacerbation of existing medical conditions.…”

Section: Discussionmentioning

confidence: 99%

Association Between Exposure to Hurricane Irma and Mortality and Hospitalization in Florida Nursing Home Residents

et al. 2020

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IMPORTANCE Nursing home residents are at heightened risk for morbidity and mortality following an exposure to a disaster such as a hurricane or the COVID19 pandemic. Previous research has shown that nursing home resident mortality related to disasters is frequently underreported. There is a need to better understand the consequences of disasters on nursing home residents and to differentiate vulnerability based on patient characteristics. OBJECTIVE To evaluate mortality and morbidity associated with exposure to Hurricane Irma, a Category 4 storm that made landfall on September 10, 2017, in Cudjoe Key, Florida, among short-stay (<90-day residence) and long-stay (Ն90-day residence) residents of nursing homes. DESIGN, SETTING, AND PARTICIPANTS Cohort study of Florida nursing home residents comparing residents exposed to Hurricane Irma in September 2017 to a control group of residents residing at the same nursing homes over the same time period in calendar year 2015. Data were analyzed from

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“…In the aftermath, there were fuel, food, and construction material shortages, as well as extensive losses of fields, orchards, and livestock. The death toll was 123 [2], and the entire state of Florida was designated a disaster region with the most intensive Federal Emergency Management Agency (FEMA) activity directed to the counties identified in red in Figure 1. These regions represent the core of Florida's agricultural industry, and the sustained estimated agricultural loss because of Hurricane Irma exceeded $2.5 billion [3].…”

Section: Introductionmentioning

confidence: 99%

The Short- and Long-Term Impacts of Hurricane Irma on Florida Agricultural Leaders as Early Emergency Responders: The Importance of Workplace Stability

Grattan

Lindsay

Liang

et al. 2020

IJERPH

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The impacts of hurricane-related disasters in agricultural communities include extensive losses of fields, orchards, and livestock, the recovery of which could span many years. Agricultural Extension Agents (EAs) try to manage and mitigate these losses, while simultaneously overseeing emergency shelter operations. These non-professional emergency responders face numerous potential stressors, the outcomes of which are minimally known. This study examined the short-and long-term medical and behavioral outcome of 36 University of Florida Agricultural Extension Agents within two months and one year after Hurricane Irma, Florida, USA, taking into consideration personal/home and work-related hurricane impacts. Regression analyses indicated that combined home and work hurricane impacts were associated with greater anxiety, depression, and medical symptoms controlling for age and number of prior hurricane experiences within two months of landfall. One year later, depression symptoms increased as well as the use of negative disengagement coping strategies for which stability of the work environment was protective. The findings suggest that advanced training in emergency response, organization and time management skills, time off and temporary replacement for personally impacted EAs, and workplace stability, including enhanced continuity of operations plans, represent critical elements of health prevention and early intervention for this occupational group.

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Deaths Related to Hurricane Irma — Florida, Georgia, and North Carolina, September 4–October 10, 2017

Cited by 49 publications

References 3 publications

Population Health Adaptation Approaches to the Increasing Severity and Frequency of Weather-Related Disasters Resulting From our Changing Climate: A Literature Review and Application to Charleston, South Carolina

Population Health Adaptation Approaches to the Increasing Severity and Frequency of Weather-Related Disasters Resulting From our Changing Climate: A Literature Review and Application to Charleston, South Carolina

Association Between Exposure to Hurricane Irma and Mortality and Hospitalization in Florida Nursing Home Residents

The Short- and Long-Term Impacts of Hurricane Irma on Florida Agricultural Leaders as Early Emergency Responders: The Importance of Workplace Stability

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