Disaster Response 2.0: Noncommunicable Disease Essential Needs Still Unmet

Horn, Rebecca B.; Kirsch, Thomas D.

doi:10.2105/ajph.2018.304604

Cited by 15 publications

(10 citation statements)

References 3 publications

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“…Regardless of municipal remoteness or terrain, a majority of communities identi ed barriers to dialysis as one of the biggest threats to health post-hurricane, either due to dialysis unavailability from center closures or center inaccessibility from impassable roadways. These ndings are consistent with other studies that have documented the vulnerability of dialysis patients following disasters due to missed dialysis sessions, including as a result of transportation-related barriers (10,21,44,50,58,68,69,78,93,94); however, this study identi ed considerable variation in the length of time that roadways were blocked based on baseline access and community location and topography, highlighting the importance of considering these factors during preparedness for natural hazards of this magnitude. Furthermore, guidelines for dialysis patients on how to prepare for natural hazards vary widely.…”

Section: Discussionsupporting

confidence: 90%

“…This disparity has been evident following numerous disasters in recent U.S. history, including Hurricanes Charley, Frances, Ivan, and Jeanne in 2004, Katrina in 2005, Sandy in 2012, Irma, Maria, and Harvey in 2017, the west coast wild res of 2017, 2018, and 2000, the COVID-19 pandemic beginning in 2020, and the Texas winter storm in 2021, to name a few (1-13). While Hurricane Katrina in 2005 stimulated efforts to better address the needs of individuals with underlying NCDs in disasters, policies, guidelines, and disaster preparedness frameworks have not kept stride with the notable demographic and epidemiological shifts seen in the U.S. population since the mid-2000s (14)(15)(16)(17)(18)(19)(20)(21). NCD prevalence and risk factors are on the rise in the U.S. and worldwide (22)(23)(24), and NCD risks and management are determined by an individual's socioeconomic status (SES) (25).…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Hurricane Maria on Individuals Living with Non-Communicable Disease in Puerto Rico: The experience of 10 communities

Andrade

Mustafa

Riggle-vanSchagen

et al. 2021

Preprint

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Background Coinciding with the rising non-communicable disease (NCD) prevalence worldwide is the increasing frequency and severity of natural hazards. Protecting populations with NCDs against natural hazards is ever more pressing given their increased risk of morbidity and mortality in disaster contexts. Methods This investigation examined Hurricane Maria’s impact across 10 communities in Puerto Rico to determine whether and how disaster impact and community attributes affected NCD management. We conducted 40 qualitative interviews with mayors, first responders, faith leaders, community leaders, and municipal employees, with 4 interviews per selected municipality. Using QSR NVivo software, we coded interview transcripts and created categorical community-level impact variables based on participant responses. We undertook thematic analysis to characterize community-level impact and consequences for NCD management, and to identify convergent and divergent themes. Using a matrix coding query, we compared NCD management experiences across communities by impact variables and community attributes. Results The delivery of healthcare, pharmacy, and dialysis services was compromised due to facility structural damage and ineffective contingencies for electrical power and water supply. The challenges resulting from power outages were immediate, and individuals who were reliant on life-sustaining medical equipment, dialysis, or the refrigeration of medications were most vulnerable. Inaccessible roadways and the need to travel greater distances to locate operational health services were major impediments to transporting patients in need of NCD care, with those requiring dialysis and living in remote, mountainous communities at highest risk due to landslides and lengthy roadway obstruction. These barriers were compounded by limited communication to locate services and coordinate care. Two weeks post-hurricane, emerging challenges to NCD management included widespread diesel fuel shortages for generators, and shortages in medications, oxygen, and medical supplies. In the weeks to months post-hurricane, the emergence or exacerbation of mental health disorders was characterized as a pressing health concern. Conclusions Study findings identify contributors to morbidity and mortality among individuals with NCDs following Hurricane Maria. The degree to which these impacts were experienced across communities with different characteristics is discussed, offering important lessons regarding the impact of catastrophic disasters on NCD management for improve community disaster resilience.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

The Impact of Hurricane Maria on Individuals Living with Non-Communicable Disease in Puerto Rico: The experience of 10 communities

Andrade

Mustafa

Riggle-vanSchagen

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Previous emergencies and pandemics have disrupted the ability to meet the essential needs of NCD patients (6,7). Evacuation of large populations and destruction of health infrastructure by Hurricane Katrina emphasized the vulnerability of NCD management during disasters in a wealthy nation like the United States (6).…”

Section: Introductionmentioning

confidence: 99%

The Impact of COVID-19 on the Care of Patients With Noncommunicable Diseases in Low- and Middle-Income Countries: An Online Survey of Patient Perspectives

Devi

Goodyear‐Smith

Subramaniam

et al. 2021

Journal of Patient Experience

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We sought to gain insights into the impacts of COVID-19 and associated control measures on health and health care of patients from low- and middle-income countries with cardiovascular disease, diabetes, and mental health conditions, using an online survey during the COVID-19 pandemic. The most common concern for the 1487 patients who took part was contracting COVID-19 when they accessed health care. Of those infected with COVID-19, half said that their health had been worse since being infected. Collectively, most people reported an increase in feelings of stress and loneliness. The COVID-19 pandemic has led to a range of health care impacts on patients with noncommunicable diseases, including constraints on access to care and health effects, particularly mental well-being.

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“…Due to stress, changes in the pattern and lifestyle of unstable patients occur in areas prone to disasters. However, there is now an urgent need to expand public health responses in cardiovascular patients (24). Similarly, in a 2019 study by Benjamin Ryan et al, key managerial impacts after a disaster, including access to medicine, medical services, water, treatment and care, energy and food were assessed.…”

Section: Discussionmentioning

confidence: 99%

Challenges of Providing Health Services to Cardiovascular Patients in Emergencies and Disasters in Iran: A Qualitative Study

Moslehi

Shirazi

2021

Preprint

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Introduction: Cardiovascular diseases are the most common cause of death in the world. Due to the rate of emergencies and disasters in the country, This study was conducted to investigate the challenges of providing health services to cardiovascular patients in emergencies and disasters in Iran.Methods: This conventional content analysis study was conducted in 2020. Subjects were selected from among Iranian experts using purposeful and snowball sampling methods. Data were collected using semi-structured interviews and were analyzed by the content analysis.Results:. After analyzing the data, in the Pre-emergency Phase (lack of training on medication and nutrition, and lack of training vulnerable groups, lack of databases of cardiovascular patients, and lack of identification of patients before disasters), The Emergency Response Phase (lack of sleep and rest patterns, lack of health forces, lack of blood pressure control, lack of proper nutrition, increased medication needs, lack of mental health interventions) and the Post-emergency phase (lack of planning, lack of management of patients' mental problems). Conclusion: Developing strategies for planning, training, providing resources, and mental health during the 3 phases of emergencies management cycle for specific groups such as cardiovascular patients together with empowering these patients in the event of disasters is one of the key strategies which can be used after curbed emergences’ and disasters to reduce the rate of mortality.

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Disaster Response 2.0: Noncommunicable Disease Essential Needs Still Unmet

Cited by 15 publications

References 3 publications

The Impact of Hurricane Maria on Individuals Living with Non-Communicable Disease in Puerto Rico: The experience of 10 communities

The Impact of Hurricane Maria on Individuals Living with Non-Communicable Disease in Puerto Rico: The experience of 10 communities

The Impact of COVID-19 on the Care of Patients With Noncommunicable Diseases in Low- and Middle-Income Countries: An Online Survey of Patient Perspectives

Challenges of Providing Health Services to Cardiovascular Patients in Emergencies and Disasters in Iran: A Qualitative Study

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