Effect of Hurricane Katrina on the Incidence of Acute Coronary Syndrome at a Primary Angioplasty Center in New Orleans

Gautam, Sandeep; Menachem, Jonathan N.; Srivastav, Sudesh; Delafontaine, Patrick; Irimpen, Anand

doi:10.1097/dmp.0b013e3181b9db91

Cited by 75 publications

(83 citation statements)

References 18 publications

(28 reference statements)

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“…110 Evaluations for diabetic foot increased significantly at an ECF within four weeks after a cyclone. 77 A study of diabetic patients between six and 16 months after a hurricane found worsened levels of glycated hemoglobin (7.7% to 8.1%; P < .01) compared to measurements taken in the six months before the storm, with a significant linear trend over time.…”

Section: Treatment Facility Presentations (%)mentioning

confidence: 97%

No Calm After the Storm: A Systematic Review of Human Health Following Flood and Storm Disasters

Saulnier

Ribacke

Schreeb

2017

Prehosp. Disaster med.

113

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Introduction: How the burden of disease varies during different phases after floods and after storms is essential in order to guide a medical response, but it has not been well-described. The objective of this review was to elucidate the health problems following flood and storm disasters. Methods: A literature search of the databases Medline (US National Library of Medicine, National Institutes of Health; Bethesda, Maryland USA); Cinahl (EBSCO Information Services; Ipswich, Massachusetts USA); Global Health (EBSCO Information Services; Ipswich, Massachusetts USA); Web of Science Core Collection (Thomson Reuters; New York, New York USA); Embase (Elsevier; Amsterdam, Netherlands); and PubMed (National Center for Biotechnology Information, National Institutes of Health; Bethesda, Maryland USA) was conducted in June 2015 for English-language research articles on morbidity or mortality and flood or storm disasters. Articles on mental health, interventions, and rescue or health care workers were excluded. Data were extracted from articles that met the eligibility criteria and analyzed by narrative synthesis. Results: The review included 113 studies. Poisonings, wounds, gastrointestinal infections, and skin or soft tissue infections all increased after storms. Gastrointestinal infections were more frequent after floods. Leptospirosis and diabetes-related complications increased after both. The majority of changes occurred within four weeks of floods or storms. Conclusion: Health changes differently after floods and after storms. There is a lack of data on the health effects of floods alone, long-term changes in health, and the strength of the association between disasters and health problems. This review highlights areas of consideration for medical response and the need for high-quality, systematic research in this area.Saulnier DD, Brolin Ribacke K, von Schreeb J. No calm after the storm: a systematic review of human health following flood and storm disasters. Prehosp Disaster Med. 2017;32(5):568-579. IntroductionThe number of weather-related disasters has increased over the last 20 years. Nearly one-half of the disasters were floods, which killed 157,000 people and affected 2.3 billion. Storms were one-quarter of the disasters but were responsible for a larger proportion of fatalities, causing 220,000 deaths and affecting 660,000 people. 1 As climate change transforms the frequency and severity of weather events in the coming years, the impact of floods and storms is likely to worsen.The health care response to a disaster should be guided by the known and expected needs of the affected population. It should be prepared for needs caused by the direct effect of the disaster and for the indirect outcomes of the initial impact. This can be achieved by knowing if and how the health of a population changes after a disaster. Response plans should use the best available evidence to understand the immediate, short-term, and long-term health outcomes after a disaster, and how ordinary health care needs are affected.D...

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Section: Treatment Facility Presentations (%)mentioning

confidence: 97%

No Calm After the Storm: A Systematic Review of Human Health Following Flood and Storm Disasters

Saulnier

Ribacke

Schreeb

2017

Prehosp. Disaster med.

113

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“…In comparison, the increase in chronic illness and mortality following Hurricane Katrina has persisted for several years, although not immediately following the storm (Gautam et al 2009). The disparate periods of elevated mortality reflects the much greater level and extent of storm damage during Hurricane Katrina, which displaced a large part of the population for an extended period with disruption of normal care.…”

Section: Discussionmentioning

confidence: 95%

“…Recent evidence from Joseph et al (2009) suggests that a large number of those recently diagnosed with cancer in parts of Louisiana, Alabama and Mississippi were from the population displaced by Hurricane Katrina. As shown by Gautam et al (2009), the increase in chronic illness and mortality can persist for several years in response to continued unemployment, lack of medical insurance and living in temporary housing, in addition to noncompliance with medication, smoking and substance abuse. While further removed from the storm's physical forces, Kelman (2004) argues that indirect disaster deaths are no less a product of the event than those occurring by direct means.…”

Section: Introductionmentioning

confidence: 97%

Direct and indirect mortality in Florida during the 2004 hurricane season

2010

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Previous studies have shown that natural disasters, and hurricanes in particular, have led to more deaths than those usually documented in short post-storm surveys. Such indirect deaths, thought to be related to dietary, stress or pre-existing medical conditions, can exceed the number of direct deaths and may persist for weeks or even months beyond the event itself. In the present study, cumulative sum of deviations plots are used to quantify the number of direct and indirect deaths resulting from Hurricanes Charley, Frances, Ivan and Jeanne that made landfall in Florida in 2004. Results suggest that there was an elevated mortality for up to 2 months following each storm, resulting in a total of 624 direct and indirect deaths attributable to the storm. Trauma-related deaths that can be associated directly with the storm account for only ∼4% of the total storm-related mortality, while indirect mortality accounts for most storm-related deaths. Specifically, a large percentage of the elevated mortality was associated with heart (34%) and cancer-related deaths (19%), while diabetes (5%) and accident-related deaths (9%) account for a smaller but still significant percentage of the elevated mortality. The results further suggest that the elevated mortality was the result of additional deaths that would not have otherwise occurred within that 5 month period, and not simply a clustering of deaths that were inevitable between 1 August and 31 December 2004. The elevated mortality identified in this study is significantly greater than the official count of 31 direct and 113 indirect deaths resulting from the four hurricanes combined. This suggests a need for improved mortality counts and surveillance in order to better evaluate and identify effective prevention policies, and to identify preventable deaths.

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“…Gautam et al, 73 from Tulane Medical Center in New Orleans, LA, reported a dramatic 3-fold increase in patients who presented with AMI during the 2 years following February 2006 (when Tulane reinstituted complete on-site cardiac catheterization services post-Hurricane Katrina); the increased incidence of acute CV events persisted for the 2-year period. These data suggest that a natural disaster such as a hurricane may heighten emotional stress and the incidence of AMI over time.…”

Section: Impact Of Hurricane Katrina On Acute CV Eventsmentioning

confidence: 91%

“…Emotional and stressrelated psychological exposures that are associated with an acute, transient increase in the risk for CV events include earthquakes, 68 sleep deprivation, 69 sporting events, 70 outbursts of anger, and discrete episodes of anxiety. 71,72 More recently, natural disasters, such as Hurricane Katrina, 73,74 and stock market crashes 75 have been linked to a heightened risk of acute CV events.…”

Section: Psychological Stressmentioning

confidence: 99%

Triggers of Acute Cardiovascular Events and Potential Preventive Strategies: Prophylactic Role of Regular Exercise

Franklin¹,

Lavie²

2011

The Physician and Sportsmedicine

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There is now considerable evidence to suggest that acute myocardial infarction, sudden cardiac death, and stroke can be triggered by physical, chemical, and psychological stressors, including heavy physical exertion and situations that create heightened emotional stress. The increased risk appears to be largely limited to a susceptible subset of the population, that is, individuals with known or occult cardiovascular (CV) disease. In this article, we summarize the evidence supporting the impact of selected triggers in the pathogenesis of acute CV events, as well as the potential role of various preventive strategies, especially regular exercise training and improvements in cardiorespiratory fitness to reduce the CV risk imposed by various triggers.

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Effect of Hurricane Katrina on the Incidence of Acute Coronary Syndrome at a Primary Angioplasty Center in New Orleans

Cited by 75 publications

References 18 publications

No Calm After the Storm: A Systematic Review of Human Health Following Flood and Storm Disasters

No Calm After the Storm: A Systematic Review of Human Health Following Flood and Storm Disasters

Direct and indirect mortality in Florida during the 2004 hurricane season

Triggers of Acute Cardiovascular Events and Potential Preventive Strategies: Prophylactic Role of Regular Exercise

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