Emergency Department Visits for Homelessness or Inadequate Housing in New York City before and after Hurricane Sandy

Doran, Kelly M.; McCormack, Ryan; Johns, Eileen; Carr, Brendan G.; Smith, Silas W.; Goldfrank, Lewis R.; Lee, Dong Hoon

doi:10.1007/s11524-016-0035-z

Cited by 23 publications

(19 citation statements)

References 11 publications

(13 reference statements)

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“…Compared to the rest of the population residing in the same disaster zone, the elderly and the medically frail disproportionately experience greater morbidity and mortality during a disaster (Benson, 2007;Cherniack et al, 2008;Colten, Kates, & Laska, 2008;Doran et al, 2016;Fernandez et al, 2002;Nicogossian et al, 2012;Powell et al, 2009;. During the 1995 heat wave in Chicago, 73% of the people who died were elderly (Crook & Vu, 2011).…”

Section: Higher Incidence Of Post-disaster Morbidity and Mortalitymentioning

confidence: 99%

Disaster vulnerability of elderly and medically frail populations

Heagele

Pacquiao

2019

Health Emergency and Disaster Nursing

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Aim: To synthesize relevant literature specific to disaster vulnerability of elderly and medically frail individuals in the USA and investigate the role of the public health nurse in mitigating the problem. Methods: Focused review of the literature, including peer-reviewed research, journal articles, news articles, education materials and reports from governmental and senior advocacy groups. Results: Disaster vulnerability of the elderly and the medically frail is related to sociodemographic factors such as advanced age, low socioeconomic status, female gender, low education and language barriers. The presence of chronic illnesses, deficits in mobility, cognitive, and sensory capacity, reliance on others and devices, lack of social support, and previous experience with disaster also contribute to their vulnerability. Conclusions: The elderly and the medically frail are highly vulnerable to the negative consequences of disaster. Implications for public health nursing practice before, during and after disaster, as well as nursing research, are highlighted.

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Section: Higher Incidence Of Post-disaster Morbidity and Mortalitymentioning

confidence: 99%

Disaster vulnerability of elderly and medically frail populations

Heagele

Pacquiao

2019

Health Emergency and Disaster Nursing

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“…13 We analyzed this geographic distribution by postal ZIP code to identify areas of significant changes in ED use. We calculated a Z-score for the number of ED visits for the week after the storm's landfall using an average and SD from the pre-disaster weeks in 2012.…”

Section: Statistical Analysesmentioning

confidence: 99%

“…Respiratory symptoms (16) General symptoms (25) General symptoms (+13) General symptoms (12) Respiratory symptoms (19) Hypertension (+11) Heart failure (10) Hypertension (15) Myocardial infarction (+8) Sepsis (7) Heart failure (13) Hypertensive kidney disease (+8) Cellulitis or abscess (7) Myocardial infarction (12) Chronic bronchitis (+8) Urinary tract infection (7) Chronic bronchitis (12) Chronic kidney disease (+7) Asthma (7) Asthma (12) Prescription refills (+7) Abdominal/pelvic symptoms (6) Hypertensive kidney disease (10) Drug dependence (+7) Cardiac dysrhythmias (5) Sepsis (9) Dialysis dependence (+6) Ischemic heart disease (5) Ischemic heart disease (9) Electrolyte disorder (+6) Diagnoses in bold highlight the differences in categories before and after Hurricane Sandy's landfall. Post-procedural aftercare (17) Post-procedural aftercare (+11) Post-procedural aftercare (6) Chronic skin ulcer (14) Chronic skin ulcer (+9) Electrolyte disorder (6) Electrolyte disorder (13) Electrolyte disorder (+7) Ischemic heart disease (5) Hyperlipidemia (11) Post-procedural state (+7) Chronic skin ulcer (5) Post-procedural state (10) Overweight or obese (+5) Chronic kidney disease (4) Ischemic heart disease (10) Ischemic heart disease (+5) Hypertensive kidney disease (4) Drug abuse (8) Cardiac dysrhythmia (+4) Drug abuse (4) Chronic kidney disease (7) Chronic airway obstruction (+4) Other health hazards (7) Overweight or obese (7) Osteomyelitis (+4) Diagnoses in bold highlight the differences in categories before and after Hurricane Sandy's landfall.…”

Section: Highest Increases Before and Aftermentioning

confidence: 99%

“…Post-procedural aftercare (17) Post-procedural aftercare (+11) Post-procedural aftercare (6) Chronic skin ulcer (14) Chronic skin ulcer (+9) Electrolyte disorder (6) Electrolyte disorder (13) Electrolyte disorder (+7) Ischemic heart disease (5) Hyperlipidemia (11) Post-procedural state (+7) Chronic skin ulcer (5) Post-procedural state (10) Overweight or obese (+5) Chronic kidney disease (4) Ischemic heart disease (10) Ischemic heart disease (+5) Hypertensive kidney disease (4) Drug abuse (8) Cardiac dysrhythmia (+4) Drug abuse (4) Chronic kidney disease (7) Chronic airway obstruction (+4) Other health hazards (7) Overweight or obese (7) Osteomyelitis (+4) Diagnoses in bold highlight the differences in categories before and after Hurricane Sandy's landfall. ED, emergency department.…”

Section: Highest Increases Before and Aftermentioning

confidence: 99%

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Acute post-disaster medical needs of patients with diabetes: emergency department use in New York City by diabetic adults after Hurricane Sandy

Lee

Gupta

Carr

et al. 2016

BMJ Open Diab Res Care

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ObjectiveTo evaluate the acute impact of disasters on diabetic patients, we performed a geospatial analysis of emergency department (ED) use by New York City diabetic adults in the week after Hurricane Sandy.Research design and methodsUsing an all-payer claims database, we retrospectively analyzed the demographics, insurance status, and medical comorbidities of post-disaster ED patients with diabetes who lived in the most geographically vulnerable areas. We compared the patterns of ED use among diabetic adults in the first week after Hurricane Sandy's landfall to utilization before the disaster in 2012.ResultsIn the highest level evacuation zone in New York City, postdisaster increases in ED visits for a primary or secondary diagnosis of diabetes were attributable to a significantly higher proportion of Medicare patients. Emergency visits for a primary diagnosis of diabetes had an increased frequency of certain comorbidities, including hypertension, recent procedure, and chronic skin ulcers. Patients with a history of diabetes visited EDs in increased numbers after Hurricane Sandy for a primary diagnosis of myocardial infarction, prescription refills, drug dependence, dialysis, among other conditions.ConclusionsWe found that diabetic adults aged 65 years and older are especially at risk for requiring postdisaster emergency care compared to other vulnerable populations. Our findings also suggest that there is a need to support diabetic adults particularly in the week after a disaster by ensuring access to medications, aftercare for patients who had a recent procedure, and optimize their cardiovascular health to reduce the risk of heart attacks.

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“…Homeless individuals face barriers to preparing for disasters due to the prevalence of past trauma, preexisting mental and physical health concerns, lack of resources and access to services, and social and economic marginalization (Edgington 2014;Every and Thompson 2014;Walters and Gaillard 2014;Wexler and Smith 2015). Because of these challenges, they often experience devastating challenges during disasters due to their inability to prepare and lack of resources for recovery Doran et al 2016). The social stigma that homeless individuals encounter within a community every day often causes them to be denied access to shelters designated for disaster victims; such denials have occurred in disasters ranging from Hurricane Andrew in 1992 to the 2017 Atlantic hurricanes in 2017 (Dearen and Kennedy 2017;Phillips 1998;Settembrino 2016Settembrino , 2017aVickery 2018).…”

Section: Introductionmentioning

confidence: 99%

Roadblocks to Housing after Disaster: Homeless Veterans’ Experiences after Hurricane Sandy

Gin¹,

Der‐Martirosian²,

Stanik

et al. 2019

Nat. Hazards Rev.

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Individuals who are homeless are disproportionately likely to experience negative outcomes during disasters. Setbacks to their efforts to access needed services, such as transitional housing and case management to help them find stable permanent housing, are a common occurrence. This article explores the experiences of nine US military veterans who were homeless during Hurricane Sandy in 2012 and their efforts to find permanent housing in the 3 years following the storm. It focuses on the sources of support that these veterans turned to during and after Sandy. Housing status before the storm played a significant role in shaping their experiences and outcomes. Both veterans living in US Department of Veterans Affairs (VA) transitional housing transitioned successfully into permanent housing. One of the veterans living in the community also successfully transitioned into permanent housing with the help of a strong social support network of family, VA case managers, and VA benefits. The six remaining veterans faced significant challenges and did not successfully transition into permanent stable housing by 2015. These findings suggest the importance of both institutional and informal social support for mitigating the effects of disasters on homeless veterans. individual papers. This paper is part of the Natural Hazards Review, © ASCE, ISSN 1527-6988. © ASCE 04019005-1 Nat. Hazards Rev. Nat. Hazards Rev., 2019, 20(3): 04019005 Downloaded from ascelibrary.org by 44.224.250.200 on 08/05/20. Copyright ASCE. For personal use only; all rights reserved. © ASCE 04019005-2 Nat. Hazards Rev. Nat. Hazards Rev., 2019, 20(3): 04019005 Downloaded from ascelibrary.org by 44.224.250.200 on 08/05/20. Copyright ASCE. For personal use only; all rights reserved. © ASCE 04019005-4 Nat. Hazards Rev. Nat. Hazards Rev., 2019, 20(3): 04019005 Downloaded from ascelibrary.org by 44.224.250.200 on 08/05/20. Copyright ASCE. For personal use only; all rights reserved. © ASCE 04019005-8 Nat. Hazards Rev. Nat. Hazards Rev., 2019, 20(3): 04019005 Downloaded from ascelibrary.org by 44.224.250.200 on 08/05/20.

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Emergency Department Visits for Homelessness or Inadequate Housing in New York City before and after Hurricane Sandy

Cited by 23 publications

References 11 publications

Disaster vulnerability of elderly and medically frail populations

Disaster vulnerability of elderly and medically frail populations

Acute post-disaster medical needs of patients with diabetes: emergency department use in New York City by diabetic adults after Hurricane Sandy

Roadblocks to Housing after Disaster: Homeless Veterans’ Experiences after Hurricane Sandy

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