Sat-034 Esrd Patient Mortality Increased Maximally at 90 Days After Hurricane Harvey.

LeMaistre, F.; Sterling, J. Barton; Miller, C.; Molony, David

doi:10.1016/j.ekir.2019.05.056

Cited by 1 publication

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“…After Hurricane Harvey, Le Maistre, et al reported that 90-day mortality increased by 5.84% among patients with ESRD who lived in Harvey-affected areas compared to an increase of 0.69% among residents of nonaffected regions. 13 One way to prevent the disruption of hemodialysis services during hurricanes is to regulate the placement of hemodialysis clinics in high-risk flood zones. The Federal Emergency Management Agency (FEMA; Washington, DC USA) manages the National Flood Insurance Program (NFIP), which was created to ensure that private and public structures located in the 100-year floodplain (ie, areas with an annual flood risk of one percent) have insurance coverage for flood damages.…”

Section: Introductionmentioning

confidence: 99%

Hemodialysis Clinics in Flood Zones: A Case Study of Hurricane Harvey

Kaiser

Karaye

Olokunlade

et al. 2021

Prehosp. Disaster med.

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Introduction: Hurricane Harvey (2017) forced the closure of hemodialysis centers across Harris County, Texas (USA) disrupting the provision of dialysis services. This study aims to estimate the percentage of hemodialysis clinics flooded after Harvey, to identify the proportion of such clinics located in high-risk flood zones, and to assess the sensitivity of the Federal Emergency Management Agency (FEMA) Flood Insurance Rate Maps (FIRMs) for estimation of flood risk. Methods: Data on 124 hemodialysis clinics in Harris County were extracted from Medicare.gov and geocoded using ArcGIS Online. The FIRMs were overlaid to identify the flood zone designation of each hemodialysis clinic. Results: Twenty-one percent (26 of 124) of hemodialysis clinics in Harris County flooded after Harvey. Of the flooded clinics, 57.7% were in a high-risk flood zone, 30.8% were within 1km of a high-risk flood zone, and 11.5% were not in or near a high-risk flood zone. The FIRMs had a sensitivity of 58%, misidentifying 42% (11 of 26) of the clinics flooded. Conclusion: Hurricanes are associated with severe disruptions of medical services, including hemodialysis. With one-quarter of Harris County in the 100-year floodplain, projected increases in the frequency and severity of disasters, and inadequate updates of flood zone designation maps, the implementation of new regulations that address the development of hemodialysis facilities in high-risk flood areas should be considered.

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Section: Introductionmentioning

confidence: 99%