Disaster Resilience and People with Functional Needs
ABSTRACT Hurricanes and other disasters can have devastating effects on people who depend on home nursing, personal care attendants, or electric medical technologies. Some key policies can help to strengthen our infrastructure to increase community resilience during disasters.
American Journal of Kidney Diseases 06/2013; 61(6):865-868. DOI:10.1053/j.ajkd.2013.03.017 · 5.76 Impact Factor
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ABSTRACT: Background Extreme events (e.g. flooding) threaten critical infrastructure including power supplies. Many interlinked systems in the modern world depend on a reliable power supply to function effectively. The health sector is no exception, but the impact of power outages on health is poorly understood. Greater understanding is essential so that adverse health impacts can be prevented and/or mitigated. Methods We searched Medline, CINAHL and Scopus for papers about the health impacts of power outages during extreme events published in 2011-2012. A thematic analysis was undertaken on the extracted information. The Public Health England Extreme Events Bulletins between 01/01/2013 - 31/03/2013 were used to identify extreme events that led to power outages during this three-month period. Results We identified 20 relevant articles. Power outages were found to impact health at many levels within diverse settings. Recurrent themes included the difficulties of accessing healthcare, maintaining frontline services and the challenges of community healthcare. We identified 52 power outages in 19 countries that were the direct consequence of extreme events during the first three months of 2013. Conclusions To our knowledge, this is the first review of the health impacts of power outages. We found the current evidence and knowledge base to be poor. With scientific consensus predicting an increase in the frequency and magnitude of extreme events due to climate change, the gaps in knowledge need to be addressed in order to mitigate the impact of power outages on global health.01/2014; 6. DOI:10.1371/currents.dis.04eb1dc5e73dd1377e05a10e9edde673
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ABSTRACT: During a disaster or prolonged power outage, individuals who use electricity-dependent medical equipment are often unable to operate it and seek care in acute care settings or local shelters. Public health officials often report that they do not have proactive and systematic ways to rapidly identify and assist these individuals. In June 2013, we piloted a first-in-the-nation emergency preparedness drill in which we used Medicare claims data to identify individuals with electricity-dependent durable medical equipment during a disaster and securely disclosed it to a local health department. We found that Medicare claims data were 93% accurate in identifying individuals using a home oxygen concentrator or ventilator. The drill findings suggest that claims data can be useful in improving preparedness and response for electricity-dependent populations. (Am J Public Health. Published online ahead of print May 15, 2014: e1-e5. doi:10.2105/AJPH.2014.302009).American Journal of Public Health 05/2014; 104(7). DOI:10.2105/AJPH.2014.302009 · 4.23 Impact Factor