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Access to Care in the Wake of Hurricane Sandy, New Jersey, 2012

Published online by Cambridge University Press:  13 May 2016

Amy L. Davidow ,
Pauline Thomas ,
Soyeon Kim ,
Marian Passannante ,
Stella Tsai  and
Christina Tan
Amy L. Davidow*
Affiliation:
Rutgers School of Public Health, Piscataway, New Jersey
Pauline Thomas
Affiliation:
Rutgers New Jersey Medical School, Newark, New Jersey
Soyeon Kim
Affiliation:
Rutgers School of Public Health, Piscataway, New Jersey
Marian Passannante
Affiliation:
Rutgers School of Public Health, Piscataway, New Jersey
Stella Tsai
Affiliation:
Division of Epidemiology, Environmental and Occupational Health, New Jersey Department of Health, Newark, New Jersey
Christina Tan
Affiliation:
Division of Epidemiology, Environmental and Occupational Health, New Jersey Department of Health, Newark, New Jersey
*
Correspondence and reprint requests to Amy L. Davidow, PhD, Associate Professor, Medical Science Building, 185 South Orange Avenue, Newark, New Jersey 07103 (e-mail: [email protected]).
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Abstract

Objective

Evacuation and damage following a widespread natural disaster may affect short-term access to medical care. We estimated medical care needs in New Jersey following Hurricane Sandy in 2012.

Methods

Hurricane Sandy-related questions regarding medical needs included in the Behavioral Risk Factor Surveillance System survey were administered to survey respondents living in New Jersey when Sandy occurred.

Results

Recently arrived foreign-born residents were more likely than US-born residents to need medical care following Sandy. Others with greater medical needs included the uninsured and evacuees. Persons who evacuated or lived in areas that experienced the greatest hurricane impact were less likely to be able to fill a prescription. Only 15% of New Jerseyans were aware of the Emergency Pharmaceutical Assistance Program (EPAP), a federal program which allows prescription refills for the uninsured following a disaster. Recently arrived foreign-born residents and the uninsured were less frequently aware of EPAP: 8.7% and 10.9%.

Conclusions

Populations with impaired access to care in normal times—such as the recently arrived foreign-born and the uninsured—were also at risk of compromised access in the hurricane’s aftermath. Measures to address prescription refills during a disaster need better promotion among at-risk populations. (Disaster Med Public Health Preparedness. 2016;10:485–491)

Keywords

Behavioral Risk Factor Surveillance Systemdelivery of health carehurricanevulnerable populations
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 10 , Special Issue 3: Superstorm Sandy , June 2016 , pp. 485 - 491
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2016 

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References

1. Blake, ES, Kimberlain, TB, Berg, RJ, et al. National Hurricane Center Tropical Cyclone Report Hurricane Sandy. National Hurricane Center website. http://www.nhc.noaa.gov/data/tcr/AL182012_Sandy.pdf. Published February 12, 2013. Accessed November 23, 2015.Google Scholar
2. Jhung, MA, Shehab, N, Rohr-Allegrini, C, et al. Chronic disease and disasters: medication demands of Hurricane Katrina evacuees. Am J Prev Med. 2007;33(3):207-210.Google Scholar
3. Kitabchi, AE, Umpierrez, GE, Miles, JM, et al. Hyperglycemic crises in adult patients with diabetes. Diabetes Care. 2009;32(7):1335-1343.Google Scholar
4. Kleinpeter, MA. End-stage renal disease use in hurricane-prone areas: should nephrologists increase the utilization of peritoneal dialysis? Adv Chronic Kidney Dis. 2007;14(1):100-104.Google Scholar
5. Behavioral Risk Factor Surveillance System. Centers for Disease Control website. http://www.cdc.gov/brfss. Updated February 1, 2016. Accessed October 29, 2015.Google Scholar
6. Methodologic changes in the Behavioral Risk Factor Surveillance System in 2011 and potential effects on prevalence estimates. Morbidity & Mortality Weekly Report. 2012;61(22):410-413.Google Scholar
7. Hoopes Halpin, S. The impact of Superstorm Sandy on New Jersey Towns and households. Rutgers School of Public Affairs and Administration website. https://njdatabank.newark.rutgers.edu/sites/default/files/files/RutgersSandyImpact-FINAL-2013_10_28.pdf. Published October 25, 2013. Accessed May 2, 2016.Google Scholar
8. Newell, SA, Girgis, A, Sanson-Fisher, RW, et al. The accuracy of self-reported health behaviors and risk factors relating to cancer and cardiovascular disease in the general population: a critical review. Am J Prev Med. 1999;17:211-229.Google Scholar
9. QuickFacts New Jersey. United States Census Bureau website. http://www.census.gov/quickfacts/table/PST045215/34,00. Accessed May 2, 2016.Google Scholar
10. Christie administration encourages individuals without insurance to use Emergency Prescription Program. NJ.com website. http://www.nj.com/messenger-gazette/index.ssf/2012/11/christie_administration_encourages_individuals_without_insurance_to_use_emergency_prescription_progr.html. Published November 30, 2012. Accessed October 30, 2015.Google Scholar
11. Christie Administration Encourages New Jersey Residents to Use Prescription Medicine Program. State of New Jersey website. http://www.state.nj.us/health/news/2013/approved/20130103a.html. Published January 3, 2013. Accessed May 2, 2015.Google Scholar
12. Post-Katrina lessons inspire reforms. Drug Store News website. http://www.drugstorenews.com/article/post-katrina-lessons-inspire-reforms. Published August 12, 2007. Accessed November 24, 2015.Google Scholar
13. FEMA. New Jersey – Hurricane Sandy. FEMA-4086 DR. FEMA website. http://www.fema.gov/media-library-data/20130726-1859-25045-4290/dhs_ocfc_pda_report_fema_4086_dr_nj__expedited_.pdf. Published October 30, 2012. Accessed November 5, 2015.Google Scholar
14. The Hurricane Katrina Community Advisory Group, Kessler RC. Hurricane Katrina’s impact on the care of survivors with chronic medical conditions. J Gen Intern Med. 2007;22:1225-1230.Google Scholar
15. Laser, KE, Himelstein, DU, Woolhandler, S. Access to care, health status, and health disparities in the United States and Canada: results of a cross-national population-based survey. Am J Public Health. 2006;96(7):1300-1307.Google Scholar
16. Andrulis, DP. Access to care is the centerpiece in the elimination of socioeconomic disparities in health. Ann Intern Med. 1999;129:412-416.Google Scholar
17. Holt, JB, Mokdad, AH, Ford, ES, et al. Use of BRFSS data and GIS technology for rapid public health response during natural disasters. Prev Chronic Dis. 2008;5(3):1-18.Google Scholar
18. US Department of Commerce. New Jersey: 2010. Population and housing unit counts. 2010 Census of Population and Housing. https://www.census.gov/prod/cen2010/cph-2-32.pdf. Published August 2012. Accessed April 25, 2016.Google Scholar
19. Gornitz, V, Couch, S, Hartig, EK. Impacts of sea level rise in the New York City metropolitan area. Glob Planet Changes. 2002;32:61-88.Google Scholar
20. Strauss, BH, Ziemlinski, R, Weiss, JL, et al. Tidally adjusted estimates of topographic vulnerability to sea level rise and flooding for the contiguous United States. Environ Res Lett. 2012;7(1).Google Scholar
21. Nwankwo, T, Yoon, SS, Burt, V, et al. Hypertension among adults in the US: National Health and Nutrition Examination Survey, 2011-2012. NCHS Data Brief, No. 133. Hyattsville, MD: National Center for Health Statistics, Centers for Disease Control and Prevention, US Dept of Health and Human Services, 2013.Google Scholar
22. Spoto, M. 3 years after Sandy, NJ residents still struggling with hunger. Star Ledger. NJ.com website. http://www.nj.com/ocean/index.ssf/2015/10/3_years_after_sandy_nj_residents_still_struggling.html#incart_river_index. Published October 30, 2015. Accessed November 23, 2015.Google Scholar
23. Bethel, JW, Foreman, AN, Burke, SC. Disaster preparedness among medically vulnerable populations. Am J Prev Med. 2011;49(2):139-143.Google Scholar
24. Red Cross. Hurricane Safety Checklist. Red Cross website. http://www.redcross.org/images/MEDIA_CustomProductCatalog/m4340160_Hurricane.pdf. Published 2009. Accessed November 5, 2015.Google Scholar
25. Livio, SK. Hurricane Sandy victims eligible for free prescription drug refills. The Star-Ledger. http://www.nj.com/news/index.ssf/2013/01/hurricane_sandy_victims_eligib.html. Published January 3, 2013. Accessed April 25, 2016.Google Scholar
26. Title. Huffington Post website. http://www.huffingtonpost.com/entry/paris-france-terrorist-attack-trending-twitter_5646676ee406037734917a.Google Scholar
27. Breen, JO. Lost in Translation — ¿Cómo se dice, “Patient Protection and Affordable Care Act”? N Engl J Med. 2012;366:2045-2047.Google Scholar